Medicare Advantage Plans for Saratoga County, New York

  • 88 Total Plans
  • 53,013 Seniors Eligible for Medicare
  • 28,985 Seniors on Medicare Advantage (55%)
  • 4 plans with 1,062 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 46 plans with 17,026 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 34% 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
CDPHP Medicare Advantage CDPHP Choice Rx (HMO)
H3388-002-0
HMO $75 per Quarter No $300 Yes No No Yes No No 2,130
CDPHP Medicare Advantage CDPHP Value Rx (HMO)
H3388-004-0
HMO $75 per Quarter No $300 Yes No No Yes No No 2,088
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0
HMO No $0 No 1,563
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0
Regional PPO No $0 Yes Yes No Yes Yes No 1,542
CDPHP Medicare Advantage CDPHP Basic RX (HMO)
H3388-013-0
HMO $100 per Quarter No $400 Yes No No Yes No No 1,304
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0
Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,280
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0
Local PPO No $0 No 1,162
CDPHP Medicare Advantage CDPHP $0 Medicare Rx (HMO)
H3388-014-0
HMO $75 per Quarter No $300 Yes No No Yes No No 1,020
Humana Humana Medicare Employer (PPO)
H5970-801-0
Local PPO No $0 No 1,002
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 929
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Nation (PPO)
H5526-021-0
Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 918
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0
HMO $50 per Quarter No $200 Yes No No Yes No No 854
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0
Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 628
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 550
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-802-0
Local PPO No $0 No 548
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 496
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 492
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0
HMOPOS No $0 No 432
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 417
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 407
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No $0 No 405
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 399
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 398
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-004-0
Local PPO No $0 Yes Yes No Yes Yes No 380
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 365
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0
Local PPO $45 per Quarter No $180 Yes No No Yes No No 351
CDPHP Medicare Advantage CDPHP Vital Rx (PPO)
H5042-009-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 348
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0
Local PPO No $0 Yes $700 No No Yes Yes No 336
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0
Regional PPO No $0 Yes Yes No Yes Yes No 333
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Senior Blue 652 (HMO)
H3384-013-0
HMO $35 per Quarter Yes $140 Yes No No Yes No No 327
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Plus (HMO)
H3384-059-0
HMO $35 per Quarter Yes $140 Yes No No Yes No No 323
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0
Local PPO No $0 No 294
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No $0 No 290
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0
Local PPO No $0 No 276
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Value (HMO)
H3384-063-0
HMO $25 per Quarter Yes $100 Yes No No Yes No No 255
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 239
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0
Local PPO No $0 No 238
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0
Regional PPO No $0 Yes Yes No Yes Yes No 223
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0
HMO $100 per Quarter Yes $400 Yes No No Yes No No 209
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-110-0
Local PPO No $0 Yes $2,500 No No Yes No No 198
Anthem BlueCross BlueShield Empire MediBlue Access (PPO)
H3342-023-2
Local PPO $35 per Quarter Yes $140 No 151
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 149
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Forever Blue 770 (PPO)
H5526-018-0
Local PPO $35 per Quarter Yes $140 Yes No No Yes No No 144
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 126
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 122
Humana Humana Honor (PPO)
H5970-016-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 116
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 116
Wellcare Wellcare Assist Open (PPO)
H2775-113-0
Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 111
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 109
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-038-2
HMO $72 per Quarter Yes $288 Yes $500 Yes No No No No 103
CDPHP Medicare Advantage CDPHP Choice (HMO)
H3388-001-0
HMO $75 per Quarter No $300 Yes No No Yes No No 103
Wellcare Wellcare No Premium (HMO)
H4868-019-0
HMO No $0 Yes $1,500 No No Yes Yes No 101
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0
Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 97
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA Only) CY (PPO)
H5526-806-0
Local PPO No $0 No 95
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 90
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Basic (PPO)
H5526-022-0
Local PPO No $0 No 78
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 77
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0
Local PPO No $0 Yes $1,500 No No Yes No No 67
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0
PFFS No $0 No 62
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 61
CDPHP Medicare Advantage CDPHP Group Medicare (PPO)
H5042-803-0
Local PPO No $0 No 59
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0
Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 56
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0
HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 56
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0
Local PPO No $0 No 47
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 43
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 37
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0
Local PPO No $0 No 36
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 34
Humana Humana Medicare Employer (PPO)
H5970-802-0
Local PPO No $0 No 34
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-039-2
HMO $0 per Month No $0 Yes $1,500 Yes No Yes Yes No 33
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0
Local PPO No $0 No 30
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 30
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0
Local PPO No $0 No 28
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0
HMO No $0 Yes $700 No No Yes Yes No 28
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 22
CDPHP Medicare Advantage CDPHP Flex (PPO)
H5042-012-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 22
Wellcare Wellcare Premium Enhanced (PFFS)
H2816-019-0
PFFS No $0 No 22
MVP HEALTH CARE MVP Medicare Patriot Plan with Part D (PPO)
H9615-018-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 20
Wellcare Wellcare Premium Ultra (PFFS)
H2816-013-0
PFFS $50 per Quarter No $200 No 20
Highmark Blue Cross Blue Shield or Highmark Blue Shield HMO Group (MA-PD) Calendar Year (HMO)
H3384-806-0
HMO No $0 No 18
MVP HEALTH CARE MVP Medicare Preferred Gold without Part D (HMO-POS)
H3305-020-0
HMOPOS $25 per Quarter No $100 Yes No No Yes No No 18
MVP HEALTH CARE MVP DualAccess (HMO D-SNP)
H3305-033-0
HMO $75 per Quarter No $300 Yes No No No No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0
Local PPO No $0 No 15
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0
Local PPO No $0 No 13
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0
Local PPO No $0 No 13
EmblemHealth EmblemHealth VIP Rx Saver (HMO)
H3330-045-0
HMO $125 per Month No $0 Yes $1,500 No No No No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0
Local PPO No $0 No 13
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-801-0
Local PPO No $0 No 12
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