Medicare Advantage Plans for Durham County, North Carolina

  • 63 Total Plans
  • 51,592 Seniors Eligible for Medicare
  • 24,596 Seniors on Medicare Advantage (48%)
  • 5 plans with 3,231 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 11,334 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 28% 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 Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 5,031
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 2,138
Humana Humana Gold Plus H6622-060 (HMO-POS)
H6622-060-0 		HMOPOS No $0 Yes No No Yes No No 1,856
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3146-004-0 		HMOPOS $75 per Quarter No $300 Yes $2,500 No No Yes No No 1,737
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-039-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,701
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-168-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 1,652
Experience Health Experience Health Medicare Advantage (HMO)
H3777-001-4 		HMO $145 per Quarter No $580 Yes No No Yes No No 1,275
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 1,216
Humana HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
H5525-036-0 		Local PPO $3,000 per Month No $0 Yes No No Yes No No 883
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 586
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 546
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 521
Humana HumanaChoice H5525-035 (PPO)
H5525-035-0 		Local PPO No $0 Yes No No Yes No No 477
Blue Cross and Blue Shield of North Carolina Blue Medicare Enhanced (HMO-POS)
H3449-024-3 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 412
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-102-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 384
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-017-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 337
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 278
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-002-0 		HMO $165 per Month Yes $0 Yes $5,000 No No Yes No No 257
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 239
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 192
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 188
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 187
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 166
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 162
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 117
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 117
Humana HumanaChoice H5525-065 (PPO)
H5525-065-0 		Local PPO No $0 Yes No No Yes No No 112
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 105
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 98
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 93
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 93
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 92
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 74
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 67
Senior CommUnity Care of North Carolina Senior CommUnity Care of North Carolina (PACE)
H0839-001-0 		National PACE No $0 No 64
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-046-0 		Local PPO No $0 Yes $2,000 No No No No No 61
Cigna Healthcare Cigna Preferred Medicare (HMO)
H9725-009-4 		HMO $75 per Quarter No $300 Yes No No Yes No No 57
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 53
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 51
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 49
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 47
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 47
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 42
Humana HumanaChoice H5525-050 (PPO)
H5525-050-0 		Local PPO No $0 Yes No No Yes No No 39
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 35
Wellcare Wellcare No Premium Value (HMO)
H0712-023-0 		HMO $83 per Quarter No $332 Yes $1,000 No No Yes Yes No 31
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 30
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 30
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H6345-001-0 		HMO $55 per Month No $0 Yes $2,500 No No No No No 29
Cigna Healthcare Cigna Preferred Select Medicare (HMO)
H9725-014-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 28
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 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 23
Wellcare Wellcare Assist Open (PPO)
H7175-003-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 22
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 21
Blue Cross and Blue Shield of North Carolina Blue Medicare Freedom+ (PPO)
H3404-004-0 		Local PPO $0 per Month No $0 No 19
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-110-0 		HMOPOS No $0 Yes Yes No Yes Yes No 19
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 18
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 17
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)
H2001-869-0 		Local PPO No $0 No 14
Humana HumanaChoice H5525-049 (PPO)
H5525-049-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 13
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 12
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