Medicare Advantage Plans for Ellis County, Texas

  • 50 Total Plans
  • 32,560 Seniors Eligible for Medicare
  • 15,720 Seniors on Medicare Advantage (48%)
  • 4 plans with 293 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 11,462 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 36% 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? Texas Enrollees
Humana Humana Gold Plus H0028-043 (HMO)
H0028-043-2 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 2,995
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H4590-043-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes Yes No 2,332
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
H4590-012-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 2,285
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,494
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 795
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-013-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 721
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H4590-020-0 		HMOPOS $150 per Month No $1,800 Yes $3,600 No No Yes Yes No 648
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 313
UnitedHealthcare UnitedHealthcare Medicare Advantage Ally (HMO-POS C-SNP)
H4590-044-0 		HMOPOS $35 per Month No $420 Yes No No Yes Yes No 275
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)
H4590-041-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 270
Humana Humana Gold Plus H0028-059 (HMO)
H0028-059-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 247
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H3288-008-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 213
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 199
Baylor Scott & White Health Plan BSW SeniorCare Advantage Select Rx (HMO)
H8142-007-0 		HMO $75 per Quarter No $300 Yes $1,000 Yes No No No No 197
Humana HumanaChoice H5216-352 (PPO)
H5216-352-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 194
Humana Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)
H0028-032-0 		HMO $1,020 per Month No $0 Yes $2,500 Yes No Yes No No 192
Humana HumanaChoice H5216-358 (PPO)
H5216-358-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 162
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 154
Baylor Scott & White Health Plan BSW SeniorCare Advantage (PPO)
H2032-001-0 		Local PPO $50 per Quarter No $200 Yes $1,000 Yes No No No No 150
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-802-0 		Local PPO No $0 No 140
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 133
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 123
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 119
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 106
UnitedHealthcare UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP)
R6801-011-0 		Regional PPO $60 per Month No $0 Yes $2,000 Yes No Yes Yes No 99
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4590-027-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 91
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 76
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 74
Humana HumanaChoice H5216-042 (PPO)
H5216-042-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 61
Aetna Medicare Aetna Medicare Dual Complete Plan (HMO D-SNP)
H8597-002-0 		HMO $150 per Month No $0 Yes $4,000 No No Yes No No 57
Blue Cross and Blue Shield of NM, TX Blue Cross Group Medicare Advantage Plan (PPO)
H1666-801-0 		Local PPO No $0 No 54
Humana Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)
H0028-031-0 		HMO $600 per Month No $0 Yes No No Yes No No 54
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 49
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 42
Aetna Medicare Aetna Medicare Freedom Preferred Plan (PPO)
H2293-014-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 39
American Health Advantage of Texas American Health Advantage of Texas (HMO I-SNP)
H6891-001-0 		HMO No $0 Yes $1,000 No No Yes No No 29
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R6801-008-0 		Regional PPO $220 per Quarter Yes $880 Yes $2,000 Yes No Yes Yes No 27
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 25
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 23
Molina Healthcare of Texas Molina Dual Options (Medicare-Medicaid Plan)
H8197-002-2 		Medicare-Medicaid Plan HMO $120 per Quarter No $480 Yes Yes No No No No 22
Blue Cross and Blue Shield of Texas Blue Cross Medicare Advantage Value (HMO)
H9706-001-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 20
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 20
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Classic (PPO)
H4801-009-0 		Local PPO No $0 Yes $1,000 No No No No No 18
Molina Healthcare of Texas, Inc. Molina Medicare Complete Care (HMO D-SNP)
H7678-001-0 		HMO $75 per Quarter No $300 Yes Yes No No No No 16
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Flex (PPO)
H4801-014-0 		Local PPO No $0 Yes No No Yes No No 15
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 14
Superior HealthPlan Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan)
H6870-001-0 		Medicare-Medicaid Plan HMO $35 per Month No $0 Yes No No No No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 13
Wellpoint STAR+PLUS MMP Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan)
H8786-001-0 		Medicare-Medicaid Plan HMO $51 per Quarter Yes $204 Yes $2,000 No No No Yes Yes 11
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