Medicare Advantage Plans for New Jersey

Hearing Aid Coverage
Company Plan name Plan type Total monthly premium Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? New Jersey Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No 147,238
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO)
H0755-040-2
HMO $0 Yes No No Yes Yes No 32,677
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0
Local PPO $0 Yes No No Yes Yes No 31,873
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0
HMO $0 No 28,518
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No 25,211
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO)
H0755-041-2
HMO $6 Yes No No Yes Yes No 22,159
Clover Health Clover Health Choice (PPO)
H5141-004-0
Local PPO $0 Yes No No Yes No No 17,793
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO)
H0755-038-0
HMO $0 Yes No No Yes Yes No 16,873
Clover Health Clover Health Choice Value (PPO)
H5141-007-0
Local PPO $0 Yes No No Yes No No 16,393
Horizon Blue Cross Blue Shield of New Jersey Horizon NJ TotalCare (HMO D-SNP)
H8298-001-0
HMO $0 No 16,360
Braven Health Braven Medicare Choice (PPO)
H0885-001-0
Local PPO $0 Yes $1,250 No No No No No 13,681
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0
HMO No 13,207
Clover Health Clover Health Choice (PPO)
H5141-032-0
Local PPO $0 Yes No No Yes No No 12,771
Amerigroup Community Care Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0
HMO $0 Yes No No No No No 12,024
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No 10,299
Aetna Medicare Aetna Medicare Explorer Premier Plus (PPO)
H5521-278-0
Local PPO $16 Yes $2,500 No No Yes No No 8,490
Amerigroup Community Care Amerivantage Classic (HMO)
H3240-022-0
HMO $0 Yes $2,000 No No Yes Yes No 8,010
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No 7,490
Aetna Medicare Aetna Medicare Explorer Value (HMO)
H3152-082-0
HMO $0 No 7,488
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0
HMO $0 No 6,593
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0
HMO $0 Yes $2,500 No No Yes No No 5,670
Aetna Medicare Aetna Medicare Prime Value (HMO-POS)
H3152-080-0
HMOPOS $0 Yes $1,500 No No Yes No No 5,658
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0
Local PPO $60 Yes $2,500 No No Yes No No 5,603
UnitedHealthcare AARP Medicare Advantage Plan 4 (HMO)
H0755-042-2
HMO $39 Yes No No Yes Yes No 5,534
Wellcare Wellcare No Premium Open (PPO)
H8711-001-0
Local PPO $0 Yes $1,500 No No Yes Yes No 4,909
Clover Health Clover Health Choice (PPO)
H5141-001-0
Local PPO $0 Yes No No Yes No No 4,705
Wellcare Wellcare Giveback Open (PPO)
H8711-002-0
Local PPO $0 Yes $700 No No Yes Yes No 3,855
Aetna Medicare Aetna Medicare Prime Credit (PPO)
H5521-277-0
Local PPO $0 No 3,716
Clover Health Clover Health Classic (HMO)
H8010-002-0
HMO $0 Yes No No Yes No No 3,677
Cigna Cigna Preferred Medicare (HMO)
H3949-032-0
HMO $0 Yes $1,400 No No No No No 3,393
Region 6 Rx Corp PPO Secure Preferred (PPO)
H6078-801-0
Local PPO No 3,366
Aetna Medicare Aetna Medicare SNJ Prime Elite (PPO)
H5521-123-0
Local PPO $8 Yes $2,500 No No Yes No No 3,237
Humana HumanaChoice H5216-185 (PPO)
H5216-185-0
Local PPO $0 No 3,229
Horizon Blue Cross Blue Shield of New Jersey Horizon Medicare Blue Choice w/Rx (HMO)
H3154-022-0
HMO $41 Yes $1,250 No No No No No 3,197
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0
HMO $0 Yes $1,500 No No Yes No No 3,079
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0
Local PPO $0 Yes $2,000 No No Yes Yes No 3,028
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0
Local PPO $0 Yes No No Yes No No 3,014
Amerigroup Community Care Amerivantage Balance (HMO)
H3240-021-0
HMO $0 Yes $2,000 No No Yes Yes No 2,935
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0
HMOPOS $0 Yes $1,000 No No Yes Yes No 2,740
Clover Health Clover Health Choice Value (PPO)
H5141-042-0
Local PPO $0 Yes No No Yes No No 2,731
Horizon Blue Cross Blue Shield of New Jersey Horizon Medicare Blue Advantage (HMO)
H3154-030-0
HMO $0 Yes $1,250 No No No No No 2,574
Aetna Medicare Aetna Medicare Explorer Premier (HMO-POS)
H3152-022-0
HMOPOS $66 Yes $2,500 No No Yes No No 2,459
Clover Health Clover Health Value (HMO)
H8010-003-0
HMO $0 Yes No No Yes No No 2,457
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No 2,158
Wellcare Wellcare Assist (HMO)
H0913-015-0
HMO $0 Yes $2,000 No No Yes Yes No 2,131
Horizon Blue Cross Blue Shield of New Jersey Horizon Medicare Blue Value w/Rx (HMO)
H3154-004-0
HMO $9 Yes $1,250 No No No No No 2,080
Humana Humana Gold Plus H6622-066 (HMO)
H6622-066-0
HMO $0 Yes No No Yes No No 2,027
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0
Local PPO $0 Yes No No Yes No No 1,966
Horizon Blue Cross Blue Shield of New Jersey Horizon Medicare Blue Advantage (HMO)
H3154-031-0
HMO $0 Yes $1,250 No No No No No 1,957
Horizon Blue Cross Blue Shield of New Jersey Horizon Medicare Blue Advantage (HMO)
H3154-029-0
HMO $7 Yes $1,250 No No No No No 1,924
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