Medicare Advantage Plans for Bronx County, New York

  • 100 Total Plans
  • 216,370 Seniors Eligible for Medicare
  • 141,302 Seniors on Medicare Advantage (65%)
  • 8 plans with 4,334 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 55 plans with 102,709 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 49% 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 York Enrollees
Healthfirst Medicare Plan Healthfirst Life Improvement Plan (HMO D-SNP)
H3359-021-0
HMO $0 per Month No $0 Yes No No Yes Yes No 39,476
UnitedHealthcare UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)
H3387-014-2
HMOPOS $193 per Month No $0 Yes $2,000 Yes No Yes Yes No 9,818
Healthfirst Medicare Plan Healthfirst CompleteCare (HMO D-SNP)
H3359-034-0
HMO $0 per Month No $0 No 8,258
Healthfirst Medicare Plan Healthfirst Increased Benefits Plan (HMO)
H3359-019-0
HMO $0 per Month No $0 Yes No No Yes Yes No 6,843
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No $0 No 6,078
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-014-0
HMO $200 per Month Yes $0 Yes $1,500 No No Yes Yes No 5,172
Healthfirst Medicare Plan Healthfirst 65 Plus Plan (HMO)
H3359-001-0
HMO No $0 Yes No No Yes Yes No 4,997
Healthfirst Medicare Plan Healthfirst Signature (HMO)
H5989-011-0
HMO $70 per Quarter No $280 Yes No No Yes Yes No 4,438
EmblemHealth EmblemHealth VIP Dual (HMO D-SNP)
H3330-042-3
HMO $110 per Month No $1,320 Yes $1,500 No No No No No 3,671
Wellcare by Fidelis Care Wellcare Fidelis Dual Access (HMO D-SNP)
H5599-001-0
HMO $123 per Month Yes $0 Yes $700 No No Yes Yes No 2,801
EmblemHealth EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0
HMO No $0 No 2,530
EmblemHealth EmblemHealth VIP Premier (HMO)
H3330-814-0
HMO No $0 No 2,303
MetroPlus Health Plan MetroPlus Advantage Plan (HMO D-SNP)
H0423-001-0
HMO $0 per Month No $0 Yes $500 No No No Yes No 2,173
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-008-7
HMO No $0 No 1,943
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Select (HMO)
H1732-007-0
HMO $35 per Quarter Yes $140 Yes $1,500 No No Yes Yes No 1,942
EmblemHealth EmblemHealth VIP Reserve Classic (HMO)
H3330-046-0
HMO $25 per Month No $300 Yes $750 No No No No No 1,837
Wellcare Wellcare No Premium (HMO)
H4868-019-0
HMO No $0 Yes $1,500 No No Yes Yes No 1,832
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0
Local PPO No $0 Yes $700 No No Yes Yes No 1,726
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Dual Connect (HMO D-SNP)
H1732-003-0
HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 1,698
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 1,430
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-120-0
Local PPO No $0 Yes $2,500 No No Yes No No 1,367
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-002-0
HMO No $0 Yes $1,500 No No Yes No No 1,347
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No $0 No 1,342
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0
Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 1,263
Humana HumanaChoice SNP-DE H5970-026 (PPO D-SNP)
H5970-026-0
Local PPO $2,400 per Month No $0 Yes $1,000 Yes No Yes No No 1,220
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus (HMO)
H1732-004-0
HMO $35 per Quarter Yes $140 Yes $1,500 No No Yes Yes No 1,149
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0
Regional PPO No $0 Yes Yes No Yes Yes No 1,117
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2292-002-0
Local PPO $190 per Quarter Yes $760 Yes $2,000 Yes No Yes Yes No 955
Elderplan Elderplan For Medicaid Beneficiaries (HMO D-SNP)
H3347-002-0
HMO $210 per Month No $0 Yes $1,300 No No Yes Yes No 922
Humana HumanaChoice H5970-024 (PPO)
H5970-024-2
Local PPO No $0 Yes No No Yes No No 922
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3307-002-0
HMOPOS No $0 Yes Yes No Yes Yes No 913
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3312-069-0
HMO $215 per Month No $0 Yes $2,500 No No Yes No No 861
VNS Health Medicare VNS Health Total (HMO D-SNP)
H5549-003-0
HMO $266 per Month No $0 Yes $1,500 Yes No No No No 807
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3379-001-0
HMOPOS No $0 Yes Yes No Yes Yes No 760
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2775-112-0
Local PPO $84 per Month Yes $0 Yes $2,000 No No Yes Yes No 743
Elderplan Elderplan Plus Long Term Care (HMO D-SNP)
H3347-007-0
HMO $270 per Month No $0 Yes $1,300 No No Yes Yes No 738
Anthem BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-027-0
HMO $27 per Quarter Yes $108 No 707
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage Select (HMO D-SNP)
H8432-028-0
HMO $210 per Quarter Yes $840 Yes $1,500 Yes No Yes Yes No 681
Wellcare Wellcare Assist Open (PPO)
H2775-113-0
Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 645
VNS Health Medicare VNS Health EasyCare Plus (HMO D-SNP)
H5549-011-0
HMO $225 per Month No $0 Yes $1,400 Yes No No No No 614
Humana Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)
H3533-034-2
HMO $1,860 per Month No $0 Yes $1,000 Yes No Yes No No 603
Wellcare Wellcare Assist (HMO)
H4868-016-0
HMO $47 per Quarter No $188 Yes $2,000 No No Yes Yes No 587
EmblemHealth EmblemHealth VIP Gold (HMO)
H3330-021-3
HMO No $0 Yes $2,400 No No No No No 555
Anthem BlueCross BlueShield Empire MediBlue Extra Select (HMO)
H8432-035-0
HMO $90 per Quarter Yes $360 Yes $2,000 No No Yes Yes No 532
VillageCareMAX VillageCareMAX Medicare Total Advantage (HMO D-SNP)
H2168-002-0
HMO $0 per Month Yes $0 Yes No No No No No 508
CenterLight Healthcare PACE CenterLight Healthcare PACE Dual Eligible (PACE)
H3329-001-0
National PACE No $0 No 433
Elderplan Elderplan Extra Help (HMO)
H3347-009-0
HMO $140 per Quarter No $560 Yes $1,000 No No Yes Yes No 400
Humana Humana Gold Plus H3533-032 (HMO)
H3533-032-2
HMO $25 per Quarter No $100 Yes No No Yes No No 397
EmblemHealth EmblemHealth VIP Dual Reserve (HMO D-SNP)
H5991-010-0
HMO $20 per Month No $0 No 349
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-060-2
Local PPO $163 per Month No $0 Yes $2,000 Yes No Yes Yes No 338
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-121-0
Local PPO $0 per Month No $0 Yes $2,500 No No Yes No No 324
Centers Plan for Healthy Living Centers Plan for Medicaid Advantage Plus (HMO D-SNP)
H6988-004-0
HMO $290 per Month No $0 Yes $2,000 No No No No No 292
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-007-0
HMO $155 per Quarter Yes $620 No 288
Wellcare by Fidelis Care Wellcare Fidelis Assist (HMO-POS)
H5599-002-0
HMOPOS $28 per Month Yes $0 Yes $700 Yes No Yes Yes No 288
UnitedHealthcare UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP)
H3387-015-2
HMOPOS $57 per Month No $0 Yes $2,000 Yes No Yes Yes No 233
Centers Plan for Healthy Living Centers Plan for Dual Coverage Care (HMO D-SNP)
H6988-002-0
HMO $190 per Month No $0 Yes $2,000 No No No No No 229
VNS Health Medicare VNS Health EasyCare (HMO)
H5549-012-0
HMO $87 per Quarter No $348 Yes $1,000 Yes No No No No 225
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-082-0
Local PPO $130 per Quarter No $520 Yes No No Yes No No 218
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0
HMO No $0 Yes $700 No No Yes Yes No 208
Humana Humana Gold Plus H3533-027 (HMO)
H3533-027-0
HMO No $0 Yes No No Yes No No 207
Partners Health Plan PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)
H9869-001-0
Medicare-Medicaid Plan HMO $0 per Month No $0 Yes Yes No No Yes No 192
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H8457-001-0
HMO $155 per Quarter No $620 Yes $1,300 Yes No No Yes No 181
ArchCare Senior Life ArchCare Senior Life - Dual (PACE)
H4393-001-0
National PACE No $0 No 180
Elderplan Elderplan Flex (HMO)
H3347-016-0
HMO $140 per Quarter No $560 Yes $1,000 No No Yes Yes No 170
Humana Humana Honor (PPO)
H5970-016-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 167
ArchCare Advantage ArchCare Advantage (HMO I-SNP)
H1777-007-0
HMO $120 per Month No $1,440 Yes $1,500 No Yes No Yes No 146
VillageCareMAX VillageCareMAX Medicare Health Advantage (HMO D-SNP)
H2168-001-0
HMO $0 per Month Yes $0 Yes $1,500 No No No Yes No 135
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0
Local PPO No $0 No 134
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 130
RiverSpring Health Plans RiverSpring Star (HMO I-SNP)
H6776-001-0
HMO $185 per Month No $0 No 119
Hamaspik, Inc. Hamaspik Medicare Choice (HMO D-SNP)
H0034-002-0
HMO $180 per Month No $0 No 109
Wellcare by Fidelis Care Wellcare Fidelis Dual Plus (HMO D-SNP)
H5599-003-0
HMO $184 per Month Yes $0 Yes $2,000 No No Yes Yes No 103
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0
Regional PPO No $0 Yes Yes No Yes Yes No 94
Centers Plan for Healthy Living Centers Plan for Medicare Advantage Care (HMO)
H6988-001-0
HMO $100 per Quarter No $400 Yes $2,000 No No No No No 87
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 74
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0
Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 74
Healthfirst Medicare Plan Healthfirst Signature (PPO)
H9678-001-0
Local PPO No $0 Yes No No Yes Yes No 73
EmblemHealth EmblemHealth VIP Gold Plus (HMO)
H3330-038-0
HMO No $0 Yes $3,000 No No No No No 69
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0
Local PPO No $0 No 64
Centers Plan for Healthy Living Centers Plan for Nursing Home Care (HMO I-SNP)
H6988-003-0
HMO No $0 Yes $2,000 No No No No No 63
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0
Regional PPO No $0 Yes Yes No Yes Yes No 61
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-320-0
Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 52
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0
Local PPO No $0 No 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0
Local PPO No $0 No 49
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H3307-018-0
HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 46
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (HMO I-SNP)
H3379-002-0
HMO No $0 No 46
Senior Whole Health of New York Senior Whole Health of New York NHC (HMO D-SNP)
H5992-007-0
HMO $300 per Quarter No $1,200 No 40
MetroPlus Health Plan MetroPlus Platinum Plan (HMO)
H0423-004-0
HMO No $0 Yes $500 No No No Yes Yes 36
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Dual Plus (HMO D-SNP)
H1732-001-0
HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0
Local PPO No $0 No 31
Hamaspik, Inc. Hamaspik Medicare Select (HMO D-SNP)
H0034-001-0
HMO $170 per Month No $0 No 30
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0
Local PPO No $0 No 26
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0
HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 25
RiverSpring Health Plans RiverSpring MAP (HMO D-SNP)
H6776-002-0
HMO $155 per Month No $0 No 25
Elderplan Elderplan Assist (HMO I-SNP)
H3347-015-0
HMO $120 per Month No $0 Yes $2,000 No No Yes Yes No 20
Humana Humana Medicare Employer (PPO)
H5970-801-0
Local PPO No $0 No 20
AgeWell New York AgeWell New York Advantage Plus (HMO D-SNP)
H4922-010-0
HMO $225 per Month No $2,700 Yes $1,000 No No No Yes No 15
Anthem BlueCross BlueShield Empire MediBlue Service (HMO)
H8432-037-2
HMO $150 per Quarter Yes $600 No 15
Medicare y Mucho Mas MMM Elite (HMO-POS)
H4003-034-0
HMOPOS $90 per Quarter No $360 Yes $2,000 No No No Yes No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0
Local PPO No $0 No 13
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