Medicare Advantage Plans for Nebraska

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Nebraska Enrollees
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H2802-001-0 		HMOPOS $200 No Yes No Yes Yes No 20,556
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H1278-001-0 		Local PPO $200 No Yes No Yes Yes No 15,714
UnitedHealthcare UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)
H0169-003-0 		HMOPOS $2,460 No Yes $3,600 No Yes Yes No 9,751
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H7149-001-0 		HMOPOS $420 No Yes $2,500 No Yes No No 9,506
Medica Medica Prime Solution Premier (Cost)
H2450-043-0 		1876 Cost $200 No Yes $0 No No No No 7,105
Blue Cross and Blue Shield of Nebraska Blue Cross Blue Shield Nebraska MA Access PPO (PPO)
H8181-001-0 		Local PPO $160 No Yes $1,000 No No No No 5,817
Humana Humana Gold Plus H0028-053 (HMO)
H0028-053-4 		HMO $100 No Yes No Yes No No 4,313
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H1278-020-0 		Local PPO $200 No Yes No Yes Yes No 3,386
UnitedHealthcare UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP)
H2802-053-0 		HMOPOS $2,040 No Yes $3,600 No Yes Yes No 3,054
Humana HumanaChoice H5216-254 (PPO)
H5216-254-0 		Local PPO $200 No Yes No Yes No No 2,709
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 2,675
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-012-0 		Local PPO $180 No Yes $2,500 No Yes No No 2,065
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-038-0 		Local PPO $180 No Yes $2,500 No Yes No No 2,023
Wellcare Wellcare No Premium (HMO)
H1215-002-0 		HMO $264 No Yes $1,500 No Yes Yes Yes 1,656
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1278-018-0 		Local PPO $240 No Yes No Yes Yes No 1,484
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 1,434
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-007-0 		Local PPO $160 No Yes No Yes Yes No 1,416
Wellcare Wellcare No Premium Open (PPO)
H1395-002-0 		Local PPO $240 No Yes $1,000 No Yes Yes No 1,144
Highmark Inc. Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO $0 No No 748
Blue Cross and Blue Shield of Nebraska Blue Cross Blue Shield Nebraska MA Core (HMO)
H3170-003-2 		HMO $100 No Yes $1,000 No No No No 745
Aetna Medicare Aetna Medicare Assure Premier (HMO D-SNP)
H7149-006-0 		HMO $1,020 No Yes $4,000 No Yes No No 716
Humana Humana Honor (PPO)
H5216-278-3 		Local PPO $300 No Yes No Yes No No 711
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 640
Humana Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)
H0028-007-0 		HMO $0 No Yes No Yes No No 627
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1215-001-0 		HMO $1,400 No Yes $3,000 No Yes Yes Yes 571
UnitedHealthcare UnitedHealthcare MedicareDirect Rx (PFFS)
H5435-024-0 		PFFS $0 No No 568
Blue Cross and Blue Shield of Nebraska Blue Cross Blue Shield Nebraska MA Connect PPO (PPO)
H8181-002-0 		Local PPO $160 No Yes $1,000 No No No No 516
Medica Medica Prime Solution Core (Cost)
H2450-046-0 		1876 Cost $200 No Yes $0 No No No No 508
Wellcare Wellcare Assist Open (PPO)
H1395-003-0 		Local PPO $220 No Yes $2,000 No Yes Yes No 451
Medica Medica Advantage Solution H3632-001 (PPO)
H3632-001-0 		Local PPO $300 No Yes No Yes No No 397
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H1395-001-0 		Local PPO $600 No Yes $2,000 No Yes Yes No 386
Medica Medica Prime Solution Standard (Cost)
H2450-044-0 		1876 Cost $100 No Yes $0 No No No No 368
Great Plains Medicare Advantage Great Plains Medicare Advantage (HMO I-SNP)
H7511-001-0 		HMO $0 No Yes $2,000 No No No No 275
Highmark Inc. Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO $0 No No 265
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-050-0 		Local PPO $2,160 No Yes $3,600 No Yes Yes No 248
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 240
Wellcare Wellcare Giveback (HMO)
H1215-003-0 		HMO $0 No Yes $700 No Yes Yes Yes 221
UnitedHealthcare UnitedHealthcare MedicareDirect Patriot (PFFS)
H5435-001-0 		PFFS $0 No No 216
Humana Humana Honor (PPO)
H5216-329-0 		Local PPO $200 Yes Yes No Yes No No 214
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 210
Humana HumanaChoice H5216-014 (PPO)
H5216-014-0 		Local PPO $200 No Yes No Yes No No 198
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 184
Immanuel Pathways Omaha PACE Nebraska (PACE)
H7003-001-0 		National PACE $0 No No 179
Aetna Medicare Aetna Medicare Eagle (HMO-POS)
H7149-007-0 		HMOPOS $360 No Yes $2,500 No Yes No No 141
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No No 129
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO $0 No No 116
Medica Medica Advantage Solution with CHI Health (HMO)
H0798-001-0 		HMO $200 No Yes No Yes No No 106
Humana HumanaChoice H5216-340 (PPO)
H5216-340-0 		Local PPO $0 No Yes No Yes No No 81
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H0169-006-0 		HMOPOS $660 No Yes $1,100 No Yes Yes No 72
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO $0 No No 65

Counties in Nebraska

County Medicare Advantage Enrolless
Adams 5,953
Antelope 1,369
Arthur 17
Banner 18
Blaine 24
Boone 1,277
Box Butte 1,982
Boyd 402
Brown 530
Buffalo 8,137
Burt 1,421
Butler 1,383
Cass 4,139
Cedar 1,896
Chase 675
Cherry 945
Cheyenne 1,787
Clay 1,204
Colfax 1,242
Cuming 1,747
Custer 2,278
Dakota 2,547
Dawes 1,244
Dawson 3,295
Deuel 305
Dixon 1,060
Dodge 6,557
Douglas 74,731
Dundy 307
Fillmore 1,231
Franklin 542
Frontier 402
Furnas 1,018
Gage 4,458
Garden 390
Garfield 393
Gosper 336
Grant 38
Greeley 407
Hall 9,424
Hamilton 1,731
Harlan 586
Hayes 100
Hitchcock 495
Holt 2,324
Hooker 126
Howard 1,176
Jefferson 1,642
Johnson 748
Kearney 1,246
Keith 1,705
Keya Paha 117
Kimball 676
Knox 2,020
Lancaster 44,178
Lincoln 6,343
Logan 38
Loup 95
Madison 6,607
McPherson 25
Merrick 1,499
Morrill 871
Nance 606
Nemaha 1,144
Nuckolls 983
Otoe 2,896
Pawnee 506
Perkins 472
Phelps 1,789
Pierce 1,341
Platte 5,994
Polk 1,054
Red Willow 1,927
Richardson 1,578
Rock 335
Saline 2,096
Sarpy 18,691
Saunders 3,683
Scotts Bluff 7,096
Seward 2,882
Sheridan 914
Sherman 595
Sioux 163
Stanton 989
Thayer 1,080
Thomas 111
Thurston 745
Valley 955
Washington 3,623
Wayne 1,313
Webster 703
Wheeler 122
York 2,570
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