Medicare Advantage Plans for New Hampshire

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement 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 $0 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 $0 Yes No No Yes Yes No 5,860
Humana HumanaChoice H5216-058 (PPO)
H5216-058-0 		Local PPO $100 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 $0 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 $200 Yes No No Yes No No 3,908
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No 3,628
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H9431-011-0 		Local PPO $180 Yes No No Yes No No 3,376
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (PPO)
H0271-007-0 		Local PPO $560 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 $120 No 1,843
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H7728-002-0 		Local PPO $0 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 $0 Yes No No Yes No No 1,471
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R5329-001-0 		Regional PPO $0 Yes No No Yes Yes No 1,453
Wellcare Wellcare No Premium Open (PPO)
H0969-001-0 		Local PPO $20 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 $344 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 $0 No 1,184
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H3536-002-0 		HMO $0 Yes $1,000 No No Yes Yes No 1,139
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No 1,059
Harvard Pilgrim Health Care of New England, Inc. Harvard Pilgrim Stride Value Rx Plus (HMO)
H6750-012-2 		HMO $0 Yes No No Yes No No 961
Martin's Point Generations Advantage Martin's Point Generations Advantage Alliance (HMO)
H5591-003-0 		HMO $720 Yes No No Yes No No 826
Humana Humana Value Plus H5619-065 (HMO)
H5619-065-0 		HMO $600 Yes No No Yes No No 819
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $180 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 $200 Yes No No Yes No No 804
Humana HumanaChoice H5216-057 (PPO)
H5216-057-0 		Local PPO $100 Yes No No Yes No No 675
Anthem Blue Cross and Blue Shield Anthem MediBlue Select (HMO)
H3536-005-0 		HMO $280 Yes $2,000 No No Yes Yes No 443
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No 403
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-008-0 		Local PPO $200 Yes No No Yes Yes No 400
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-838-0 		Local PPO $0 No 393
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-015-0 		Local PPO $660 Yes $3,600 No No Yes Yes No 367
Aetna Medicare Aetna Medicare Elite Plan (HMO)
H5793-015-0 		HMO $180 Yes No No Yes No No 357
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No 312
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No 297
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No 243
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO $0 No 229
Martin's Point Generations Advantage Martin's Point Generations Advantage Prime (HMO-POS)
H5591-001-0 		HMOPOS $0 Yes No No Yes No No 222
Wellcare Wellcare Plus (HMO)
H2162-002-0 		HMO $920 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 $220 Yes No No Yes No No 88
Martin's Point Generations Advantage Martin's Point Generations Advantage Select (PPO)
H1365-001-0 		Local PPO $200 Yes No No Yes No No 74
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO $0 No 71
Wellcare Wellcare Assist Open (PPO)
H0969-002-0 		Local PPO $300 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 $0 Yes No No No Yes No 36
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $1,080 No 34
Highmark Inc. Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO $0 No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO $0 No 17
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO $0 No 12
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $180 Yes No No Yes No No 11
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