Medicare Advantage Plans for Berrien County, Michigan

  • 49 Total Plans
  • 37,319 Seniors Eligible for Medicare
  • 19,003 Seniors on Medicare Advantage (51%)
  • 4 plans with 1,263 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 28 plans with 11,037 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 33% 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
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 3,206
Humana HumanaChoice H8087-004 (PPO)
H8087-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,137
Priority Health Medicare PriorityMedicare Key (HMO-POS)
H2320-022-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 1,455
Priority Health Medicare PriorityMedicare Edge (PPO)
H4875-020-3 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 1,331
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 961
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 920
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 859
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 802
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 776
Humana HumanaChoice H5216-009 (PPO)
H5216-009-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 684
Humana HumanaChoice H8087-001 (PPO)
H8087-001-0 		Local PPO No $0 Yes No No Yes No No 653
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 591
Humana HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
H8087-003-0 		Local PPO No $0 Yes No No Yes No No 445
Humana Humana Honor (PPO)
H5216-190-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 433
Humana HumanaChoice H5216-306 (PPO)
H5216-306-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 404
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 305
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 269
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 260
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 243
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 199
Humana Humana Value Plus H8087-002 (PPO)
H8087-002-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 171
PACE of Southwest Michigan PACE of Southwest Michigan - Dual (PACE)
H0390-001-0 		National PACE No $0 No 137
Priority Health Medicare PriorityMedicare Merit (PPO)
H4875-016-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 136
Priority Health Medicare PriorityMedicare Vital (PPO)
H4875-022-5 		Local PPO $30 per Month No $0 Yes No No No No No 133
Priority Health Medicare PriorityMedicare Value (HMO-POS)
H2320-029-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 121
Priority Health Medicare PriorityMedicare Ideal (PPO)
H4875-018-5 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 114
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 107
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 94
Priority Health Medicare PriorityMedicare EG Calendar Year (HMO-POS)
H2320-803-0 		HMOPOS $0 per Month No $0 No 93
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 92
Humana HumanaChoice R3887-001 (Regional PPO)
R3887-001-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 71
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 66
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 61
Priority Health Medicare PriorityMedicare D-SNP (HMO D-SNP)
H8379-001-0 		HMO $222 per Quarter No $888 Yes No No No No No 57
HAP Senior Plus HAP Senior Plus (HMO)
H2354-015-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 54
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-194-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 50
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 49
Aetna Medicare Aetna Medicare Value (PPO)
H5521-219-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes No No 46
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 45
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 40
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO UT (PPO)
H9572-806-0 		Local PPO No $0 No 36
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H2247-003-0 		HMOPOS $68 per Month No $0 Yes $1,100 Yes No Yes Yes No 36
Priority Health Medicare PriorityMedicare Select (PPO)
H4875-017-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 32
Humana HumanaChoice R3887-002 (Regional PPO)
R3887-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 24
Priority Health Medicare PriorityMedicare (HMO-POS)
H2320-028-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 22
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 13
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 12
Blue Care Network BCN Advantage (HMO-POS)
H5883-805-0 		HMOPOS No $0 No 11
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