Medicare Advantage Plans for Hawaii

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Hawaii Enrollees
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H2228-043-0 		Local PPO $2,100 No No 22,196
Kaiser Permanente Kaiser Permanente Employer Group MA-PD (HMO)
H1230-803-0 		HMO $0 No No 14,094
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-024-0 		Local PPO $0 No Yes No Yes Yes No 13,807
HMSA Akamai Advantage HMSA Akamai Advantage Complete Plus (PPO)
H3832-010-0 		Local PPO $0 No No 11,991
Humana Humana Gold Plus H0028-048 (HMO)
H0028-048-2 		HMO $120 Yes Yes No Yes No No 8,137
Humana HumanaChoice H5216-233 (PPO)
H5216-233-2 		Local PPO $100 Yes Yes No Yes No No 6,367
Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO)
H1230-003-0 		HMO $0 No Yes $1,500 No No Yes Yes 5,589
Humana HumanaChoice H5216-232 (PPO)
H5216-232-2 		Local PPO $300 No Yes No Yes No No 5,302
HMSA Akamai Advantage HMSA Akamai Advantage Standard Plus (PPO)
H3832-008-0 		Local PPO $0 No No 4,895
HMSA Akamai Advantage HMSA Akamai Advantage Complete (PPO)
H3832-009-0 		Local PPO $0 No No 4,754
HMSA Akamai Advantage HMSA Akamai Advantage Union Group Plan MAPD (PPO)
H3832-807-0 		Local PPO $0 No No 4,687
HMSA Akamai Advantage HMSA Akamai Advantage EGWP with Drug CY (PPO)
H3832-801-0 		Local PPO $0 No No 4,520
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO)
H1230-001-0 		HMO $0 No Yes $1,500 No No Yes Yes 4,314
Wellcare Wellcare 'Ohana Dual Liberty (HMO D-SNP)
H2491-004-0 		HMO $1,100 No Yes $700 No Yes Yes Yes 4,207
Kaiser Permanente Kaiser Permanente Senior Advantage Hawaii Island (HMO)
H1230-014-0 		HMO $0 No Yes $1,500 No No Yes Yes 4,102
Kaiser Permanente Kaiser Permanente Senior Advantage Maui (HMO)
H1230-013-0 		HMO $0 No Yes $1,500 No No Yes Yes 3,619
Wellcare Wellcare 'Ohana No Premium (HMO)
H2491-015-0 		HMO $408 No Yes $2,000 No Yes Yes Yes 3,198
Wellcare Wellcare 'Ohana No Premium (HMO)
H2491-009-0 		HMO $328 No Yes $2,000 No Yes Yes Yes 2,975
HMSA Akamai Advantage HMSA Akamai Advantage Standard (PPO)
H3832-007-0 		Local PPO $0 No No 2,541
AlohaCare AlohaCare Advantage Plus (HMO D-SNP)
H5969-002-0 		HMO $0 No No 2,329
Kaiser Permanente FEHB AB with D (HMO)
H1230-805-0 		HMO $0 No No 1,999
HMSA Akamai Advantage HMSA Akamai Advantage Dual Care (PPO D-SNP)
H3832-011-0 		Local PPO $720 No No 1,886
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-068-0 		Local PPO $0 No Yes No Yes Yes No 1,780
HMSA Akamai Advantage HMSA Akamai Advantage EGWP CY (PPO)
H3832-805-0 		Local PPO $0 No No 1,640
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-067-0 		Local PPO $0 No Yes No Yes Yes No 1,571
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H1230-008-0 		HMO $0 No No 1,300
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-025-0 		Local PPO $0 No Yes No Yes Yes No 1,121
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 1,037
Wellcare by ‘Ohana Health Plan Wellcare 'Ohana Assist Open (PPO)
H6605-003-0 		Local PPO $280 No Yes $1,500 No Yes Yes No 1,035
Devoted Health Devoted CHOICE Hawaii (PPO)
H2686-001-0 		Local PPO $200 No Yes No Yes No No 930
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 842
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-120-0 		Local PPO $0 No Yes No Yes Yes No 793
UnitedHealthcare UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
R3175-003-0 		Regional PPO $340 No No 734
Humana Humana Honor (PPO)
H5216-234-0 		Local PPO $0 No Yes No Yes No No 643
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 623
Wellcare by ‘Ohana Health Plan Wellcare 'Ohana Patriot Giveback Open (PPO)
H6605-002-0 		Local PPO $120 No Yes $700 No Yes Yes No 597
Devoted Health Devoted CHOICE PLUS Hawaii (PPO)
H2686-002-0 		Local PPO $340 No Yes No Yes No No 440
Wellcare by ‘Ohana Health Plan Wellcare 'Ohana No Premium Open (PPO)
H6605-001-0 		Local PPO $228 No Yes $1,500 No Yes Yes No 413
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 352
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 344
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 335
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO $0 No No 281
Humana Humana USAA Honor with Rx (PPO)
H5216-314-0 		Local PPO $0 No Yes No Yes No No 261
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No No 220
Humana HumanaChoice H5216-313 (PPO)
H5216-313-0 		Local PPO $200 Yes Yes No Yes No No 96
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-121-0 		Local PPO $0 No Yes No Yes Yes No 95
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No No 93
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO $0 No No 82
Kaiser Permanente Kaiser Permanente Employer Group MA only (HMO)
H1230-801-0 		HMO $0 No No 76
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO $0 No No 52
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