Medicare Advantage Plans for Marion County, Florida

  • 120 Total Plans
  • 126,535 Seniors Eligible for Medicare
  • 71,871 Seniors on Medicare Advantage (57%)
  • 6 plans with 4,405 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 69 plans with 52,034 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 45% 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 UnitedHealthcare The Villages Medicare Advantage (HMO-POS)
H1045-025-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 9,852
Freedom Health, Inc. Freedom VIP Savings (HMO C-SNP)
H5427-072-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 4,760
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2406-016-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 4,097
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 3,654
CarePlus Health Plans, Inc. CareFree (HMO)
H1019-120-2 		HMO $40 per Month No $0 Yes $1,500 No No Yes No No 3,275
Humana HumanaChoice Florida H5216-074 (PPO)
H5216-074-0 		Local PPO No $0 Yes $1,000 Yes No Yes No No 3,176
CarePlus Health Plans, Inc. CareOne Plus (HMO-POS)
H1019-057-0 		HMOPOS $50 per Month No $0 Yes $2,000 No No Yes No No 1,777
Freedom Health, Inc. Freedom Platinum Rewards Plan Rx (HMO)
H5427-096-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 1,753
Florida Blue HMO BlueMedicare Premier (HMO)
H1035-043-0 		HMO $150 per Quarter No $600 Yes $2,000 No No Yes No No 1,682
CarePlus Health Plans, Inc. CareNeeds Plus (HMO D-SNP)
H1019-026-0 		HMO $1,800 per Month No $0 Yes $1,500 No No Yes No No 1,665
Humana Humana Gold Plus H1036-269 (HMO)
H1036-269-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 1,653
Florida Blue BlueMedicare Value (PPO)
H5434-036-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 1,649
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 1,616
UnitedHealthcare UnitedHealthcare The Villages Medicare Focus (HMO-POS)
H1045-056-0 		HMOPOS $215 per Quarter No $860 Yes Yes No Yes Yes No 1,590
Freedom Health, Inc. Freedom Platinum Plan Rx (HMO)
H5427-094-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 1,473
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-271-0 		Local PPO $35 per Month No $0 Yes $2,000 No No Yes No No 1,401
Humana Humana Gold Plus H1036-146 (HMO)
H1036-146-0 		HMO $150 per Quarter Yes $600 Yes No No Yes No No 1,320
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,298
Humana HumanaChoice Florida H5216-304 (PPO)
H5216-304-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 Yes No Yes No No 1,298
Humana Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
H1036-213-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 1,169
Wellcare Wellcare Giveback (HMO)
H1032-193-0 		HMO No $0 Yes $2,000 No No Yes Yes No 1,106
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 1,089
Freedom Health, Inc. Freedom VIP Savings COPD (HMO C-SNP)
H5427-077-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 1,015
Florida Blue HMO BlueMedicare Classic (HMO)
H1035-019-0 		HMO No $0 Yes No No Yes No No 951
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 926
Freedom Health, Inc. Freedom Medi-Medi Partial (HMO D-SNP)
H5427-078-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 834
Freedom Health, Inc. Freedom VIP Care (HMO C-SNP)
H5427-070-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 797
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 786
Florida Blue BlueMedicare Choice (Regional PPO)
R3332-001-0 		Regional PPO No $0 Yes No No Yes No No 785
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 769
Freedom Health, Inc. Freedom Medi-Medi Full (HMO D-SNP)
H5427-087-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 700
Ultimate Health Plans Advantage Care by Ultimate (HMO C-SNP)
H2962-029-0 		HMO No $0 Yes $2,000 No No No No No 612
Humana HumanaChoice Florida H7284-001 (PPO)
H7284-001-0 		Local PPO $25 per Month No $0 Yes $1,000 Yes No Yes No No 530
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 525
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 508
Wellcare Wellcare No Premium (HMO)
H1032-194-0 		HMO $45 per Month Yes $0 Yes $2,000 No No Yes Yes No 449
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-175-0 		HMO $180 per Month Yes $0 Yes $5,000 No No Yes Yes No 386
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 377
Devoted Health Devoted CORE North Florida (HMO)
H1290-027-0 		HMO $140 per Quarter No $560 Yes No No Yes No No 360
UnitedHealthcare UnitedHealthcare Medicare Advantage Walgreens (HMO-POS C-SNP)
H1045-048-4 		HMOPOS $100 per Month No $0 Yes Yes No Yes Yes No 360
CarePlus Health Plans, Inc. CareFree Platinum (HMO)
H1019-137-0 		HMO $25 per Month No $0 Yes $1,200 No No Yes No No 334
CarePlus Health Plans, Inc. CareOne Platinum (HMO)
H1019-112-0 		HMO $100 per Month No $1,200 Yes $2,500 No No Yes No No 333
Devoted Health Devoted ESSENTIALS North Florida (HMO)
H1290-035-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 333
Ultimate Health Plans Premier by Ultimate (HMO)
H2962-028-0 		HMO $45 per Month No $0 Yes $2,000 No No No No No 318
Aetna Medicare Aetna Medicare Select (HMO)
H1609-021-0 		HMO $65 per Month No $0 Yes $3,000 No No Yes No No 300
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 289
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 246
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-124-0 		HMO $170 per Month Yes $0 Yes $4,000 No No Yes Yes No 237
UnitedHealthcare AARP Medicare Advantage Patriot (Regional PPO)
R0759-002-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 233
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 201
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H5410-026-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 196
Florida Blue BlueMedicare Group PPO (PPO)
H5434-801-0 		Local PPO No $0 No 187
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 179
Humana Humana Honor (HMO)
H1036-290-0 		HMO $30 per Month Yes $0 Yes No No Yes No No 175
Devoted Health Devoted PREMIUM (HMO)
H1290-044-3 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 170
Ultimate Health Plans Advantage Care COPD by Ultimate (HMO C-SNP)
H2962-023-0 		HMO No $0 Yes $2,000 No No No No No 167
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 164
Devoted Health Devoted DUAL North Florida (HMO D-SNP)
H1290-033-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 164
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 154
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 152
Humana HumanaChoice R5826-074 (Regional PPO)
R5826-074-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 146
CarePlus Health Plans, Inc. CareComplete Platinum (HMO C-SNP)
H1019-122-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 144
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-033-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 133
Cigna Healthcare Cigna Preferred Medicare (HMO)
H5410-024-0 		HMO $210 per Quarter No $840 Yes No No Yes No No 123
Wellcare Wellcare No Premium Open (PPO)
H5199-008-0 		Local PPO $77 per Quarter No $308 Yes $2,000 No No Yes Yes No 110
Florida Blue BlueMedicare Group PPO (PPO)
H5434-802-0 		Local PPO No $0 No 102
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 90
Florida Blue BlueMedicare Patriot (PPO)
H5434-038-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 89
CarePlus Health Plans, Inc. CareComplete (HMO C-SNP)
H1019-107-0 		HMO $75 per Month No $900 Yes $1,200 No No Yes No No 88
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H1036-300-0 		HMO $600 per Month No $0 Yes No No Yes No No 85
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 81
Florida Blue BlueMedicare Select (PPO)
H5434-002-0 		Local PPO No $0 Yes No No Yes No No 78
Optimum HealthCare, Inc. Optimum Diamond Savings (HMO C-SNP)
H5594-030-0 		HMO $30 per Month No $0 Yes $1,000 No No Yes No No 76
Freedom Health, Inc. Freedom Medicare Plan Rx (HMO)
H5427-060-0 		HMO $35 per Month No $0 Yes $1,000 No No Yes No No 75
Humana HumanaChoice R5826-005 (Regional PPO)
R5826-005-0 		Regional PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 73
Optimum HealthCare, Inc. Optimum Gold Rewards Plan (HMO)
H5594-026-0 		HMO $30 per Month No $0 Yes $1,000 No No Yes No No 72
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 68
Humana HumanaChoice R5826-018 (Regional PPO)
R5826-018-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 65
Freedom Health, Inc. Freedom Savings Plan (HMO)
H5427-052-0 		HMO $35 per Month No $0 Yes $1,000 No No Yes No No 60
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 57
Wellcare Wellcare Dual Select (HMO D-SNP)
H1032-182-0 		HMO $207 per Quarter No $828 Yes $2,000 No No Yes Yes Yes 56
Aetna Medicare Aetna Medicare Choice (HMO-POS)
H1609-028-0 		HMOPOS $35 per Month No $0 Yes $2,500 No No Yes No No 51
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 51
Freedom Health, Inc. Freedom Platinum Plus Plan Rx (HMO)
H5427-104-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 49
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-017-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 45
Optimum HealthCare, Inc. Optimum Emerald Full (HMO D-SNP)
H5594-017-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 45
Humana Humana Honor (PPO)
H5216-257-0 		Local PPO $35 per Month Yes $0 Yes $1,000 Yes No Yes No No 40
Ultimate Health Plans Advantage Plus by Ultimate (Partial) (HMO D-SNP)
H2962-036-0 		HMO $125 per Month No $0 Yes $2,000 No No No No No 38
CarePlus Health Plans, Inc. CareBreeze Platinum (HMO C-SNP)
H1019-125-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 37
Optimum HealthCare, Inc. Optimum Emerald Partial (HMO D-SNP)
H5594-016-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 35
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 32
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 30
Devoted Health Devoted CHOICE North Florida (PPO)
H9884-012-0 		Local PPO $110 per Quarter No $440 Yes No No Yes No No 25
Humana Humana Community (HMO)
H1036-295-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 24
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		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 Eagle (PPO)
H5521-347-0 		Local PPO $30 per Month No $0 Yes $2,500 No No Yes No No 20
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO No $0 No 18
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H5410-025-0 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 17
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 17
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 16
Priority Health Medicare PriorityMedicare PPO EG Calendar Year (PPO)
H4875-804-0 		Local PPO $0 per Month No $0 No 16
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 15
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 14
Optimum HealthCare, Inc. Optimum Diamond Savings COPD (HMO C-SNP)
H5594-031-0 		HMO $30 per Month No $0 Yes $1,000 No No Yes No No 14
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 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 12
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 12
CarePlus Health Plans, Inc. CareBreeze (HMO C-SNP)
H1019-116-0 		HMO $75 per Month No $900 Yes $1,200 No No Yes No No 11
Cigna Healthcare Cigna Primary Medicare (HMO)
H5410-033-0 		HMO $225 per Quarter No $900 Yes $2,500 No No No No No 11
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 11
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 11
Humana HumanaChoice Florida H5216-072 (PPO)
H5216-072-0 		Local PPO No $0 Yes $1,000 Yes No Yes No No 11
Ultimate Health Plans Advantage Plus by Ultimate (Full) (HMO D-SNP)
H2962-035-0 		HMO $125 per Month No $0 Yes $2,000 No No No No No 11
Wellcare Wellcare Premium Enhanced Open (PPO)
H5199-010-0 		Local PPO $40 per Month Yes $0 Yes $2,000 No No Yes Yes No 11
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