Medicare Advantage Plans for New Hampshire

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? New Hampshire Enrollees
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H3442-007-0 		Local PPO $0 No Yes No Yes Yes No 11,429
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 10,482
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-031-0 		HMOPOS $0 No Yes No Yes Yes No 8,687
Humana HumanaChoice H5216-058 (PPO)
H5216-058-0 		Local PPO $100 No Yes No Yes No No 6,358
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-005-0 		HMOPOS $100 No Yes No Yes No No 6,173
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-374-0 		Local PPO $300 No Yes No Yes No No 4,855
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Basic Rx (HMO)
H6750-005-0 		HMO $0 No Yes No Yes No No 4,787
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (PPO)
H0271-007-0 		Local PPO $660 No Yes $1,100 No Yes Yes No 4,014
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-017-0 		HMOPOS $0 No Yes No Yes Yes No 3,887
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 3,672
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO $0 No Yes No Yes No No 3,579
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Value Rx (HMO)
H6750-013-0 		HMO $0 No Yes No Yes No No 3,070
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 3,013
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO $0 No No 2,709
Wellcare Wellcare No Premium Open (PPO)
H0969-001-0 		Local PPO $320 No Yes $1,000 No Yes Yes No 2,061
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H7728-002-0 		Local PPO $0 No No 1,498
Martin's Point Generations Advantage Martin's Point Generations Advantage Alliance (HMO)
H5591-003-0 		HMO $400 No Yes No Yes No No 1,485
Humana Humana Gold Plus H5619-137 (HMO)
H5619-137-0 		HMO $120 No No 1,461
Anthem Blue Cross and Blue Shield Anthem MediBlue Select Plus (HMO)
H3536-006-0 		HMO $140 Yes Yes $1,500 No Yes Yes No 1,422
Anthem Blue Cross and Blue Shield Anthem MediBlue Coordination Plus (HMO)
H3536-004-0 		HMO $500 Yes Yes $1,500 No Yes Yes No 1,260
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Choice Rx (HMO-POS)
H6750-014-0 		HMOPOS $0 No Yes No Yes No No 1,247
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $180 No Yes No Yes No No 1,136
Wellcare Wellcare No Premium (HMO)
H2162-001-0 		HMO $300 No Yes $1,500 No Yes Yes Yes 1,108
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H3536-002-0 		HMO $140 Yes Yes $1,000 No Yes Yes No 1,095
Humana Humana Value Plus H5619-065 (HMO)
H5619-065-0 		HMO $800 No Yes No Yes No No 902
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 868
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R5329-001-0 		Regional PPO $0 No Yes No Yes Yes No 813
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-008-0 		Local PPO $200 No Yes No Yes Yes No 782
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Value Rx Plus (HMO)
H6750-012-2 		HMO $0 No Yes No Yes No No 773
Wellcare Wellcare Plus Open (PPO)
H0969-005-0 		Local PPO $700 No Yes $1,500 No Yes Yes No 764
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Select Plus (PPO)
H7728-010-0 		Local PPO $240 Yes Yes $1,000 No Yes Yes No 648
Humana HumanaChoice H5216-057 (PPO)
H5216-057-0 		Local PPO $100 No Yes No Yes No No 636
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 571
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-004-2 		Local PPO $200 No Yes No Yes No No 474
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No No 471
Wellcare Wellcare Giveback Open (PPO)
H0969-003-0 		Local PPO $236 No Yes $700 No Yes Yes No 437
Aetna Medicare Aetna Medicare Elite Plan (HMO)
H5793-015-0 		HMO $300 No Yes No Yes No No 414
WellSense Health Plan WellSense Added Value (HMO)
H6851-001-0 		HMO $600 No No 347
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-015-2 		HMOPOS $200 No Yes No Yes No No 335
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $1,100 Yes Yes $2,000 No Yes Yes No 329
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO $0 No No 257
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 237
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO $0 No No 194
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No No 168
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO $0 No No 100
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-001-0 		Local PPO $200 No Yes No Yes No No 82
WellSense Health Plan WellSense Signature (HMO)
H6851-002-0 		HMO $200 No Yes No Yes No No 82
Aetna Medicare Aetna Medicare Value Plus (PPO)
H5521-376-0 		Local PPO $240 No Yes No Yes No No 78
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO $0 No No 58
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO $0 No No 50
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