Medicare Advantage Plans for Niagara County, New York

  • 82 Total Plans
  • 52,042 Seniors Eligible for Medicare
  • 35,566 Seniors on Medicare Advantage (68%)
  • 5 plans with 930 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 23,976 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 48% 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
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield BlueSaver (HMO)
H3384-062-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 3,845
Independent Health Independent Health's Encompass 65 Basic (HMO)
H3362-017-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 2,931
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 2,576
Independent Health Independent Health's Encompass 65 Core (HMO)
H3362-033-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 2,570
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,960
Independent Health Independent Health's Encompass 65 Element (HMO)
H3362-038-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 1,497
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 1,481
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Senior Blue Select (HMO)
H3384-058-0 		HMO $35 per Quarter Yes $140 Yes No No Yes No No 1,295
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 1,195
Excellus Health Plan, Inc Univera SeniorChoice Basic (HMO)
H3351-017-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,026
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 914
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Freedom Nation (PPO)
H5526-020-0 		Local PPO $40 per Quarter Yes $160 Yes No No Yes No No 820
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 716
Highmark Blue Cross Blue Shield or Highmark Blue Shield HMO Group (MA-PD) Calendar Year (HMO)
H3384-806-0 		HMO No $0 No 693
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Senior Blue 651 (HMO)
H3384-019-0 		HMO $35 per Quarter Yes $140 Yes No No Yes No No 656
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 593
Independent Health Independent Health's Medicare PPO Base (PPO)
H3344-801-0 		Local PPO No $0 No 580
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 572
Independent Health Independent Health's Medicare Encompass (HMO)
H3362-801-0 		HMO No $0 No 496
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 471
Independent Health Independent Health's Encompass 65 (HMO)
H3362-016-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 465
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-215-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 398
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 396
Excellus Health Plan, Inc Univera SeniorChoice Advanced (HMO-POS)
H3351-019-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 373
Excellus Health Plan, Inc Univera SeniorChoice Value Plus (HMO-POS)
H3351-012-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 347
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 320
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Forever Blue 751 (PPO)
H5526-004-0 		Local PPO $35 per Quarter Yes $140 Yes No No Yes No No 308
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 305
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 305
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 297
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Senior Blue Basic (HMO)
H3384-067-0 		HMO No $0 No 296
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 270
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 250
Independent Health Independent Health's Medicare Family Choice (HMO I-SNP)
H3362-020-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 232
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 222
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Forever Blue Value (PPO)
H5526-016-0 		Local PPO $35 per Quarter Yes $140 Yes No No Yes No No 218
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 204
Independent Health Independent Health's Medicare Encompass (HMO)
H3362-820-0 		HMO No $0 No 186
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 177
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-008-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 173
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 171
Independent Health Independent Health's Medicare Encompass (HMO-POS)
H3362-807-0 		HMOPOS No $0 No 169
Excellus Health Plan, Inc Univera SeniorChoice Secure (HMO-POS)
H3351-002-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 162
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 156
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 146
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 139
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 117
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3312-065-0 		HMOPOS $75 per Quarter No $300 Yes $2,500 No No Yes No No 116
Excellus Health Plan, Inc Univera SeniorChoice Extra (HMO)
H3351-020-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 115
Complete Senior Care Complete Senior Care Dual (PACE)
H8777-001-0 		National PACE No $0 No 114
Independent Health Independent Health's Medicare Passport Advantage (PPO)
H3344-005-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 106
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 103
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 101
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 96
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Cross Blue Shield Senior Blue 601 (HMO)
H3384-022-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 88
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 82
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 62
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 54
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 53
Independent Health Independent Health's Medicare PPO Base (PPO)
H3344-805-0 		Local PPO No $0 No 51
Independent Health Independent Health's Medicare PPO Base (PPO)
H3344-804-0 		Local PPO No $0 No 49
Independent Health Independent Health's Medicare Encompass (HMO-POS)
H3362-819-0 		HMOPOS No $0 No 40
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 40
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 37
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 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 37
Independent Health Independent Health's Encompass 65 Edge (HMO)
H3362-039-0 		HMO $15 per Quarter Yes $60 Yes No No Yes No No 35
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA Only) CY (PPO)
H5526-806-0 		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 34
Excellus Health Plan, Inc Univera SeniorChoice Access (PPO)
H3335-056-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 32
Independent Health Independent Health's Medicare Passport Prime (PPO)
H3344-010-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 23
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 22
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 20
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 18
Excellus Health Plan, Inc Univera Medicare PPO Group (PPO)
H3335-801-0 		Local PPO No $0 No 15
Excellus Health Plan, Inc Univera Medicare Freedom (HMO-POS)
H3351-001-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 14
Excellus Health Plan, Inc Univera SeniorChoice - Group (HMO-POS)
H3351-801-0 		HMOPOS No $0 No 14
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 12
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 12
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-381-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 11
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes No 11
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