Medicare Advantage Plans for Maine

Hearing Aid Coverage
Company Plan name Plan type Total monthly premium Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Maine Enrollees
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-006-5 		HMOPOS $0 Yes No No Yes No No 32,964
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2001-001-0 		Local PPO $0 Yes No No Yes Yes No 15,636
Wellcare Wellcare No Premium Open (PPO)
H2775-109-0 		Local PPO $0 Yes $1,500 No No Yes Yes No 11,718
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-001-0 		HMOPOS $65 Yes No No Yes No No 10,353
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No 10,304
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No 9,292
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-001-0 		HMO $0 Yes No No Yes No No 8,957
AMH Health Anthem l MaineHealth Advantage Dual Plus (HMO D-SNP)
H9065-001-0 		HMO $0 Yes $3,000 No No Yes Yes No 6,994
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H0271-006-0 		Local PPO $0 Yes $2,500 No No Yes Yes No 6,361
Humana Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)
H5619-003-0 		HMO $0 Yes No No Yes No No 4,695
Martin's Point Generations Advantage Martin's Point Generations Advantage Flex (Regional PPO)
R0802-001-0 		Regional PPO $35 Yes No No Yes No No 4,693
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-007-0 		HMO $0 Yes No No Yes No No 3,506
Martin's Point Generations Advantage Martin's Point Generations Advantage Alliance (HMO)
H5591-003-0 		HMO $0 Yes No No Yes No No 3,355
Humana HumanaChoice H5216-175 (PPO)
H5216-175-0 		Local PPO $0 Yes No No Yes No No 3,199
Wellcare Wellcare Dual Access (HMO D-SNP)
H9364-002-0 		HMO $0 Yes $2,000 No No Yes Yes No 3,071
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No 2,449
AMH Health Anthem l MaineHealth Advantage Choice (HMO-POS)
H9065-002-0 		HMOPOS $0 Yes $2,000 No No Yes Yes No 2,156
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No 2,030
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9364-003-0 		HMO $0 Yes $3,000 No No Yes Yes No 1,999
AMH Health Anthem l MaineHealth Advantage Plus (HMO)
H9065-008-0 		HMO $0 Yes $2,000 No No Yes Yes No 1,938
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2001-010-0 		Local PPO $19 Yes No No Yes Yes No 1,800
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2001-018-0 		Local PPO $0 Yes No No Yes Yes No 1,715
Wellcare Wellcare No Premium (HMO)
H9364-001-0 		HMO $0 Yes $1,500 No No Yes Yes No 1,390
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2001-019-0 		Local PPO $0 Yes No No Yes Yes No 1,356
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H0271-020-0 		Local PPO $0 Yes $3,600 No No Yes Yes No 1,282
Martin's Point Generations Advantage Martin's Point Generations Advantage Value Plus (HMO)
H5591-009-0 		HMO $0 Yes No No Yes No No 1,253
AMH Health Anthem l MaineHealth Advantage Extra (HMO)
H9065-007-0 		HMO $0 Yes $2,000 No No Yes Yes No 1,159
Humana Humana Gold Plus H5619-001 (HMO)
H5619-001-0 		HMO $0 Yes No No Yes No No 1,073
Aetna Medicare Aetna Medicare Assure Plan (HMO-POS D-SNP)
H3597-011-0 		HMOPOS $0 Yes $2,500 No No Yes No No 1,001
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No 867
AMH Health Anthem l MaineHealth Advantage Extra (HMO)
H9065-006-0 		HMO $0 Yes $2,000 No No Yes Yes No 831
Harvard Pilgrim Health Care, Inc. Harvard Pilgrim Stride Value Rx (HMO)
H1660-013-0 		HMO $5 Yes No No Yes No No 821
Humana HumanaChoice H5216-177 (PPO)
H5216-177-0 		Local PPO $4 Yes No No Yes No No 681
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-001-0 		Local PPO $64 Yes No No Yes No No 670
Humana Humana Gold Plus H5619-066 (HMO)
H5619-066-0 		HMO $0 No 643
Humana Humana Gold Plus H5619-137 (HMO)
H5619-137-0 		HMO $0 No 640
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-144-0 		Local PPO $23 Yes No No Yes No No 633
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-009-0 		HMO $22 Yes No No Yes No No 633
AMH Health Anthem l MaineHealth Advantage Choice (HMO-POS)
H9065-003-0 		HMOPOS $21 Yes $2,000 No No Yes Yes No 554
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $0 Yes No No Yes No No 505
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-142-0 		Local PPO $8 Yes No No Yes No No 496
Martin's Point Generations Advantage Martin's Point Generations Advantage Value Plus (HMO)
H5591-013-0 		HMO $0 Yes No No Yes No No 486
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-040-0 		PFFS $0 No 485
Harvard Pilgrim Health Care, Inc. Harvard Pilgrim Stride Basic Rx (HMO)
H1660-015-0 		HMO $0 Yes No No Yes No No 480
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-838-0 		Local PPO No 426
Aetna Medicare Aetna Medicare Part B Only Plan w/Rx (PPO)
H5521-806-0 		Local PPO No 385
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-002-0 		Local PPO $64 Yes No No Yes No No 371
Harvard Pilgrim Health Care, Inc. Harvard Pilgrim Stride Choice Rx (HMO-POS)
H1660-018-0 		HMOPOS $9 Yes No No Yes No No 352
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No 330
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R5329-001-0 		Regional PPO $33 Yes No No Yes Yes No 309
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