Medicare Advantage Plans for Forsyth County, Georgia

  • 81 Total Plans
  • 33,719 Seniors Eligible for Medicare
  • 15,667 Seniors on Medicare Advantage (46%)
  • 8 plans with 638 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 43 plans with 9,913 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 31% 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
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 2,535
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 2,082
Humana HumanaChoice H5216-203 (PPO)
H5216-203-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 1,274
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 1,059
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
H6528-006-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 830
Humana Humana Gold Plus H4141-017 (HMO)
H4141-017-5 		HMO $25 per Quarter No $100 Yes No No Yes No No 756
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 No 528
UnitedHealthcare AARP Medicare Advantage Walgreens (HMO-POS)
H1111-011-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 308
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 304
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $125 per Quarter No $500 No 282
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 278
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0439-007-0 		HMO $35 per Quarter No $140 Yes No No Yes No No 275
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 275
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 266
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 226
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 207
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 206
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 197
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 190
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 147
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 144
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 143
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO No $0 Yes $3,000 No No Yes Yes No 139
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 135
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 135
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 119
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-003-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 108
Humana HumanaChoice H5216-073 (PPO)
H5216-073-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 105
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 104
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 99
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 98
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes Yes No 98
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-246-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 93
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 88
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 87
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 82
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 74
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO No $0 Yes $700 No No Yes Yes No 72
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 65
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H0439-002-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 63
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5422-011-0 		HMO No $0 Yes $1,000 Yes No Yes Yes No 57
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 56
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 55
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 54
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $84 per Month Yes $0 Yes $4,000 No No Yes Yes No 53
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 47
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 46
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H7728-012-0 		Local PPO $35 per Quarter Yes $140 No 45
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-069-0 		Local PPO No $0 Yes $2,000 No No No No No 44
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 42
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 41
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 39
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H6528-039-0 		Local PPO $40 per Month No $480 Yes No No Yes Yes No 36
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 30
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 25
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 24
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 24
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 23
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 23
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $25 per Month Yes $0 Yes $2,000 No No Yes Yes No 22
Cigna Healthcare Cigna Preferred GA Medicare (HMO)
H0439-003-2 		HMO No $0 Yes No No Yes No No 21
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $140 per Month Yes $0 Yes $5,000 No No Yes Yes No 21
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H6528-041-0 		Local PPO No $0 Yes No No Yes Yes No 20
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H0439-012-0 		HMO $260 per Quarter No $1,040 Yes No No Yes No No 19
Humana Humana Gold Plus H4141-015 (HMO)
H4141-015-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 19
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $255 per Quarter No $1,020 No 19
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 18
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 17
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 17
Aetna Medicare Aetna Medicare Freedom Plus Plan (PPO)
H2293-008-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 16
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H1109-802-0 		HMO No $0 No 16
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 15
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 15
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 14
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 13
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 12
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