Medicare Advantage Plans for New Jersey

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 Jersey Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 149,100
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $160 No Yes No Yes Yes No 60,784
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $3,600 No No 36,726
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS $0 No Yes No Yes Yes No 31,330
Braven Health Braven Medicare Choice (PPO)
H0885-001-0 		Local PPO $280 No Yes $1,250 No No No No 25,994
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $180 No Yes No Yes No No 22,997
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 20,215
Horizon Blue Cross Blue Shield of New Jersey Horizon NJ TotalCare (HMO D-SNP)
H8298-001-0 		HMO $2,680 No No 19,159
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $120 No Yes No Yes No No 17,731
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $500 No Yes No Yes Yes No 16,726
Clover Health Clover Health Choice (PPO)
H5141-032-0 		Local PPO $180 No Yes No Yes No No 15,160
Amerigroup Community Care Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $1,800 No No 15,068
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO $0 No No 12,430
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS $0 No Yes No Yes Yes No 12,386
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 10,420
Aetna Medicare Aetna Medicare Explorer Premier Plus (PPO)
H5521-278-0 		Local PPO $0 No Yes $2,500 No Yes No No 8,785
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 8,043
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $1,800 No No 7,585
Aetna Medicare Aetna Medicare Prime Value (HMO-POS)
H3152-080-0 		HMOPOS $180 No Yes $1,500 No Yes No No 6,095
Amerigroup Community Care Amerivantage Classic (HMO)
H3240-022-0 		HMO $180 Yes Yes $2,000 No Yes Yes No 5,430
Clover Health Clover Health Choice (PPO)
H5141-001-0 		Local PPO $180 No Yes No Yes No No 5,423
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO $0 No No 5,173
Aetna Medicare Aetna Medicare Explorer Value (HMO)
H3152-082-0 		HMO $0 No Yes $2,000 No Yes No No 4,889
Humana HumanaChoice H5216-185 (PPO)
H5216-185-0 		Local PPO $300 Yes Yes No Yes No No 4,739
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0 		Local PPO $0 No Yes $2,500 No Yes No No 4,491
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 4,081
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0 		Local PPO $200 No Yes No Yes No No 3,845
Cigna Cigna Preferred Medicare (HMO)
H3949-032-0 		HMO $240 No Yes $1,400 No No No No 3,805
Region 6 Rx Corp PPO Secure Preferred (PPO)
H6078-802-0 		Local PPO $0 No No 3,756
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H0755-045-0 		HMOPOS $0 No Yes No Yes Yes No 3,647
Humana Humana Gold Plus H6622-063 (HMO)
H6622-063-0 		HMO $400 No Yes No Yes No No 3,530
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO $0 No Yes $2,500 No Yes No No 3,433
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $1,440 No No 3,382
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $1,100 Yes Yes $2,000 No Yes Yes No 3,186
Clover Health Clover Health Choice Value (PPO)
H5141-042-0 		Local PPO $120 No Yes No Yes No No 3,002
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0 		Local PPO $300 No Yes No Yes No No 2,997
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-391-0 		Local PPO $0 No Yes $2,500 No Yes No No 2,950
Aetna Medicare Aetna Medicare Prime Credit (PPO)
H5521-277-0 		Local PPO $0 No Yes $1,500 No Yes No No 2,935
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $180 No Yes No Yes No No 2,677
Humana Humana Gold Plus H6622-066 (HMO)
H6622-066-0 		HMO $200 Yes Yes No Yes No No 2,656
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $140 Yes Yes $1,000 No Yes Yes No 2,655
Amerigroup Community Care Amerivantage Balance (HMO)
H3240-021-0 		HMO $240 No Yes $2,000 No Yes Yes No 2,639
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS $288 No No 2,422
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO $0 No No 2,292
Aetna Medicare Aetna Medicare SNJ Prime Elite (PPO)
H5521-123-0 		Local PPO $0 No Yes $2,500 No Yes No No 2,248
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $120 No Yes No Yes No No 2,183
Wellcare Wellcare No Premium Focus (HMO)
H0913-017-0 		HMO $244 No Yes $2,000 No Yes Yes Yes 2,133
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $220 No No 2,062
Aetna Medicare Aetna Medicare Explorer Premier (HMO-POS)
H3152-022-0 		HMOPOS $0 No Yes $2,500 No Yes No No 1,988
Braven Health Braven Medicare Choice (PPO)
H0885-005-0 		Local PPO $280 No Yes $1,250 No No No No 1,926
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