Medicare Advantage Plans for Tulare County, California

  • 42 Total Plans
  • 66,271 Seniors Eligible for Medicare
  • 20,169 Seniors on Medicare Advantage (30%)
  • 4 plans with 5,221 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 15 plans with 4,851 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 15% 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
Humana Humana Gold Plus H5619-015 (HMO)
H5619-015-0 		HMO No $0 Yes No No Yes No No 7,756
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 3,036
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-056-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 1,237
UnitedHealthcare AARP Medicare Advantage SecureHorizons (HMO-POS)
H0543-140-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 934
Anthem Blue Cross Anthem MediBlue Dual Plus (HMO D-SNP)
H0544-087-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No No Yes Yes No 871
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 628
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 582
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 534
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H4829-003-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 492
Wellcare by Health Net Wellcare Dual Liberty (HMO D-SNP)
H0562-121-0 		HMO $220 per Quarter No $880 Yes $2,000 No No Yes Yes Yes 476
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 451
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-052-0 		HMO $21 per Quarter Yes $84 Yes $3,000 No No Yes Yes No 428
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 320
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 289
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 242
Humana Humana Honor (HMO)
H5619-121-0 		HMO No $0 Yes No No Yes No No 161
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 141
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO)
H0524-046-0 		HMO $60 per Quarter No $240 No 134
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
H0524-038-0 		HMO $60 per Quarter No $240 No 130
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 124
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-018-0 		Local PPO No $0 Yes No No Yes Yes No 116
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 92
Wellcare by Health Net Wellcare Assist (HMO)
H0562-127-0 		HMO $100 per Quarter No $400 Yes $1,000 No No Yes Yes Yes 87
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 77
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 73
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-802-0 		HMO No $0 No 73
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 65
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 56
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 47
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 45
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 31
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 28
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 23
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 23
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 22
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 20
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 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 19
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No $0 No 14
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 13
WelbeHealth WelbeHealth Sequoia PACE (PACE)
H2384-001-0 		National PACE No $0 No 11
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