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
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 162
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue (PPO)
H2230-801-0 		Local PPO No $0 No 157
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Group Preferred (HMO-POS)
H4152-815-0 		HMOPOS No $0 No 145
Blue Cross & Blue Shield of Rhode Island HealthMate Coast-to-Coast for Medicare Group (PPO)
H3557-801-0 		Local PPO No $0 No 139
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 138
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
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 126
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 119
Tufts Health Plan Tufts Medicare Preferred HMO Basic No Rx (HMO)
H2256-042-0 		HMO No $0 Yes No No Yes No No 119
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 118
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 116
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 113
Molina Healthcare of Wisconsin and Massachusetts Senior Whole Health Medicare Choice Care (HMO)
H2879-002-0 		HMO $75 per Quarter No $300 Yes Yes No No No No 108
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO No $0 No 101
Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO)
H2256-040-0 		HMO No $0 Yes No No Yes No No 97
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 96
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 88
Fallon Health MAPD calendar year HMO PSP (HMO)
H9001-804-0 		HMO No $0 No 86
UnitedHealthcare Erickson Advantage Champion (HMO-POS C-SNP)
H5652-004-0 		HMOPOS $80 per Quarter No $320 Yes Yes No Yes Yes No 85
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 82
UnitedHealthcare Erickson Advantage Freedom (HMO-POS)
H5652-006-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 76
eternalHealth eternalHealth Give Back PPO (PPO)
H2694-002-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 72
UnitedHealthcare Erickson Advantage Liberty with Drugs (HMO-POS)
H5652-008-0 		HMOPOS No $0 Yes Yes No Yes Yes No 52
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 52
Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO)
H2256-039-0 		HMO No $0 Yes No No Yes No No 38
UnitedHealthcare Erickson Advantage Liberty without Drugs (HMO-POS)
H5652-002-0 		HMOPOS No $0 Yes Yes No Yes Yes No 32
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Value (HMO-POS)
H4152-020-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes No No 24
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
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Group Plus (HMO)
H4152-817-0 		HMO No $0 No 15
eternalHealth eternalHealth Freedom PPO (PPO)
H2694-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 14
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 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

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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