Medicare Advantage Plans for Rutherford County, Tennessee

  • 71 Total Plans
  • 47,184 Seniors Eligible for Medicare
  • 22,657 Seniors on Medicare Advantage (48%)
  • 7 plans with 1,506 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 38 plans with 17,595 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 40% 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? Tennessee Enrollees
BlueCross BlueShield of Tennessee BlueAdvantage Garnet (PPO)
H7917-032-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 4,840
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-049-5 		HMO $75 per Quarter No $300 Yes No No Yes No No 2,670
Humana Humana Gold Plus H4461-029 (HMO)
H4461-029-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 2,304
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H0251-002-0 		HMOPOS $248 per Month No $0 Yes $3,600 Yes No Yes Yes No 1,452
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-083-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,070
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2577-007-0 		Local PPO No $0 Yes Yes No Yes Yes No 937
Wellpoint Amerivantage Classic Plus (HMO-POS)
H5828-005-0 		HMOPOS $168 per Quarter Yes $672 Yes $3,000 No No Yes Yes No 886
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-321-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 662
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-141-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 604
Wellpoint Amerivantage Dual Premier (HMO D-SNP)
H5828-002-0 		HMO $180 per Month No $0 Yes $3,000 Yes No Yes Yes No 592
BlueCare Plus Tennessee BlueCare Plus (HMO D-SNP)
H3259-001-0 		HMO No $0 Yes No No No No No 384
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-010-0 		Local PPO $105 per Quarter No $420 Yes $2,000 No No No No No 377
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-084-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 290
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-013-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 283
Cigna Healthcare Cigna Premier Medicare (HMO-POS)
H4513-036-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 282
Humana HumanaChoice H5216-274 (PPO)
H5216-274-0 		Local PPO No $0 Yes No No Yes No No 282
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 267
Wellcare Wellcare No Premium (HMO-POS)
H1416-077-0 		HMOPOS $59 per Month Yes $0 Yes $2,000 No No Yes Yes No 256
Ascension Complete Ascension Complete Saint Thomas Secure (HMO)
H2853-002-0 		HMO $102 per Quarter No $408 Yes $1,500 No No Yes Yes Yes 221
Wellpoint Amerivantage Balance Plus (HMO)
H5828-008-0 		HMO $230 per Quarter Yes $920 Yes $3,000 Yes No Yes Yes No 195
Humana Humana Honor (HMO)
H4461-004-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 191
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 184
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 182
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 176
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-033-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 161
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 152
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-035-0 		HMO $141 per Month Yes $0 Yes $3,000 No No Yes Yes No 146
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-021-0 		HMO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes Yes No 139
Wellcare Wellcare Giveback (HMO)
H1416-080-0 		HMO $57 per Quarter No $228 Yes $1,000 No No Yes Yes Yes 135
Wellcare Wellcare Assist (HMO)
H1416-042-0 		HMO $50 per Month Yes $0 Yes $3,000 No No Yes Yes No 127
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 124
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-009-0 		Local PPO $165 per Quarter No $660 Yes No No Yes No No 123
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-113-0 		HMOPOS $125 per Quarter No $500 Yes Yes No Yes Yes No 116
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H4513-034-0 		HMO $225 per Quarter No $900 Yes No No Yes No No 107
Humana Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)
H4461-022-0 		HMO $60 per Month Yes $0 Yes No No Yes No No 105
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 93
Humana HumanaChoice H5216-097 (PPO)
H5216-097-0 		Local PPO No $0 Yes No No Yes No No 89
Ascension Complete Ascension Complete Saint Thomas Reward (HMO)
H2853-001-0 		HMO $93 per Quarter No $372 Yes $700 No No Yes Yes Yes 86
Wellpoint Amerivantage Classic (HMO)
H2593-022-0 		HMO $45 per Quarter Yes $180 Yes $2,000 No No Yes Yes No 81
Ascension Complete Ascension Complete Saint Thomas Access Plus (PPO)
H8121-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 73
Humana Humana Gold Plus H4461-039 (HMO)
H4461-039-0 		HMO No $0 Yes No No Yes No No 72
Humana Humana Honor (PPO)
H5216-235-0 		Local PPO No $0 Yes No No Yes No No 69
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 62
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-012-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 59
Ascension Complete Ascension Complete Saint Thomas Access (PPO)
H8121-002-0 		Local PPO $78 per Quarter No $312 Yes $700 No No Yes Yes No 50
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-035-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 50
Cigna Cigna True Choice Medicare (PPO)
H7849-801-0 		Local PPO No $0 No 50
NHC Advantage NHC Advantage (HMO I-SNP)
H4172-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 48
Humana Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)
H4461-038-0 		HMO $2,340 per Month No $0 Yes No No Yes No No 47
Devoted Health Devoted CORE Tennessee (HMO)
H7605-007-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 35
Wellcare Wellcare No Premium Open (PPO)
H9428-001-0 		Local PPO $43 per Month Yes $0 Yes $1,000 No No Yes Yes No 35
Wellcare Wellcare Giveback Open (PPO)
H9428-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 32
Devoted Health Devoted GIVEBACK Tennessee (HMO)
H7605-008-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 30
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-004-0 		Local PPO $255 per Quarter Yes $1,020 Yes $2,000 Yes No Yes Yes No 28
Cigna Healthcare Cigna Primary Medicare (HMO)
H4513-070-0 		HMO $200 per Quarter No $800 Yes $1,400 No No No No No 27
Humana HumanaChoice R7315-001 (Regional PPO)
R7315-001-0 		Regional PPO $100 per Month No $0 Yes No No Yes No No 26
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-815-0 		HMO No $0 No 25
Humana HumanaChoice H5216-180 (PPO)
H5216-180-0 		Local PPO No $0 Yes No No Yes No No 24
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 23
BlueCross BlueShield of Tennessee BlueAdvantage Freedom (PPO)
H7917-039-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 22
Devoted Health Devoted CHOICE Tennessee (PPO)
H9231-001-0 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 21
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 20
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 20
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
H0251-004-0 		HMOPOS $309 per Month No $0 Yes $3,600 Yes No Yes Yes No 20
Wellcare Wellcare Patriot Giveback (HMO-POS)
H1416-061-0 		HMOPOS No $0 Yes $3,000 No No Yes Yes No 17
Humana HumanaChoice R7315-002 (Regional PPO)
R7315-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes Yes No 15
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-355-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 14
American Health Advantage of Tennessee American Health Advantage of Tennessee (HMO I-SNP)
H7779-001-0 		HMO No $0 Yes $1,000 No No Yes No No 12
BlueCross BlueShield of Tennessee BlueAdvantage Plus (PPO)
H7917-801-0 		Local PPO No $0 No 12
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 11
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