Medicare Advantage Plans for Allegan County, Michigan

  • 53 Total Plans
  • 25,542 Seniors Eligible for Medicare
  • 17,884 Seniors on Medicare Advantage (70%)
  • 4 plans with 1,150 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 13,407 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 57% 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? Michigan Enrollees
Priority Health Medicare PriorityMedicare Key (HMO-POS)
H2320-022-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 4,563
Priority Health Medicare PriorityMedicare Edge (PPO)
H4875-020-3 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 1,978
Priority Health Medicare PriorityMedicare Value (HMO-POS)
H2320-029-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 1,878
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 1,679
Priority Health Medicare PriorityMedicare EG Calendar Year (HMO-POS)
H2320-803-0 		HMOPOS $0 per Month No $0 No 1,017
Blue Care Network BCN Advantage HMO-POS Prime Value (HMO-POS)
H5883-014-5 		HMOPOS $125 per Quarter Yes $500 Yes $1,200 Yes No No No No 816
Priority Health Medicare PriorityMedicare (HMO-POS)
H2320-028-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 537
Priority Health Medicare PriorityMedicare Merit (PPO)
H4875-016-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 448
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H2247-001-0 		HMOPOS $198 per Month No $0 Yes $2,500 Yes No Yes Yes No 448
Humana HumanaChoice H8087-004 (PPO)
H8087-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 405
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Essential (PPO)
H9572-004-6 		Local PPO $125 per Quarter Yes $500 Yes $1,500 Yes No No No No 261
Priority Health Medicare PriorityMedicare D-SNP (HMO D-SNP)
H8379-001-0 		HMO $222 per Quarter No $888 Yes No No No No No 240
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-194-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 228
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO UT (PPO)
H9572-806-0 		Local PPO No $0 No 228
Humana HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
H8087-003-0 		Local PPO No $0 Yes No No Yes No No 226
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 214
Aetna Medicare Aetna Medicare Value (PPO)
H5521-219-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes No No 202
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 168
Blue Care Network BCN Advantage HMO-POS Classic (HMO-POS)
H5883-002-7 		HMOPOS $50 per Quarter Yes $200 Yes $1,200 Yes No No No No 150
Priority Health Medicare PriorityMedicare Select (PPO)
H4875-017-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 148
Humana HumanaChoice H8087-001 (PPO)
H8087-001-0 		Local PPO No $0 Yes No No Yes No No 137
Priority Health Medicare PriorityMedicare Vital (PPO)
H4875-022-5 		Local PPO $30 per Month No $0 Yes No No No No No 137
Blue Care Network BCN Advantage (HMO-POS)
H5883-801-0 		HMOPOS No $0 No 134
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Signature (PPO)
H9572-001-6 		Local PPO $50 per Quarter Yes $200 Yes $1,500 Yes No No No No 125
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 118
Humana HumanaChoice H5216-306 (PPO)
H5216-306-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 110
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-028-0 		Local PPO $168 per Month No $0 Yes $2,500 Yes No Yes Yes No 109
Humana Humana Honor (PPO)
H5216-190-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 104
Priority Health Medicare PriorityMedicare Ideal (PPO)
H4875-018-5 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 87
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Vitality (PPO)
H9572-002-6 		Local PPO $50 per Quarter Yes $200 Yes $1,500 Yes No No No No 82
Blue Care Network BCN Advantage (HMO-POS)
H5883-805-0 		HMOPOS No $0 No 72
Humana HumanaChoice H5216-009 (PPO)
H5216-009-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 70
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Assure (PPO)
H9572-003-6 		Local PPO $50 per Quarter Yes $200 Yes $1,500 Yes No No No No 65
Humana Humana Value Plus H8087-002 (PPO)
H8087-002-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 65
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 54
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 36
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 32
LIFECIRCLES LifeCircles (PACE)
H2936-001-0 		National PACE No $0 No 31
Wellcare Wellcare No Premium Open (PPO)
H2117-001-0 		Local PPO $35 per Month Yes $0 Yes $1,000 No No Yes Yes No 31
Blue Care Network BCN Advantage Elements (HMO-POS)
H5883-001-5 		HMOPOS $50 per Quarter Yes $200 Yes $1,200 Yes No No No No 27
Priority Health Medicare PriorityMedicare PPO EG Calendar Year (PPO)
H4875-804-0 		Local PPO $0 per Month No $0 No 25
Molina Healthcare of Michigan Molina Medicare Complete Care (HMO D-SNP)
H5926-001-0 		HMO $370 per Quarter No $1,480 Yes Yes No No No No 22
Priority Health Medicare PriorityMedicare EG Non-Calendar Year (HMO-POS)
H2320-802-0 		HMOPOS $0 per Month No $0 No 22
Priority Health Medicare PriorityMedicare EG HMO w PD Cal Year (HMO)
H2320-805-0 		HMO $0 per Month No $0 No 20
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 19
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 19
Blue Care Network BCN Advantage HMO-POS Prestige (HMO-POS)
H5883-003-5 		HMOPOS $50 per Quarter Yes $200 Yes $1,200 Yes No No No No 15
MeridianComplete (Medicare-Medicaid Plan) MeridianComplete (Medicare-Medicaid Plan)
H0480-001-0 		Medicare-Medicaid Plan HMO $20 per Month No $0 Yes No No No Yes Yes 14
Wellcare Wellcare Assist (HMO)
H5475-038-0 		HMO $37 per Month Yes $0 Yes $3,000 No No Yes Yes No 14
Aetna Better Health Premier Plan Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
H8026-001-0 		Medicare-Medicaid Plan HMO $60 per Month No $0 Yes No No No Yes Yes 13
Humana HumanaChoice R3887-001 (Regional PPO)
R3887-001-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 11
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