Medicare Advantage Plans for Iowa
550,486 Total Medicare Advantage Enrollees
| 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? | Iowa Enrollees | 
| Aetna Medicare | 
                    Aetna Medicare Premier (HMO-POS) H1609-001-0  | 
                HMOPOS | $105 per Quarter | No | $420 | Yes | $2,500 | No | No | Yes | No | No | 28,609 | 
| UnitedHealthcare | 
                    AARP Medicare Advantage Plan 2 (HMO-POS) H5253-107-2  | 
                HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 19,359 | |
| UnitedHealthcare | 
                    UnitedHealthcare Dual Complete (HMO-POS D-SNP) H0169-001-0  | 
                HMOPOS | $216 per Month | No | $0 | Yes | $2,500 | Yes | No | Yes | Yes | No | 18,438 | 
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Plan 1 (PPO) H8768-017-2  | 
                Local PPO | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 15,420 | |
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-862-0  | 
                Local PPO | No | $0 | No | 12,672 | |||||||
| Aetna Medicare | 
                    Aetna Medicare Premier (PPO) H1608-001-0  | 
                Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 12,670 | 
| Humana | 
                    HumanaChoice H5216-254 (PPO) H5216-254-0  | 
                Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 9,321 | |
| Humana | 
                    Humana Gold Plus H0028-053 (HMO) H0028-053-4  | 
                HMO | No | $0 | Yes | No | No | Yes | No | No | 8,641 | ||
| UnitedHealthcare | 
                    AARP Medicare Advantage (HMO-POS) H5253-108-3  | 
                HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 7,722 | |
| Aetna Medicare | 
                    Aetna Medicare Premier Plus (PPO) H1608-048-0  | 
                Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 6,540 | 
| HealthPartners UnityPoint Health | 
                    HealthPartners UnityPoint Health Align (PPO) H3416-001-7  | 
                Local PPO | $60 per Quarter | No | $240 | Yes | No | No | Yes | No | No | 6,508 | |
| Medical Associates Health Plan, Inc. | 
                    Medical Associates SmartPlan (Cost) H1651-001-0  | 
                1876 Cost | No | $0 | No | 6,407 | |||||||
| Wellpoint | 
                    Amerivantage Dual Coordination (HMO D-SNP) H0907-001-0  | 
                HMO | $175 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 6,303 | 
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Plan 2 (PPO) H8768-032-0  | 
                Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 5,711 | |
| Aetna Medicare | 
                    Aetna Medicare Elite (PPO) H1608-037-0  | 
                Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 5,122 | 
| Wellmark Advantage Health Plan | 
                    Blue Medicare Advantage PPO (PPO) H5900-001-0  | 
                Local PPO | $85 per Quarter | No | $340 | Yes | $2,000 | No | No | No | No | No | 4,861 | 
| Humana | 
                    Humana Medicare Employer (PPO) H5216-805-0  | 
                Local PPO | No | $0 | No | 4,555 | |||||||
| Aetna Medicare | 
                    Aetna Medicare Assure Premier (HMO D-SNP) H5593-001-0  | 
                HMO | $205 per Month | No | $0 | Yes | $4,000 | No | No | Yes | No | No | 4,066 | 
| Humana | 
                    HumanaChoice SNP-DE H5216-268 (PPO D-SNP) H5216-268-0  | 
                Local PPO | $2,040 per Month | No | $0 | Yes | No | No | Yes | No | No | 3,992 | |
| Medical Associates Health Plan, Inc. | 
                    Medical Associates Community Plan (Cost) H1651-004-0  | 
                1876 Cost | No | $0 | No | 3,744 | |||||||
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice (PPO) H1278-007-0  | 
                Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 2,445 | |
| Humana | 
                    HumanaChoice H5216-014 (PPO) H5216-014-0  | 
                Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 2,127 | |
| UnitedHealthcare | 
                    AARP Medicare Advantage (HMO-POS) H2802-001-0  | 
                HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 2,108 | |
| Humana | 
                    Humana Honor (PPO) H5216-278-3  | 
                Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 1,962 | |
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0  | 
                Local PPO | No | $0 | No | 1,482 | |||||||
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0  | 
                Local PPO | No | $0 | No | 1,427 | |||||||
| UnitedHealthcare | 
                    AARP Medicare Advantage Patriot (PPO) H8768-018-0  | 
                Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 1,108 | |
| Humana | 
                    Humana Value Plus H5216-171 (PPO) H5216-171-0  | 
                Local PPO | $75 per Quarter | Yes | $300 | Yes | $1,000 | Yes | No | Yes | No | No | 1,025 | 
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Plan 1 (PPO) H1278-001-0  | 
                Local PPO | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 975 | |
| HealthPartners UnityPoint Health | 
                    HealthPartners UnityPoint Health Symmetry (PPO) H3416-002-5  | 
                Local PPO | $80 per Quarter | No | $320 | Yes | No | No | Yes | No | No | 916 | |
| Medical Associates Health Plan, Inc. | 
                    Medical Associates Freedom Plan (Cost) H1651-008-0  | 
                1876 Cost | No | $0 | No | 800 | |||||||
| Medical Associates Health Plan, Inc. | 
                    Mercy Cedar Rapids Senior Plan (Cost) H1651-014-0  | 
                1876 Cost | No | $0 | No | 715 | |||||||
| Wellmark Advantage Health Plan | 
                    Blue Medicare Advantage Enhanced PPO (PPO) H5900-002-0  | 
                Local PPO | $95 per Quarter | No | $380 | Yes | $2,500 | No | No | No | No | No | 710 | 
| Humana | 
                    Humana Honor (PPO) H5216-329-0  | 
                Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 466 | |
| Medical Associates Health Plan, Inc. | 
                    MercyOne North Iowa Senior Plan (Cost) H1651-015-0  | 
                1876 Cost | No | $0 | No | 456 | |||||||
| Health Alliance Medicare | 
                    Health Alliance Medicare (PPO) H2591-802-0  | 
                Local PPO | No | $0 | No | 450 | |||||||
| Aetna Medicare | 
                    Aetna Medicare Plan (PPO) H5521-801-0  | 
                Local PPO | No | $0 | No | 418 | |||||||
| MediGold | 
                    MediGold MercyOne Medicare Plan No Premium (HMO) H3668-025-0  | 
                HMO | $105 per Quarter | No | $420 | Yes | No | No | Yes | No | No | 394 | |
| Wellmark Advantage Health Plan | 
                    Blue Medicare Advantage HMO (HMO) H8095-001-0  | 
                HMO | $75 per Quarter | No | $300 | Yes | $2,000 | No | No | No | No | No | 392 | 
| UnitedHealthcare | 
                    UnitedHealthcare Nursing Home Plan (PPO I-SNP) H0710-046-0  | 
                Local PPO | $300 per Quarter | Yes | $1,200 | Yes | $2,000 | Yes | No | Yes | Yes | No | 362 | 
| Health Alliance Medicare | 
                    Health Alliance Medicare Guide HMO Rx (HMO) H1737-001-0  | 
                HMO | $35 per Quarter | No | $140 | Yes | No | No | Yes | No | No | 348 | |
| Immanuel Pathways Iowa | 
                    PACE Iowa (PACE) H0216-001-0  | 
                National PACE | No | $0 | No | 334 | |||||||
| Iowa Health Advantage | 
                    Iowa Health Advantage (HMO I-SNP) H6765-001-0  | 
                HMO | No | $0 | Yes | $1,000 | No | No | Yes | No | No | 329 | |
| Health Alliance Medicare | 
                    Medicare Employer HMO Rx (HMO) H1737-802-0  | 
                HMO | No | $0 | No | 316 | |||||||
| UnitedHealthcare | 
                    AARP Medicare Advantage Choice Plan 2 (PPO) H1278-020-0  | 
                Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 280 | |
| UnitedHealthcare | 
                    UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0  | 
                Local PPO | No | $0 | No | 260 | |||||||
| Aetna Medicare | 
                    Aetna Medicare Plan w/Rx (PPO) H5521-802-0  | 
                Local PPO | No | $0 | No | 239 | |||||||
| Humana | 
                    HumanaChoice H5216-340 (PPO) H5216-340-0  | 
                Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 239 | |
| Medica | 
                    Medica Prime Solution Premier (Cost) H2450-042-0  | 
                1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 234 | 
| SIOUXLAND PACE, INC. | 
                    Siouxland PACE, INC (PACE) H8424-001-0  | 
                National PACE | No | $0 | No | 211 | |||||||