Medicare Advantage Plans for Middlesex County, Massachusetts

  • 81 Total Plans
  • 284,972 Seniors Eligible for Medicare
  • 92,443 Seniors on Medicare Advantage (32%)
  • 2 plans with 1,488 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 42,717 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 16% 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
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-003-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 10,129
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-026-3 		HMO No $0 Yes No No Yes No No 7,447
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 6,770
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-015-6 		HMO No $0 Yes No No Yes No No 6,263
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue ValueRx (PPO)
H2230-018-2 		Local PPO No $0 Yes No No Yes No No 5,695
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
H2256-001-6 		HMO No $0 Yes No No Yes No No 4,845
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 4,499
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 4,137
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 3,354
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 3,126
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-001-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 3,085
UnitedHealthcare UnitedHealthcare Senior Care Options (HMO D-SNP)
H2226-001-0 		HMO $125 per Month No $0 No 2,675
Tufts Health Plan Tufts Medicare Preferred HMO Rx (HMO)
H2256-801-0 		HMO No $0 No 2,472
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 2,393
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-018-8 		HMO No $0 Yes No No Yes No No 2,283
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-808-0 		HMO No $0 No 1,698
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $125 per Month No $0 No 1,576
Tufts Health Plan Tufts Health Plan Senior Care Options (HMO D-SNP)
H8330-001-0 		HMO $0 per Month Yes $0 No 1,568
Commonwealth Care Alliance Massachusetts CCA Senior Care Options (HMO D-SNP)
H2225-001-0 		HMO $475 per Quarter No $1,900 No 1,461
Tufts Health Plan Tufts Health Unify (Medicare-Medicaid Plan)
H7419-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 1,420
Fallon Health NaviCare (HMO D-SNP)
H8928-001-0 		HMO $162 per Quarter No $648 No 1,020
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 949
Tufts Health Plan Tufts Health Plan Senior Care Options CW (HMO D-SNP)
H8330-002-0 		HMO $0 per Month Yes $0 No 856
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO)
H2230-002-0 		Local PPO No $0 Yes No No Yes No No 816
Senior Whole Health Senior Whole Health (HMO D-SNP)
H2224-001-0 		HMO $270 per Quarter No $1,080 No 787
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO)
H2261-022-2 		HMO No $0 Yes No No Yes No No 775
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 675
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 652
UnitedHealthcare UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
H9239-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 594
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-004-0 		HMOPOS No $0 Yes Yes No Yes Yes No 530
CHA PACE CHA PACE fka ESP of CHA (PACE)
H2221-001-0 		National PACE No $0 No 479
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 452
Fallon Health Fallon Medicare Plus Orange HMO (HMO)
H9001-038-0 		HMO $275 per Month No $0 Yes No No Yes No No 410
Senior Whole Health Senior Whole Health NHC (HMO D-SNP)
H2224-003-0 		HMO $270 per Quarter No $1,080 No 410
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 408
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 396
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 346
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-802-0 		HMO No $0 No 334
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue FlexRx (HMO-POS)
H2261-023-2 		HMOPOS No $0 Yes No No Yes No No 298
Tufts Health Plan Tufts Medicare Preferred Access (PPO)
H9907-001-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 278
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 265
Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO)
H2256-016-2 		HMO No $0 Yes No No Yes No No 235
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $32 per Month Yes $0 Yes $2,000 No No Yes Yes No 219
Fallon Health Fallon Medicare Plus Blue HMO (HMO)
H9001-031-18 		HMO No $0 Yes No No Yes No No 212
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 203
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO)
H2261-005-0 		HMO No $0 Yes No No Yes No No 197
Fallon Health Fallon Medicare Plus Green HMO (HMO)
H9001-030-18 		HMO $255 per Month No $0 Yes No No Yes No No 166
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 148
Element Care, Inc Element Care (PACE)
H2222-003-0 		National PACE No $0 No 147
Fallon Health Summit ElderCare (PACE)
H2219-001-0 		National PACE No $0 No 147
Commonwealth Care Alliance Massachusetts CCA Medicare Preferred (PPO)
H9414-001-0 		Local PPO $220 per Quarter No $880 Yes Yes No Yes No No 136
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 132
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 126
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-018-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 112
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO)
H2261-801-0 		HMO No $0 No 107
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 105
Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO)
H2256-019-7 		HMO No $0 Yes No No Yes No No 84
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 84
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue (PPO)
H2230-801-0 		Local PPO No $0 No 68
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-296-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 67
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 67
Neighborhood PACE Neighborhood PACE (PACE)
H2223-001-0 		National PACE No $0 No 60
Mass General Brigham Health Plan Mass General Brigham Advantage Premier (PPO)
H9485-002-0 		Local PPO $120 per Quarter No $480 Yes No No Yes No No 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 51
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 49
Fallon Health MA-PD HMO (HMO)
H9001-803-0 		HMO No $0 No 49
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 48
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $51 per Month Yes $0 Yes $4,000 No No Yes Yes No 39
Fallon Health Fallon Medicare Plus Super Saver HMO (HMO)
H9001-040-0 		HMO No $0 Yes No No Yes No No 38
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 37
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 31
Mass General Brigham Health Plan Mass General Brigham Advantage (PPO)
H9485-001-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 30
eternalHealth eternalHealth Give Back PPO (PPO)
H2694-002-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 29
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 27
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 26
Mass General Brigham Health Plan Mass General Brigham Advantage Secure (HMO-POS)
H6847-001-0 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 26
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 19
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 18
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 18
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 17
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO No $0 No 13
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