Medicare Advantage Plans for Shelby County, Tennessee

  • 76 Total Plans
  • 159,577 Seniors Eligible for Medicare
  • 68,545 Seniors on Medicare Advantage (43%)
  • 8 plans with 16,923 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 41,664 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 37% 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
Humana Humana Gold Plus H4461-025 (HMO)
H4461-025-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 12,100
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 9,242
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-049-5 		HMO $75 per Quarter No $300 Yes No No Yes No No 7,213
BlueCross BlueShield of Tennessee BlueAdvantage Garnet (PPO)
H7917-033-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 6,222
BlueCare Plus Tennessee BlueCare Plus (HMO D-SNP)
H3259-001-0 		HMO No $0 Yes No No No No No 2,886
Wellpoint Amerivantage Dual Premier (HMO D-SNP)
H5828-002-0 		HMO $180 per Month No $0 Yes $3,000 Yes No Yes Yes No 2,786
Wellpoint Amerivantage Classic Plus (HMO-POS)
H5828-005-0 		HMOPOS $168 per Quarter Yes $672 Yes $3,000 No No Yes Yes No 2,155
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-081-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,084
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2577-008-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,918
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-035-0 		HMO $141 per Month Yes $0 Yes $3,000 No No Yes Yes No 1,545
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H4513-034-0 		HMO $225 per Quarter No $900 Yes No No Yes No No 1,456
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,331
Wellcare Wellcare No Premium (HMO-POS)
H1416-076-0 		HMOPOS $175 per Quarter No $700 Yes $3,000 No No Yes Yes Yes 1,115
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-082-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 1,038
Wellcare Wellcare Assist (HMO)
H1416-042-0 		HMO $50 per Month Yes $0 Yes $3,000 No No Yes Yes No 1,029
Wellcare Wellcare Giveback (HMO)
H1416-079-0 		HMO No $0 Yes $1,000 No No Yes Yes No 1,005
Cigna Healthcare Cigna Primary Medicare (HMO)
H4513-053-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 822
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 805
Wellpoint Amerivantage Balance Plus (HMO)
H5828-008-0 		HMO $230 per Quarter Yes $920 Yes $3,000 Yes No Yes Yes No 787
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-154-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No No No No 763
Humana Humana Honor (HMO)
H4461-004-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 681
Humana HumanaChoice H5216-093 (PPO)
H5216-093-0 		Local PPO $25 per Quarter No $100 No 653
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 629
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-037-0 		Local PPO No $0 Yes No No Yes No No 469
Cigna Healthcare Cigna Premier Medicare (HMO-POS)
H4513-036-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 456
Cigna Cigna True Choice Medicare (PPO)
H7849-801-0 		Local PPO No $0 No 395
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 369
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-113-0 		HMOPOS $125 per Quarter No $500 Yes Yes No Yes Yes No 364
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 354
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-012-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 350
Humana HumanaChoice H5216-180 (PPO)
H5216-180-0 		Local PPO No $0 Yes No No Yes No No 316
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 302
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 287
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-815-0 		HMO No $0 No 282
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 241
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-033-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 234
Wellcare Wellcare No Premium Open (PPO)
H9428-001-0 		Local PPO $43 per Month Yes $0 Yes $1,000 No No Yes Yes No 216
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 213
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-068-3 		HMO $35 per Quarter No $140 Yes No No Yes No No 204
Wellpoint Amerivantage Classic (HMO)
H2593-022-0 		HMO $45 per Quarter Yes $180 Yes $2,000 No No Yes Yes No 198
Humana Humana Honor (PPO)
H5216-235-0 		Local PPO No $0 Yes No No Yes No No 193
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-013-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 185
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 185
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 169
Wellcare Wellcare Giveback Open (PPO)
H9428-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 157
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 154
Devoted Health Devoted GIVEBACK Tennessee (HMO)
H7605-005-0 		HMO $0 per Month No $0 Yes No No Yes No No 140
Devoted Health Devoted CORE Tennessee (HMO)
H7605-004-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 138
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-009-0 		Local PPO $165 per Quarter No $660 Yes No No Yes No No 135
BlueCare Plus Tennessee BlueCare Plus Choice (HMO D-SNP)
H3259-002-0 		HMO No $0 Yes No No No No No 116
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 107
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 92
BlueCross BlueShield of Tennessee BlueAdvantage Plus (PPO)
H7917-801-0 		Local PPO No $0 No 76
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-034-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 75
Humana HumanaChoice R7315-001 (Regional PPO)
R7315-001-0 		Regional PPO $100 per Month No $0 Yes No No Yes No No 69
BlueCare Plus Tennessee BlueCare Plus Select (HMO D-SNP)
H3259-003-0 		HMO No $0 Yes No No No No No 68
Wellcare Wellcare Patriot Giveback (HMO-POS)
H1416-061-0 		HMOPOS No $0 Yes $3,000 No No Yes Yes No 65
Aetna Medicare Aetna Medicare Part B Only Plan w/Rx (PPO)
H5521-806-0 		Local PPO No $0 No 57
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 56
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 50
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-010-0 		Local PPO $62 per Quarter Yes $248 Yes $3,000 No No Yes Yes No 49
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 48
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 37
Humana HumanaChoice R7315-002 (Regional PPO)
R7315-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes Yes No 33
Wellpoint Amerivantage Full Dual Coordination (HMO D-SNP)
H5828-001-0 		HMO $235 per Month No $0 Yes $3,000 Yes No Yes Yes No 33
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 28
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 20
Humana Humana Medicare Employer (Regional PPO)
R7315-801-0 		Regional PPO No $0 No 18
Amerigroup Insurance Company Amerivantage Courage (PPO)
H8343-011-0 		Local PPO $150 per Quarter Yes $600 Yes $3,000 No No Yes Yes No 17
BlueCross BlueShield of Tennessee BlueAdvantage Freedom (PPO)
H7917-039-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 16
Devoted Health Devoted RESTORE PLUS Tennessee - D (HMO C-SNP)
H7605-006-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 15
Humana Humana Gold Plus H1036-223 (HMO)
H1036-223-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 15
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 14
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 12
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