Medicare Advantage Plans for Mora County, New Mexico

  • 13 Total Plans
  • 1,578 Seniors Eligible for Medicare
  • 550 Seniors on Medicare Advantage (35%)
  • 1 plans with 16 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 7 plans with 328 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 22% 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
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-049-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 125
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 66
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 49
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-117-0 		Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 49
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 28
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 26
Humana HumanaChoice H5216-339 (PPO)
H5216-339-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 22
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 20
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 20
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO No $0 No 17
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 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 15
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 14
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