Medicare Advantage Plans for Stanislaus County, California

  • 78 Total Plans
  • 90,533 Seniors Eligible for Medicare
  • 49,259 Seniors on Medicare Advantage (54%)
  • 10 plans with 4,450 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 41 plans with 37,509 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 46% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? California Enrollees
Alignment Health Plan Alignment Health AllCare Preferred (HMO)
H3815-011-0 		HMO $165 per Quarter No $660 Yes $1,000 No No No No No 10,465
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
H0524-040-0 		HMO $60 per Quarter No $240 No 5,401
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Stanis (HMO)
H0524-041-0 		HMO $60 per Quarter No $240 No 4,680
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
H0543-036-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 4,279
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 3,159
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)
H0543-147-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,488
Humana Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)
H5619-038-0 		HMO $600 per Month No $0 Yes $1,000 Yes No Yes No No 1,966
Alignment Health Plan Alignment Health CalPlusDuals (HMO D-SNP)
H3815-030-0 		HMO $240 per Quarter No $960 Yes $2,500 No No No No No 1,910
Humana Humana Gold Plus H5619-032 (HMO)
H5619-032-0 		HMO $15 per Quarter Yes $60 Yes No No Yes No No 1,681
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 1,083
UnitedHealthcare AARP Medicare Advantage SecureHorizons Focus (HMO-POS)
H0543-196-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 944
Anthem Blue Cross Anthem MediBlue StartSmart Plus (HMO)
H0544-121-2 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 798
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 675
Alignment Health Plan Alignment Health My Choice CalPlus (HMO)
H3815-007-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 672
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 626
Wellcare by Health Net Wellcare No Premium (HMO)
H0562-120-0 		HMO $57 per Quarter No $228 Yes $1,000 No No Yes Yes Yes 515
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 467
Anthem Blue Cross Anthem MediBlue Value Plus (HMO)
H0544-027-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 440
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0 		HMO $200 per Quarter No $800 No 438
Anthem Blue Cross Anthem MediBlue Value (HMO)
H0544-107-0 		HMO $50 per Quarter Yes $200 No 402
SCAN Health Plan SCAN Classic (HMO)
H5425-069-0 		HMO $120 per Quarter Yes $480 Yes No No Yes No No 387
Anthem Blue Cross Anthem MediBlue Connect (HMO D-SNP)
H0544-126-0 		HMO $125 per Quarter Yes $500 Yes $2,000 No No Yes Yes No 372
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 365
Wellcare by Health Net Wellcare Dual Liberty Amber (HMO D-SNP)
H3561-001-0 		HMO $75 per Month Yes $0 Yes $2,000 No No Yes Yes No 297
Imperial Health Plan of California, Inc. Imperial Senior Value (HMO C-SNP)
H5496-005-0 		HMO $75 per Quarter No $300 Yes $500 No No No Yes Yes 283
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 273
Anthem Blue Cross Anthem MediBlue Diabetes (HMO C-SNP)
H0544-032-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 262
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0 		HMO $65 per Quarter No $260 No 256
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-293-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 211
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 195
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 193
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 185
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 181
Anthem Blue Cross Anthem MediBlue Diabetes Care (HMO C-SNP)
H0544-104-0 		HMO $50 per Quarter Yes $200 Yes $3,000 No No Yes Yes No 164
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H4829-008-0 		Local PPO No $0 Yes No No Yes Yes No 146
Alignment Health Plan Alignment Health My Choice (PPO)
H4961-001-0 		Local PPO $60 per Quarter No $240 No 143
Humana Humana Gold Plus H5619-150 (HMO)
H5619-150-0 		HMO No $0 Yes No No Yes No No 134
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 132
Alignment Health Plan Alignment Health Balance (PPO)
H4961-006-0 		Local PPO $65 per Quarter No $260 No 130
Central Valley PACE Central Valley PACE - Dual Eligible (PACE)
H1228-001-0 		National PACE No $0 No 105
Humana Humana Honor (HMO)
H5619-121-0 		HMO No $0 Yes No No Yes No No 93
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-070-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 92
Anthem Blue Cross Anthem MediBlue Care On Site (HMO I-SNP)
H0544-050-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 91
Imperial Health Plan of California, Inc. Imperial Dynamic Plan (HMO)
H5496-012-0 		HMO $120 per Quarter No $480 Yes $500 No No No Yes Yes 76
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-017-0 		Local PPO No $0 Yes No No Yes Yes No 69
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 66
Brand New Day Brand New Day Classic Care II Plan (HMO)
H0838-051-2 		HMO $50 per Month No $0 Yes No No Yes Yes No 63
WelbeHealth WelbeHealth Sierra PACE (PACE)
H8082-001-0 		National PACE No $0 No 63
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 62
Wellcare by Health Net Wellcare Premium Ultra (HMO)
H0562-009-0 		HMO No $0 Yes $1,000 No No Yes Yes No 62
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 50
Imperial Health Plan of California, Inc. Imperial Traditional (HMO)
H5496-007-0 		HMO $75 per Quarter No $300 Yes $500 No No No Yes Yes 50
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue ESRD Care (PPO C-SNP)
H8552-028-0 		Local PPO $150 per Quarter Yes $600 No 48
Anthem Blue Cross Anthem MediBlue Lung (HMO C-SNP)
H0544-031-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 45
Anthem Blue Cross Anthem MediBlue Heart (HMO C-SNP)
H0544-036-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 41
Brand New Day Brand New Day Embrace Care Plan (HMO C-SNP)
H0838-039-2 		HMO $45 per Quarter No $180 Yes No No Yes Yes No 39
Humana Humana Gold Plus H5619-148 (HMO)
H5619-148-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 36
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 34
Brand New Day Brand New Day Dual Access Plan (HMO D-SNP)
H0838-024-0 		HMO $33 per Month No $0 Yes No No Yes Yes No 33
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 29
Brand New Day Brand New Day Embrace Choice Plan (HMO C-SNP)
H0838-040-2 		HMO $50 per Month No $0 Yes No No Yes Yes No 28
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 28
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0 		HMO $200 per Quarter No $800 Yes $2,000 No No No No No 25
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 24
Anthem Blue Cross Anthem MediBlue Heart Care (HMO C-SNP)
H0544-105-0 		HMO $50 per Quarter Yes $200 Yes $3,000 No No Yes Yes No 20
Anthem Blue Cross Anthem MediBlue Lung Care (HMO C-SNP)
H0544-103-0 		HMO $50 per Quarter Yes $200 Yes $3,000 No No Yes Yes No 20
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 19
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
H0524-042-0 		HMO $60 per Quarter No $240 No 19
Imperial Health Plan of California, Inc. Imperial Dual Plan (HMO D-SNP)
H5496-011-0 		HMO $140 per Quarter No $560 Yes $2,500 No No No Yes Yes 16
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 14
Alignment Health Plan Alignment Health AVA (HMO-POS)
H3815-026-0 		HMOPOS $215 per Quarter No $860 Yes $1,000 No No No No No 12
Aetna Medicare Aetna Medicare Eagle Plus Plan (PPO)
H5521-369-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 11
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 11
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
H0524-043-0 		HMO $60 per Quarter No $240 No 11
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 11
Santa Clara Family Health Plan DualConnect (HMO D-SNP)
H4045-001-0 		HMO $135 per Quarter No $540 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
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