Medicare Advantage Plans for Rhode Island

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Rhode Island Enrollees
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Value (HMO-POS)
H4152-020-0 		HMOPOS $240 No Yes No Yes Yes No 42,677
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H1944-014-0 		HMOPOS $300 No Yes No Yes Yes No 15,033
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND Neighborhood INTEGRITY (Medicare-Medicaid Plan)
H9576-001-0 		Medicare-Medicaid Plan HMO $0 No Yes No No No No 13,260
Blue Cross & Blue Shield of Rhode Island HealthMate for Medicare (PPO)
H3557-001-0 		Local PPO $300 No Yes $600 No Yes No No 9,603
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H3113-010-0 		HMOPOS $2,160 No Yes $3,600 No Yes Yes No 9,260
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-016-0 		HMOPOS $240 No Yes No Yes Yes No 8,034
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H3442-006-0 		Local PPO $160 No Yes No Yes Yes No 4,324
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Standard with Drugs (HMO)
H4152-013-0 		HMO $360 No Yes No Yes No No 3,169
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Extra (HMO-POS)
H4152-018-0 		HMOPOS $300 No Yes No Yes Yes No 2,825
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Group Preferred (HMO-POS)
H4152-815-0 		HMOPOS $0 No No 2,478
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Plus (HMO)
H4152-005-0 		HMO $400 No Yes No Yes No No 1,956
Blue Cross & Blue Shield of Rhode Island BlueRI for Duals (HMO D-SNP)
H4152-021-0 		HMO $1,800 No Yes $2,000 No No Yes No 1,911
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 1,883
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-375-0 		Local PPO $300 No Yes No Yes No No 1,445
Blue Cross & Blue Shield of Rhode Island HealthMate Coast-to-Coast for Medicare Group (PPO)
H3557-801-0 		Local PPO $0 No No 1,124
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-035-0 		Local PPO $1,520 Yes Yes $2,500 No Yes Yes No 1,016
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 893
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 829
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Preferred (HMO-POS)
H4152-007-0 		HMOPOS $400 No Yes No Yes Yes No 739
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-015-0 		HMOPOS $320 No Yes No Yes Yes No 706
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Core (HMO)
H4152-004-0 		HMO $300 No Yes No Yes Yes No 663
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO $0 No Yes No Yes Yes No 618
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Group Plus (HMO)
H4152-817-0 		HMO $0 No No 475
Wellcare Wellcare No Premium Open (PPO)
H4699-001-0 		Local PPO $244 No Yes $1,000 No Yes Yes No 459
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-016-0 		HMOPOS $300 No Yes No Yes No No 458
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO $0 No No 440
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO $0 No No 390
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2228-002-0 		Local PPO $1,360 Yes Yes $2,000 No Yes Yes No 386
Aetna Medicare Aetna Medicare Prime Plan (HMO-POS)
H5793-019-0 		HMOPOS $840 No Yes No Yes No No 351
Wellcare Wellcare Giveback Open (PPO)
H4699-002-0 		Local PPO $220 No Yes $1,000 No Yes Yes No 348
PACE Organization Of Rhode Island PACE Organization of Rhode Island (PACE)
H4105-001-0 		National PACE $0 No No 347
Wellcare Wellcare No Premium (HMO)
H9258-001-0 		HMO $292 No Yes $2,000 No Yes Yes Yes 336
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0764-001-0 		Local PPO $1,860 No Yes $3,600 No Yes Yes No 329
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H4699-005-0 		Local PPO $1,500 No Yes $3,000 No Yes Yes No 310
Wellcare Wellcare Assist Open (PPO)
H4699-004-0 		Local PPO $400 No Yes $2,000 No Yes Yes No 261
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO $0 No No 185
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H4699-003-0 		Local PPO $1,300 No Yes $2,000 No Yes Yes No 183
CCA Health Rhode Island CCA Medicare Preferred (PPO)
H9876-001-0 		Local PPO $480 No Yes No Yes No No 164
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO $0 No No 143
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H1944-805-0 		HMO $0 No No 137
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO $0 No No 131
UnitedHealthcare UnitedHealthcare Assisted Living Plan 2 (PPO I-SNP)
H0710-050-0 		Local PPO $1,480 Yes Yes $2,000 No Yes Yes No 100
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H2272-001-0 		HMOPOS $600 No Yes $1,100 No Yes Yes No 93
CCA Health Rhode Island CCA Medicare Maximum (HMO D-SNP)
H0876-001-0 		HMO $2,700 No Yes $4,000 No No No No 62
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO $0 No No 53
Humana HumanaChoice H5525-062 (PPO)
H5525-062-0 		Local PPO $300 No Yes No Yes No No 41
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO $0 No No 38
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO $0 No No 37
UnitedHealthcare UnitedHealthcare Assisted Living Plan 1 (PPO I-SNP)
H2228-039-0 		Local PPO $1,200 Yes Yes $2,000 No Yes Yes No 34
CCA Health Rhode Island CCA Medicare Value (PPO)
H9876-002-0 		Local PPO $420 No Yes $2,000 No No No No 33
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