Medicare Advantage Plans for Worcester County, Massachusetts

  • 82 Total Plans
  • 168,054 Seniors Eligible for Medicare
  • 70,209 Seniors on Medicare Advantage (42%)
  • 5 plans with 2,024 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 31 plans with 34,167 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 22% 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
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue ValueRx (PPO)
H2230-018-2 		Local PPO No $0 Yes No No Yes No No 5,461
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-036-0 		HMO No $0 Yes No No Yes No No 4,679
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 4,460
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-160-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 4,220
Fallon Health NaviCare (HMO D-SNP)
H8928-001-0 		HMO $162 per Quarter No $648 No 4,141
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 3,951
Fallon Health Fallon Medicare Plus Orange HMO (HMO)
H9001-038-0 		HMO $275 per Month No $0 Yes No No Yes No No 3,526
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 3,491
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 3,400
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-033-0 		HMO No $0 Yes No No Yes No No 2,713
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 2,076
Fallon Health Fallon Medicare Plus Green HMO (HMO)
H9001-030-18 		HMO $255 per Month No $0 Yes No No Yes No No 1,857
Tufts Health Plan Tufts Health Unify (Medicare-Medicaid Plan)
H7419-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 1,786
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-005-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes Yes No 1,408
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-034-0 		HMO No $0 Yes No No Yes No No 1,319
Tufts Health Plan Tufts Medicare Preferred HMO Rx (HMO)
H2256-801-0 		HMO No $0 No 1,292
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 1,068
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO)
H2261-022-2 		HMO No $0 Yes No No Yes No No 1,033
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,026
UnitedHealthcare UnitedHealthcare Senior Care Options (HMO D-SNP)
H2226-001-0 		HMO $125 per Month No $0 No 957
Fallon Health Fallon Medicare Plus Blue HMO (HMO)
H9001-031-18 		HMO No $0 Yes No No Yes No No 948
Fallon Health MA-PD HMO (HMO)
H9001-803-0 		HMO No $0 No 930
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO)
H2230-002-0 		Local PPO No $0 Yes No No Yes No No 923
Mass Advantage Mass Advantage Premiere (PPO)
H9904-001-0 		Local PPO $90 per Quarter Yes $360 Yes No No Yes No No 842
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $125 per Month No $0 No 823
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-808-0 		HMO No $0 No 738
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 735
Fallon Health Summit ElderCare (PACE)
H2219-001-0 		National PACE No $0 No 683
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue FlexRx (HMO-POS)
H2261-023-2 		HMOPOS No $0 Yes No No Yes No No 581
Humana HumanaChoice H5216-250 (PPO)
H5216-250-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 522
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO)
H2261-005-0 		HMO No $0 Yes No No Yes No No 466
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 437
Humana HumanaChoice H5216-249 (PPO)
H5216-249-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 413
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 402
Mass Advantage Mass Advantage Basic (HMO)
H7670-001-0 		HMO $90 per Quarter Yes $360 Yes No No Yes No No 390
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 389
Mass Advantage Mass Advantage Plus (HMO)
H7670-002-0 		HMO $120 per Quarter Yes $480 Yes No No Yes No No 386
Commonwealth Care Alliance Massachusetts CCA Senior Care Options (HMO D-SNP)
H2225-001-0 		HMO $475 per Quarter No $1,900 No 369
UnitedHealthcare UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
H9239-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 361
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO)
H2261-801-0 		HMO No $0 No 329
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-014-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 296
Tufts Health Plan Tufts Health Plan Senior Care Options (HMO D-SNP)
H8330-001-0 		HMO $0 per Month Yes $0 No 272
Senior Whole Health Senior Whole Health (HMO D-SNP)
H2224-001-0 		HMO $270 per Quarter No $1,080 No 260
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 221
Senior Whole Health Senior Whole Health NHC (HMO D-SNP)
H2224-003-0 		HMO $270 per Quarter No $1,080 No 214
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 211
Tufts Health Plan Tufts Medicare Preferred HMO Basic No Rx (HMO)
H2256-041-0 		HMO No $0 Yes No No Yes No No 195
Fallon Health Fallon Medicare Plus Central Blue HMO (HMO)
H9001-035-0 		HMO No $0 Yes No No Yes No No 192
Fallon Health Fallon Medicare Plus Super Saver HMO (HMO)
H9001-040-0 		HMO No $0 Yes No No Yes No No 167
Tufts Health Plan Tufts Health Plan Senior Care Options CW (HMO D-SNP)
H8330-002-0 		HMO $0 per Month Yes $0 No 160
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 143
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-006-0 		HMOPOS No $0 Yes Yes No Yes Yes No 138
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 137
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $32 per Month Yes $0 Yes $2,000 No No Yes Yes No 136
Fallon Health Fallon Medicare Plus Central Green HMO (HMO)
H9001-036-0 		HMO $255 per Month No $0 Yes No No Yes No No 127
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 122
Commonwealth Care Alliance Massachusetts CCA Medicare Preferred (PPO)
H9414-001-0 		Local PPO $220 per Quarter No $880 Yes Yes No Yes No No 117
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 116
Tufts Health Plan Tufts Medicare Preferred Access (PPO)
H9907-001-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 112
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 106
Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO)
H2256-040-0 		HMO No $0 Yes No No Yes No No 97
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 95
Fallon Health MAPD calendar year HMO PSP (HMO)
H9001-804-0 		HMO No $0 No 86
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 75
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 68
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 53
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		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 47
Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO)
H2256-039-0 		HMO No $0 Yes No No Yes No No 38
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 37
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 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 34
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $51 per Month Yes $0 Yes $4,000 No No Yes Yes No 26
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 24
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-802-0 		HMO No $0 No 22
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 21
eternalHealth eternalHealth Give Back PPO (PPO)
H2694-002-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 19
Blue Cross & Blue Shield of Rhode Island HealthMate Coast-to-Coast for Medicare Group (PPO)
H3557-801-0 		Local PPO No $0 No 18
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 13
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-815-0 		Local PPO No $0 No 12
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND Neighborhood INTEGRITY (Medicare-Medicaid Plan)
H9576-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No No No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 11
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