Medicare Advantage Plans for St. Joseph County, Indiana

  • 52 Total Plans
  • 51,710 Seniors Eligible for Medicare
  • 25,514 Seniors on Medicare Advantage (49%)
  • 6 plans with 1,636 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 21,679 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 45% 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? Indiana Enrollees
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-019-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 7,891
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-080-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 2,820
Anthem HealthKeepers Anthem MediBlue Dual Advantage (HMO D-SNP)
H3447-020-0 		HMO $140 per Month No $0 Yes $3,000 Yes No Yes Yes No 1,688
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H0271-005-0 		Local PPO $146 per Month No $0 Yes $3,600 Yes No Yes Yes No 1,439
Humana HumanaChoice H5216-229 (PPO)
H5216-229-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,250
Humana Humana Gold Plus H5619-052 (HMO)
H5619-052-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 1,218
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-042-4 		HMO $70 per Quarter Yes $280 Yes $3,000 Yes No Yes Yes No 1,189
Humana Humana Gold Plus SNP-DE H5619-054 (HMO D-SNP)
H5619-054-0 		HMO $3,000 per Month No $0 Yes No No Yes No No 844
Humana HumanaChoice H5216-055 (PPO)
H5216-055-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 781
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Preferred (PPO)
H1607-015-0 		Local PPO $50 per Quarter Yes $200 Yes $3,000 Yes No Yes Yes No 674
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H7093-002-0 		Local PPO $35 per Quarter Yes $140 Yes $1,500 Yes No Yes Yes No 508
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H2802-008-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 414
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 364
Aetna Medicare Aetna Medicare Value (PPO)
H5521-223-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 295
Humana Humana Honor (PPO)
H5216-218-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 275
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 269
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 249
Humana HumanaChoice H5216-309 (PPO)
H5216-309-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 233
Wellcare by Allwell Wellcare No Premium (HMO)
H3499-002-0 		HMO $60 per Month Yes $0 Yes $2,000 No No Yes Yes No 223
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 218
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-013-0 		Local PPO $270 per Quarter Yes $1,080 Yes $2,000 Yes No Yes Yes No 200
Anthem HealthKeepers Anthem MediBlue Extra (HMO)
H3447-024-0 		HMO $170 per Quarter Yes $680 Yes $3,000 Yes No Yes Yes No 199
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 179
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Plus (PPO)
H1607-012-0 		Local PPO $38 per Quarter Yes $152 Yes $3,000 Yes No Yes Yes No 153
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H3499-005-0 		HMO $151 per Month Yes $0 Yes $3,000 No No Yes Yes No 143
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 136
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Basic (Regional PPO)
R4487-001-0 		Regional PPO $35 per Quarter Yes $140 Yes $2,000 Yes No Yes Yes No 135
Wellcare by Allwell Wellcare No Premium Open (PPO)
H6348-002-0 		Local PPO $88 per Quarter No $352 Yes $1,500 No No Yes Yes No 128
Humana Humana Medicare Employer (PPO)
H7617-802-0 		Local PPO No $0 No 110
Humana HumanaChoice R0865-001 (Regional PPO)
R0865-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 109
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-091-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 109
Saint Joseph PACE Saint Joseph PACE (PACE)
H9842-001-0 		National PACE No $0 No 105
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H7093-001-0 		Local PPO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 102
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 93
Humana HumanaChoice H5216-192 (PPO)
H5216-192-0 		Local PPO No $0 Yes No No Yes No No 81
Humana HumanaChoice SNP-DE H5525-048 (PPO D-SNP)
H5525-048-0 		Local PPO No $0 Yes No No Yes No No 77
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 54
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 45
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-226-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes No No 44
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 42
UnitedHealthcare UnitedHealthcare Dual Complete Choice Select (PPO D-SNP)
H0271-054-0 		Local PPO $120 per Month No $0 Yes $2,000 Yes No Yes Yes No 34
Aetna Medicare Aetna Medicare Prime (HMO-POS)
H3192-005-0 		HMOPOS $90 per Quarter No $360 Yes $1,500 No No Yes No No 29
Humana Humana Gold Choice H8145-032 (PFFS)
H8145-032-0 		PFFS $50 per Quarter Yes $200 Yes No No Yes No No 29
Wellcare by Allwell Wellcare Assist (HMO)
H3499-008-0 		HMO $64 per Quarter No $256 Yes $2,000 No No Yes Yes No 28
Aetna Medicare Aetna Medicare Assure Premier (HMO D-SNP)
H3192-008-0 		HMO $80 per Month No $0 Yes $4,000 No No Yes No No 26
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 26
Humana HumanaChoice R0865-003 (Regional PPO)
R0865-003-0 		Regional PPO $15 per Month No $0 Yes No No Yes No No 16
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H5619-055-0 		HMO $420 per Month No $0 Yes No No Yes No No 16
Wellcare by Allwell Wellcare Giveback (HMO)
H3499-007-0 		HMO $53 per Quarter No $212 Yes $700 No No Yes Yes Yes 16
Wellcare by Allwell Wellcare Dual Access Open (PPO D-SNP)
H6348-006-0 		Local PPO $126 per Month Yes $0 Yes $3,000 No No Yes Yes No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 13
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