Medicare Advantage Plans for St. Lucie County, Florida

  • 87 Total Plans
  • 90,295 Seniors Eligible for Medicare
  • 47,536 Seniors on Medicare Advantage (53%)
  • 3 plans with 353 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 52 plans with 35,179 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 39% 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
Humana HumanaChoice Florida H5216-062 (PPO)
H5216-062-0 		Local PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 5,654
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2406-017-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,911
Humana Humana Gold Plus H1036-229 (HMO)
H1036-229-0 		HMO $50 per Quarter No $200 Yes $1,000 No No Yes No No 3,603
Humana HumanaChoice Florida H5216-311 (PPO)
H5216-311-0 		Local PPO No $0 Yes $1,000 Yes No Yes No No 3,433
UnitedHealthcare AARP Medicare Advantage Focus (HMO-POS)
H1045-036-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,652
Humana Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)
H1036-226-0 		HMO $125 per Month Yes $0 Yes $2,000 No No Yes No No 2,211
Florida Blue BlueMedicare Value (PPO)
H5434-026-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 2,056
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-273-0 		Local PPO $25 per Month No $0 Yes $2,000 No No Yes No No 1,895
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 1,808
Wellcare Wellcare No Premium (HMO)
H1032-211-0 		HMO $53 per Month Yes $0 Yes $2,000 No No Yes Yes No 1,434
Wellcare Wellcare Giveback (HMO)
H1032-210-0 		HMO No $0 Yes $2,000 No No Yes Yes No 1,402
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,194
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 917
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H1045-028-0 		HMOPOS $80 per Quarter No $320 Yes Yes No Yes Yes No 883
Freedom Health, Inc. Freedom Platinum Plan Rx (HMO)
H5427-088-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 870
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 845
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 704
Humana Humana Honor (PPO)
H5216-256-0 		Local PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 662
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 579
Aetna Medicare Aetna Medicare Select (HMO)
H1609-021-0 		HMO $65 per Month No $0 Yes $3,000 No No Yes No No 549
Florida Blue HMO BlueMedicare Classic (HMO)
H1035-019-0 		HMO No $0 Yes No No Yes No No 542
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H5410-040-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 498
Humana HumanaChoice Florida H7284-007 (PPO)
H7284-007-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes No No 430
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-124-0 		HMO $170 per Month Yes $0 Yes $4,000 No No Yes Yes No 429
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-175-0 		HMO $180 per Month Yes $0 Yes $5,000 No No Yes Yes No 420
Humana Humana Gold Plus H1036-286 (HMO)
H1036-286-0 		HMO $15 per Month No $0 Yes $1,500 No No Yes No No 409
Florida Blue BlueMedicare Choice (Regional PPO)
R3332-001-0 		Regional PPO No $0 Yes No No Yes No No 383
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 372
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 359
Wellcare Wellcare No Premium Open (PPO)
H5199-012-0 		Local PPO $53 per Month Yes $0 Yes $2,000 No No Yes Yes No 347
Ultimate Health Plans Premier by Ultimate (HMO)
H2962-031-0 		HMO $50 per Month No $600 Yes $2,000 No No No No No 307
Humana HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)
H7284-010-0 		Local PPO $1,800 per Month No $0 Yes $3,600 No No Yes No No 283
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 278
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 275
Florida Blue HMO BlueMedicare Premier (HMO)
H1035-048-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 241
Aetna Medicare Aetna Medicare Assure (HMO D-SNP)
H1609-019-0 		HMO $100 per Month No $0 Yes $5,000 No No Yes No No 232
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-033-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 207
Freedom Health, Inc. Freedom Platinum Rewards Plan Rx (HMO)
H5427-106-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 202
Cigna Healthcare Cigna Preferred Medicare (HMO)
H5410-037-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 200
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-236-0 		HMO $240 per Quarter No $960 Yes $2,000 No No Yes Yes Yes 195
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 194
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 180
Ultimate Health Plans Advantage Care by Ultimate (HMO C-SNP)
H2962-033-0 		HMO No $0 Yes $2,000 No No No No No 175
Wellcare Wellcare Specialty Giveback (HMO C-SNP)
H1032-227-0 		HMO $181 per Quarter No $724 Yes $1,000 No No Yes Yes Yes 165
Florida Blue BlueMedicare Group PPO (PPO)
H5434-801-0 		Local PPO No $0 No 162
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 148
Freedom Health, Inc. Freedom VIP Rewards (HMO C-SNP)
H5427-108-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 133
Freedom Health, Inc. Freedom VIP Savings (HMO C-SNP)
H5427-082-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 123
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 122
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 121
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-014-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 112
Humana HumanaChoice R5826-074 (Regional PPO)
R5826-074-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 111
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 99
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H1036-292-0 		HMO $35 per Month No $0 Yes $500 No No Yes Yes No 92
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 88
Florida Blue HMO BlueMedicare Complete (HMO D-SNP)
H1035-028-0 		HMO $100 per Month No $0 Yes $4,000 No No No No No 80
Ultimate Health Plans Premier Plus by Ultimate (HMO)
H2962-032-0 		HMO $50 per Month No $600 Yes $2,000 No No No No No 69
Devoted Health Devoted DUAL East Coast Florida (HMO D-SNP)
H1290-039-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 67
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 65
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 56
UnitedHealthcare AARP Medicare Advantage Patriot (Regional PPO)
R0759-002-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 55
Devoted Health Devoted ESSENTIALS East Coast Florida (HMO)
H1290-045-0 		HMO $0 per Month No $0 Yes No No Yes No No 54
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 54
Humana HumanaChoice R5826-005 (Regional PPO)
R5826-005-0 		Regional PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 53
Freedom Health, Inc. Freedom Savings Plan (HMO)
H5427-052-0 		HMO $35 per Month No $0 Yes $1,000 No No Yes No No 51
Devoted Health Devoted CORE East Coast Florida (HMO)
H1290-046-0 		HMO $145 per Quarter No $580 Yes No No Yes No No 45
Florida Blue BlueMedicare Select (PPO)
H5434-002-0 		Local PPO No $0 Yes No No Yes No No 43
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 43
Aetna Medicare Aetna Medicare Choice (HMO-POS)
H1609-028-0 		HMOPOS $35 per Month No $0 Yes $2,500 No No Yes No No 39
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 36
Humana HumanaChoice R5826-018 (Regional PPO)
R5826-018-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 33
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 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 26
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 20
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 17
Ultimate Health Plans Advantage Care COPD by Ultimate (HMO C-SNP)
H2962-034-0 		HMO $75 per Month No $900 Yes $2,000 No No No No No 17
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 17
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 17
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 16
Humana Humana Gold Plus H1036-062C (HMO)
H1036-062-0 		HMO $100 per Quarter Yes $400 Yes $2,500 No No Yes No No 14
Humana Humana Gold Plus Lung (HMO C-SNP)
H1036-298-0 		HMO $0 per Month No $0 Yes $500 No No Yes No No 14
Freedom Health, Inc. Freedom VIP Savings COPD (HMO C-SNP)
H5427-083-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 13
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 12
Humana Humana Medicare Employer (HMO)
H1036-801-0 		HMO No $0 No 11
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