Medicare Advantage Plans for Lexington County, South Carolina

  • 64 Total Plans
  • 60,456 Seniors Eligible for Medicare
  • 22,075 Seniors on Medicare Advantage (37%)
  • 4 plans with 1,404 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 14,536 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 26% 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? South Carolina Enrollees
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-245-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 2,283
Blue Cross Blue Shield of South Carolina BlueCross Total (PPO)
H8003-002-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 2,074
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-016-0 		Local PPO $236 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,902
Humana HumanaChoice H5216-347 (PPO)
H5216-347-0 		Local PPO No $0 Yes No No Yes No No 1,586
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-006-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,557
Humana Humana Gold Plus H5619-152 (HMO)
H5619-152-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,340
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H8748-002-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 872
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 710
Humana Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
H5619-082-0 		HMO $2,100 per Month No $0 Yes No No Yes No No 589
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 541
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 512
Humana HumanaChoice H5216-142 (PPO)
H5216-142-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 508
Blue Cross Blue Shield of South Carolina BlueCross Total Value (PPO)
H8003-005-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 467
Wellcare Wellcare Giveback Open (PPO)
H7326-003-0 		Local PPO No $0 Yes $700 No No Yes Yes No 461
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H8748-025-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 423
Wellcare Wellcare No Premium Open (PPO)
H7326-001-0 		Local PPO $29 per Month Yes $0 Yes $1,500 No No Yes Yes No 334
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 333
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 332
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 329
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 315
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-244-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 299
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 292
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R2604-002-0 		Regional PPO $245 per Quarter Yes $980 Yes $1,100 Yes No Yes Yes No 268
Humana HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
H5216-277-0 		Local PPO $2,400 per Month No $0 Yes No No Yes No No 248
Molina Healthcare of South Carolina Molina Dual Options (Medicare-Medicaid Plan)
H2533-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes $1,500 Yes No No Yes No 241
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 213
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 208
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 184
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 177
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 168
FIRST CHOICE VIP CARE PLUS First Choice VIP Care Plus (Medicare-Medicaid Plan)
H8213-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes $1,500 No No No No No 152
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H4847-004-0 		HMO $150 per Month Yes $0 Yes $3,000 No No Yes Yes No 152
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 135
Aetna Medicare Aetna Medicare Prime Plan (HMO-POS)
H3146-014-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 133
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 129
Wellcare Prime by Absolute Total Care Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)
H1723-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes $1,250 No No No No No 129
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-026-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 115
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2577-005-0 		Local PPO No $0 Yes Yes No Yes Yes No 103
Molina Healthcare of South Carolina Molina Medicare Complete Care (HMO D-SNP)
H8176-001-0 		HMO $0 per Month No $0 Yes Yes No No No No 91
Wellcare Wellcare No Premium (HMO)
H4847-001-0 		HMO No $0 Yes $1,500 No No Yes Yes No 90
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H8748-019-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 86
Wellcare Wellcare Assist (HMO)
H4847-005-0 		HMO $30 per Month Yes $0 Yes $1,500 No No Yes Yes No 78
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-251-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 72
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-279-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 54
Prisma Health SeniorCare PACE-Midlands Prisma Health PACE-Midlands - Dual Eligible (PACE)
H4203-001-0 		National PACE No $0 No 51
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 50
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 46
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-011-0 		HMO $105 per Quarter No $420 Yes $4,000 No No Yes No No 45
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 37
Wellcare Wellcare Patriot Giveback (HMO-POS)
H4847-006-0 		HMOPOS No $0 Yes $2,000 No No Yes Yes No 36
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 31
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 30
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 29
Wellcare Wellcare Assist Open (PPO)
H7326-007-0 		Local PPO $55 per Month Yes $0 Yes $700 No No Yes Yes No 27
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 25
Molina Healthcare of South Carolina Molina Medicare Choice Care (HMO)
H8176-003-0 		HMO $85 per Quarter No $340 Yes Yes No No No No 24
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-373-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 22
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H6345-002-0 		HMO $85 per Month No $0 Yes $2,500 No No No No No 20
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 15
NHC Advantage NHC Advantage (HMO I-SNP)
H4172-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 15
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H7326-006-0 		Local PPO $150 per Month Yes $0 Yes $3,000 No No Yes Yes No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 12
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