Medicare Advantage Plans for South Carolina

922,803 Total Medicare Advantage Enrollees

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 Value Plan (PPO)
H5521-251-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 1,625
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 1,491
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 1,488
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,487
Humana HumanaChoice H5216-142 (PPO)
H5216-142-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 1,446
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 1,270
Humana Humana Gold Plus H5619-083 (HMO)
H5619-083-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 1,241
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 1,129
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 1,108
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 1,104
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 900
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 890
Wellcare Wellcare No Premium Value (HMO)
H1416-056-0 		HMO $69 per Quarter No $276 Yes $700 No No Yes Yes No 870
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 859
Blue Cross Blue Shield of South Carolina BlueCross Total Value (PPO)
H8003-004-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 839
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 832
Devoted Health Devoted CHOICE GIVEBACK Upstate (PPO)
H7028-002-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 737
Clover Health Clover Health LiveHealthy (PPO)
H5141-036-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 652
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H7020-006-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 610
Blue Cross Blue Shield of South Carolina BlueCross Total Value (PPO)
H8003-006-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 591
Wellcare Wellcare Patriot Giveback (HMO-POS)
H4847-006-0 		HMOPOS No $0 Yes $2,000 No No Yes Yes No 582
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 571
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 515
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 511
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 499
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 471
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-037-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 449
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H6345-002-0 		HMO $85 per Month No $0 Yes $2,500 No No No No No 389
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 359
Devoted Health Devoted CHOICE Upstate (PPO)
H7028-001-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 347
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-053-0 		Local PPO $325 per Quarter Yes $1,300 Yes $3,600 Yes No Yes Yes No 328
Wellcare Wellcare Assist Open (PPO)
H7326-007-0 		Local PPO $55 per Month Yes $0 Yes $700 No No Yes Yes No 321
Prisma Health SeniorCare PACE-Midlands Prisma Health PACE-Midlands - Dual Eligible (PACE)
H4203-001-0 		National PACE No $0 No 278
Devoted Health Devoted CORE Upstate (HMO)
H3041-001-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 259
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-018-0 		Local PPO No $0 Yes No No Yes No No 238
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7020-008-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 206
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H5619-087-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 195
NHC Advantage NHC Advantage (HMO I-SNP)
H4172-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 182
UnitedHealthcare UnitedHealthcare Dual Complete Select (PPO D-SNP)
H0271-056-0 		Local PPO $96 per Month No $0 Yes $1,100 Yes No Yes Yes No 181
Wellcare Wellcare No Premium Value (HMO)
H1416-057-0 		HMO $92 per Quarter No $368 Yes $700 No No Yes Yes No 181
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 180
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 170
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-016-0 		HMO $185 per Month Yes $0 Yes $4,000 No No Yes No No 154
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-045-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 151
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 130
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-017-0 		HMO $135 per Month Yes $0 Yes $4,000 No No Yes No No 115
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1416-059-0 		HMOPOS $75 per Month Yes $0 Yes $2,000 No No Yes Yes No 110
Humana HumanaChoice H5525-024 (PPO)
H5525-024-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 105
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 93
Prisma Health SeniorCare PACE-Upstate Prisma Health PACE-Upstate - Dual Eligible (PACE)
H4053-001-0 		National PACE No $0 No 78

Top 20 Medicare Advantage Insurance Companyes for South Carolina

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Humana 182,040 150,565 299,656
UnitedHealthcare 163,795 141,154 190,734
Aetna Medicare 62,395 79,715 79,715
Wellcare 35,939 15,639 30,373
Blue Cross Blue Shield of South Carolina 18,952 21,333 21,333
Cigna Healthcare 5,851 5,308 5,575
Molina Healthcare of South Carolina 5,762 5,905 5,905
FIRST CHOICE VIP CARE PLUS 5,100 4,560 4,560
Wellcare Prime by Absolute Total Care 3,848 3,303 3,303
Anthem Blue Cross and Blue Shield 1,488 0 0
Devoted Health 1,343 1,871 1,871
Blue Cross Blue Shield of Michigan 1,152 0 0
Clover Health 1,101 1,020 1,020
Highmark Blue Cross Blue Shield or Highmark Blue Shield 573 0 0
PruittHealth Premier 389 455 455
Prisma Health SeniorCare PACE-Midlands 290 0 0
NHC Advantage 182 1,190 1,190
Prisma Health SeniorCare PACE-Upstate 78 0 0
Blue Medicare Advantage 77 0 0
Orangeburg Senior Helping Center: A PACE Healthcare Program 70 0 0

Counties in South Carolina

County Medicare Advantage Enrolless
Abbeville 5,281
Aiken 33,082
Allendale 1,628
Anderson 39,015
Bamberg 2,838
Barnwell 3,965
Beaufort 46,029
Berkeley 28,359
Calhoun 2,985
Charleston 58,327
Cherokee 10,734
Chester 6,409
Chesterfield 8,198
Clarendon 7,389
Colleton 7,660
Darlington 12,841
Dillon 5,511
Dorchester 20,146
Edgefield 4,737
Fairfield 4,659
Florence 24,516
Georgetown 18,048
Greenville 88,234
Greenwood 13,265
Hampton 3,435
Horry 94,620
Jasper 6,532
Kershaw 12,133
Lancaster 20,767
Laurens 13,944
Lee 3,464
Lexington 46,679
Marion 6,506
Marlboro 5,181
McCormick 3,296
Newberry 7,531
Oconee 18,857
Orangeburg 17,287
Pickens 22,840
Richland 52,729
Saluda 3,478
Spartanburg 57,752
Sumter 16,471
Union 6,008
Williamsburg 7,105
York 42,332
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