Medicare Advantage Plans for Hudson County, New Jersey

  • 64 Total Plans
  • 83,180 Seniors Eligible for Medicare
  • 41,017 Seniors on Medicare Advantage (49%)
  • 4 plans with 2,824 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 28,638 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 38% 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
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 5,818
Clover Health Clover Health Choice (PPO)
H5141-001-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 5,401
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,926
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 3,896
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 3,190
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 2,303
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS No $0 Yes Yes No Yes Yes No 2,003
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 1,864
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 1,513
Braven Health Braven Medicare Choice (PPO)
H0885-001-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 1,259
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 1,142
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS No $0 Yes Yes No Yes Yes No 927
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 657
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 529
Wellcare Wellcare No Premium Focus (HMO)
H0913-017-0 		HMO $75 per Quarter No $300 Yes $2,000 No No Yes Yes No 513
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 389
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 354
Clover Health Clover Health Value (HMO)
H8010-003-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 348
Humana Humana Gold Plus H6622-063 (HMO)
H6622-063-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 324
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0 		Local PPO $15 per Month No $0 Yes No No Yes No No 312
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H0755-045-0 		HMOPOS No $0 Yes Yes No Yes Yes No 281
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 260
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 257
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 238
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 221
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 207
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 200
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 188
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 168
Humana HumanaChoice H5216-342 (PPO)
H5216-342-0 		Local PPO No $0 Yes No No Yes No No 159
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 154
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0 		Local PPO No $0 Yes $2,500 No No Yes No No 148
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 137
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 134
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 105
Lutheran Senior LIFE Lutheran Senior Healthcare (PACE)
H6371-001-0 		National PACE No $0 No 96
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 86
Humana HumanaChoice H5216-172 (PPO)
H5216-172-0 		Local PPO No $0 Yes No No Yes No No 83
Braven Health Braven Medicare Plus (HMO)
H4675-001-0 		HMO $70 per Quarter No $280 Yes $1,250 No No No No No 79
Humana Humana Honor (PPO)
H5216-174-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 59
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 58
Aetna Medicare Aetna Medicare Explorer Elite 2 (HMO)
H3152-092-0 		HMO No $0 Yes $2,500 No No Yes No No 56
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 52
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0755-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 52
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 43
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 42
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 40
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 40
Braven Health Braven Medicare Freedom (PPO)
H0885-002-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 38
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 36
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 33
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 33
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 31
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 25
Clover Health Clover Health Premier Value (PPO)
H5141-055-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 24
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 23
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 23
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 18
Braven Health Braven Medicare Group w/Rx (PPO)
H0885-802-0 		Local PPO No $0 No 16
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 13
Wellcare Wellcare Patriot No Premium (HMO)
H0913-020-0 		HMO $63 per Quarter No $252 Yes $2,000 No No Yes Yes No 13
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