Medicare Advantage Plans for Marion County, Oregon

  • 58 Total Plans
  • 67,955 Seniors Eligible for Medicare
  • 43,202 Seniors on Medicare Advantage (64%)
  • 5 plans with 467 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 20 plans with 25,254 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 38% 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
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3805-036-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 5,638
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 4,110
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-029-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 3,431
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO-POS)
H9003-006-0 		HMOPOS No $0 No 2,968
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H9003-001-0 		HMOPOS No $0 No 2,568
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No $0 No 2,260
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 1,975
ATRIO Health Plans ATRIO Special Needs Plan (Willamette) (HMO D-SNP)
H5995-001-0 		HMO $170 per Quarter No $680 No 1,930
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-084-0 		Local PPO No $0 Yes No No Yes Yes No 1,590
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO-POS)
H9003-009-0 		HMOPOS No $0 No 1,409
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Primary (PPO)
H3817-011-3 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 1,384
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-808-0 		HMO No $0 No 1,339
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-001-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 976
ATRIO Health Plans ATRIO Prime Rx (PPO)
H7006-003-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 965
Aetna Medicare Aetna Medicare Elite Plan (HMO-POS)
H2056-003-0 		HMOPOS $45 per Quarter No $180 Yes $4,000 No No Yes No No 945
ATRIO Health Plans ATRIO Choice Rx (PPO)
H7006-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 864
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO)
H3817-009-2 		Local PPO No $0 Yes No No Yes No No 800
Providence Medicare Advantage Plans Providence Medicare Timber + Rx (HMO)
H9047-054-0 		HMO $40 per Quarter Yes $160 Yes No No Yes No No 764
Providence Medicare Advantage Plans Providence Medicare Flex Group Plan + Rx (HMO-POS)
H9047-809-0 		HMOPOS No $0 No 762
Providence Medicare Advantage Plans Providence Medicare Choice + Rx (HMO-POS)
H9047-065-0 		HMOPOS No $0 Yes No No Yes No No 719
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H2056-004-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 644
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-036-0 		Local PPO $140 per Month No $0 Yes $3,600 Yes No Yes Yes No 606
Wellcare by Health Net Wellcare Low Premium Open (PPO)
H5439-018-0 		Local PPO $53 per Quarter No $212 Yes $1,500 No No Yes Yes No 511
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 468
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No $0 No 379
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 319
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-088-0 		Local PPO $85 per Quarter No $340 Yes No No Yes Yes No 311
Regence BlueCross BlueShield of Oregon Regence Valiance (PPO)
H3817-010-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 292
Providence Medicare Advantage Plans Providence Medicare Extra + Rx (HMO)
H9047-064-0 		HMO $195 per Quarter Yes $780 Yes No No Yes No No 260
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 197
Wellcare by Health Net Wellcare Premium Ultra Open (PPO)
H5439-011-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 167
Moda Health Plan, Inc. Moda Health Mid-valley PPORX (PPO)
H3813-014-0 		Local PPO No $0 Yes No No Yes No No 144
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 121
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-005-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 106
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 103
UnitedHealthcare UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP)
H0710-037-0 		Local PPO $265 per Quarter Yes $1,060 Yes $2,000 Yes No Yes Yes No 94
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 87
Wellcare by Health Net Wellcare Giveback Open (PPO)
H5439-015-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 83
Wellcare by Health Net Wellcare Patriot No Premium Open (PPO)
H5439-010-0 		Local PPO No $0 Yes $2,000 No No Yes Yes No 68
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-804-0 		HMO No $0 No 53
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No $0 No 52
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-036-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 51
Wellcare by Health Net Wellcare Assist (HMO)
H6815-037-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 51
Providence Medicare Advantage Plans Providence Medicare Reverence (HMO-POS)
H9047-035-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 48
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 44
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 41
Moda Health Plan, Inc. Moda Health PPO (PPO)
H3813-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 40
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 39
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-015-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 36
AgeRight Advantage AgeRight Advantage Health Plan (HMO I-SNP)
H1372-001-0 		HMO No $0 Yes $1,800 Yes No No No No 29
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 16
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 15
Providence Medicare Advantage Plans Providence Medicare Focus Medical (HMO)
H9047-033-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 14
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE)
H3809-001-0 		National PACE No $0 No 11
Regence BlueShield Regence MedAdvantage + Rx (PPO)
H5009-802-0 		Local PPO No $0 No 11
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