Medicare Advantage Plans for Forsyth County, North Carolina

  • 76 Total Plans
  • 77,199 Seniors Eligible for Medicare
  • 49,374 Seniors on Medicare Advantage (64%)
  • 4 plans with 4,820 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 34,045 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 50% 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 8,984
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 5,287
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 4,918
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 4,452
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 3,308
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 3,276
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 2,957
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 1,443
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 1,435
Cigna Healthcare Cigna Preferred Medicare (HMO)
H9725-009-4 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,427
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,237
Humana Humana Gold Plus SNP-DE H1036-168 (HMO-POS D-SNP)
H1036-168-0 		HMOPOS No $0 Yes No No Yes No No 1,093
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO EGWP Complete (PPO)
H3404-810-0 		Local PPO No $0 No 691
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 576
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H9725-006-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 558
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-011-0 		Local PPO No $0 Yes $1,400 No No No No No 536
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 533
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 436
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 392
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-110-0 		HMOPOS No $0 Yes Yes No Yes Yes No 373
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 342
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 299
Humana HumanaChoice H5216-017 (PPO)
H5216-017-0 		Local PPO No $0 Yes No No Yes No No 267
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 257
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 245
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 237
Aetna Medicare Aetna Medicare Prime (HMO-POS)
H3146-007-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 223
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 220
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 191
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 176
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H9725-003-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 174
Blue Cross and Blue Shield of North Carolina Blue Medicare HMO EGWP Classic (HMO)
H3449-815-0 		HMO No $0 No 162
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 160
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 145
Humana HumanaChoice H5216-343 (PPO)
H5216-343-0 		Local PPO No $0 Yes No No Yes No No 139
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 129
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 122
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 105
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 104
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 100
Cigna Healthcare Cigna Preferred Select Medicare (HMO)
H9725-014-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 88
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 88
Liberty Medicare Advantage Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
H6351-001-0 		HMO No $0 Yes $2,800 No No No Yes No 83
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 80
Devoted Health Devoted CORE North Carolina (HMO)
H5299-001-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 79
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 78
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 74
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 73
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 59
Devoted Health Devoted GIVEBACK North Carolina (HMO)
H5299-002-0 		HMO $0 per Month No $0 Yes No No Yes No No 53
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 49
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
Alignment Health Plan Alignment Health Platinum (HMO-POS)
H5296-003-0 		HMOPOS $115 per Quarter No $460 Yes $0 No No No No No 45
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 44
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 42
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 38
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 37
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 35
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 31
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 27
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 27
Cigna Healthcare Cigna Courage Medicare (HMO)
H9725-005-0 		HMO No $0 Yes No No Yes No No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 22
Blue Cross and Blue Shield of North Carolina Blue Medicare Freedom+ (PPO)
H3404-004-0 		Local PPO $0 per Month No $0 No 20
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 18
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 17
ApexHealth ApexBold (HMO)
H9828-003-0 		HMO $60 per Quarter Yes $240 Yes $1,350 No No No No No 16
Lasso Healthcare Lasso Healthcare Growth (MSA)
H1924-001-0 		MSA No $0 No 15
Devoted Health Devoted PRIME North Carolina (HMO)
H5299-003-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 14
Wellcare Wellcare Assist Open (PPO)
H7175-003-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 14
Humana HumanaChoice H5216-336 (PPO)
H5216-336-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
Wellcare Wellcare Patriot No Premium Open (PPO)
H7175-005-0 		Local PPO No $0 No 12
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-354-0 		Local PPO $75 per Quarter No $300 No 11
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