Medicare Advantage Plans for Los Alamos County, New Mexico

  • 12 Total Plans
  • 3,651 Seniors Eligible for Medicare
  • 480 Seniors on Medicare Advantage (13%)
  • 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 6 plans with 246 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 7% 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
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2
Local PPO $30 per Quarter No $120 Yes No No Yes No No 79
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 48
Humana HumanaChoice H5216-078 (PPO)
H5216-078-2
Local PPO $50 per Quarter No $200 Yes No No Yes No No 46
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-117-0
Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 44
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0
Local PPO $175 per Quarter No $700 Yes No No Yes No No 34
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-049-0
Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 26
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 25
CHRISTUS Health Advantage CHRISTUS Health Plan Generations Plus (HMO)
H1189-002-0
HMO $150 per Quarter No $600 Yes $2,000 No No No No No 17
Humana Humana Medicare Employer (PPO)
H5216-805-0
Local PPO No $0 No 17
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0
HMOPOS No $0 No 14
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5
HMO No $0 Yes $1,500 No No No No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 11
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