Medicare Advantage Plans for Davidson County, North Carolina

  • 60 Total Plans
  • 38,894 Seniors Eligible for Medicare
  • 26,647 Seniors on Medicare Advantage (69%)
  • 5 plans with 2,612 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 36 plans with 19,187 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 56% 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? North Carolina Enrollees
Humana Humana Gold Plus H1036-291 (HMO-POS)
H1036-291-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 5,995
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 2,639
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 2,391
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5253-041-0 		HMOPOS $326 per Month No $0 Yes $2,500 Yes No Yes Yes No 2,364
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-170-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 2,298
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,755
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO Enhanced (PPO)
H3404-003-2 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 1,049
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 948
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential Plus (HMO-POS)
H3449-023-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 673
Cigna Healthcare Cigna Preferred Medicare (HMO)
H9725-009-4 		HMO $75 per Quarter No $300 Yes No No Yes No No 620
UnitedHealthcare AARP Medicare Advantage Choice Flex Plan 1 (PPO)
H2228-018-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 601
Humana Humana Gold Plus SNP-DE H1036-168 (HMO-POS D-SNP)
H1036-168-0 		HMOPOS No $0 Yes No No Yes No No 510
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-081-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 435
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 297
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-011-0 		Local PPO No $0 Yes $1,400 No No No No No 280
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-006-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 236
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-110-0 		HMOPOS No $0 Yes Yes No Yes Yes No 234
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H9725-006-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 225
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 205
Humana HumanaChoice H5216-017 (PPO)
H5216-017-0 		Local PPO No $0 Yes No No Yes No No 153
Aetna Medicare Aetna Medicare Prime (HMO-POS)
H3146-007-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 148
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 141
Blue Cross and Blue Shield of North Carolina Blue Medicare Choice (HMO)
H3449-026-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 138
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA HealthTeam Advantage Plan I (PPO)
H9808-004-0 		Local PPO $40 per Quarter Yes $160 Yes No No Yes No No 135
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-003-0 		HMO $230 per Month Yes $0 Yes $5,000 No No Yes No No 128
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-005-0 		Local PPO $301 per Month No $0 Yes $2,500 Yes No Yes Yes No 121
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 118
Blue Cross and Blue Shield of North Carolina Blue Medicare Medical Only (HMO-POS)
H3449-012-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 110
Carolina SeniorCare Carolina SeniorCare (PACE)
H1357-001-0 		National PACE No $0 No 106
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO EGWP Complete (PPO)
H3404-810-0 		Local PPO No $0 No 82
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H9725-003-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 81
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 78
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-034-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 77
Humana HumanaChoice H5216-343 (PPO)
H5216-343-0 		Local PPO No $0 Yes No No Yes No No 75
Devoted Health Devoted CORE North Carolina (HMO)
H5299-001-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 73
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 67
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 67
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 66
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H5374-001-0 		HMO $160 per Quarter No $640 Yes $3,200 Yes No No Yes No 64
UnitedHealthcare AARP Medicare Advantage Choice Flex Plan 2 (PPO)
H2228-127-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 60
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H5253-116-0 		HMOPOS $72 per Month No $0 Yes $1,100 Yes No Yes Yes No 60
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 51
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 46
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H7175-002-0 		Local PPO $144 per Month Yes $0 Yes $3,000 No No Yes Yes No 44
Blue Cross and Blue Shield of North Carolina Blue Medicare HMO EGWP Classic (HMO)
H3449-815-0 		HMO No $0 No 40
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 40
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 35
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H5253-042-0 		HMOPOS $240 per Quarter Yes $960 Yes $2,000 Yes No Yes Yes No 35
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 31
Alignment Health Plan Alignment Health Platinum (HMO-POS)
H5296-003-0 		HMOPOS $115 per Quarter No $460 Yes $0 No No No No No 30
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-241-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 21
Blue Cross and Blue Shield of North Carolina Healthy Blue + Medicare (HMO D-SNP)
H9147-001-0 		HMO $257 per Month No $0 Yes $3,000 Yes No Yes Yes No 21
Devoted Health Devoted GIVEBACK North Carolina (HMO)
H5299-002-0 		HMO $0 per Month No $0 Yes No No Yes No No 21
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 21
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 18
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 16
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 15
UnitedHealthcare UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP)
H5253-043-0 		HMOPOS $145 per Quarter Yes $580 Yes $2,000 Yes No Yes Yes No 15
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential (HMO)
H3449-027-2 		HMO $0 per Month No $0 Yes No No Yes No No 13
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