Medicare Advantage Plans for DeKalb County, Georgia

  • 110 Total Plans
  • 110,785 Seniors Eligible for Medicare
  • 63,724 Seniors on Medicare Advantage (58%)
  • 13 plans with 6,592 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 58 plans with 36,844 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? Georgia Enrollees
Humana Humana Gold Plus H4141-015 (HMO)
H4141-015-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 6,781
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 6,040
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 4,639
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 No 3,644
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 2,635
Humana HumanaChoice H5216-203 (PPO)
H5216-203-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 2,570
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO No $0 Yes $3,000 No No Yes Yes No 2,006
UnitedHealthcare AARP Medicare Advantage Walgreens (HMO-POS)
H1111-011-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 1,613
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 1,428
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 1,414
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $84 per Month Yes $0 Yes $4,000 No No Yes Yes No 1,249
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $125 per Quarter No $500 No 1,178
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 1,107
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 1,102
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,032
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 994
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 970
Aetna Medicare Aetna Medicare Plus Plan (PPO)
H3288-045-0 		Local PPO No $0 Yes $1,000 No No Yes No No 904
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0439-007-0 		HMO $35 per Quarter No $140 Yes No No Yes No No 858
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 839
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 774
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $25 per Month Yes $0 Yes $2,000 No No Yes Yes No 754
Wellcare Wellcare No Premium Focus (HMO)
H1112-040-0 		HMO $65 per Quarter No $260 Yes $2,000 No No Yes Yes Yes 751
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO No $0 Yes $700 No No Yes Yes No 691
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5422-011-0 		HMO No $0 Yes $1,000 Yes No Yes Yes No 665
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 648
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 626
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $140 per Month Yes $0 Yes $5,000 No No Yes Yes No 597
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 566
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 564
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 538
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 535
Humana Humana Gold Plus H4141-017 (HMO)
H4141-017-5 		HMO $25 per Quarter No $100 Yes No No Yes No No 519
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes Yes No 485
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 484
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 471
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
H6528-006-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 468
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 429
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 414
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 412
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 405
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 395
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 376
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-246-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 375
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 353
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 348
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H0439-002-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 313
Humana HumanaChoice H5216-073 (PPO)
H5216-073-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 311
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 298
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 263
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 262
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H7728-012-0 		Local PPO $35 per Quarter Yes $140 No 239
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 236
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $255 per Quarter No $1,020 No 217
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 207
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-003-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 202
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 187
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 177
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H6528-039-0 		Local PPO $40 per Month No $480 Yes No No Yes Yes No 173
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 172
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 166
Aetna Medicare Aetna Medicare Advantage Plus Plan (PPO)
H2293-010-0 		Local PPO No $0 Yes $1,000 No No Yes No No 159
Cigna Healthcare Cigna Preferred GA Medicare (HMO)
H0439-003-2 		HMO No $0 Yes No No Yes No No 157
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 153
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1112-034-0 		HMOPOS $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 144
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 143
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 142
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H0439-006-0 		HMO $20 per Quarter No $80 Yes No No Yes No No 140
Aetna Medicare Aetna Medicare Advantra Preferred Plan (PPO)
H1608-028-0 		Local PPO $60 per Quarter No $240 Yes $1,000 No No Yes No No 125
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 109
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 109
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 106
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 106
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-069-0 		Local PPO No $0 Yes $2,000 No No No No No 104
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 99
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 94
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H0439-012-0 		HMO $260 per Quarter No $1,040 Yes No No Yes No No 88
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 76
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 76
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H6528-041-0 		Local PPO No $0 Yes No No Yes Yes No 76
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H3291-001-0 		HMO $30 per Month No $0 Yes $2,500 No No No No No 73
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 69
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 61
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 59
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 55
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 55
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 54
Humana Humana Care Extra (PPO)
H5216-239-0 		Local PPO No $0 Yes No No Yes No No 48
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 46
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 45
Humana Humana Care Extra (PPO D-SNP)
H5216-240-0 		Local PPO No $0 Yes No No Yes No No 44
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 41
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 39
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H3288-034-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 29
Wellcare Wellcare Low Premium Open (PPO)
H0111-002-0 		Local PPO $60 per Quarter No $240 Yes $2,000 No No Yes Yes No 29
Sonder Health Plans, Inc. Sonder Complete Health Medicare Advantage (HMO)
H1748-001-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 27
Kaiser Permanente Kaiser Permanente Senior Advantage Care Plus (HMO-POS)
H1170-013-0 		HMOPOS $115 per Quarter No $460 No 26
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2228-013-0 		Local PPO $245 per Quarter Yes $980 Yes $1,100 No No Yes Yes No 25
Sonder Health Plans, Inc. Sonder Diabetes Wellness (HMO C-SNP)
H1748-003-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 21
Sonder Health Plans, Inc. Sonder Dual Complete (HMO D-SNP)
H1748-005-0 		HMO $500 per Quarter No $2,000 Yes No No No No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 17
Wellcare Wellcare Premium Enhanced Open (PPO)
H0111-003-0 		Local PPO $60 per Quarter No $240 Yes $2,000 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 15
Aetna Medicare Aetna Medicare Plan (HMO)
H1109-801-0 		HMO No $0 No 14
Sonder Health Plans, Inc. Sonder Heart Healthy (HMO C-SNP)
H1748-004-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 12
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