Medicare Advantage Plans for North Dakota

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? North Dakota Enrollees
Medica Medica Prime Solution Core (Cost)
H2450-034-0 		1876 Cost $300 Yes $0 No No No No No 11,553
Medica Medica Prime Solution Premier (Cost)
H2450-036-0 		1876 Cost $200 Yes $0 No No No No No 4,519
Medica Medica Prime Solution Standard (Cost)
H2450-044-0 		1876 Cost $100 Yes $0 No No No No No 3,371
Medica Medica Prime Solution Core w/Rx (Cost)
H2450-035-0 		1876 Cost $300 Yes $0 No No No No No 1,662
Humana HumanaChoice H5216-103 (PPO)
H5216-103-0 		Local PPO $200 Yes No No Yes No No 1,168
UnitedHealthcare AARP Medicare Advantage Headwaters (PPO)
H7404-005-0 		Local PPO $160 Yes No No Yes Yes No 1,011
NextBlue of North Dakota NextBlue Premium PPO (PPO)
H6202-002-0 		Local PPO $240 Yes $2,500 No No No No No 872
Humana Humana Value Plus H5216-171 (PPO)
H5216-171-0 		Local PPO $700 Yes No No Yes No No 773
Humana HumanaChoice H5216-088 (PPO)
H5216-088-0 		Local PPO $100 No 736
Humana Humana Honor (PPO)
H5216-086-0 		Local PPO $0 Yes No No Yes No No 466
HealthPartners HealthPartners Freedom Prairie (Cost)
H2462-024-0 		1876 Cost $0 Yes No No Yes No No 443
Medica Medica Prime Solution Premier w/Rx (Cost)
H2450-037-0 		1876 Cost $200 Yes $0 No No No No No 405
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 395
Humana HumanaChoice H5216-092 (PPO)
H5216-092-0 		Local PPO $100 No 315
NextBlue of North Dakota NextBlue Classic PPO (PPO)
H6202-001-0 		Local PPO $120 Yes $2,000 No No No No No 298
UnitedHealthcare AARP Medicare Advantage Premier (PPO)
H7404-004-0 		Local PPO $260 Yes No No Yes Yes No 292
Aetna Medicare Aetna Medicare Elite (PPO)
H9431-014-0 		Local PPO $180 Yes $2,500 No No Yes No No 235
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 216
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (PPO)
H0271-017-0 		Local PPO $400 Yes $2,000 No No Yes Yes No 182
Northland PACE Senior Care Services Northland PACE - Dual (PACE)
H7195-001-0 		National PACE $0 No 158
UnitedHealthcare AARP Medicare Advantage Lakeshore (PPO)
H7404-006-0 		Local PPO $200 Yes No No Yes Yes No 143
Great Plains Medicare Advantage Great Plains Medicare Advantage (HMO I-SNP)
H8967-001-0 		HMO $0 Yes $2,000 No No No No No 134
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO $0 No 124
Aetna Medicare Aetna Medicare Premier (PPO)
H9431-013-0 		Local PPO $180 Yes $2,500 No No Yes No No 107
HealthPartners HealthPartners Freedom Plains (Cost)
H2462-023-0 		1876 Cost $0 Yes No No Yes No No 88
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No 87
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H7404-015-0 		Local PPO $200 Yes No No Yes Yes No 75
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 62
HealthPartners HealthPartners Freedom Crest (Cost)
H2462-025-0 		1876 Cost $0 Yes No No Yes No No 50
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage Plan (PPO)
H0107-801-0 		Local PPO $0 No 47
Humana Humana Gold Choice H8145-089 (PFFS)
H8145-089-0 		PFFS $900 No 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No 33
Medica Medica Prime Solution Thrift (Cost)
H2450-030-0 		1876 Cost $0 No 21
Medica Medica Prime Solution Thrift w/Rx (Cost)
H2450-007-0 		1876 Cost $0 No 16
NextBlue of North Dakota NextBlue of North Dakota Group PPO (PPO)
H6202-803-0 		Local PPO $0 No 15
UCare UCare Connect + Medicare (HMO D-SNP)
H5937-001-0 		HMO $0 No 12

Counties in North Dakota

County Medicare Advantage Enrolless
Adams 99
Barnes 519
Benson 87
Billings 15
Bottineau 0
Bowman 70
Burke 0
Burleigh 5,453
Cass 7,760
Cavalier 121
Dickey 201
Divide 0
Dunn 100
Eddy 75
Emmons 233
Foster 163
Golden Valley 0
Grand Forks 2,455
Grant 174
Griggs 131
Hettinger 85
Kidder 213
LaMoure 292
Logan 123
McHenry 252
McIntosh 196
McKenzie 0
McLean 521
Mercer 363
Morton 2,211
Mountrail 0
Nelson 105
Oliver 80
Pembina 231
Pierce 218
Ramsey 295
Ransom 200
Renville 0
Richland 1,015
Rolette 71
Sargent 89
Sheridan 79
Sioux 27
Slope 13
Stark 681
Steele 78
Stutsman 1,844
Towner 25
Traill 262
Walsh 370
Ward 1,979
Wells 128
Williams 415
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