Medicare Advantage Plans for Orange County, New York

  • 73 Total Plans
  • 67,136 Seniors Eligible for Medicare
  • 22,096 Seniors on Medicare Advantage (33%)
  • 5 plans with 603 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 39 plans with 9,750 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 15% 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 AARP Medicare Advantage Plan 1 (HMO-POS)
H3307-012-0 		HMOPOS No $0 Yes Yes No Yes Yes No 2,332
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 2,295
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 1,461
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-010-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,243
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,077
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 832
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 827
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-110-0 		Local PPO No $0 Yes $2,500 No No Yes No No 767
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 644
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 601
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 519
UnitedHealthcare AARP Medicare Advantage Value Care (PPO)
H3418-002-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 499
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-119-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 488
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 416
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 405
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 356
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 356
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 344
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 339
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-382-0 		Local PPO $45 per Quarter No $180 Yes $2,000 No No Yes No No 332
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3312-062-0 		HMOPOS $45 per Quarter No $180 Yes $2,000 No No Yes No No 300
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus (HMO)
H1732-005-0 		HMO $35 per Quarter Yes $140 Yes $2,000 No No Yes Yes No 296
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 280
Anthem BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-016-0 		HMO $35 per Quarter Yes $140 Yes $2,000 Yes No Yes Yes No 279
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3307-023-0 		HMOPOS No $0 Yes Yes No Yes Yes No 266
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 232
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 199
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 187
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 171
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 169
Hamaspik, Inc. Hamaspik Medicare Select (HMO D-SNP)
H0034-001-0 		HMO $170 per Month No $0 No 164
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 163
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 160
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 158
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 145
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-083-0 		Local PPO $110 per Quarter No $440 Yes No No Yes No No 139
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 139
Healthfirst Medicare Plan Healthfirst Increased Benefits Plan (HMO)
H3359-019-0 		HMO $0 per Month No $0 Yes No No Yes Yes No 137
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 136
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 129
Healthfirst Medicare Plan Healthfirst Signature (HMO)
H1722-002-0 		HMO $70 per Quarter No $280 Yes No No Yes Yes No 121
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 120
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 115
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 103
EmblemHealth EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0 		HMO No $0 No 95
MVP HEALTH CARE MVP DualAccess (HMO D-SNP)
H3305-033-0 		HMO $75 per Quarter No $300 Yes No No No No No 91
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 91
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 80
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 77
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 76
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 71
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 64
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 61
EmblemHealth EmblemHealth VIP Essential (HMO)
H3330-032-4 		HMO No $0 Yes $900 No No No No No 61
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 61
EmblemHealth EmblemHealth VIP Premier (HMO)
H3330-814-0 		HMO No $0 No 55
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-383-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 50
MVP HEALTH CARE MVP Medicare WellSelect Plus with Part D (PPO)
H9615-009-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 50
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 49
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-007-0 		HMO $155 per Quarter Yes $620 No 40
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 40
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 38
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 38
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 32
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H3307-018-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 30
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 28
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 21
Healthfirst Medicare Plan Healthfirst CompleteCare (HMO D-SNP)
H3359-034-0 		HMO $0 per Month No $0 No 17
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 14
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 13
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 13
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes No 12
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 11
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