Medicare Advantage Plans for Montana

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Montana Enrollees
Humana HumanaChoice H5216-255 (PPO)
H5216-255-0 		Local PPO $300 Yes Yes No Yes No No 16,928
Humana Humana Gold Plus H6622-007 (HMO)
H6622-007-0 		HMO $100 No Yes No Yes No No 14,022
Blue Cross and Blue Shield of Montana Blue Cross Medicare Advantage Classic (PPO)
H0107-003-0 		Local PPO $200 Yes Yes $1,000 No No No No 8,009
Humana Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)
H6622-008-0 		HMO $0 No Yes No Yes No No 3,558
Blue Cross and Blue Shield of Montana Blue Cross Medicare Advantage Choice Plus (PPO)
H0107-005-0 		Local PPO $200 Yes Yes $1,000 No No No No 2,856
Blue Cross and Blue Shield of Montana Blue Cross Medicare Advantage Optimum (PPO)
H0107-004-0 		Local PPO $200 Yes Yes $1,000 No No No No 1,816
Humana Humana Honor (PPO)
H5525-031-0 		Local PPO $300 No Yes No Yes No No 1,578
Humana Humana Honor (PPO)
H5216-278-3 		Local PPO $300 No Yes No Yes No No 1,572
Humana HumanaChoice H5525-027 (PPO)
H5525-027-0 		Local PPO $200 No Yes No Yes No No 1,499
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H8211-009-0 		Local PPO $240 No Yes No Yes Yes No 1,453
Humana HumanaChoice H5216-089 (PPO)
H5216-089-0 		Local PPO $200 No Yes No Yes No No 1,426
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H8211-007-0 		Local PPO $300 No Yes No Yes Yes No 1,322
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 961
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-030-0 		Local PPO $1,560 No Yes $3,600 No Yes Yes No 957
Blue Cross and Blue Shield of Montana Blue Cross Medicare Advantage Dental Premier (PPO)
H0107-007-0 		Local PPO $0 No Yes $1,000 No No No No 865
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-801-0 		Local PPO $0 No No 854
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 780
PacificSource Medicare PacificSource Medicare MyCare Choice Rx 29 (HMO-POS)
H3864-029-0 		HMOPOS $200 No Yes No Yes No No 744
Blue Cross and Blue Shield of Montana Blue Cross Medicare Advantage Flex (PPO)
H0107-006-0 		Local PPO $0 No Yes $1,000 No No No No 664
Humana Humana Gold Choice H8145-089 (PFFS)
H8145-089-0 		PFFS $900 No No 352
UnitedHealthcare UnitedHealthcare MedicareDirect Rx (PFFS)
H5435-024-0 		PFFS $0 No No 297
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 284
Lasso Healthcare Lasso Healthcare Growth (MSA)
H1924-001-0 		MSA $0 No No 279
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 276
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $100 Yes Yes No Yes No No 227
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 198
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No No 182
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 132
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No No 122
PacificSource Medicare PacificSource Medicare Explorer Rx 17 (PPO)
H4754-017-0 		Local PPO $0 No Yes No Yes No No 83
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8211-010-0 		Local PPO $200 No Yes No Yes Yes No 68
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO $0 No No 64
UnitedHealthcare UnitedHealthcare MedicareDirect Patriot (PFFS)
H5435-001-0 		PFFS $0 No No 61
Regence BlueCross BlueShield of Oregon Regence MedAdvantage (PPO)
H3817-801-0 		Local PPO $0 No No 60
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO $0 No No 48
Lasso Healthcare Lasso Healthcare Growth Plus (MSA)
H1924-004-0 		MSA $0 No No 39
PacificSource Medicare PacificSource Medicare MyCare Choice 30 (HMO-POS)
H3864-030-0 		HMOPOS $800 No Yes No Yes No No 32
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO $0 No No 18
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO $0 No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO $0 No No 13

Counties in Montana

County Medicare Advantage Enrolless
Beaverhead 1,793
Big Horn 1,109
Blaine 662
Broadwater 1,199
Carbon 2,375
Carter 194
Cascade 13,134
Chouteau 980
Custer 1,901
Daniels 286
Dawson 1,561
Deer Lodge 2,128
Fallon 376
Fergus 2,276
Flathead 19,747
Gallatin 13,242
Garfield 151
Glacier 1,076
Golden Valley 128
Granite 596
Hill 2,200
Jefferson 2,297
Judith Basin 359
Lake 6,014
Lewis and Clark 11,983
Liberty 328
Lincoln 5,620
Madison 1,811
McCone 304
Meagher 338
Mineral 1,040
Missoula 18,397
Musselshell 1,056
Park 3,051
Phillips 667
Pondera 1,039
Powder River 238
Powell 1,074
Prairie 195
Ravalli 10,160
Richland 1,593
Roosevelt 1,178
Rosebud 1,093
Sanders 3,075
Sheridan 698
Silver Bow 6,390
Stillwater 1,896
Sweet Grass 742
Teton 1,154
Toole 613
Treasure 84
Valley 1,279
Wheatland 341
Wibaux 127
Yellowstone 26,615
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