Medicare Advantage Plans for Schenectady County, New York

  • 80 Total Plans
  • 32,912 Seniors Eligible for Medicare
  • 19,468 Seniors on Medicare Advantage (59%)
  • 4 plans with 1,228 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 47 plans with 11,087 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 37% 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 Group Medicare Rx (HMO)
H3388-803-0
HMO No $0 No 1,227
CDPHP Medicare Advantage CDPHP Value Rx (HMO)
H3388-004-0
HMO $75 per Quarter No $300 Yes No No Yes No No 1,192
CDPHP Medicare Advantage CDPHP Choice Rx (HMO)
H3388-002-0
HMO $75 per Quarter No $300 Yes No No Yes No No 1,191
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 871
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0
Local PPO No $0 No 810
CDPHP Medicare Advantage CDPHP Basic RX (HMO)
H3388-013-0
HMO $100 per Quarter No $400 Yes No No Yes No No 785
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0
Regional PPO No $0 Yes Yes No Yes Yes No 784
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 735
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0
HMOPOS No $0 No 730
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0
Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 649
CDPHP Medicare Advantage CDPHP $0 Medicare Rx (HMO)
H3388-014-0
HMO $75 per Quarter No $300 Yes No No Yes No No 635
Humana Humana Medicare Employer (PPO)
H5970-801-0
Local PPO No $0 No 619
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 597
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 489
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0
HMO $50 per Quarter No $200 Yes No No Yes No No 476
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No $0 No 389
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 377
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 349
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 344
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 281
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0
Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 279
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0
Local PPO No $0 Yes $700 No No Yes Yes No 262
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 239
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 239
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 237
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0
Regional PPO No $0 Yes Yes No Yes Yes No 234
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-802-0
Local PPO No $0 No 231
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-004-0
Local PPO No $0 Yes Yes No Yes Yes No 210
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 208
CDPHP Medicare Advantage CDPHP Vital Rx (PPO)
H5042-009-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 203
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0
Local PPO $45 per Quarter No $180 Yes No No Yes No No 200
Eddy SeniorCare Senior Care Connection dba Eddy SeniorCare (PACE)
H3322-001-0
National PACE No $0 No 176
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0
Local PPO No $0 No 175
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 167
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 164
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 156
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 153
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0
Local PPO No $0 No 137
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0
Regional PPO No $0 Yes Yes No Yes Yes No 124
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0
HMO $100 per Quarter Yes $400 Yes No No Yes No No 123
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 121
Wellcare Wellcare Assist Open (PPO)
H2775-113-0
Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 110
CDPHP Medicare Advantage CDPHP Group Medicare (PPO)
H5042-803-0
Local PPO No $0 No 103
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA Only) CY (PPO)
H5526-806-0
Local PPO No $0 No 96
Wellcare Wellcare No Premium (HMO)
H4868-019-0
HMO No $0 Yes $1,500 No No Yes Yes No 96
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0
HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 90
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-038-2
HMO $72 per Quarter Yes $288 Yes $500 Yes No No No No 82
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
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No $0 No 70
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 70
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 67
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 67
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 66
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-110-0
Local PPO No $0 Yes $2,500 No No Yes No No 63
Humana Humana Honor (PPO)
H5970-016-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 62
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 47
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0
Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 45
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 40
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Basic (PPO)
H5526-022-0
Local PPO No $0 No 37
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0
Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 37
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0
Local PPO No $0 Yes $1,500 No No Yes No No 34
CDPHP Medicare Advantage CDPHP Choice (HMO)
H3388-001-0
HMO $75 per Quarter No $300 Yes No No Yes No No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 31
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 27
EmblemHealth EmblemHealth VIP Rx Saver (HMO)
H3330-045-0
HMO $125 per Month No $0 Yes $1,500 No No No No No 26
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 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 24
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 24
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0
Local PPO No $0 No 21
CDPHP Medicare Advantage CDPHP Group Medicare (HMO)
H3388-804-0
HMO No $0 No 21
MediGold MediGold No Premium (HMO)
H9827-001-0
HMO $105 per Quarter No $420 Yes No No Yes No No 17
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0
PFFS No $0 No 17
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 15
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0
HMO No $0 Yes $700 No No Yes Yes No 15
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0
Local PPO No $0 No 14
MVP HEALTH CARE MVP DualAccess (HMO D-SNP)
H3305-033-0
HMO $75 per Quarter No $300 Yes No No No No No 14
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 14
Anthem BlueCross BlueShield Empire MediBlue Access (PPO)
H3342-023-2
Local PPO $35 per Quarter Yes $140 No 12
CDPHP Medicare Advantage CDPHP Flex (PPO)
H5042-012-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 12
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 12
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