Medicare Advantage Plans for Essex County, New Jersey

  • 66 Total Plans
  • 121,481 Seniors Eligible for Medicare
  • 56,462 Seniors on Medicare Advantage (46%)
  • 4 plans with 2,964 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 31,222 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 28% 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 8,997
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 7,845
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS No $0 Yes Yes No Yes Yes No 6,062
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 5,609
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 3,344
Braven Health Braven Medicare Choice (PPO)
H0885-001-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 2,384
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,278
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 2,070
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 2,033
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 1,793
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,027
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 984
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS No $0 Yes Yes No Yes Yes No 685
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 678
Humana Humana Gold Plus H6622-063 (HMO)
H6622-063-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 618
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 578
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 533
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 500
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 496
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 485
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $290 per Quarter Yes $1,160 Yes $2,000 Yes No Yes Yes No 429
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 394
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 376
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 371
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 370
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 367
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0 		Local PPO $15 per Month No $0 Yes No No Yes No No 353
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 352
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0 		Local PPO No $0 Yes $2,500 No No Yes No No 351
Humana HumanaChoice H5216-342 (PPO)
H5216-342-0 		Local PPO No $0 Yes No No Yes No No 338
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 324
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H0755-045-0 		HMOPOS No $0 Yes Yes No Yes Yes No 296
Clover Health Clover Health Value (HMO)
H8010-003-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 269
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 244
Braven Health Braven Medicare Plus (HMO)
H4675-001-0 		HMO $70 per Quarter No $280 Yes $1,250 No No No No No 164
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-390-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 144
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 123
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 118
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 117
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0755-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 111
Humana Humana Honor (PPO)
H5216-174-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 110
Humana HumanaChoice H5216-172 (PPO)
H5216-172-0 		Local PPO No $0 Yes No No Yes No No 109
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 103
Aetna Medicare Aetna Medicare Explorer Elite 2 (HMO)
H3152-092-0 		HMO No $0 Yes $2,500 No No Yes No No 102
Braven Health Braven Medicare Group w/Rx (PPO)
H0885-802-0 		Local PPO No $0 No 98
Wellpoint Amerivantage ESRD Care (HMO-POS C-SNP)
H3240-017-0 		HMOPOS $150 per Quarter Yes $600 Yes $2,000 Yes No Yes Yes No 94
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 92
Aetna Medicare Aetna Medicare Explorer Premier Plus (HMO-POS)
H3152-048-0 		HMOPOS $45 per Quarter No $180 Yes $2,500 No No Yes No No 90
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 76
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 69
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 65
Braven Health Braven Medicare Freedom (PPO)
H0885-002-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 59
Longevity Health Plan Longevity Health Plan (PPO I-SNP)
H9942-001-0 		Local PPO $200 per Quarter No $800 Yes $2,000 Yes No No Yes No 53
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 43
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 40
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 38
Clover Health Clover Health Premier Value (PPO)
H5141-055-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 36
Wellcare Wellcare Patriot No Premium (HMO)
H0913-020-0 		HMO $63 per Quarter No $252 Yes $2,000 No No Yes Yes No 34
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 27
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 25
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3152-804-0 		HMO No $0 No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 23
Braven Health Braven Medicare Access Group w/Rx (HMO-POS)
H4675-802-0 		HMOPOS No $0 No 21
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 20
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