Medicare Advantage Plans for Kootenai County, Idaho

  • 46 Total Plans
  • 43,248 Seniors Eligible for Medicare
  • 17,970 Seniors on Medicare Advantage (42%)
  • 3 plans with 1,003 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 23 plans with 14,271 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 35% 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? Idaho Enrollees
PacificSource Medicare PacificSource Medicare Explorer Rx 11 (PPO)
H4754-011-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,642
Blue Cross of Idaho True Blue Rx Gem (HMO)
H1350-024-3 		HMO $70 per Quarter No $280 Yes No No Yes No No 2,130
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H4604-013-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,100
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 1,057
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H4604-020-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,018
Humana HumanaChoice H5216-044 (PPO)
H5216-044-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,006
Regence BlueShield Of Idaho Regence MedAdvantage + Rx Primary (PPO)
H1304-011-2 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 857
Blue Cross of Idaho True Blue Special Needs Plan (HMO D-SNP)
H1350-009-0 		HMO $365 per Quarter No $1,460 Yes No No Yes No No 732
Blue Cross of Idaho True Blue Rx Preferred (HMO)
H1350-027-2 		HMO $65 per Quarter No $260 Yes No No Yes No No 706
Molina Healthcare of Utah & Idaho Molina Medicare Complete Care (HMO D-SNP)
H5628-008-0 		HMO $0 per Month No $0 Yes Yes No No No No 543
Blue Cross of Idaho True Blue Rx Option I (HMO)
H1350-028-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 496
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 495
Regence BlueShield Of Idaho Regence MedAdvantage + Rx Classic (PPO)
H1304-012-2 		Local PPO No $0 Yes No No Yes No No 442
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-002-0 		Local PPO No $0 Yes $2,500 No No Yes No No 394
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4604-019-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 364
Blue Cross of Idaho True Blue Valor (HMO)
H1350-006-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 352
Humana Humana Gold Plus H5619-078 (HMO)
H5619-078-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 335
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 324
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 304
PacificSource Medicare PacificSource Medicare Explorer 12 (PPO)
H4754-012-0 		Local PPO $200 per Quarter No $800 Yes No No Yes No No 298
Regence BlueShield Of Idaho Regence MedAdvantage + Rx Enhanced (PPO)
H1304-004-0 		Local PPO No $0 Yes No No Yes No No 269
Blue Cross of Idaho True Blue Rx (HMO)
H1350-030-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 190
Blue Cross of Idaho True Blue Rx Option II (HMO)
H1350-029-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 187
Blue Cross of Idaho Secure Blue Courage (PPO)
H1302-004-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 167
Humana Humana Value Plus H5216-293 (PPO)
H5216-293-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 159
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 125
Blue Cross of Idaho True Blue Special Needs Plan (HMO D-SNP)
H1350-025-0 		HMO $365 per Quarter No $1,460 Yes No No Yes No No 112
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 104
Blue Cross of Idaho True Blue Rx Essentials (HMO)
H1350-026-0 		HMO No $0 No 97
Regence BlueShield Of Idaho Regence MedAdvantage + Rx (PPO)
H1304-804-0 		Local PPO No $0 No 95
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 94
PacificSource Medicare PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)
H3864-034-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 82
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-043-0 		Local PPO $195 per Month No $0 Yes $3,600 Yes No Yes Yes No 81
Regence BlueShield Of Idaho Regence Valiance (PPO)
H1304-001-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 71
Molina Healthcare of Utah & Idaho Molina Medicare Complete Care Select (HMO D-SNP)
H5628-011-0 		HMO $0 per Month No $0 Yes Yes No No No No 58
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 52
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 40
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 40
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-016-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 36
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 32
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 26
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 18
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 11
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