Medicare Advantage Plans for New Castle County, Delaware

  • 51 Total Plans
  • 108,320 Seniors Eligible for Medicare
  • 32,681 Seniors on Medicare Advantage (30%)
  • 3 plans with 1,354 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 25 plans with 23,652 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 23% 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? Delaware Enrollees
Humana Humana Gold Plus H6622-010 (HMO-POS)
H6622-010-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 3,742
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-093-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 2,933
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H3113-011-0 		HMOPOS $189 per Month No $0 Yes $1,100 Yes No Yes Yes No 2,834
Aetna Medicare Aetna Medicare Advantra Value (HMO-POS)
H3959-055-0 		HMOPOS $120 per Quarter No $480 Yes $2,500 No No Yes No No 2,227
Aetna Medicare Aetna Medicare Value (PPO)
H5521-262-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,849
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,672
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H7445-005-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 1,573
Highmark Blue Cross Blue Shield Freedom Blue PPO Distinct (PPO)
H8166-002-0 		Local PPO $135 per Quarter No $540 Yes $500 No No Yes No No 1,417
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,320
Cigna Healthcare Cigna Preferred Medicare (HMO)
H2108-028-0 		HMO $105 per Quarter No $420 Yes $1,400 No No No No No 1,223
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,150
Humana Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP)
H6622-051-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 1,111
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,101
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-095-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,032
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-008-0 		Local PPO $30 per Quarter No $120 Yes $1,400 No No No No No 936
Aetna Medicare Aetna Medicare Premier Plus (HMO)
H3931-102-0 		HMO $90 per Quarter No $360 Yes $2,500 No No Yes No No 667
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-063-0 		HMO $200 per Month No $0 Yes $2,500 No No Yes No No 607
Highmark Blue Cross Blue Shield Freedom Blue PPO Signature (PPO)
H8166-001-0 		Local PPO $95 per Quarter No $380 Yes $500 No No Yes No No 471
Humana HumanaChoice H5216-029 (PPO)
H5216-029-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 427
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H3113-013-0 		HMOPOS $64 per Month No $0 Yes $1,100 Yes No Yes Yes No 355
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-129-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 353
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 345
Saint Francis LIFE LIFE at St. Francis Healthcare, Inc (PACE)
H5493-001-0 		National PACE No $0 No 263
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 250
Aetna Medicare Aetna Medicare Elite (HMO-POS)
H3931-104-0 		HMOPOS $75 per Quarter No $300 No 235
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 222
Humana Humana Honor (PPO)
H5216-129-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 203
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-017-0 		Local PPO $220 per Quarter Yes $880 Yes $2,000 Yes No Yes Yes No 198
Humana HumanaChoice H5216-308 (PPO)
H5216-308-0 		Local PPO No $0 Yes No No Yes No No 183
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H2108-001-0 		HMO $200 per Quarter No $800 Yes $1,400 No No No No No 165
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H7445-006-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 151
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 135
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 128
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 123
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 101
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 85
Aetna Medicare Aetna Medicare Advantra Eagle (HMO-POS)
H3959-056-0 		HMOPOS $120 per Quarter No $480 Yes $1,500 No No Yes No No 74
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 66
Cigna Healthcare Cigna Achieve Medicare (HMO C-SNP)
H2108-029-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 60
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H2108-039-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 57
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 54
AmeriHealth Caritas VIP Care (HMO-D-SNP) AmeriHealth Caritas VIP Care (HMO D-SNP)
H0738-001-0 		HMO $180 per Month No $0 Yes $1,500 No No No No No 45
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2228-010-0 		Local PPO $200 per Quarter Yes $800 No 45
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 38
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 33
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO PA MAPD Calendar (PPO)
H3916-806-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 21
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
Highmark Blue Cross Blue Shield Freedom Blue PPO Valor (PPO)
H8166-003-0 		Local PPO $100 per Quarter No $400 Yes $500 No No Yes No No 16
Independence Blue Cross Personal Choice 65 Group Medical Only (PPO)
H3909-801-0 		Local PPO No $0 No 15
Cigna Healthcare Cigna True Choice Core Medicare (PPO)
H7787-802-0 		Local PPO No $0 No 13
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