Medicare Advantage Plans for Hampden County, Massachusetts

  • 78 Total Plans
  • 105,703 Seniors Eligible for Medicare
  • 45,105 Seniors on Medicare Advantage (43%)
  • 2 plans with 5,111 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 38 plans with 18,781 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 23% 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? Massachusetts Enrollees
Commonwealth Care Alliance Massachusetts CCA One Care (Medicare-Medicaid Plan)
H0137-001-0 		Medicare-Medicaid Plan HMO No $0 Yes Yes No No Yes No 7,793
Commonwealth Care Alliance Massachusetts CCA Senior Care Options (HMO D-SNP)
H2225-001-0 		HMO $475 per Quarter No $1,900 No 5,021
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 3,849
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue ValueRx (PPO)
H2230-018-2 		Local PPO No $0 Yes No No Yes No No 2,937
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue SaverRx (PPO)
H2230-017-0 		Local PPO $250 per Quarter No $1,000 Yes No No Yes No No 1,971
Health New England Medicare Advantage Plans Health New England Medicare Plus (HMO)
H8578-004-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 1,717
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-160-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 1,540
Health New England Medicare Advantage Plans Health New England Medicare Premium (HMO)
H8578-001-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 1,404
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-005-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes Yes No 1,238
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
H2256-001-6 		HMO No $0 Yes No No Yes No No 1,117
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-015-6 		HMO No $0 Yes No No Yes No No 919
Health New England Medicare Advantage Plans Health New England Medicare Value (HMO)
H8578-012-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 914
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 807
Fallon Health NaviCare (HMO D-SNP)
H8928-001-0 		HMO $162 per Quarter No $648 No 791
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 731
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-026-3 		HMO No $0 Yes No No Yes No No 673
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO)
H2261-022-2 		HMO No $0 Yes No No Yes No No 652
Health New England Medicare Advantage Plans Health New England Medicare Compass (PPO)
H2737-001-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 563
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 506
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 476
UnitedHealthcare UnitedHealthcare Senior Care Options (HMO D-SNP)
H2226-001-0 		HMO $125 per Month No $0 No 452
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO)
H2230-002-0 		Local PPO No $0 Yes No No Yes No No 414
Serenity Care PACE Serenity PACE Dual (PACE)
H0477-001-0 		National PACE No $0 No 387
Fallon Health Fallon Medicare Plus Blue HMO (HMO)
H9001-031-18 		HMO No $0 Yes No No Yes No No 385
Health New England Medicare Advantage Plans Health New England Baystate Health Preferred (HMO)
H8578-018-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 367
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $125 per Month No $0 No 364
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue SaverRx (HMO)
H2261-024-0 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 362
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-018-8 		HMO No $0 Yes No No Yes No No 359
Fallon Health Summit ElderCare (PACE)
H2219-001-0 		National PACE No $0 No 345
UnitedHealthcare UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
H9239-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 325
Health New England Medicare Advantage Plans Health New England Medicare Employer Group RX (HMO-POS)
H8578-801-0 		HMOPOS No $0 No 322
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue FlexRx (HMO-POS)
H2261-023-2 		HMOPOS No $0 Yes No No Yes No No 312
Tufts Health Plan Tufts Medicare Preferred HMO Saver Rx (HMO)
H2256-028-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 303
Fallon Health Fallon Medicare Plus Orange HMO (HMO)
H9001-038-0 		HMO $275 per Month No $0 Yes No No Yes No No 273
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 253
Tufts Health Plan Tufts Medicare Preferred HMO Smart Saver Rx (HMO)
H2256-046-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 244
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO)
H2261-005-0 		HMO No $0 Yes No No Yes No No 228
Humana HumanaChoice H5216-250 (PPO)
H5216-250-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 225
Fallon Health Fallon Medicare Plus Green HMO (HMO)
H9001-030-18 		HMO $255 per Month No $0 Yes No No Yes No No 224
Commonwealth Care Alliance Massachusetts CCA Medicare Preferred (PPO)
H9414-001-0 		Local PPO $220 per Quarter No $880 Yes Yes No Yes No No 215
Mercy LIFE Mercy LIFE, Inc. (PACE)
H0809-001-0 		National PACE No $0 No 200
Health New England Medicare Advantage Plans Health New England Medicare Choice (HMO)
H8578-017-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 184
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-006-0 		HMOPOS No $0 Yes Yes No Yes Yes No 181
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 178
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 169
Humana HumanaChoice H5216-249 (PPO)
H5216-249-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 156
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $32 per Month Yes $0 Yes $2,000 No No Yes Yes No 148
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-014-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 138
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-808-0 		HMO No $0 No 113
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 110
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 109
Health New England Medicare Advantage Plans Health New England Medicare Compass Premier (PPO)
H2737-002-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 95
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 91
Commonwealth Care Alliance Massachusetts CCA Medicare Value (PPO)
H9414-002-0 		Local PPO $335 per Quarter No $1,340 Yes $2,000 Yes No No No No 90
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 86
Health New England Medicare Advantage Plans Health New England Medicare Basic No Rx (HMO)
H8578-009-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 85
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO)
H2261-801-0 		HMO No $0 No 73
Health New England Medicare Advantage Plans Health New England Medicare Premium No Rx (HMO)
H8578-003-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 68
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 67
Tufts Health Plan Tufts Medicare Preferred HMO Rx (HMO)
H2256-801-0 		HMO No $0 No 67
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 62
Tufts Health Plan Tufts Health Plan Senior Care Options (HMO D-SNP)
H8330-001-0 		HMO $0 per Month Yes $0 No 54
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue (PPO)
H2230-801-0 		Local PPO No $0 No 53
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 51
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-296-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 33
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 28
WellSense Health Plan WellSense Senior Care Options (HMO D-SNP)
H9585-001-0 		HMO $115 per Month No $0 No 27
Tufts Health Plan Tufts Health Plan Senior Care Options CW (HMO D-SNP)
H8330-002-0 		HMO $0 per Month Yes $0 No 26
Senior Whole Health Senior Whole Health (HMO D-SNP)
H2224-001-0 		HMO $270 per Quarter No $1,080 No 25
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $51 per Month Yes $0 Yes $4,000 No No Yes Yes No 25
Fallon Health Fallon Medicare Plus Super Saver HMO (HMO)
H9001-040-0 		HMO No $0 Yes No No Yes No No 24
Tufts Health Plan Tufts Medicare Preferred Access (PPO)
H9907-001-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 21
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 16
Fallon Health Fallon Medicare Plus Saver No Rx HMO (HMO)
H9001-039-0 		HMO $125 per Month No $0 Yes No No Yes No No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 13
Senior Whole Health Senior Whole Health NHC (HMO D-SNP)
H2224-003-0 		HMO $270 per Quarter No $1,080 No 12
Tufts Health Plan Tufts Health Unify (Medicare-Medicaid Plan)
H7419-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 12
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