Medicare Advantage Plans for Clay County, South Dakota

  • 13 Total Plans
  • 2,208 Seniors Eligible for Medicare
  • 614 Seniors on Medicare Advantage (28%)
  • 1 plans with 11 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 12 plans with 537 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 25% 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 Dakota Enrollees
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-007-0
Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 127
Medica Medica Prime Solution Core (Cost)
H2450-034-0
1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 110
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-001-0
Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 71
Medica Medica Prime Solution Premier (Cost)
H2450-036-0
1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 53
Medica Medica Prime Solution Standard (Cost)
H2450-044-0
1876 Cost $25 per Quarter No $100 No 48
Humana HumanaChoice H5216-273 (PPO)
H5216-273-0
Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 27
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-037-0
Local PPO $112 per Month No $0 Yes $3,600 Yes No Yes Yes No 27
Wellmark Advantage Health Plan Blue Medicare Advantage Enhanced PPO (PPO)
H5900-004-0
Local PPO $100 per Quarter No $400 Yes $2,500 No No No No No 23
Humana HumanaChoice H5216-088 (PPO)
H5216-088-0
Local PPO $25 per Quarter No $100 Yes No No Yes No No 16
Medica Medica Prime Solution Core w/Rx (Cost)
H2450-035-0
1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 13
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-043-0
Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 11
Humana HumanaChoice H5216-103 (PPO)
H5216-103-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 11
Humana Humana Value Plus H5216-171 (PPO)
H5216-171-0
Local PPO $75 per Quarter Yes $300 Yes $1,000 Yes No Yes No No 11
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