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 UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 1,518
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 1,364
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 1,332
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-034-0 		HMO No $0 Yes No No Yes No No 1,319
Fallon Health Summit ElderCare (PACE)
H2219-001-0 		National PACE No $0 No 1,193
Humana HumanaChoice H5216-249 (PPO)
H5216-249-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,192
Commonwealth Care Alliance Massachusetts CCA Medicare Preferred (PPO)
H9414-001-0 		Local PPO $220 per Quarter No $880 Yes Yes No Yes No No 1,164
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-006-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,138
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO)
H2261-801-0 		HMO No $0 No 1,125
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 1,027
Fallon Health MA-PD HMO (HMO)
H9001-803-0 		HMO No $0 No 1,004
Element Care, Inc Element Care (PACE)
H2222-003-0 		National PACE No $0 No 946
Mass Advantage Mass Advantage Premiere (PPO)
H9904-001-0 		Local PPO $90 per Quarter Yes $360 Yes No No Yes No No 842
Tufts Health Plan Tufts Medicare Preferred Access (PPO)
H9907-001-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 785
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 740
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-004-0 		HMOPOS No $0 Yes Yes No Yes Yes No 728
Neighborhood PACE Neighborhood PACE (PACE)
H2223-001-0 		National PACE No $0 No 696
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 652
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 581
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-018-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 566
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 564
CHA PACE CHA PACE fka ESP of CHA (PACE)
H2221-001-0 		National PACE No $0 No 546
Elder Service Plan of Harbor Health Services, Inc Harbor Health Elder Service Plan, Dual Eligible (PACE)
H2218-001-0 		National PACE No $0 No 525
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-802-0 		HMO No $0 No 498
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 486
Serenity Care PACE Serenity PACE Dual (PACE)
H0477-001-0 		National PACE No $0 No 460
Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO)
H2256-016-2 		HMO No $0 Yes No No Yes No No 459
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-014-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 455
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 451
Health New England Medicare Advantage Plans Health New England Medicare Employer Group RX (HMO-POS)
H8578-801-0 		HMOPOS No $0 No 430
Fallon Health Fallon Medicare Plus Super Saver HMO (HMO)
H9001-040-0 		HMO No $0 Yes No No Yes No No 410
Mass Advantage Mass Advantage Basic (HMO)
H7670-001-0 		HMO $90 per Quarter Yes $360 Yes No No Yes No No 390
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 Medicare Value (PPO)
H9414-002-0 		Local PPO $335 per Quarter No $1,340 Yes $2,000 Yes No No No No 354
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-296-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 352
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 352
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 350
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 339
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 300
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $51 per Month Yes $0 Yes $4,000 No No Yes Yes No 271
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 251
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 245
Mercy LIFE Mercy LIFE, Inc. (PACE)
H0809-001-0 		National PACE No $0 No 233
Upham's PACE Upham's Corner Health Committee, Inc. (PACE)
H2220-001-0 		National PACE No $0 No 227
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 208
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
Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO)
H2256-019-7 		HMO No $0 Yes No No Yes No No 189
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 184
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 173

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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