Medicare Advantage Plans for Macomb County, Michigan

  • 105 Total Plans
  • 185,311 Seniors Eligible for Medicare
  • 100,007 Seniors on Medicare Advantage (54%)
  • 16 plans with 19,899 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 66 plans with 42,523 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? Michigan Enrollees
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 14,847
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO UT (PPO)
H9572-806-0 		Local PPO No $0 No 8,569
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 6,032
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 4,545
HAP Senior Plus HAP Senior Plus (HMO)
H2354-015-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 4,306
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 4,227
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 3,397
Priority Health Medicare PriorityMedicare Edge (PPO)
H4875-020-3 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 3,278
HAP Senior Plus HAP Senior Plus Group (HMO)
H2354-801-0 		HMO No $0 No 2,657
Humana Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)
H8908-005-0 		HMO $2,100 per Month No $0 Yes No No Yes No No 2,359
Molina Healthcare of Michigan Molina Dual Options (Medicare-Medicaid Plan)
H7844-001-0 		Medicare-Medicaid Plan HMO $75 per Quarter No $300 Yes No No No Yes Yes 2,358
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H3192-003-0 		HMOPOS $90 per Quarter No $360 Yes $1,000 No No Yes No No 2,259
Humana Humana Gold Plus H8908-004 (HMO-POS)
H8908-004-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 2,258
Wellcare Wellcare No Premium (HMO-POS)
H5475-026-0 		HMOPOS $86 per Quarter No $344 Yes $1,500 No No Yes Yes No 2,091
Humana HumanaChoice H5216-287 (PPO)
H5216-287-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,621
Aetna Medicare Aetna Medicare Value (PPO)
H5521-214-0 		Local PPO $90 per Quarter No $360 Yes $1,500 No No Yes No No 1,578
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 1,568
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 1,522
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 1,463
HAP Senior Plus (PPO) HAP Senior Plus Option 1 (PPO)
H2322-011-0 		Local PPO $70 per Quarter Yes $280 Yes No No Yes No No 1,455
Blue Care Network BCN Advantage (HMO-POS)
H5883-801-0 		HMOPOS No $0 No 1,451
Aetna Medicare Aetna Medicare Assure Premier (HMO D-SNP)
H3192-007-0 		HMO $220 per Month No $0 Yes $4,000 No No Yes No No 1,207
Wellcare Wellcare Dual Access (HMO-POS D-SNP)
H5475-001-0 		HMOPOS $134 per Month Yes $0 Yes $3,000 No No Yes Yes No 1,205
HAP Senior Plus HAP Senior Plus Henry Ford Tiered Access (HMO)
H2354-018-0 		HMO $55 per Quarter Yes $220 Yes No No Yes No No 1,194
HAP Senior Plus HAP Senior Plus Option 1 (HMO-POS)
H2354-021-0 		HMOPOS $90 per Quarter Yes $360 Yes No No Yes No No 1,168
HAP Empowered MI Health Link HAP Empowered MI Health Link (Medicare-Medicaid Plan)
H9712-001-0 		Medicare-Medicaid Plan HMO $75 per Quarter Yes $300 Yes No No No Yes Yes 1,128
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 1,036
Humana HumanaChoice H5216-133 (PPO)
H5216-133-0 		Local PPO $50 per Month No $0 Yes No No Yes No No 952
Priority Health Medicare PriorityMedicare Key (HMO-POS)
H2320-022-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 926
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 889
Priority Health Medicare PriorityMedicare PPO EG Calendar Year (PPO)
H4875-804-0 		Local PPO $0 per Month No $0 No 820
AmeriHealth Caritas VIP Care Plus AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan)
H0192-001-0 		Medicare-Medicaid Plan HMO $75 per Quarter No $300 Yes No No No Yes Yes 789
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 668
Blue Care Network BCN Advantage (HMO-POS)
H5883-805-0 		HMOPOS No $0 No 646
Priority Health Medicare PriorityMedicare EG Calendar Year (HMO-POS)
H2320-803-0 		HMOPOS $0 per Month No $0 No 643
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 554
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 514
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-217-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No Yes No No 506
PACE Southeast Michigan PACE Southeast Michigan (PACE)
H2318-001-0 		National PACE No $0 No 452
Wellcare Wellcare No Premium Open (PPO)
H2117-001-0 		Local PPO $35 per Month Yes $0 Yes $1,000 No No Yes Yes No 433
Humana HumanaChoice H5216-306 (PPO)
H5216-306-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 421
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 415
Humana Humana Honor (PPO)
H5216-190-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 414
Blue Care Network BCN Advantage HMO ConnectedCare (HMO)
H5883-007-0 		HMO $50 per Quarter Yes $200 No 378
Humana Humana Gold Plus H8908-001 (HMO-POS)
H8908-001-0 		HMOPOS No $0 Yes No No Yes No No 339
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 323
Priority Health Medicare PriorityMedicare D-SNP (HMO D-SNP)
H8379-001-0 		HMO $222 per Quarter No $888 Yes No No No No No 317
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2117-002-0 		Local PPO $155 per Month Yes $0 Yes $4,000 No No Yes Yes No 314
Priority Health Medicare PriorityMedicare Merit (PPO)
H4875-016-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 313
HAP Senior Plus HAP Senior Plus Medical Only (HMO)
H2354-019-0 		HMO $65 per Quarter Yes $260 Yes No No Yes No No 283
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 282
Wellcare Wellcare Low Premium (HMO-POS)
H5475-024-0 		HMOPOS $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 279
Humana HumanaChoice H5216-011 (PPO)
H5216-011-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 276
HAP Senior Plus HAP Senior Plus Group (HMO-POS)
H2354-802-0 		HMOPOS No $0 No 267
Humana HumanaChoice R3887-002 (Regional PPO)
R3887-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 266
Priority Health Medicare PriorityMedicare Ideal (PPO)
H4875-018-5 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 263
Priority Health Medicare PriorityMedicare Value (HMO-POS)
H2320-029-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 263
HAP Senior Plus (PPO) HAP Senior Plus Option 4 (PPO)
H2322-004-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 262
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 258
Wellcare Wellcare Giveback (HMO)
H5475-031-0 		HMO No $0 No 258
Wellcare Wellcare Assist (HMO)
H5475-038-0 		HMO $37 per Month Yes $0 Yes $3,000 No No Yes Yes No 249
Priority Health Medicare PriorityMedicare Vital (PPO)
H4875-022-5 		Local PPO $30 per Month No $0 Yes No No No No No 226
Wellcare by Allwell Ascension Complete Michigan Secure (HMO)
H0482-004-0 		HMO $144 per Quarter No $576 Yes $1,500 No No Yes Yes Yes 221
HAP Senior Plus HAP Primary Choice Medicare (HMO)
H2354-024-0 		HMO $65 per Quarter Yes $260 Yes No No Yes No No 212
Blue Care Network BCN Advantage HMO-POS Community Value (HMO-POS)
H5883-012-2 		HMOPOS $125 per Quarter Yes $500 Yes $1,500 Yes No No No No 206
Priority Health Medicare PriorityMedicare + Kroger (PPO)
H4875-023-0 		Local PPO $35 per Month No $0 Yes No No Yes No No 186
Wellcare by Allwell Ascension Complete Michigan Reward (HMO)
H0482-003-0 		HMO $40 per Quarter No $160 Yes $700 No No Yes Yes No 158
Molina Healthcare of Michigan Molina Medicare Complete Care Select (HMO D-SNP)
H5926-005-0 		HMO $225 per Quarter No $900 Yes Yes No No No No 153
HAP Senior Plus (PPO) HAP Senior Plus Option 2 (PPO)
H2322-012-0 		Local PPO $65 per Quarter Yes $260 Yes No No Yes No No 142
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 141
HAP Senior Plus (PPO) HAP Senior Plus Option 3 (PPO)
H2322-008-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 125
Ascension Complete Ascension Complete Michigan Access Plus (PPO)
H7512-001-0 		Local PPO $94 per Quarter No $376 Yes $1,000 No No Yes Yes No 124
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 122
HAP Senior Plus HAP Medicare Complete Duals (HMO D-SNP)
H2354-025-0 		HMO $200 per Quarter Yes $800 Yes $1,000 No No No No No 114
HAP Senior Plus HAP Senior Plus Option 2 (HMO-POS)
H2354-022-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 114
Ascension Complete Ascension Complete Michigan Access (PPO)
H7512-002-0 		Local PPO $79 per Quarter No $316 Yes $700 No No Yes Yes No 111
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 105
Wellcare Wellcare Patriot Giveback Open (PPO)
H2117-003-0 		Local PPO $86 per Quarter No $344 Yes $2,000 No No Yes Yes No 101
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H7557-001-0 		HMO $110 per Quarter No $440 Yes $1,300 Yes No No Yes No 97
Priority Health Medicare PriorityMedicare ONE (HMO-POS)
H2320-030-2 		HMOPOS $26 per Month No $0 Yes No No Yes No No 97
Humana HumanaChoice R3887-001 (Regional PPO)
R3887-001-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 94
Priority Health Medicare PriorityMedicare (HMO-POS)
H2320-028-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 75
Align Senior Care Align Thrive (HMO I-SNP)
H6832-001-0 		HMO $175 per Quarter Yes $700 Yes $1,350 Yes No No No No 74
CCA Health Michigan CCA Medicare Maximum (HMO D-SNP)
H9861-003-0 		HMO $750 per Quarter No $3,000 Yes $1,500 Yes No No No No 74
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 72
Molina Healthcare of Michigan Molina Medicare Choice Care (HMO)
H5926-006-0 		HMO $115 per Quarter No $460 Yes Yes No No No No 72
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 70
Priority Health Medicare PriorityMedicare Select (PPO)
H4875-017-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 62
HAP Senior Plus HAP MSUHC Medicare (HMO)
H2354-028-0 		HMO $0 per Month No $0 Yes $200 No No No No No 58
CCA Health Michigan CCA Medicare Excel (HMO)
H9861-001-0 		HMO $240 per Quarter No $960 Yes $1,500 Yes No No No No 45
Priority Health Medicare PriorityMedicare D-SNP + Kroger (HMO D-SNP)
H8379-002-0 		HMO $106 per Month No $0 Yes No No No No No 42
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 39
Priority Health Medicare PriorityMedicare EG HMO w PD Cal Year (HMO)
H2320-805-0 		HMO $0 per Month No $0 No 38
Humana Humana Medicare Employer (Regional PPO)
R3887-801-0 		Regional PPO No $0 No 35
Humana Humana USAA Honor with Rx (PPO)
H5216-305-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 22
Wellcare Wellcare Community Assist (PPO)
H2117-004-0 		Local PPO $103 per Quarter No $412 Yes $1,500 No No Yes Yes No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 16
CCA Health Michigan CCA Medicare Ultima (HMO)
H9861-002-0 		HMO $200 per Quarter No $800 Yes $2,000 No No No Yes No 15
Wellcare by Allwell Ascension Complete Michigan DSNP (HMO D-SNP)
H0482-006-0 		HMO $375 per Quarter No $1,500 Yes $3,000 No No Yes Yes Yes 14
McLaren Medicare McLaren Medicare Inspire Flex (HMO-POS)
H6322-003-2 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 13
McLaren Medicare McLaren Medicare Inspire Plus (HMO)
H6322-002-0 		HMO $105 per Quarter No $420 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 13
Blue Care Network BCN Advantage Local (HMO)
H5883-015-0 		HMO $125 per Quarter Yes $500 Yes $1,200 Yes No No No No 12
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 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 11
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