Medicare Advantage Plans for Winnebago County, Illinois

  • 61 Total Plans
  • 60,372 Seniors Eligible for Medicare
  • 28,845 Seniors on Medicare Advantage (48%)
  • 4 plans with 886 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 24,076 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 41% 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? Illinois Enrollees
Aetna Medicare Aetna Medicare Premier Advantra (PPO)
H7301-002-0 		Local PPO $105 per Quarter No $420 Yes $3,000 No No Yes No No 7,240
Aetna Medicare Aetna Medicare Value Advantra (PPO)
H7301-006-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes No No 4,311
Humana Humana Gold Plus H1468-007 (HMO)
H1468-007-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 3,576
Humana HumanaChoice H5216-251 (PPO)
H5216-251-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,698
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,297
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H8768-011-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 972
Humana HumanaChoice H5216-283 (PPO)
H5216-283-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 620
Humana Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
H0336-001-0 		Medicare-Medicaid Plan HMO $65 per Quarter No $260 Yes Yes No No No No 603
Aetna Better Health Premier Plan Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)
H2506-001-0 		Medicare-Medicaid Plan HMO $60 per Month No $0 Yes No No No Yes No 596
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-027-0 		Local PPO $148 per Month No $0 Yes $2,500 Yes No Yes Yes No 565
Clear Spring Health Clear Spring Health Community Advantage Plan (HMO)
H3071-002-0 		HMO $75 per Month No $0 Yes $1,000 Yes No No No No 520
Molina Healthcare of Illinois Molina Dual Options (Medicare-Medicaid Plan)
H8046-001-0 		Medicare-Medicaid Plan HMO $60 per Quarter No $240 Yes Yes No No Yes No 519
Humana HumanaChoice H5525-004 (PPO)
H5525-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 385
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 374
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 366
Meridian Medicare-Medicaid Plan (MMP) Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)
H6080-001-0 		Medicare-Medicaid Plan HMO $50 per Month No $0 Yes No No No Yes No 359
Wellcare Wellcare No Premium Open (PPO)
H6713-001-0 		Local PPO $22 per Month Yes $0 Yes $1,500 No No Yes Yes No 347
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-108-3 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 293
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-003-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 250
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 240
Wellcare Wellcare No Premium Essential (HMO)
H5779-002-0 		HMO $75 per Quarter No $300 Yes $2,000 No No Yes Yes No 231
Humana Humana Medicare Employer (PPO)
H5525-809-0 		Local PPO No $0 No 212
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 182
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Flex (PPO)
H8634-014-0 		Local PPO No $0 Yes No No Yes No No 180
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 177
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 177
Wellcare Wellcare Giveback Open (PPO)
H6713-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 170
Wellcare Wellcare Assist (HMO)
H5779-008-0 		HMO $100 per Quarter No $400 Yes $4,000 No No Yes Yes Yes 168
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 128
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 126
Zing Health Zing Choice IL (HMO)
H4624-001-0 		HMO $170 per Quarter No $680 Yes $1,500 No No Yes No No 126
Quartz Medicare Advantage UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
H5262-019-0 		HMO $50 per Quarter No $200 Yes $1,000 Yes No No No No 123
Provider Partners Health Plans Provider Partners Illinois Advantage Plan (HMO I-SNP)
H3800-001-0 		HMO $230 per Quarter No $920 Yes $1,000 No No No No No 117
Blue Cross Community MMAI Blue Medicare Advantage (Medicare-Medicaid Plan)
H0927-001-0 		Medicare-Medicaid Plan HMO $30 per Quarter No $120 Yes No No No Yes No 109
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 102
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 101
Zing Health Zing Essential Wellness Diabetes and Heart IL (HMO C-SNP)
H4624-010-0 		HMO $161 per Month No $0 Yes $1,500 No No Yes No No 96
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 94
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H3192-013-0 		HMOPOS $90 per Quarter No $360 Yes $1,000 No No Yes No No 83
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 75
Quartz Medicare Advantage UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
H5262-026-0 		HMO $50 per Quarter No $200 Yes $1,500 Yes No No No No 71
Health Alliance Medicare OSF MedAdvantage Core (HMO)
H1463-035-0 		HMO $96 per Month No $1,152 Yes No No Yes No No 66
Health Alliance Medicare OSF MedAdvantage Enrich (HMO-POS)
H1463-042-0 		HMOPOS $0 per Month No $0 No 59
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 57
Zing Health Zing Open Access IL (HMO-POS)
H4624-002-0 		HMOPOS $100 per Quarter No $400 Yes $1,500 No No Yes No No 51
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-014-0 		HMO $125 per Quarter Yes $500 Yes No No Yes No No 48
Quartz Medicare Advantage UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
H5262-018-0 		HMO $50 per Quarter No $200 Yes $1,250 Yes No No No No 48
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-019-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 47
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Classic (PPO)
H8634-012-0 		Local PPO $95 per Quarter Yes $380 Yes No No Yes No No 36
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 35
Health Alliance Medicare OSF MedAdvantage Open (HMO-POS)
H1463-036-0 		HMOPOS $96 per Month No $1,152 Yes No No Yes No No 34
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 27
Humana Humana Gold Choice H8145-008 (PFFS)
H8145-008-0 		PFFS No $0 No 23
Clear Spring Health Clear Spring Health Essential (HMO)
H5454-001-0 		HMO $85 per Month No $0 Yes $1,000 Yes No No No No 20
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 16
Humana HumanaChoice H5216-357 (PPO)
H5216-357-0 		Local PPO No $0 Yes No No Yes No No 15
Quartz Medicare Advantage UW Health IL Quartz Med Advantage Value (HMO)
H5262-020-0 		HMO $50 per Quarter No $200 Yes $1,250 Yes No No No No 13
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 12
Humana Humana Medicare Employer (PPO)
H5525-810-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 12
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-813-0 		Local PPO No $0 No 11
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