Medicare Advantage Plans for Penobscot County, Maine

  • 43 Total Plans
  • 38,821 Seniors Eligible for Medicare
  • 20,141 Seniors on Medicare Advantage (52%)
  • 4 plans with 1,217 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 21 plans with 13,147 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)
H5591-015-2 		HMOPOS $50 per Quarter No $200 Yes $1,000 No No No No No 3,537
Wellcare Wellcare No Premium Open (PPO)
H2775-109-0 		Local PPO $112 per Quarter No $448 Yes $1,500 No No Yes Yes No 1,909
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 1,771
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,514
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 1,032
Humana HumanaChoice H5216-175 (PPO)
H5216-175-0 		Local PPO No $0 Yes No No Yes No No 1,006
UnitedHealthcare UnitedHealthcare Northern Light Health Choice (PPO)
H2001-018-0 		Local PPO No $0 Yes Yes No Yes Yes No 908
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 715
UnitedHealthcare UnitedHealthcare NorthernLightHealth Dual Complete (PPO D-SNP)
H0271-020-0 		Local PPO $86 per Month No $0 Yes $2,000 Yes No Yes Yes No 692
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 614
AMH Health Anthem l MaineHealth Advantage Extra (HMO)
H9065-007-0 		HMO $35 per Quarter Yes $140 Yes $2,000 Yes No Yes Yes No 591
Wellcare Wellcare Dual Access (HMO D-SNP)
H9364-002-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 576
Martin's Point Generations Advantage Martin's Point Generations Advantage Value Plus (HMO)
H5591-009-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 551
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 421
Wellcare Wellcare No Premium (HMO)
H9364-001-0 		HMO $31 per Month Yes $0 Yes $1,500 No No Yes Yes No 373
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-144-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 365
UnitedHealthcare UnitedHealthcare Northern Light Health Flex (HMO-POS)
H1944-034-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 342
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9364-003-0 		HMO $110 per Month Yes $0 Yes $3,000 No No Yes Yes No 334
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-009-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 275
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 271
Wellcare Wellcare Assist Open (PPO)
H2775-114-0 		Local PPO $50 per Month Yes $0 Yes $2,000 No No Yes Yes No 237
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 224
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 190
Humana HumanaChoice H5216-177 (PPO)
H5216-177-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 175
Humana Humana Gold Plus H5619-066 (HMO)
H5619-066-0 		HMO No $0 Yes No No Yes No No 170
Wellcare Wellcare Giveback (HMO)
H9364-004-0 		HMO No $0 Yes $1,000 No No Yes Yes No 169
Humana Humana Gold Plus H5619-137 (HMO)
H5619-137-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 167
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 135
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 133
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 107
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2001-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 76
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 70
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R5329-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 58
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 45
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
Aetna Medicare Aetna Medicare Part B Only Plan w/Rx (PPO)
H5521-806-0 		Local PPO No $0 No 42
AMH Health Anthem l MaineHealth Advantage Access (PPO)
H9219-002-0 		Local PPO No $0 Yes $1,000 Yes No Yes Yes No 39
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-040-0 		PFFS No $0 No 39
AMH Health Anthem l MaineHealth Advantage Choice (HMO-POS)
H9065-004-0 		HMOPOS $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 38
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 17
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 12
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