Medicare Advantage Plans for Hamilton County, New York

  • 25 Total Plans
  • 1,613 Seniors Eligible for Medicare
  • 812 Seniors on Medicare Advantage (50%)
  • 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 14 plans with 264 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 16% 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
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 120
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 74
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 72
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 46
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 34
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 30
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 22
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 21
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 18
CDPHP Medicare Advantage CDPHP $0 Medicare Rx (HMO)
H3388-014-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 17
CDPHP Medicare Advantage CDPHP Value Rx (HMO)
H3388-004-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 16
CDPHP Medicare Advantage CDPHP Basic RX (HMO)
H3388-013-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 15
CDPHP Medicare Advantage CDPHP Choice Rx (HMO)
H3388-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 15
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-077-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 14
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 14
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 14
MVP HEALTH CARE UVM Health Advantage Select (PPO)
H9615-015-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 14
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 13
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 13
Excellus Health Plan, Inc Medicare BluePlus (PPO)
H3335-018-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 12
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 11
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