Medicare Advantage Plans for Massachusetts

1,153,092 Total Medicare Advantage Enrollees

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)
H3442-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 32,606
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue ValueRx (PPO)
H2230-018-2 		Local PPO No $0 Yes No No Yes No No 31,593
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 30,279
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 24,511
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 21,311
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-026-3 		HMO No $0 Yes No No Yes No No 18,191
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-003-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 14,746
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 14,180
UnitedHealthcare UnitedHealthcare Senior Care Options (HMO D-SNP)
H2226-001-0 		HMO $125 per Month No $0 No 13,988
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 13,883
Commonwealth Care Alliance Massachusetts CCA Senior Care Options (HMO D-SNP)
H2225-001-0 		HMO $475 per Quarter No $1,900 No 13,311
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-015-6 		HMO No $0 Yes No No Yes No No 13,086
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 12,112
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
H2256-001-6 		HMO No $0 Yes No No Yes No No 10,489
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-005-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes Yes No 9,196
Fallon Health NaviCare (HMO D-SNP)
H8928-001-0 		HMO $162 per Quarter No $648 No 9,107
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $125 per Month No $0 No 7,994
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 7,777
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 7,478
Senior Whole Health Senior Whole Health (HMO D-SNP)
H2224-001-0 		HMO $270 per Quarter No $1,080 No 6,920
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-018-8 		HMO No $0 Yes No No Yes No No 6,630
Tufts Health Plan Tufts Health Unify (Medicare-Medicaid Plan)
H7419-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 6,233
Tufts Health Plan Tufts Medicare Preferred HMO Rx (HMO)
H2256-801-0 		HMO No $0 No 6,119
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-160-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 6,098
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO)
H2261-022-2 		HMO No $0 Yes No No Yes No No 6,052
Fallon Health Fallon Medicare Plus Orange HMO (HMO)
H9001-038-0 		HMO $275 per Month No $0 Yes No No Yes No No 5,776
Tufts Health Plan Tufts Health Plan Senior Care Options (HMO D-SNP)
H8330-001-0 		HMO $0 per Month Yes $0 No 5,736
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 5,535
Senior Whole Health Senior Whole Health NHC (HMO D-SNP)
H2224-003-0 		HMO $270 per Quarter No $1,080 No 5,005
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-001-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 4,923
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 4,858
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-036-0 		HMO No $0 Yes No No Yes No No 4,679
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO)
H2230-002-0 		Local PPO No $0 Yes No No Yes No No 4,668
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-808-0 		HMO No $0 No 4,644
UnitedHealthcare UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
H9239-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 4,091
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 3,466
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 2,818
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue FlexRx (HMO-POS)
H2261-023-2 		HMOPOS No $0 Yes No No Yes No No 2,781
Tufts Health Plan Tufts Health Plan Senior Care Options CW (HMO D-SNP)
H8330-002-0 		HMO $0 per Month Yes $0 No 2,740
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-033-0 		HMO No $0 Yes No No Yes No No 2,713
Fallon Health Fallon Medicare Plus Green HMO (HMO)
H9001-030-18 		HMO $255 per Month No $0 Yes No No Yes No No 2,538
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 2,351
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 2,216
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 2,159
Fallon Health Fallon Medicare Plus Blue HMO (HMO)
H9001-031-18 		HMO No $0 Yes No No Yes No No 1,919
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $32 per Month Yes $0 Yes $2,000 No No Yes Yes No 1,813
WellSense Health Plan WellSense Senior Care Options (HMO D-SNP)
H9585-001-0 		HMO $115 per Month No $0 No 1,713
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 1,692
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO)
H2261-005-0 		HMO No $0 Yes No No Yes No No 1,642
Humana HumanaChoice H5216-250 (PPO)
H5216-250-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 1,638

Top 20 Medicare Advantage Insurance Companyes for Massachusetts

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
UnitedHealthcare 119,319 96,459 95,702
Tufts Health Plan 118,382 48,215 102,149
Blue Cross Blue Shield of Massachusetts 75,995 32,206 78,919
Commonwealth Care Alliance Massachusetts 45,108 17,811 35,011
Aetna Medicare 35,208 23,278 23,278
Fallon Health 22,490 18,374 11,070
Senior Whole Health 11,925 12,007 0
Health New England Medicare Advantage Plans 10,455 10,659 10,659
Wellcare 8,634 7,291 9,007
Humana 4,503 6,937 13,178
WellSense Health Plan 1,713 1,901 0
Mass Advantage 1,618 1,935 1,935
Element Care, Inc 946 0 0
Anthem Blue Cross and Blue Shield 786 0 0
Neighborhood PACE 696 0 0
CHA PACE 546 0 0
Elder Service Plan of Harbor Health Services, Inc 525 0 0
Serenity Care PACE 460 0 0
Mass General Brigham Health Plan 384 1,199 1,199
Blue Cross & Blue Shield of Rhode Island 323 44,429 44,429
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