Medicare Advantage Plans for Fall River County, South Dakota
- 13 Total Plans
- 2,715 Seniors Eligible for Medicare
- 708 Seniors on Medicare Advantage (26%)
- 1 plans with 44 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 10 plans with 532 seniors have OTC benefits that partially cover MDHearing hearing aids
- 21% 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 |
| Humana |
HumanaChoice H5216-273 (PPO) H5216-273-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 143 | |
| Medica |
Medica Prime Solution Core (Cost) H2450-034-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 98 |
| Humana |
Humana Honor (PPO) H5216-278-3 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 58 | |
| Humana |
HumanaChoice H5216-088 (PPO) H5216-088-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 54 | |
| Medica |
Medica Prime Solution Premier (Cost) H2450-036-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 46 |
| 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 | 44 |
| Medica |
Medica Prime Solution Standard (Cost) H2450-044-0 |
1876 Cost | $25 per Quarter | No | $100 | No | 41 | ||||||
| Humana |
HumanaChoice H5216-103 (PPO) H5216-103-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 33 | |
| 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 | 30 |
| Humana |
Humana Gold Plus H0028-053 (HMO) H0028-053-4 |
HMO | No | $0 | Yes | No | No | Yes | No | No | 22 | ||
| 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 | 18 |
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 13 | |||||||
| Wellmark Advantage Health Plan |
Blue Medicare Advantage PPO (PPO) H5900-003-0 |
Local PPO | $85 per Quarter | No | $340 | Yes | $2,000 | No | No | No | No | No | 11 |
