Medicare Advantage Plans for Bernalillo County, New Mexico

  • 73 Total Plans
  • 136,205 Seniors Eligible for Medicare
  • 78,219 Seniors on Medicare Advantage (57%)
  • 9 plans with 9,078 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 32 plans with 27,889 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 27% 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 Mexico Enrollees
Presbyterian Health Plan Presbyterian Senior Care Plan 2 with Rx (HMO)
H3204-001-0 		HMO No $0 Yes No No Yes No No 14,468
Humana Humana Gold Plus H0028-019 (HMO)
H0028-019-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 8,965
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 6,204
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 6,108
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Select (HMO)
H3251-002-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 4,515
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 4,222
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 3,087
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-047-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 2,449
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H6526-001-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,740
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0 		HMO No $0 Yes No No Yes No No 1,711
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO No $0 No 1,565
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-116-0 		Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 1,515
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-028-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No No No No 1,434
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0 		HMO No $0 Yes No No Yes No No 1,254
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 1,090
Amerigroup Community Care of New Mexico Amerivantage Plus (HMO)
H5746-018-0 		HMO $105 per Quarter Yes $420 Yes $3,000 No No Yes Yes No 1,079
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-002-0 		HMO No $0 No 1,067
Amerigroup Community Care of New Mexico Amerivantage Care Access (HMO)
H5746-016-0 		HMO $255 per Quarter Yes $1,020 Yes $3,000 No No Yes Yes No 962
Presbyterian Health Plan Presbyterian UltraFlex (HMO-POS)
H3204-015-0 		HMOPOS $215 per Quarter Yes $860 Yes No No Yes No No 913
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2134-003-0 		HMO $65 per Month Yes $0 Yes $1,500 No No Yes Yes No 899
Wellcare by Allwell Wellcare Dual Liberty (HMO D-SNP)
H2134-001-0 		HMO $105 per Month Yes $0 Yes $1,500 No No Yes Yes No 867
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Plus (HMO)
H9082-010-0 		HMO $0 per Month No $0 Yes No No No Yes No 842
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
H3251-029-0 		HMO $280 per Quarter Yes $1,120 Yes $2,000 No No Yes No No 721
Blue Cross and Blue Shield of New Mexico Blue Cross Group Medicare Advantage Plan (HMO)
H3251-804-0 		HMO No $0 No 647
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 646
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H0672-005-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 620
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 568
Humana HumanaChoice H5216-078 (PPO)
H5216-078-2 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 536
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-033-0 		Local PPO $75 per Month No $0 Yes $3,600 Yes No Yes Yes No 505
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 2 with Rx (PPO)
H3206-001-0 		Local PPO No $0 Yes No No Yes No No 487
Humana HumanaChoice H5216-260 (PPO)
H5216-260-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 455
Blue Cross and Blue Shield of IL, NM Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)
H8634-009-0 		Local PPO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes No No 427
InnovAge New Mexico PACE Total Community Care (PACE)
H5213-001-0 		National PACE No $0 No 406
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 389
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-002-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 No No No No No 363
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO No $0 No 329
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 306
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 236
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-098-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 233
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-012-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 228
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Flex (PPO)
H8634-015-0 		Local PPO No $0 Yes No No Yes No No 221
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $98 per Quarter No $392 Yes $1,000 No No Yes Yes No 215
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-017-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 198
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 176
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-125-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 143
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 143
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 138
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Classic (PPO)
H8634-010-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 133
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 127
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 118
Wellcare by Allwell Wellcare No Premium Open (PPO)
H9976-002-0 		Local PPO $138 per Quarter No $552 Yes $1,000 No No Yes Yes No 103
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 1 with Rx (HMO)
H3204-801-0 		HMO No $0 No 102
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 101
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 100
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 96
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Dental Premier (PPO)
H1666-016-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 90
Wellcare by Allwell Wellcare Assist Open (PPO)
H9976-001-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes Yes No 76
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Health Choice (PPO)
H1666-014-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 73
Wellcare by Allwell Wellcare Assist (HMO)
H2134-004-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes Yes 72
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 55
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 50
Humana Humana Gold Choice H8145-123 (PFFS)
H8145-123-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 46
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Saver Plus (PPO)
H1666-015-0 		Local PPO No $0 Yes No No Yes No No 42
Wellcare by Allwell Wellcare Giveback Open (PPO)
H9976-004-0 		Local PPO $55 per Quarter No $220 Yes $1,000 No No Yes Yes No 38
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 1 (PPO)
H3206-003-0 		Local PPO No $0 Yes No No Yes No No 36
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 35
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 32
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-813-0 		Local PPO No $0 No 23
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Select (HMO)
H9082-011-0 		HMO $110 per Quarter No $440 No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 17
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Dental Value (HMO)
H3251-030-0 		HMO No $0 Yes No No Yes No No 12
Wellcare by Allwell Wellcare Patriot No Premium (HMO)
H2134-006-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes Yes 12
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