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Medicare Advantage Plans for Montana

			Prescription Hearing Aid Coverage
Company	Plan name	Plan type	Annual OTC Supplement	Coverage?	Covered Amount	In Network Required?	Coinsurance?	Copay?	Prior Authorization?	Need Referral?	Montana Enrollees
Humana	Humana Gold Plus H6622-007 (HMO) H6622-007-0	HMO	$100	Yes		No	No	Yes	No	No	17,623
Blue Cross and Blue Shield of Montana	Blue Cross Medicare Advantage Classic (PPO) H0107-003-0	Local PPO	$200	Yes	$1,000	No	No	No	No	No	11,217
Humana	HumanaChoice H5216-255 (PPO) H5216-255-0	Local PPO	$300	Yes		No	No	Yes	No	No	7,395
Humana	Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP) H6622-008-0	HMO	$300	Yes		No	No	Yes	No	No	2,841
Humana	HumanaChoice H5525-027 (PPO) H5525-027-0	Local PPO	$200	No							2,480
Humana	HumanaChoice H5216-089 (PPO) H5216-089-0	Local PPO	$200	No							2,272
Blue Cross and Blue Shield of Montana	Blue Cross Medicare Advantage Optimum (PPO) H0107-004-0	Local PPO	$200	Yes	$1,000	No	No	No	No	No	2,265
Humana	Humana Honor (PPO) H5525-031-0	Local PPO	$300	Yes		No	No	Yes	No	No	1,257
Humana	Humana Honor (PPO) H5216-086-0	Local PPO	$0	Yes		No	No	Yes	No	No	1,233
UnitedHealthcare	UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0	Local PPO	$0	No							989
Aetna Medicare	Aetna Medicare Plan (PPO) H5521-801-0	Local PPO	$0	No							832
Blue Cross and Blue Shield of Montana	Blue Cross Group Medicare Advantage Plan (PPO) H0107-801-0	Local PPO	$0	No							770
PacificSource Medicare	PacificSource Medicare MyCare Choice Rx 29 (HMO-POS) H3864-029-0	HMOPOS	$0	Yes		No	No	Yes	No	No	572
Humana	Humana Gold Choice H8145-089 (PFFS) H8145-089-0	PFFS	$900	No							475
UnitedHealthcare	AARP Medicare Advantage Choice Plan 2 (PPO) H8211-007-0	Local PPO	$160	Yes		No	No	Yes	Yes	No	473
UnitedHealthcare	UnitedHealthcare MedicareDirect Rx (PFFS) H5435-024-0	PFFS	$0	No							317
UnitedHealthcare	UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0	Local PPO	$0	No							299
Lasso Healthcare	Lasso Healthcare Growth (MSA) H1924-001-0	MSA	$0	No							269
Anthem Blue Cross and Blue Shield	Anthem Medicare Preferred (PPO) H4036-802-0	Local PPO	$0	No							247
UnitedHealthcare	UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0	Local PPO	$0	No							133
Humana	Humana Medicare Employer (PPO) H5216-805-0	Local PPO	$0	No							102
Humana	Humana Medicare Employer (PPO) H5216-806-0	Local PPO	$0	No							87
Aetna Medicare	Aetna Medicare Plan w/Rx (PPO) H5521-802-0	Local PPO	$0	No							77
Regence BlueCross BlueShield of Oregon	Regence MedAdvantage (PPO) H3817-801-0	Local PPO	$0	No							74
PacificSource Medicare	PacificSource Medicare Explorer Rx 17 (PPO) H4754-017-0	Local PPO	$0	Yes		No	No	Yes	No	No	69
UnitedHealthcare	UnitedHealthcare MedicareDirect Patriot (PFFS) H5435-001-0	PFFS	$0	No							34
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0	Local PPO	$0	No							33
PacificSource Medicare	PacificSource Medicare MyCare 30 (HMO) H3864-030-0	HMO	$0	Yes		No	No	Yes	No	No	32
Anthem Blue Cross and Blue Shield	Anthem Medicare Preferred (PPO) H4036-801-0	Local PPO	$0	No							14
UnitedHealthcare	UnitedHealthcare Group Medicare Advantage (PPO) H2001-857-0	Local PPO	$0	No							14
Lasso Healthcare	Lasso Healthcare Growth Plus (MSA) H1924-004-0	MSA	$0	No							13

County	Medicare Advantage Enrolless
Beaverhead	378
Big Horn	354
Blaine	0
Broadwater	318
Carbon	779
Carter	14
Cascade	5,540
Chouteau	246
Custer	248
Daniels	0
Dawson	86
Deer Lodge	510
Fallon	0
Fergus	804
Flathead	7,026
Gallatin	3,485
Garfield	15
Glacier	0
Golden Valley	55
Granite	138
Hill	0
Jefferson	655
Judith Basin	141
Lake	1,885
Lewis and Clark	3,920
Liberty	29
Lincoln	2,632
Madison	284
McCone	0
Meagher	49
Mineral	329
Missoula	5,432
Musselshell	325
Park	67
Petroleum	12
Phillips	44
Pondera	234
Powder River	17
Powell	236
Prairie	15
Ravalli	3,760
Richland	0
Roosevelt	43
Rosebud	216
Sanders	1,023
Sheridan	59
Silver Bow	1,704
Stillwater	665
Sweet Grass	142
Teton	501
Toole	18
Treasure	51
Valley	61
Wheatland	119
Wibaux	0
Yellowstone	9,844

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