Medicare Advantage Plans for New Hampshire

Hearing Aid Coverage
Company Plan name Plan type Total monthly premium Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? New Hampshire Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No 10,395
UnitedHealthcare AARP Medicare Advantage Plan 4 (HMO)
H1944-031-0 		HMO $0 Yes No No Yes Yes No 7,671
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H3442-007-0 		Local PPO $0 Yes No No Yes Yes No 7,620
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO)
H1944-017-0 		HMO $13 Yes No No Yes Yes No 5,860
Humana HumanaChoice H5216-058 (PPO)
H5216-058-0 		Local PPO $0 Yes No No Yes No No 5,499
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Value Rx (HMO)
H6750-013-0 		HMO $24 Yes No No Yes No No 4,589
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-005-0 		HMOPOS $0 Yes No No Yes No No 3,908
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No 3,628
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H9431-011-0 		Local PPO $0 Yes No No Yes No No 3,376
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (PPO)
H0271-007-0 		Local PPO $0 Yes $1,100 No No Yes Yes No 3,074
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Basic Rx (HMO)
H6750-005-0 		HMO $0 Yes No No Yes No No 2,907
Humana Humana Gold Plus H5619-137 (HMO)
H5619-137-0 		HMO $0 No 1,843
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H7728-002-0 		Local PPO $27 No 1,603
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO $0 No 1,501
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Choice Rx (HMO-POS)
H6750-014-0 		HMOPOS $30 Yes No No Yes No No 1,471
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R5329-001-0 		Regional PPO $33 Yes No No Yes Yes No 1,453
Wellcare Wellcare No Premium Open (PPO)
H0969-001-0 		Local PPO $0 Yes $1,000 No No Yes Yes No 1,431
Anthem Blue Cross and Blue Shield Anthem MediBlue Coordination Plus (HMO)
H3536-004-0 		HMO $0 Yes $1,500 No No Yes Yes No 1,424
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No 1,184
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H3536-002-0 		HMO $18 Yes $1,000 No No Yes Yes No 1,139
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No 1,059
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Value Rx Plus (HMO)
H6750-012-2 		HMO $103 Yes No No Yes No No 961
Martin's Point Generations Advantage Martin's Point Generations Advantage Alliance (HMO)
H5591-003-0 		HMO $0 Yes No No Yes No No 826
Humana Humana Value Plus H5619-065 (HMO)
H5619-065-0 		HMO $0 Yes No No Yes No No 819
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $0 Yes No No Yes No No 808
Martin's Point Generations Advantage Martin's Point Generations Advantage Flex (Regional PPO)
R0802-001-0 		Regional PPO $35 Yes No No Yes No No 804
Humana HumanaChoice H5216-057 (PPO)
H5216-057-0 		Local PPO $19 Yes No No Yes No No 675
Anthem Blue Cross and Blue Shield Anthem MediBlue Select (HMO)
H3536-005-0 		HMO $19 Yes $2,000 No No Yes Yes No 443
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No 403
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-008-0 		Local PPO $0 Yes No No Yes Yes No 400
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-838-0 		Local PPO No 393
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-015-0 		Local PPO $0 Yes $3,600 No No Yes Yes No 367
Aetna Medicare Aetna Medicare Elite Plan (HMO)
H5793-015-0 		HMO $0 Yes No No Yes No No 357
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No 312
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No 297
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No 243
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No 229
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-001-0 		HMOPOS $65 Yes No No Yes No No 222
Wellcare Wellcare Plus (HMO)
H2162-002-0 		HMO $0 Yes $3,000 No No Yes Yes No 141
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Gain Rx (HMO)
H6750-009-0 		HMO $0 Yes $1,000 No No Yes No No 97
Martin's Point Generations Advantage Martin's Point Generations Advantage Value Plus (HMO)
H5591-013-0 		HMO $0 Yes No No Yes No No 88
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-001-0 		Local PPO $64 Yes No No Yes No No 74
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No 71
Wellcare Wellcare Assist Open (PPO)
H0969-002-0 		Local PPO $0 Yes $2,000 No No Yes Yes No 50
Commonwealth Care Alliance Massachusetts CCA One Care (Medicare-Medicaid Plan)
H0137-001-0 		Medicare-Medicaid Plan HMO Yes No No No Yes No 36
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $0 No 34
Highmark Inc. Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No 17
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No 12
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $0 Yes No No Yes No No 11
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