Medicare Advantage Plans for Kennebec County, Maine

  • 45 Total Plans
  • 33,367 Seniors Eligible for Medicare
  • 19,487 Seniors on Medicare Advantage (58%)
  • 5 plans with 803 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 21 plans with 11,491 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 37% 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 4,293
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 2,703
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2001-001-0 		Local PPO No $0 Yes Yes No Yes Yes No 1,782
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 1,373
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-007-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 1,118
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 1,048
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 848
Wellcare Wellcare No Premium Open (PPO)
H2775-109-0 		Local PPO $112 per Quarter No $448 Yes $1,500 No No Yes Yes No 791
AMH Health Anthem l MaineHealth Advantage Plus (HMO)
H9065-008-0 		HMO $35 per Quarter Yes $140 Yes $2,000 Yes No Yes Yes No 665
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 461
Humana HumanaChoice H5216-175 (PPO)
H5216-175-0 		Local PPO No $0 Yes No No Yes No No 368
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2001-019-0 		Local PPO No $0 Yes Yes No Yes Yes No 306
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 299
UnitedHealthcare UnitedHealthcare Northern Light Health Flex (HMO-POS)
H1944-034-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 279
Aetna Medicare Aetna Medicare Part B Only Plan w/Rx (PPO)
H5521-806-0 		Local PPO No $0 No 232
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 220
Martin's Point Generations Advantage Martin's Point Generations Advantage Value Plus (HMO)
H5591-013-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 202
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 198
Wellcare Wellcare Dual Access (HMO D-SNP)
H9364-002-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 197
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2001-010-0 		Local PPO No $0 Yes Yes No Yes Yes No 179
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9364-003-0 		HMO $110 per Month Yes $0 Yes $3,000 No No Yes Yes No 178
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 173
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 154
Wellcare Wellcare No Premium (HMO)
H9364-001-0 		HMO $31 per Month Yes $0 Yes $1,500 No No Yes Yes No 144
Wellcare Wellcare Assist Open (PPO)
H2775-114-0 		Local PPO $50 per Month Yes $0 Yes $2,000 No No Yes Yes No 122
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 100
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 97
Wellcare Wellcare Giveback (HMO)
H9364-004-0 		HMO No $0 Yes $1,000 No No Yes Yes No 87
AMH Health Anthem l MaineHealth Advantage Access (PPO)
H9219-001-0 		Local PPO No $0 Yes $2,000 Yes No Yes Yes No 76
Humana Humana Gold Plus H5619-137 (HMO)
H5619-137-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 75
AMH Health Anthem l MaineHealth Advantage Choice (HMO-POS)
H9065-003-0 		HMOPOS $80 per Quarter Yes $320 Yes $2,000 Yes No Yes Yes No 68
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 67
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2001-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 61
Humana HumanaChoice H5216-177 (PPO)
H5216-177-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 49
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 43
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 43
Humana Humana Gold Plus H5619-066 (HMO)
H5619-066-0 		HMO No $0 Yes No No Yes No No 40
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-004-3 		Local PPO $50 per Quarter No $200 Yes $1,000 No No No No No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 38
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-144-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 30
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 25
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-040-0 		PFFS No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
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