Medicare Advantage Plans for York County, Maine

  • 51 Total Plans
  • 55,857 Seniors Eligible for Medicare
  • 27,865 Seniors on Medicare Advantage (50%)
  • 4 plans with 1,056 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 21 plans with 17,828 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 34% 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 7,530
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3597-001-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 4,129
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2001-001-0 		Local PPO No $0 Yes Yes No Yes Yes No 3,541
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 1,422
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 1,404
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 1,183
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 847
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 713
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2001-019-0 		Local PPO No $0 Yes Yes No Yes Yes No 682
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 591
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 480
Humana HumanaChoice H5216-175 (PPO)
H5216-175-0 		Local PPO No $0 Yes No No Yes No No 449
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 439
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 418
Wellcare Wellcare No Premium Open (PPO)
H2775-109-0 		Local PPO $112 per Quarter No $448 Yes $1,500 No No Yes Yes No 381
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2001-010-0 		Local PPO No $0 Yes Yes No Yes Yes No 356
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 305
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 291
Humana Humana Gold Plus H5619-001 (HMO)
H5619-001-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 247
Wellcare Wellcare Dual Access (HMO D-SNP)
H9364-002-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 196
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 187
Wellcare Wellcare No Premium (HMO)
H9364-001-0 		HMO $31 per Month Yes $0 Yes $1,500 No No Yes Yes No 162
UnitedHealthcare UnitedHealthcare Northern Light Health Flex (HMO-POS)
H1944-034-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 157
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 144
AMH Health Anthem l MaineHealth Advantage Access (PPO)
H9219-001-0 		Local PPO No $0 Yes $2,000 Yes No Yes Yes No 139
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H9364-003-0 		HMO $110 per Month Yes $0 Yes $3,000 No No Yes Yes No 124
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-144-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 111
Wellcare Wellcare Assist Open (PPO)
H2775-114-0 		Local PPO $50 per Month Yes $0 Yes $2,000 No No Yes Yes No 101
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 91
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 84
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 78
Humana HumanaChoice H5216-177 (PPO)
H5216-177-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 76
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 75
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 67
Wellcare Wellcare Giveback (HMO)
H9364-004-0 		HMO No $0 Yes $1,000 No No Yes Yes No 65
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 64
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 53
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2001-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 51
Humana Humana Gold Plus H5619-066 (HMO)
H5619-066-0 		HMO No $0 Yes No No Yes No No 40
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 40
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 30
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO No $0 No 24
Aetna Medicare Aetna Medicare Part B Only Plan w/Rx (PPO)
H5521-806-0 		Local PPO No $0 No 19
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R5329-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 15
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-272-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 13
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 13
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 11
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