Medicare Advantage Plans for Cumberland County, Maine

  • 53 Total Plans
  • 71,064 Seniors Eligible for Medicare
  • 41,217 Seniors on Medicare Advantage (58%)
  • 4 plans with 1,155 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 23 plans with 29,767 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 44% 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? Maine Enrollees
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-006-5 		HMOPOS $50 per Quarter No $200 Yes $1,000 No No No No No 16,722
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-001-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 5,616
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2001-001-0 		Local PPO No $0 Yes Yes No Yes Yes No 2,836
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 2,184
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,734
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H0271-006-0 		Local PPO $80 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,578
AMH Health Anthem l MaineHealth Advantage Choice (HMO-POS)
H9065-002-0 		HMOPOS $50 per Quarter Yes $200 Yes $2,000 Yes No Yes Yes No 1,365
AMH Health Anthem l MaineHealth Advantage Dual Plus (HMO D-SNP)
H9065-001-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 908
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 686
Humana Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)
H5619-003-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 645
Martin's Point Generations Advantage Martin's Point Generations Advantage Alliance (HMO)
H5591-003-0 		HMO $100 per Quarter No $400 Yes $1,400 No No No No No 628
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2001-019-0 		Local PPO No $0 Yes Yes No Yes Yes No 590
Wellcare Wellcare No Premium Open (PPO)
H2775-109-0 		Local PPO $112 per Quarter No $448 Yes $1,500 No No Yes Yes No 500
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 480
Aetna Medicare Aetna Medicare Assure Plan (HMO-POS D-SNP)
H3597-011-0 		HMOPOS $150 per Month Yes $0 Yes $2,500 No No Yes No No 383
Humana HumanaChoice H5216-175 (PPO)
H5216-175-0 		Local PPO No $0 Yes No No Yes No No 363
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-144-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 357
Humana HumanaChoice SNP-DE H5216-291 (PPO D-SNP)
H5216-291-0 		Local PPO $1,320 per Month No $0 Yes No No Yes No No 313
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2001-010-0 		Local PPO No $0 Yes Yes No Yes Yes No 264
Wellcare Wellcare Dual Access (HMO D-SNP)
H9364-002-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 245
Martin's Point Generations Advantage Martin's Point Generations Advantage Focus DC (HMO C-SNP)
H5591-007-0 		HMO $90 per Quarter No $360 Yes No No Yes No No 242
Humana Humana Gold Plus H5619-001 (HMO)
H5619-001-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 233
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9364-003-0 		HMO $110 per Month Yes $0 Yes $3,000 No No Yes Yes No 189
UnitedHealthcare UnitedHealthcare Northern Light Health Flex (HMO-POS)
H1944-034-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 171
AMH Health Anthem l MaineHealth Advantage Access (PPO)
H9219-001-0 		Local PPO No $0 Yes $2,000 Yes No Yes Yes No 149
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 144
Wellcare Wellcare No Premium (HMO)
H9364-001-0 		HMO $31 per Month Yes $0 Yes $1,500 No No Yes Yes No 139
AMH Health Anthem l MaineHealth Advantage Extra (HMO)
H9065-006-0 		HMO $100 per Quarter Yes $400 Yes $2,000 Yes No Yes Yes No 136
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-001-0 		Local PPO $50 per Quarter No $200 Yes $1,000 No No No No No 119
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 102
Wellcare Wellcare Giveback (HMO)
H9364-004-0 		HMO No $0 Yes $1,000 No No Yes Yes No 99
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2775-115-0 		Local PPO $83 per Month Yes $0 Yes $2,000 No No Yes Yes No 87
Wellcare Wellcare Assist Open (PPO)
H2775-114-0 		Local PPO $50 per Month Yes $0 Yes $2,000 No No Yes Yes No 73
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 67
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 67
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $290 per Quarter Yes $1,160 Yes $2,000 Yes No Yes Yes No 61
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2001-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 59
Humana HumanaChoice H5216-177 (PPO)
H5216-177-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 56
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 42
Humana Humana Gold Plus H5619-066 (HMO)
H5619-066-0 		HMO No $0 Yes No No Yes No No 32
Aetna Medicare Aetna Medicare Part B Only Plan w/Rx (PPO)
H5521-806-0 		Local PPO No $0 No 31
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-040-0 		PFFS No $0 No 25
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 24
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO No $0 No 23
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO 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 19
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-015-2 		HMOPOS $50 per Quarter No $200 Yes $1,000 No No No No No 18
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-349-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 11
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