Medicare Advantage Plans for Orange County, North Carolina

  • 49 Total Plans
  • 25,479 Seniors Eligible for Medicare
  • 12,526 Seniors on Medicare Advantage (49%)
  • 3 plans with 759 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 5,437 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 24% 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 4,382
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 790
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 681
Humana Humana Gold Plus H6622-060 (HMO-POS)
H6622-060-0 		HMOPOS No $0 Yes No No Yes No No 581
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 577
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 573
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 489
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 487
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 337
Experience Health Experience Health Medicare Advantage (HMO)
H3777-001-4 		HMO $145 per Quarter No $580 Yes No No Yes No No 326
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 316
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 299
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 214
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 202
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 188
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 181
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 172
Humana HumanaChoice H5525-035 (PPO)
H5525-035-0 		Local PPO No $0 Yes No No Yes No No 154
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 140
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 114
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 94
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 89
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 78
Alignment Health Plan Alignment Health Platinum (HMO-POS)
H5296-003-0 		HMOPOS $115 per Quarter No $460 Yes $0 No No No No No 65
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 58
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 50
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 47
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 46
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 44
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 42
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 42
Piedmont Health SeniorCare Piedmont Health SeniorCare - Dual (PACE)
H9266-001-0 		National PACE No $0 No 39
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 37
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 35
Cigna Healthcare Cigna Preferred Medicare (HMO)
H9725-009-4 		HMO $75 per Quarter No $300 Yes No No Yes No No 29
Humana HumanaChoice H5525-065 (PPO)
H5525-065-0 		Local PPO No $0 Yes No No Yes No No 29
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 29
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 28
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 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 25
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 23
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 19
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 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 15
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 14
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H6345-001-0 		HMO $55 per Month No $0 Yes $2,500 No No No No No 13
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 13
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 11
Cigna Healthcare Cigna Preferred Select Medicare (HMO)
H9725-014-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 11
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