Medicare Advantage Plans for Washington County, Oregon

  • 75 Total Plans
  • 96,822 Seniors Eligible for Medicare
  • 62,272 Seniors on Medicare Advantage (64%)
  • 10 plans with 5,672 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 24,147 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 31% 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 6,867
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO-POS)
H9003-006-0 		HMOPOS No $0 No 5,229
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H9003-001-0 		HMOPOS No $0 No 4,528
Providence Medicare Advantage Plans Providence Medicare Prime + Rx (HMO)
H9047-037-0 		HMO No $0 Yes No No Yes No No 4,123
Providence Medicare Advantage Plans Providence Medicare Choice + Rx (HMO-POS)
H9047-065-0 		HMOPOS No $0 Yes No No Yes No No 4,092
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No $0 No 2,831
CareOregon Advantage CareOregon Advantage Plus (HMO-POS D-SNP)
H5859-001-0 		HMOPOS $405 per Quarter No $1,620 No 2,751
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-029-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 2,684
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 2,357
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 2,314
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO-POS)
H9003-009-0 		HMOPOS No $0 No 1,995
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-084-0 		Local PPO No $0 Yes No No Yes Yes No 1,992
Providence Medicare Advantage Plans Providence Medicare Extra + Rx (HMO)
H9047-064-0 		HMO $195 per Quarter Yes $780 Yes No No Yes No No 1,694
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-001-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,620
Humana Humana Gold Plus H1036-153 (HMO)
H1036-153-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,471
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 1,176
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 1,172
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-808-0 		HMO No $0 No 919
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO)
H3817-009-2 		Local PPO No $0 Yes No No Yes No No 797
Providence Medicare Advantage Plans Providence Medicare Flex Group Plan + Rx (HMO-POS)
H9047-809-0 		HMOPOS No $0 No 640
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 631
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No $0 No 628
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO (HMO)
H6237-007-4 		HMO $40 per Quarter No $160 Yes No No Yes No No 625
Regence BlueCross BlueShield of Oregon Regence BlueAdvantage HMO Plus (HMO)
H6237-008-3 		HMO No $0 Yes No No Yes No No 620
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 586
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 548
Providence Medicare Advantage Plans Providence Medicare Dual Plus (HMO D-SNP)
H9047-043-0 		HMO $400 per Quarter Yes $1,600 No 529
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 528
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 461
PacificSource Medicare PacificSource Medicare MyCare Rx 40 (HMO)
H3864-040-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 385
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 381
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H2056-004-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 358
Moda Health Plan, Inc. Moda Health Metro PPORX (PPO)
H3813-013-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 321
Providence ElderPlace Portland Providence ElderPlace Portland (dual eligible) (PACE)
H3809-001-0 		National PACE No $0 No 274
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 264
Wellcare by Health Net Wellcare Premium Ultra Open (PPO)
H5439-011-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 256
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 214
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No $0 No 195
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 194
Regence BlueCross BlueShield of Oregon Regence Valiance (PPO)
H3817-010-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 189
Providence Medicare Advantage Plans Providence Medicare Reverence (HMO-POS)
H9047-035-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 184
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-088-0 		Local PPO $85 per Quarter No $340 Yes No No Yes Yes No 180
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-055-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 172
Providence Medicare Advantage Plans Providence Medicare Align Group Plan + Rx (HMO)
H9047-804-0 		HMO No $0 No 153
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 152
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 130
AgeRight Advantage AgeRight Advantage Health Plan (HMO I-SNP)
H1372-001-0 		HMO No $0 Yes $1,800 Yes No No No No 125
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 106
Providence Medicare Advantage Plans Providence Medicare Focus Medical (HMO)
H9047-033-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 95
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 88
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 85
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 82
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 81
Humana Humana Value Plus H5216-294 (PPO)
H5216-294-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 80
Devoted Health Devoted CHOICE Oregon (PPO)
H7199-001-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 73
Devoted Health Devoted CORE Oregon (HMO)
H2923-001-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 71
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 61
PacificSource Medicare PacificSource Dual Care (HMO D-SNP)
H3864-043-0 		HMO $500 per Month No $0 No 61
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 57
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 55
Wellcare by Health Net Wellcare Giveback Open (PPO)
H5439-015-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 46
Devoted Health Devoted CHOICE PLUS Oregon (PPO)
H7199-002-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 45
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 39
Moda Health Plan, Inc. Moda Health PPO (PPO)
H3813-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 38
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 37
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 32
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 29
Humana Humana Gold Plus - Diabetes (HMO C-SNP)
H1036-306-0 		HMO $600 per Month No $0 Yes No No Yes No No 27
Regence BlueCross BlueShield of Oregon Regence Valiance (HMO)
H6237-006-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 23
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 22
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 20
Wellcare by Health Net Wellcare Assist (HMO)
H6815-037-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H3805-803-0 		HMO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 11
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