Medicare Advantage Plans for Monroe County, New York

  • 74 Total Plans
  • 165,221 Seniors Eligible for Medicare
  • 123,036 Seniors on Medicare Advantage (74%)
  • 4 plans with 748 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 33 plans with 72,323 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 44% 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
Excellus Health Plan, Inc Medicare Blue Choice Select (HMO)
H3351-016-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 21,172
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 11,628
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 9,798
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 8,426
Excellus Health Plan, Inc Medicare Blue Choice Advanced (HMO-POS)
H3351-018-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 6,515
Excellus Health Plan, Inc Medicare Blue Choice Value Plus (HMO-POS)
H3351-013-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 5,692
Excellus Health Plan, Inc Medicare Blue Choice Access (PPO)
H3335-057-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 5,536
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-041-0 		HMOPOS No $0 Yes Yes No Yes Yes No 4,280
MVP HEALTH CARE MVP Medicare Preferred Gold with Part D (HMO-POS)
H3305-015-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 4,045
Excellus Health Plan, Inc Medicare Blue Choice Extra (HMO)
H3351-021-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 3,810
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-803-0 		HMOPOS No $0 No 3,350
MVP HEALTH CARE MVP Medicare Secure with Part D (HMO-POS)
H3305-030-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 2,934
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 2,532
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-118-0 		Local PPO No $0 Yes $2,500 No No Yes No No 2,270
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 2,270
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 2,211
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 2,114
MVP HEALTH CARE MVP Medicare Patriot Plan with Part D (PPO)
H9615-014-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,106
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 2,031
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-012-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,743
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3312-070-0 		HMO $180 per Month No $0 Yes $2,500 No No Yes No No 1,354
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,278
Excellus Health Plan, Inc Medicare Blue Choice Optimum (HMO-POS)
H3351-006-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 1,190
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,167
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,139
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 953
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 923
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 875
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 833
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 823
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 820
ElderONE an Affiliate of Rochester Regional Health ElderONE an Affiliate of Rochester Regional Health (PACE)
H3331-001-0 		National PACE No $0 No 596
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 475
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2292-001-0 		Local PPO $300 per Quarter Yes $1,200 Yes $2,000 Yes No Yes Yes No 467
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-318-0 		Local PPO No $0 Yes $2,500 No No Yes No No 420
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 400
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 392
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 381
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 370
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-076-0 		Local PPO No $0 Yes $2,500 No No Yes No No 367
MVP HEALTH CARE MVP Medicare Preferred Gold without Part D (HMO-POS)
H3305-007-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 301
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 279
Humana HumanaChoice SNP-DE H5970-020 (PPO D-SNP)
H5970-020-0 		Local PPO $2,400 per Month No $0 Yes No No Yes No No 246
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 241
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 228
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 211
MVP HEALTH CARE MVP Preferred Gold - Employer Group (HMO-POS)
H3305-801-0 		HMOPOS No $0 No 170
Elderplan Elderplan Advantage For Nursing Home Residents (HMO I-SNP)
H3347-003-0 		HMO $150 per Month No $0 Yes $2,000 No No Yes Yes No 169
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 167
Excellus Health Plan, Inc Medicare Blue Choice Freedom (HMO-POS)
H3351-007-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 122
Elderplan Elderplan Assist (HMO I-SNP)
H3347-015-0 		HMO $120 per Month No $0 Yes $2,000 No No Yes Yes No 106
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-804-0 		HMOPOS No $0 No 84
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 67
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-323-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 60
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 53
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 52
MVP HEALTH CARE MVP DualAccess (HMO D-SNP)
H3305-033-0 		HMO $75 per Quarter No $300 Yes No No No No No 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 43
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 42
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 34
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 31
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes No 30
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 30
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 25
Humana Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)
H3533-002-0 		HMO $1,680 per Month No $0 Yes No No Yes No No 24
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 21
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 19
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 18
Nascentia Health Plus Nascentia Dual Advantage (HMO D-SNP)
H9066-003-0 		HMO $200 per Month No $0 Yes $0 No No No No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 13
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H3379-022-0 		HMOPOS $90 per Quarter Yes $360 Yes $2,000 Yes No Yes Yes No 11
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