Medicare Advantage Plans for Cumberland County, New Jersey

  • 51 Total Plans
  • 28,804 Seniors Eligible for Medicare
  • 13,382 Seniors on Medicare Advantage (46%)
  • 4 plans with 1,448 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 24 plans with 5,478 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 24% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? New Jersey Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 3,408
Clover Health Clover Health Choice (PPO)
H5141-032-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,317
Horizon Blue Cross Blue Shield of New Jersey Horizon NJ TotalCare (HMO D-SNP)
H8298-001-0 		HMO $720 per Quarter No $2,880 No 1,250
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 1,099
Clover Health Clover Health Choice Value (PPO)
H5141-042-0 		Local PPO $35 per Quarter No $140 Yes No No Yes No No 557
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 429
Humana HumanaChoice H5216-185 (PPO)
H5216-185-0 		Local PPO $20 per Month Yes $0 Yes No No Yes No No 406
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 400
Humana Humana Gold Plus H6622-066 (HMO)
H6622-066-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 349
Braven Health Braven Medicare Choice (PPO)
H0885-005-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 330
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 275
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 270
Aetna Medicare Aetna Medicare Explorer Premier Plus (PPO)
H5521-278-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 239
Inspira Health Network LIFE Inspira Health Network LIFE (PACE)
H6887-001-0 		National PACE No $0 No 238
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 218
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 198
Humana HumanaChoice H5216-186 (PPO)
H5216-186-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 192
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 182
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 172
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-032-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 150
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-391-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 131
Aetna Medicare Aetna Medicare Explorer Premier (HMO-POS)
H3152-022-0 		HMOPOS $45 per Quarter No $180 Yes $2,500 No No Yes No No 125
Humana HumanaChoice H5216-319 (PPO)
H5216-319-0 		Local PPO No $0 Yes No No Yes No No 113
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 109
Aetna Medicare Aetna Medicare Explorer Premier 2 (PPO)
H5521-124-0 		Local PPO No $0 Yes $2,500 No No Yes No No 107
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 100
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 96
Aetna Medicare Aetna Medicare Explorer Value (HMO)
H3152-082-0 		HMO No $0 Yes $2,000 No No Yes No No 92
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 88
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 80
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 55
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 55
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 38
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-033-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 36
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-059-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 34
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 32
Clover Health Clover Health LiveHealthy (PPO)
H5141-058-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 31
Humana HumanaChoice H5216-320 (PPO)
H5216-320-0 		Local PPO No $0 Yes No No Yes No No 31
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 31
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 29
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-110-0 		Local PPO No $0 Yes No No Yes No No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 26
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 24
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3152-804-0 		HMO No $0 No 22
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 18
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 17
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 16
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 16
Aetna Medicare Aetna Medicare SNJ Prime Elite (PPO)
H5521-123-0 		Local PPO No $0 Yes $2,500 No No Yes No No 11
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 11
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