Medicare Advantage Plans for Onondaga County, New York

  • 77 Total Plans
  • 99,163 Seniors Eligible for Medicare
  • 57,034 Seniors on Medicare Advantage (58%)
  • 4 plans with 2,782 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 37,444 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 41% 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 Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 6,577
Excellus Health Plan, Inc Medicare BlueEssential (PPO)
H3335-053-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 5,544
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-048-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 4,144
Excellus Health Plan, Inc Medicare BlueClassic (PPO)
H3335-038-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 3,959
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-039-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 3,850
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 3,414
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 3,164
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 2,108
Excellus Health Plan, Inc Medicare BlueEnhanced (PPO)
H3335-015-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,034
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,698
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 1,462
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,383
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 1,333
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 1,267
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 1,129
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 937
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 872
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 853
Excellus Health Plan, Inc Medicare BlueActive (PPO)
H3335-055-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 613
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 598
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 558
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 557
Independent Living Srvcs Of Central Ny PACE CNY (PACE)
H3321-001-0 		National PACE No $0 No 497
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 459
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 454
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 454
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 422
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 402
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 399
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 396
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 384
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 357
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 331
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-007-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 306
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 291
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 240
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 231
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 219
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 183
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 182
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 179
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 173
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 173
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 172
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 167
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 158
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 147
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-008-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 133
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 129
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 123
MVP HEALTH CARE MVP Medicare Secure Plus with Part D (HMO-POS)
H3305-022-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 108
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 100
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-340-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 90
Excellus Health Plan, Inc Medicare BlueFlex (PPO)
H3335-058-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 73
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 52
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 52
Wellcare Wellcare Premium Enhanced (PFFS)
H2816-019-0 		PFFS No $0 No 50
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 48
MVP HEALTH CARE MVP Medicare WellSelect Plus with Part D (PPO)
H9615-007-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 42
Wellcare Wellcare Premium Ultra (PFFS)
H2816-013-0 		PFFS $50 per Quarter No $200 No 42
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 41
MediGold MediGold No Premium (HMO)
H9827-001-0 		HMO $105 per Quarter No $420 Yes No No Yes No No 32
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 31
Excellus Health Plan, Inc Medicare BlueSalute (PPO)
H3335-043-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 29
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 22
Wellcare Wellcare Advantage Premium Enhanced (PFFS)
H2816-037-0 		PFFS No $0 No 21
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 18
MVP HEALTH CARE MVP Medicare Secure with Part D (HMO-POS)
H3305-032-0 		HMOPOS $25 per Quarter No $100 Yes No No Yes No No 18
Wellcare by Fidelis Care Wellcare Fidelis Dual Plus (HMO D-SNP)
H5599-008-0 		HMO $184 per Month Yes $0 Yes $1,500 No No Yes Yes No 17
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 14
MVP HEALTH CARE MVP Medicare Preferred Gold with Part D (HMO-POS)
H3305-021-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 13
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
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