Medicare Advantage Plans for Connecticut

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Connecticut Enrollees
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-157-0 		Local PPO $180 Yes No No Yes No No 38,330
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-838-0 		Local PPO $0 No 37,261
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H0271-014-0 		Local PPO $480 Yes $2,000 No No Yes Yes No 36,007
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No 23,630
UnitedHealthcare UnitedHealthcare Medicare Advantage Plan 3 (HMO)
H0755-033-0 		HMO $160 Yes No No Yes Yes No 22,603
UnitedHealthcare UnitedHealthcare Medicare Advantage Plan 2 (HMO)
H0755-031-0 		HMO $200 Yes No No Yes Yes No 20,165
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H3442-001-0 		Local PPO $200 Yes No No Yes Yes No 19,518
ConnectiCare ConnectiCare Flex Plan 3 (HMO-POS)
H3528-011-2 		HMOPOS $200 No 14,260
ConnectiCare ConnectiCare Choice Plan 3 (HMO)
H3528-014-0 		HMO $240 No 12,623
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage Select (HMO D-SNP)
H5854-013-0 		HMO $400 Yes $2,000 No No Yes Yes No 9,614
Anthem Blue Cross and Blue Shield Anthem MediBlue Select (HMO)
H5854-010-0 		HMO $140 Yes $2,000 No No Yes Yes No 8,991
ConnectiCare ConnectiCare Passage Plan 1 (HMO)
H3528-010-0 		HMO $60 Yes $400 No No No No No 8,315
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No 6,534
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No 5,771
UnitedHealthcare UnitedHealthcare Medicare Advantage Plan 1 (HMO)
H0755-030-0 		HMO $240 Yes No No Yes Yes No 5,571
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No 4,845
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 4,657
Aetna Medicare Aetna Medicare Elite Plan (HMO)
H5793-010-0 		HMO $180 Yes No No Yes No No 4,613
Wellcare Wellcare No Premium Open (PPO)
H1914-001-0 		Local PPO $180 Yes $2,000 No No Yes Yes No 4,509
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO $0 Yes No No Yes Yes No 4,461
Wellcare Wellcare Dual Access (HMO D-SNP)
H0712-005-0 		HMO $800 Yes $2,000 No No Yes Yes No 4,129
Aetna Medicare Aetna Medicare Assure Plan (HMO-POS D-SNP)
H5793-017-0 		HMOPOS $360 Yes $2,500 No No Yes No No 4,112
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H5854-008-0 		HMO $0 No 4,086
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $920 Yes $2,000 No No Yes Yes No 3,228
Aetna Medicare Aetna Medicare Explorer Premier Plan (PPO)
H5521-013-0 		Local PPO $180 Yes No No Yes No No 2,456
Anthem Blue Cross and Blue Shield Anthem MediBlue Extra (HMO)
H5854-011-0 		HMO $200 Yes $2,000 No No Yes Yes No 2,365
CarePartners of Connecticut CarePartners of CT CareAdvantage Preferred (HMO)
H5273-001-0 		HMO $100 Yes No No Yes No No 2,204
ConnectiCare ConnectiCare Choice Dual (HMO D-SNP)
H3276-001-0 		HMO $600 Yes $1,500 No No No No No 2,072
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No 1,918
Wellcare Wellcare Giveback Open (PPO)
H1914-002-0 		Local PPO $140 Yes $700 No No Yes Yes No 1,892
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 1,811
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Select (PPO)
H2836-005-0 		Local PPO $140 Yes $1,000 No No Yes Yes No 1,677
ConnectiCare ConnectiCare Flex Plan 2 (HMO-POS)
H3528-015-0 		HMOPOS $0 No 1,610
Wellcare Wellcare No Premium (HMO)
H0712-019-0 		HMO $120 Yes $1,500 No No Yes Yes No 1,601
ConnectiCare ConnectiCare Choice Plan 1 (HMO)
H3528-016-0 		HMO $0 No 1,562
Aetna Medicare Aetna Medicare Prime PCP Elite Plan (HMO)
H5793-012-0 		HMO $0 Yes No No Yes No No 1,544
Aetna Medicare Aetna Medicare Value Plan (HMO)
H5793-001-0 		HMO $180 Yes No No Yes No No 1,423
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0712-029-0 		HMO $1,200 Yes $2,000 No No Yes Yes No 1,421
Wellcare Wellcare Assist (HMO)
H0712-020-0 		HMO $400 Yes $2,000 No No Yes Yes No 1,377
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO $0 No 1,358
ConnectiCare ConnectiCare Choice Plan 2 (HMO)
H3528-003-0 		HMO $300 No 1,332
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5854-009-0 		HMO $0 No 1,029
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (HMO)
H0755-032-0 		HMO $200 Yes No No Yes Yes No 710
ConnectiCare ConnectiCare Choice Dual Basic (HMO D-SNP)
H3276-002-0 		HMO $400 No 685
Anthem Blue Cross and Blue Shield Anthem MediBlue Prime (HMO)
H5854-015-0 		HMO $1,300 Yes $1,500 No No Yes Yes No 603
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 468
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5854-007-0 		HMO $0 No 432
ConnectiCare ConnectiCare Flex Plan 1 (HMO-POS)
H3528-006-0 		HMOPOS $0 No 352
ConnectiCare ConnectiCare Employer Group Plan (HMO-POS)
H3528-806-0 		HMOPOS $0 No 323
CarePartners of Connecticut CarePartners of CT CareAdvantage Prime (HMO)
H5273-002-0 		HMO $140 Yes No No Yes No No 297
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