Medicare Advantage Plans for Deschutes County, Oregon

  • 42 Total Plans
  • 49,712 Seniors Eligible for Medicare
  • 19,618 Seniors on Medicare Advantage (39%)
  • 3 plans with 1,963 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 18 plans with 14,084 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 32% 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? Oregon Enrollees
PacificSource Medicare PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)
H3864-014-0 		HMOPOS $25 per Quarter No $100 Yes No No Yes No No 2,901
PacificSource Medicare PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)
H3864-036-0 		HMOPOS $45 per Quarter No $180 Yes No No Yes No No 2,504
Humana HumanaChoice H5216-044 (PPO)
H5216-044-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,608
PacificSource Medicare PacificSource Dual Care (HMO D-SNP)
H3864-043-0 		HMO $500 per Month No $0 No 1,530
PacificSource Medicare PacificSource Medicare Essentials Rx 27 (HMO)
H3864-027-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 1,505
PacificSource Medicare PacificSource Medicare Essentials Choice 2 (HMO-POS)
H3864-002-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 1,259
PacificSource Medicare PacificSource Medicare Essentials Rx 803 (HMO)
H3864-803-0 		HMO No $0 No 646
Providence Medicare Advantage Plans Providence Medicare Bridge + Rx (HMO-POS)
H9047-059-0 		HMOPOS $70 per Quarter Yes $280 Yes No No Yes No No 638
Wellcare by Health Net Wellcare No Premium (HMO)
H6815-038-0 		HMO $96 per Quarter No $384 Yes $1,000 No No Yes Yes No 617
PacificSource Medicare PacificSource Medicare Essentials Rx 6 (HMO)
H3864-006-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 605
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO (HMO)
H6237-007-4 		HMO $40 per Quarter No $160 Yes No No Yes No No 571
Humana Humana Gold Plus H1036-219 (HMO)
H1036-219-0 		HMO No $0 Yes No No Yes No No 511
Moda Health Plan, Inc. Moda Health Central PPORX (PPO)
H3813-010-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 503
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 497
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 487
Humana Humana Value Plus H5216-294 (PPO)
H5216-294-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 383
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 311
Humana Humana Gold Plus H2486-009 (HMO)
H2486-009-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 299
Moda Health Plan, Inc. Moda Health PPO (PPO)
H3813-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 185
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 176
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO Plus (HMO)
H6237-008-3 		HMO No $0 Yes No No Yes No No 148
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 138
Wellcare by Health Net Wellcare Assist (HMO)
H6815-037-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 125
Providence Medicare Advantage Plans Providence Medicare Flex Group Plan + Rx (HMO-POS)
H9047-809-0 		HMOPOS No $0 No 121
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 112
Providence Medicare Advantage Plans Providence Medicare Choice + Rx (HMO-POS)
H9047-065-0 		HMOPOS No $0 Yes No No Yes No No 103
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-808-0 		HMO No $0 No 98
Humana HumanaChoice H5216-047 (PPO)
H5216-047-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 79
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 76
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO)
H3817-008-4 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 71
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 65
Providence Medicare Advantage Plans Providence Medicare Timber + Rx (HMO)
H9047-054-0 		HMO $40 per Quarter Yes $160 Yes No No Yes No No 64
Regence BlueCross BlueShield of Oregon Regence Valiance (HMO)
H6237-006-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 63
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 60
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-306-0 		HMO $600 per Month No $0 Yes No No Yes No No 50
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 45
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 38
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 33
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 26
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 16
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-804-0 		HMO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 16
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