Medicare Advantage Plans for Nebraska

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Nebraska Enrollees
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H2802-001-0 		HMOPOS $200 Yes No No Yes Yes No 19,944
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H1278-001-0 		Local PPO $200 Yes No No Yes Yes No 11,873
UnitedHealthcare UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP)
H0169-003-0 		HMO $1,980 Yes $3,600 No No Yes Yes No 9,460
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H7149-001-0 		HMOPOS $300 Yes $2,500 No No Yes No No 6,879
Humana Humana Gold Plus H0028-011 (HMO)
H0028-011-0 		HMO $0 Yes No No Yes No No 5,164
Blue Cross and Blue Shield of Nebraska Blue Cross Blue Shield Nebraska MA Access PPO (PPO)
H8181-001-0 		Local PPO $200 Yes $1,000 No No No No No 5,137
Medica Medica Prime Solution Premier (Cost)
H2450-043-0 		1876 Cost $200 Yes $0 No No No No No 3,991
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-038-0 		Local PPO $180 Yes $2,500 No No Yes No No 3,747
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 2,736
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-012-0 		Local PPO $180 Yes $2,500 No No Yes No No 1,831
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 1,527
UnitedHealthcare UnitedHealthcare MedicareDirect Rx (PFFS)
H5435-024-0 		PFFS $0 No 1,485
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-007-0 		Local PPO $160 Yes No No Yes Yes No 1,144
Aetna Medicare Aetna Medicare Prime (HMO-POS)
H7149-004-0 		HMOPOS $300 Yes $2,500 No No Yes No No 868
Blue Cross and Blue Shield of Nebraska Blue Cross Blue Shield Nebraska MA Core (HMO)
H3170-003-2 		HMO $100 Yes $1,000 No No No No No 867
Highmark Inc. Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO $0 No 792
Humana Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)
H0028-007-0 		HMO $600 Yes No No Yes No No 773
Humana HumanaChoice H5216-254 (PPO)
H5216-254-0 		Local PPO $60 Yes No No Yes No No 765
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1278-018-0 		Local PPO $240 Yes No No Yes Yes No 672
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No 625
Aetna Medicare Aetna Medicare Assure Premier (HMO D-SNP)
H7149-006-0 		HMO $1,020 Yes $4,000 No No Yes No No 599
UnitedHealthcare UnitedHealthcare MedicareDirect Patriot (PFFS)
H5435-001-0 		PFFS $0 No 458
Medica Medica Prime Solution Core (Cost)
H2450-046-0 		1876 Cost $300 Yes $0 No No No No No 375
Humana Humana Honor (PPO)
H5216-086-0 		Local PPO $0 Yes No No Yes No No 363
Great Plains Medicare Advantage Great Plains Medicare Advantage (HMO I-SNP)
H7511-001-0 		HMO $0 Yes $2,000 No No No No No 322
Humana HumanaChoice H5216-014 (PPO)
H5216-014-0 		Local PPO $200 No 287
Highmark Inc. Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO $0 No 263
Blue Cross and Blue Shield of Nebraska Blue Cross Blue Shield Nebraska MA Choice (HMO-POS)
H3170-002-0 		HMOPOS $0 Yes $1,000 No No No No No 234
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No 228
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO $0 No 197
Immanuel Pathways Omaha PACE Nebraska (PACE)
H7003-001-0 		National PACE $0 No 192
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 143
Medica Medica Advantage Solution with CHI Health (HMO)
H0798-001-0 		HMO $200 Yes No No Yes No No 115
Bright Health Bright Advantage (HMO)
H7853-007-0 		HMO $0 Yes $750 No No Yes Yes No 104
Humana Humana Value Plus H5216-171 (PPO)
H5216-171-0 		Local PPO $700 Yes No No Yes No No 94
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No 76
Bright Health Bright Advantage Choice (PPO)
H5841-005-0 		Local PPO $0 Yes $750 No No Yes Yes No 69
Blue Cross and Blue Shield of Nebraska BCBSNE Employer Group PPO Rx CY (PPO)
H8181-801-0 		Local PPO $0 No 65
Medica Medica Advantage Solution H3632-001 (PPO)
H3632-001-0 		Local PPO $300 Yes No No Yes No No 59
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No 48
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO $0 No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO $0 No 23
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO $0 No 15
Medical Associates Health Plan, Inc. Medical Associates Nebraska Senior Plan (Cost)
H1651-026-0 		1876 Cost $0 No 12
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1278-019-0 		Local PPO $240 Yes No No Yes Yes No 12

Counties in Nebraska

County Medicare Advantage Enrolless
Adams 1,386
Antelope 194
Arthur 0
Banner 0
Blaine 0
Boone 223
Box Butte 130
Boyd 39
Brown 0
Buffalo 1,933
Burt 375
Butler 297
Cass 1,424
Cedar 487
Chase 35
Cherry 0
Cheyenne 165
Clay 173
Colfax 149
Cuming 253
Custer 336
Dakota 1,139
Dawes 133
Dawson 476
Deuel 0
Dixon 367
Dodge 2,140
Douglas 33,388
Dundy 0
Fillmore 175
Franklin 94
Frontier 26
Furnas 142
Gage 1,285
Garden 0
Garfield 76
Gosper 58
Grant 0
Greeley 50
Hall 2,748
Hamilton 295
Harlan 62
Hayes 0
Hitchcock 44
Holt 312
Hooker 12
Howard 209
Jefferson 402
Johnson 105
Kearney 196
Keith 201
Keya Paha 0
Kimball 0
Knox 555
Lancaster 13,544
Lincoln 328
Logan 0
Loup 0
Madison 1,895
McPherson 0
Merrick 285
Morrill 76
Nance 70
Nemaha 142
Nuckolls 28
Otoe 757
Pawnee 77
Perkins 56
Phelps 172
Pierce 257
Platte 671
Polk 105
Red Willow 0
Richardson 11
Rock 45
Saline 404
Sarpy 7,950
Saunders 1,140
Scotts Bluff 759
Seward 622
Sheridan 130
Sherman 140
Sioux 0
Stanton 239
Thayer 136
Thomas 13
Thurston 104
Valley 138
Washington 1,348
Wayne 253
Webster 112
Wheeler 0
York 364
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