Medicare Advantage Plans for Duval County, Florida

  • 95 Total Plans
  • 178,893 Seniors Eligible for Medicare
  • 88,847 Seniors on Medicare Advantage (50%)
  • 8 plans with 5,406 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 54 plans with 70,068 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 42% 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? Florida Enrollees
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H1045-026-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 8,734
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-269-0 		Local PPO $25 per Month No $0 Yes $2,500 No No Yes No No 6,395
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2406-013-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 6,356
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-002-2 		Local PPO $220 per Month No $0 Yes $3,600 Yes No Yes Yes No 6,001
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H1045-039-0 		HMOPOS $270 per Month No $0 Yes $3,600 Yes No Yes Yes No 5,847
Humana Humana Gold Plus H1036-068 (HMO)
H1036-068-0 		HMO $50 per Month Yes $0 Yes No No Yes No No 5,195
Florida Blue HMO BlueMedicare Premier (HMO)
H1035-033-0 		HMO $115 per Quarter No $460 Yes No No Yes No No 4,323
Wellcare Wellcare No Premium (HMO)
H1032-205-0 		HMO $38 per Month Yes $0 Yes $2,000 No No Yes Yes No 4,262
CarePlus Health Plans, Inc. CareFree Platinum (HMO)
H1019-094-0 		HMO $100 per Quarter No $400 Yes $1,200 No No Yes No No 3,278
Florida Blue BlueMedicare Value (PPO)
H5434-031-0 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 2,553
Humana Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
H1036-210-0 		HMO $1,500 per Month No $0 Yes $2,000 No No Yes No No 2,287
CarePlus Health Plans, Inc. CareNeeds Plus (HMO D-SNP)
H1019-073-0 		HMO $1,500 per Month No $0 Yes $2,000 No No Yes No No 2,229
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-175-0 		HMO $180 per Month Yes $0 Yes $5,000 No No Yes Yes No 2,151
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-124-0 		HMO $170 per Month Yes $0 Yes $4,000 No No Yes Yes No 1,747
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 1,659
Humana HumanaChoice Florida H5216-070 (PPO)
H5216-070-0 		Local PPO No $0 Yes $1,000 Yes No No No No 1,502
Wellcare Wellcare Giveback (HMO)
H1032-204-0 		HMO No $0 Yes $1,000 No No Yes Yes No 1,486
CarePlus Health Plans, Inc. CareOne Plus (HMO)
H1019-069-0 		HMO $40 per Month No $0 Yes $1,500 No No Yes No No 1,424
Florida Blue HMO BlueMedicare Classic (HMO)
H1035-019-0 		HMO No $0 Yes No No Yes No No 1,353
Humana Humana Gold Plus H1036-270 (HMO)
H1036-270-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 1,309
Devoted Health Devoted DUAL Jacksonville (HMO D-SNP)
H1290-023-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 952
Florida Blue BlueMedicare Choice (Regional PPO)
R3332-001-0 		Regional PPO No $0 Yes No No Yes No No 936
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-033-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 934
Devoted Health Devoted ESSENTIALS Jacksonville (HMO)
H1290-031-0 		HMO $0 per Month No $0 Yes No No Yes No No 929
CarePlus Health Plans, Inc. CareOne Platinum (HMO)
H1019-113-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 884
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 855
Humana HumanaChoice Florida H7284-009 (PPO)
H7284-009-0 		Local PPO No $0 Yes $1,000 No No Yes No No 792
Florida Blue HMO BlueMedicare Complete (HMO D-SNP)
H1035-031-0 		HMO $100 per Month No $0 Yes $3,000 No No No No No 734
Aetna Medicare Aetna Medicare Assure Plus (HMO D-SNP)
H1609-045-0 		HMO $270 per Month No $0 Yes $5,000 No No Yes No No 684
Devoted Health Devoted CORE Jacksonville (HMO)
H1290-029-0 		HMO $140 per Quarter No $560 Yes No No Yes No No 679
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 661
Aetna Medicare Aetna Medicare Select (HMO)
H1609-021-0 		HMO $65 per Month No $0 Yes $3,000 No No Yes No No 624
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 553
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 496
Wellcare Wellcare Dual Select (HMO D-SNP)
H1032-182-0 		HMO $207 per Quarter No $828 Yes $2,000 No No Yes Yes Yes 493
Wellcare by Allwell Ascension Complete St. Vincent's Secure (HMO)
H8225-003-0 		HMO $38 per Month Yes $0 Yes $1,500 No No Yes Yes No 419
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 388
UnitedHealthcare UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
R0759-003-0 		Regional PPO $43 per Month No $0 Yes $3,600 Yes No Yes Yes No 364
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 337
Devoted Health Devoted PREMIUM (HMO)
H1290-044-3 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 315
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-010-0 		Local PPO $270 per Quarter Yes $1,080 Yes $2,000 Yes No Yes Yes No 299
Aetna Medicare Aetna Medicare Choice (HMO-POS)
H1609-028-0 		HMOPOS $35 per Month No $0 Yes $2,500 No No Yes No No 288
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H1032-224-0 		HMO $177 per Quarter No $708 Yes $2,000 No No Yes Yes Yes 287
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 271
Wellcare Wellcare No Premium Open (PPO)
H5199-008-0 		Local PPO $77 per Quarter No $308 Yes $2,000 No No Yes Yes No 270
Humana HumanaChoice Florida H7284-006 (PPO)
H7284-006-0 		Local PPO $25 per Month Yes $0 Yes $1,000 Yes No Yes No No 264
UnitedHealthcare AARP Medicare Advantage Patriot (Regional PPO)
R0759-002-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 256
Humana Humana Honor (HMO)
H1036-293-0 		HMO $30 per Month Yes $360 Yes No No Yes No No 215
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 198
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-175-0 		HMO $50 per Month Yes $600 Yes No No Yes No No 185
Florida Blue BlueMedicare Group PPO (PPO)
H5434-801-0 		Local PPO No $0 No 154
Humana HumanaChoice R5826-074 (Regional PPO)
R5826-074-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 152
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 141
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 131
Florida Blue BlueMedicare Select (PPO)
H5434-002-0 		Local PPO No $0 Yes No No Yes No No 113
Humana HumanaChoice R5826-005 (Regional PPO)
R5826-005-0 		Regional PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 104
Wellcare by Allwell Ascension Complete St. Vincent's DSNP (HMO D-SNP)
H8225-005-0 		HMO $400 per Quarter No $1,600 Yes $3,000 No No Yes Yes Yes 104
Devoted Health Devoted CHOICE (PPO)
H9884-004-0 		Local PPO $110 per Quarter No $440 Yes No No Yes No No 101
Humana HumanaChoice R5826-018 (Regional PPO)
R5826-018-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 82
AHF PHP (HMO C-SNP)
H3132-001-0 		HMO $0 per Month No $0 Yes $2,500 No No No Yes Yes 81
PACE Partners of Northeast Florida PACE Partners of Northeast Florida (PACE)
H7469-001-0 		National PACE No $0 No 79
Wellcare by Allwell Ascension Complete Florida Reward (HMO)
H8225-001-0 		HMO $104 per Quarter No $416 No 78
Humana Humana Honor (PPO)
H5216-257-0 		Local PPO $35 per Month Yes $0 Yes $1,000 Yes No Yes No No 74
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 73
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-347-0 		Local PPO $30 per Month No $0 Yes $2,500 No No Yes No No 72
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 67
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 62
Florida Blue BlueMedicare Patriot (PPO)
H5434-041-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 60
Simply Healthcare Plans, Inc. Simply Extra (HMO)
H5471-112-0 		HMO $60 per Month No $0 Yes $1,000 No No Yes Yes No 58
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H5199-016-0 		Local PPO $89 per Month Yes $0 Yes $3,000 No No Yes Yes No 55
Simply Healthcare Plans, Inc. Simply More (HMO)
H5471-110-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes Yes No 49
Florida Blue BlueMedicare Group PPO (PPO)
H5434-802-0 		Local PPO No $0 No 45
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
H2509-001-0 		HMOPOS $330 per Month No $0 Yes $3,600 Yes No Yes Yes No 45
CarePlus Health Plans, Inc. CareComplete Platinum (HMO C-SNP)
H1019-109-0 		HMO $35 per Month No $0 Yes $500 No No Yes No No 44
CarePlus Health Plans, Inc. CareComplete (HMO C-SNP)
H1019-128-0 		HMO $100 per Month No $1,200 Yes $4,000 No No Yes No No 43
Molina Healthcare of Florida Molina Medicare Complete Care (HMO D-SNP)
H8130-001-0 		HMO $310 per Quarter No $1,240 Yes $2,000 No No No Yes No 42
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 41
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H1644-001-0 		HMO $200 per Quarter No $800 Yes $1,650 Yes No No Yes No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 38
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H1609-807-0 		HMO No $0 No 37
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-302-0 		HMO $50 per Month Yes $0 Yes No No Yes No No 37
Humana Humana Medicare Employer (HMO)
H1036-801-0 		HMO No $0 No 37
Wellcare Wellcare Premium Enhanced Open (PPO)
H5199-010-0 		Local PPO $40 per Month Yes $0 Yes $2,000 No No Yes Yes No 34
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H5410-044-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 33
Wellcare by Allwell Ascension Complete St. Vincent's Access POS (HMO-POS)
H8225-007-0 		HMOPOS $85 per Quarter No $340 Yes $700 No No Yes Yes Yes 32
Alignment Health Plan Alignment Health Platinum (HMO-POS)
H9943-001-0 		HMOPOS $75 per Quarter No $300 Yes $2,000 No No No No No 25
Simply Healthcare Plans, Inc. Simply Complete (HMO D-SNP)
H5471-111-0 		HMO $115 per Month No $0 Yes $2,000 No No Yes Yes No 25
Wellcare by Allwell Ascension Complete Florida Reward II (HMO)
H8225-009-0 		HMO $105 per Quarter No $420 Yes $1,000 No No Yes Yes Yes 23
Cigna Healthcare Cigna Preferred Medicare (HMO)
H5410-043-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 18
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H9943-003-0 		HMO $200 per Quarter No $800 Yes $2,000 No No No No No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 17
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 15
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-047-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 11
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