Medicare Advantage Plans for Connecticut

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Connecticut Enrollees
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 50,017
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-157-0 		Local PPO $300 No Yes No Yes No No 24,113
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-001-0 		Local PPO $200 No Yes No Yes Yes No 23,952
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No No 21,177
Aetna Medicare Aetna Medicare Essential Elite Plan (PPO)
H5521-352-0 		Local PPO $300 No Yes No Yes No No 19,601
UnitedHealthcare UnitedHealthcare Medicare Advantage Plan 3 (HMO-POS)
H0755-033-0 		HMOPOS $160 No Yes No Yes Yes No 18,457
UnitedHealthcare UnitedHealthcare Medicare Advantage Plan 2 (HMO-POS)
H0755-031-0 		HMOPOS $240 No Yes No Yes Yes No 15,850
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage Select (HMO D-SNP)
H5854-013-0 		HMO $400 Yes Yes $2,000 No Yes Yes No 15,048
ConnectiCare ConnectiCare Choice Plan 3 (HMO)
H3528-014-0 		HMO $300 No No 12,982
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H0271-014-0 		Local PPO $1,560 No Yes $2,500 No Yes Yes No 11,836
UnitedHealthcare AARP Medicare Advantage Choice Flex (PPO)
H3442-011-0 		Local PPO $160 No Yes No Yes Yes No 11,775
ConnectiCare ConnectiCare Flex Plan 3 (HMO-POS)
H3528-011-2 		HMOPOS $200 No No 11,602
Aetna Medicare Aetna Medicare Assure Plan (HMO-POS D-SNP)
H5793-017-0 		HMOPOS $800 No Yes $2,500 No Yes No No 8,087
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Select (PPO)
H2836-005-0 		Local PPO $140 Yes Yes $1,000 No Yes Yes No 7,896
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 6,551
Anthem Blue Cross and Blue Shield Anthem MediBlue Select (HMO)
H5854-010-0 		HMO $140 Yes Yes $2,000 No Yes Yes No 6,323
ConnectiCare ConnectiCare Passage Plan 1 (HMO)
H3528-010-0 		HMO $180 No Yes $400 No No No No 6,037
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No No 5,133
UnitedHealthcare UnitedHealthcare Medicare Advantage Plan 1 (HMO-POS)
H0755-030-0 		HMOPOS $280 No Yes No Yes Yes No 4,575
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 4,205
CarePartners of Connecticut CarePartners of CT CareAdvantage Preferred (HMO)
H5273-001-0 		HMO $200 No Yes No Yes No No 4,045
Wellcare Wellcare Dual Access (HMO D-SNP)
H0712-005-0 		HMO $800 No Yes $2,000 No Yes Yes Yes 4,006
Wellcare Wellcare No Premium Open (PPO)
H1914-001-0 		Local PPO $260 No Yes $2,000 No Yes Yes No 3,984
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Access (PPO D-SNP)
H2836-006-0 		Local PPO $400 Yes Yes $3,000 No Yes Yes No 3,726
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 3,685
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $1,100 Yes Yes $2,000 No Yes Yes No 3,474
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO $0 No Yes No Yes Yes No 3,276
Aetna Medicare Aetna Medicare Elite Plan (HMO)
H5793-010-0 		HMO $240 No Yes No Yes No No 3,149
UnitedHealthcare UnitedHealthcare Dual Complete Balance (PPO D-SNP)
H0271-059-0 		Local PPO $540 No Yes $2,000 No Yes Yes No 3,107
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO $0 No No 2,699
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H5854-008-0 		HMO $0 No No 2,452
Wellcare Wellcare Giveback Open (PPO)
H1914-002-0 		Local PPO $236 No Yes $700 No Yes Yes No 2,197
Aetna Medicare Aetna Medicare Explorer Premier Plan (PPO)
H5521-013-0 		Local PPO $180 No Yes No Yes No No 1,816
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 1,787
Anthem Blue Cross and Blue Shield Anthem MediBlue Extra (HMO)
H5854-011-0 		HMO $200 Yes Yes $2,000 No Yes Yes No 1,662
ConnectiCare ConnectiCare Choice Dual Basic (HMO D-SNP)
H3276-002-0 		HMO $500 No No 1,624
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0712-029-0 		HMO $1,200 No Yes $2,000 No Yes Yes Yes 1,534
ConnectiCare ConnectiCare Choice Dual (HMO D-SNP)
H3276-001-0 		HMO $720 No Yes $2,500 No No No No 1,422
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-001-0 		HMOPOS $180 No Yes No Yes No No 1,331
Wellcare Wellcare No Premium (HMO)
H0712-019-0 		HMO $220 No Yes $1,500 No Yes Yes Yes 1,328
ConnectiCare ConnectiCare Flex Plan 2 (HMO-POS)
H3528-015-0 		HMOPOS $0 No No 1,290
Wellcare Wellcare Assist (HMO)
H0712-020-0 		HMO $400 No Yes $2,000 No Yes Yes Yes 1,266
ConnectiCare ConnectiCare Choice Plan 1 (HMO)
H3528-016-0 		HMO $0 No No 1,262
ConnectiCare ConnectiCare Choice Plan 2 (HMO)
H3528-003-0 		HMO $600 No No 1,205
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (HMO-POS)
H0755-032-0 		HMOPOS $200 No Yes No Yes Yes No 936
Humana HumanaChoice SNP-DE H5216-290 (PPO D-SNP)
H5216-290-0 		Local PPO $0 No Yes No Yes No No 839
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5854-009-0 		HMO $0 No No 742
Humana HumanaChoice H5216-289 (PPO)
H5216-289-0 		Local PPO $300 Yes Yes No Yes No No 709
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 647
Cigna Cigna True Choice Medicare (PPO)
H7849-052-0 		Local PPO $180 No Yes $1,500 No No No No 451
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