Medicare Advantage Plans for Gates County, North Carolina

  • 14 Total Plans
  • 2,648 Seniors Eligible for Medicare
  • 895 Seniors on Medicare Advantage (34%)
  • 1 plans with 50 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 7 plans with 225 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 10% 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 208
Humana HumanaChoice H5525-035 (PPO)
H5525-035-0 		Local PPO No $0 Yes No No Yes No No 172
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 77
Humana HumanaChoice H5525-050 (PPO)
H5525-050-0 		Local PPO No $0 Yes No No Yes No No 62
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-018-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 58
Humana HumanaChoice H5525-049 (PPO)
H5525-049-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 52
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 50
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 44
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 28
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2577-019-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 16
Humana HumanaChoice H5525-065 (PPO)
H5525-065-0 		Local PPO No $0 Yes No No Yes No No 14
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 14
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 13
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