Medicare Advantage Plans for Franklin County, Texas
- 18 Total Plans
- 2,618 Seniors Eligible for Medicare
- 996 Seniors on Medicare Advantage (38%)
- 1 plans with 12 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 10 plans with 319 seniors have OTC benefits that partially cover MDHearing hearing aids
- 13% 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 |
HumanaChoice H5216-043 (PPO) H5216-043-6 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 222 | ||
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 166 | |||||||
| UnitedHealthcare |
UnitedHealthcare Medicare Advantage Choice (Regional PPO) R6801-012-0 |
Regional PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 103 | ||
| Humana |
HumanaChoice H5216-352 (PPO) H5216-352-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 62 | |
| 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 | 46 |
| Blue Cross and Blue Shield of NM, TX |
Blue Cross Group Medicare Advantage Plan (PPO) H1666-801-0 |
Local PPO | No | $0 | No | 43 | |||||||
| UnitedHealthcare |
AARP Medicare Advantage (HMO-POS) H4514-017-0 |
HMOPOS | $75 per Quarter | No | $300 | Yes | Yes | No | Yes | Yes | No | 41 | |
| UnitedHealthcare |
UnitedHealthcare Medicare Gold (Regional PPO C-SNP) R6801-009-0 |
Regional PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 39 | |
| CHRISTUS Health Advantage |
CHRISTUS Health Plan Generations Plus (HMO) H1189-004-0 |
HMO | $150 per Quarter | No | $600 | Yes | $2,000 | No | No | No | No | No | 35 |
| UnitedHealthcare |
UnitedHealthcare Dual Complete (HMO-POS D-SNP) H5322-025-0 |
HMOPOS | $134 per Month | No | $0 | Yes | $2,000 | Yes | No | Yes | Yes | No | 30 |
| Wellpoint |
Amerivantage Classic Plus (HMO) H8849-008-6 |
HMO | $45 per Quarter | Yes | $180 | Yes | $3,000 | No | No | Yes | Yes | No | 22 |
| Humana |
Humana Honor (PPO) H5216-128-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 19 | |
| Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 18 | |||||||
| CHRISTUS Health Advantage |
CHRISTUS Health Plan Generations (HMO) H1189-003-0 |
HMO | $110 per Quarter | No | $440 | Yes | $2,000 | No | No | No | No | No | 13 |
| Humana |
HumanaChoice R4182-004 (Regional PPO) R4182-004-0 |
Regional PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 12 | |
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 12 | |||||||
| 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 | 12 |
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 11 | |||||||