Medicare Advantage Plans for St. Johns County, Florida

  • 65 Total Plans
  • 68,178 Seniors Eligible for Medicare
  • 25,087 Seniors on Medicare Advantage (37%)
  • 4 plans with 733 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 16,240 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 25% 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 Choice (PPO)
H2406-013-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,034
Humana Humana Gold Plus H1036-068 (HMO)
H1036-068-0 		HMO $50 per Month Yes $0 Yes No No Yes No No 2,576
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H1045-026-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 2,507
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 2,399
Florida Blue BlueMedicare Value (PPO)
H5434-031-0 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 1,392
Humana HumanaChoice Florida H5216-070 (PPO)
H5216-070-0 		Local PPO No $0 Yes $1,000 Yes No No No No 1,029
Humana Humana Gold Plus H1036-270 (HMO)
H1036-270-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 817
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 808
Florida Blue BlueMedicare Choice (Regional PPO)
R3332-001-0 		Regional PPO No $0 Yes No No Yes No No 781
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 733
Florida Blue HMO FHCP Medicare Flagler Advantage (HMO)
H1035-016-0 		HMO $60 per Quarter No $240 Yes $600 No No Yes No No 704
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 676
Florida Blue HMO BlueMedicare Classic (HMO)
H1035-019-0 		HMO No $0 Yes No No Yes No No 649
Humana HumanaChoice Florida H7284-009 (PPO)
H7284-009-0 		Local PPO No $0 Yes $1,000 No No Yes No No 638
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 627
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 541
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 509
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 465
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 401
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 348
Wellcare Wellcare No Premium (HMO)
H1032-205-0 		HMO $38 per Month Yes $0 Yes $2,000 No No Yes Yes No 299
Wellcare Wellcare Giveback (HMO)
H1032-204-0 		HMO No $0 Yes $1,000 No No Yes Yes No 240
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 230
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 211
Humana HumanaChoice Florida H7284-006 (PPO)
H7284-006-0 		Local PPO $25 per Month Yes $0 Yes $1,000 Yes No Yes No No 193
Aetna Medicare Aetna Medicare Select (HMO)
H1609-021-0 		HMO $65 per Month No $0 Yes $3,000 No No Yes No No 189
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-033-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 164
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 102
UnitedHealthcare AARP Medicare Advantage Patriot (Regional PPO)
R0759-002-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 90
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 83
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 81
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 80
Humana HumanaChoice R5826-074 (Regional PPO)
R5826-074-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 79
Wellcare Wellcare No Premium Open (PPO)
H5199-008-0 		Local PPO $77 per Quarter No $308 Yes $2,000 No No Yes Yes No 70
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-175-0 		HMO $180 per Month Yes $0 Yes $5,000 No No Yes Yes No 68
Aetna Medicare Aetna Medicare Choice (HMO-POS)
H1609-028-0 		HMOPOS $35 per Month No $0 Yes $2,500 No No Yes No No 64
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 62
Humana Humana Honor (HMO)
H1036-293-0 		HMO $30 per Month Yes $360 Yes No No Yes No No 57
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-124-0 		HMO $170 per Month Yes $0 Yes $4,000 No No Yes Yes No 54
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 52
CarePlus Health Plans, Inc. CareFree Platinum (HMO)
H1019-094-0 		HMO $100 per Quarter No $400 Yes $1,200 No No Yes No No 52
Humana HumanaChoice R5826-005 (Regional PPO)
R5826-005-0 		Regional PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 46
Humana HumanaChoice R5826-018 (Regional PPO)
R5826-018-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 45
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 35
Florida Blue BlueMedicare Group PPO (PPO)
H5434-801-0 		Local PPO No $0 No 32
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-175-0 		HMO $50 per Month Yes $600 Yes No No Yes No No 32
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-347-0 		Local PPO $30 per Month No $0 Yes $2,500 No No Yes No No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 28
Humana Humana Honor (PPO)
H5216-257-0 		Local PPO $35 per Month Yes $0 Yes $1,000 Yes No Yes No No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 23
CarePlus Health Plans, Inc. CareOne Platinum (HMO)
H1019-113-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 22
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 20
Florida Blue BlueMedicare Group PPO (PPO)
H5434-802-0 		Local PPO No $0 No 19
Florida Blue BlueMedicare Patriot (PPO)
H5434-041-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 19
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 18
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 17
Simply Healthcare Plans, Inc. Simply More (HMO)
H5471-110-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes Yes No 17
Humana Humana Medicare Employer (HMO)
H1036-801-0 		HMO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 12
Wellcare Wellcare Premium Enhanced Open (PPO)
H5199-010-0 		Local PPO $40 per Month Yes $0 Yes $2,000 No No Yes Yes No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 11
Wellcare Wellcare Dual Select (HMO D-SNP)
H1032-182-0 		HMO $207 per Quarter No $828 Yes $2,000 No No Yes Yes Yes 11
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