Medicare Advantage Plans for Clayton County, Georgia

  • 91 Total Plans
  • 38,842 Seniors Eligible for Medicare
  • 25,425 Seniors on Medicare Advantage (65%)
  • 11 plans with 3,279 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 50 plans with 15,449 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 48% 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? Georgia Enrollees
Humana Humana Gold Plus H4141-015 (HMO)
H4141-015-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 3,367
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 No 1,902
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,324
Humana Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)
H4141-003-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 1,308
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-091-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 1,077
Humana HumanaChoice H5216-203 (PPO)
H5216-203-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 975
UnitedHealthcare UnitedHealthcare Dual Complete Choice LP (PPO D-SNP)
H3256-001-0 		Local PPO $169 per Month No $0 Yes $2,500 Yes No Yes Yes No 868
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO No $0 Yes $3,000 No No Yes Yes No 848
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
H6528-006-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 646
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5322-030-0 		HMOPOS $185 per Month No $0 Yes $2,500 Yes No Yes Yes No 554
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 541
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $84 per Month Yes $0 Yes $4,000 No No Yes Yes No 541
Humana HumanaChoice SNP-DE H5216-206 (PPO D-SNP)
H5216-206-0 		Local PPO $900 per Month No $0 Yes No No Yes No No 505
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 457
Humana HumanaChoice SNP-DE H5216-205 (PPO D-SNP)
H5216-205-0 		Local PPO $1,800 per Month No $0 Yes No No Yes No No 453
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $125 per Quarter No $500 No 429
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 397
Aetna Medicare Aetna Medicare Signature Plan (PPO)
H5521-360-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 384
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $25 per Month Yes $0 Yes $2,000 No No Yes Yes No 347
Wellcare Wellcare No Premium Focus (HMO)
H1112-040-0 		HMO $65 per Quarter No $260 Yes $2,000 No No Yes Yes Yes 338
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0439-007-0 		HMO $35 per Quarter No $140 Yes No No Yes No No 336
UnitedHealthcare AARP Medicare Advantage Walgreens (HMO-POS)
H1111-011-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 334
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 305
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H2228-044-0 		Local PPO $55 per Month No $660 Yes $3,600 No No Yes Yes No 289
Aetna Medicare Aetna Medicare Plus Plan (PPO)
H3288-045-0 		Local PPO No $0 Yes $1,000 No No Yes No No 281
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $140 per Month Yes $0 Yes $5,000 No No Yes Yes No 276
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO No $0 Yes $700 No No Yes Yes No 273
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 237
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5422-011-0 		HMO No $0 Yes $1,000 Yes No Yes Yes No 233
Humana Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP)
H4141-021-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 227
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 220
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $255 per Quarter No $1,020 No 214
Humana Humana Gold Plus H4141-017 (HMO)
H4141-017-5 		HMO $25 per Quarter No $100 Yes No No Yes No No 206
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 202
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 200
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-246-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 197
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-328-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 186
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R2604-002-0 		Regional PPO $245 per Quarter Yes $980 Yes $1,100 Yes No Yes Yes No 185
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes Yes No 179
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP)
H5422-016-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 174
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H5422-007-0 		HMO $300 per Quarter Yes $1,200 Yes $3,000 Yes No Yes Yes No 169
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 166
Aetna Medicare Aetna Medicare Dual Preferred Plan (HMO D-SNP)
H5302-012-0 		HMO $195 per Month No $0 Yes $2,500 No No Yes No No 157
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H0439-002-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 152
UnitedHealthcare UnitedHealthcare Dual Complete Choice Select LP (PPO D-SNP)
H3256-002-0 		Local PPO $71 per Month No $0 Yes $2,500 Yes No Yes Yes No 123
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 115
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H0111-004-0 		Local PPO $84 per Month Yes $0 Yes $3,000 No No Yes Yes No 115
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 101
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 98
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 98
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 96
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 93
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H7728-012-0 		Local PPO $35 per Quarter Yes $140 No 87
Humana HumanaChoice H5216-073 (PPO)
H5216-073-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 83
Anthem Blue Cross and Blue Shield Anthem MediBlue Extra (HMO)
H5422-013-0 		HMO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 80
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Basic (PPO)
H7728-006-0 		Local PPO $35 per Quarter Yes $140 Yes $2,000 No No Yes Yes No 77
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-003-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 77
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1112-034-0 		HMOPOS $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 74
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 71
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger (HMO)
H5422-017-0 		HMO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 69
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-033-0 		Local PPO $315 per Quarter Yes $1,260 Yes $2,000 Yes No Yes Yes No 69
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Access (PPO D-SNP)
H7728-011-0 		Local PPO $335 per Quarter Yes $1,340 Yes $3,000 No No Yes Yes No 68
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H6528-039-0 		Local PPO $40 per Month No $480 Yes No No Yes Yes No 67
Aetna Medicare Aetna Medicare Advantage Plus Plan (PPO)
H2293-010-0 		Local PPO No $0 Yes $1,000 No No Yes No No 64
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 60
Cigna Healthcare Cigna Preferred GA Medicare (HMO)
H0439-003-2 		HMO No $0 Yes No No Yes No No 60
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 53
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H0439-006-0 		HMO $20 per Quarter No $80 Yes No No Yes No No 48
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 46
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H0439-012-0 		HMO $260 per Quarter No $1,040 Yes No No Yes No No 40
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-069-0 		Local PPO No $0 Yes $2,000 No No No No No 38
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 34
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 33
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 33
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 32
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 29
Aetna Medicare Aetna Medicare Dual Choice Plan (PPO D-SNP)
H2293-003-0 		Local PPO $80 per Month No $0 Yes $2,500 No No Yes No No 27
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 27
Aetna Medicare Aetna Medicare Dual Choice Plus Plan (PPO D-SNP)
H2293-002-0 		Local PPO $190 per Month No $0 Yes $2,500 No No Yes No No 26
Anthem Blue Cross and Blue Shield Anthem MediBlue Enhanced Care (HMO D-SNP)
H5422-018-0 		HMO $0 per Month No $0 Yes $2,000 Yes No Yes Yes No 25
Anthem Blue Cross and Blue Shield Anthem MediBlue Essential (HMO)
H5422-008-0 		HMO $57 per Quarter Yes $228 Yes $2,000 No No Yes Yes No 24
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H6528-041-0 		Local PPO No $0 Yes No No Yes Yes No 22
Aetna Medicare Aetna Medicare Value Plus Plan (PPO)
H5521-364-0 		Local PPO $45 per Month No $0 Yes $2,500 No No Yes No No 21
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H3291-001-0 		HMO $30 per Month No $0 Yes $2,500 No No No No No 19
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (HMO)
H5422-014-0 		HMO $75 per Quarter Yes $300 Yes $1,000 Yes No Yes Yes No 18
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H7728-005-0 		Local PPO $35 per Quarter Yes $140 Yes $2,000 No No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 16
Kaiser Permanente Kaiser Permanente Senior Advantage Care Plus (HMO-POS)
H1170-013-0 		HMOPOS $115 per Quarter No $460 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 14
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