Medicare Advantage Plans for Gwinnett County, Georgia

  • 109 Total Plans
  • 120,400 Seniors Eligible for Medicare
  • 65,779 Seniors on Medicare Advantage (55%)
  • 12 plans with 5,074 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 58 plans with 41,406 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
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 6,625
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 6,369
Humana Humana Gold Plus H4141-015 (HMO)
H4141-015-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 5,733
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 3,990
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 No 3,846
Humana HumanaChoice H5216-203 (PPO)
H5216-203-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 3,197
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
H6528-006-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 2,405
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 2,277
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 2,151
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $125 per Quarter No $500 No 1,335
Aetna Medicare Aetna Medicare Plus Plan (PPO)
H3288-045-0 		Local PPO No $0 Yes $1,000 No No Yes No No 1,203
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO No $0 Yes $3,000 No No Yes Yes No 1,174
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0439-007-0 		HMO $35 per Quarter No $140 Yes No No Yes No No 989
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 845
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 837
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 811
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 794
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 765
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 726
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 706
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 685
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 624
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 613
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $84 per Month Yes $0 Yes $4,000 No No Yes Yes No 607
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 603
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 575
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 556
Wellcare Wellcare No Premium Focus (HMO)
H1112-040-0 		HMO $65 per Quarter No $260 Yes $2,000 No No Yes Yes Yes 552
UnitedHealthcare AARP Medicare Advantage Plus Plan 1 (HMO-POS)
H8748-008-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 531
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 495
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes Yes No 461
Humana Humana Gold Plus H4141-017 (HMO)
H4141-017-5 		HMO $25 per Quarter No $100 Yes No No Yes No No 444
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 442
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO No $0 Yes $700 No No Yes Yes No 428
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 424
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-003-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 409
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 398
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 397
Aetna Medicare Aetna Medicare Select Plan (HMO)
H1109-005-0 		HMO $90 per Quarter No $360 Yes $1,000 No No Yes No No 387
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 372
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $25 per Month Yes $0 Yes $2,000 No No Yes Yes No 349
Aetna Medicare Aetna Medicare Advantage Plus Plan (PPO)
H2293-010-0 		Local PPO No $0 Yes $1,000 No No Yes No No 344
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-246-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 344
Humana HumanaChoice H5216-073 (PPO)
H5216-073-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 343
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5422-011-0 		HMO No $0 Yes $1,000 Yes No Yes Yes No 342
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 322
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 297
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 293
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-069-0 		Local PPO No $0 Yes $2,000 No No No No No 270
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $140 per Month Yes $0 Yes $5,000 No No Yes Yes No 270
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H0439-002-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 267
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 245
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 233
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $255 per Quarter No $1,020 No 217
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 200
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H7728-012-0 		Local PPO $35 per Quarter Yes $140 No 199
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 185
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 184
UnitedHealthcare AARP Medicare Advantage Plus Plan 2 (HMO-POS)
H8748-009-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 181
Cigna Healthcare Cigna Preferred GA Medicare (HMO)
H0439-003-2 		HMO No $0 Yes No No Yes No No 175
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 166
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 159
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 158
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H0439-006-0 		HMO $20 per Quarter No $80 Yes No No Yes No No 155
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 152
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 146
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 132
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 126
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H6528-039-0 		Local PPO $40 per Month No $480 Yes No No Yes Yes No 121
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H0439-012-0 		HMO $260 per Quarter No $1,040 Yes No No Yes No No 114
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 113
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 105
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 101
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 100
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 97
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 91
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 79
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 75
UnitedHealthcare UnitedHealthcare Medicare Advantage Walmart Flex (HMO-POS)
H8748-026-0 		HMOPOS $1,000 per Month No $0 Yes No No Yes Yes No 74
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H6528-041-0 		Local PPO No $0 Yes No No Yes Yes No 66
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 65
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1112-034-0 		HMOPOS $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 65
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 61
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 60
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 56
Humana Humana Care Extra (PPO)
H5216-239-0 		Local PPO No $0 Yes No No Yes No No 51
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H3291-001-0 		HMO $30 per Month No $0 Yes $2,500 No No No No No 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 47
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 43
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 43
Humana Humana Care Extra (PPO D-SNP)
H5216-240-0 		Local PPO No $0 Yes No No Yes No No 37
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 36
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 31
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 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 22
Kaiser Permanente Kaiser Permanente Senior Advantage Care Plus (HMO-POS)
H1170-013-0 		HMOPOS $115 per Quarter No $460 No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 20
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 19
Aetna Medicare Aetna Medicare Eagle Plus Plan (PPO)
H2293-009-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 15
Aetna Medicare Aetna Medicare Plan (HMO)
H1109-801-0 		HMO No $0 No 13
Wellcare Wellcare Premium Enhanced Open (PPO)
H0111-003-0 		Local PPO $60 per Quarter No $240 Yes $2,000 No No Yes Yes No 13
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 11
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 11
Lasso Healthcare Lasso Healthcare Growth (MSA)
H1924-001-0 		MSA No $0 No 11
Wellcare Wellcare Low Premium Open (PPO)
H0111-002-0 		Local PPO $60 per Quarter No $240 Yes $2,000 No No Yes Yes No 11
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