Medicare Advantage Plans for Hidalgo County, Texas

  • 69 Total Plans
  • 113,339 Seniors Eligible for Medicare
  • 80,718 Seniors on Medicare Advantage (71%)
  • 6 plans with 10,779 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 39 plans with 61,756 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 64% 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
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-061-5 		HMO $105 per Quarter No $420 Yes No No Yes No No 10,428
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H4513-060-5 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 9,690
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H4527-015-0 		HMOPOS $125 per Month No $0 Yes $2,000 Yes No Yes Yes No 9,687
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H4527-013-0 		HMOPOS $90 per Quarter No $360 Yes Yes No Yes Yes No 9,523
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 4,807
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 3,244
UnitedHealthcare UnitedHealthcare Chronic Complete (HMO-POS C-SNP)
H4527-042-0 		HMOPOS $50 per Month No $0 Yes Yes No Yes Yes No 2,892
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 2,808
Wellcare by Allwell Wellcare Dual Liberty Nurture (HMO D-SNP)
H5294-010-0 		HMO $165 per Month Yes $0 Yes $3,000 No No Yes Yes No 2,759
Prominence Health Plan Prominence Plus (HMO)
H7680-002-0 		HMO $120 per Quarter No $480 Yes $1,200 No No Yes No No 2,577
Wellcare by Allwell Wellcare No Premium (HMO)
H5294-011-0 		HMO $59 per Month Yes $0 Yes $1,500 No No Yes Yes No 2,547
Wellcare by Allwell Wellcare Dual Access Harmony (HMO D-SNP)
H5294-015-0 		HMO $119 per Month Yes $0 Yes $2,000 No No Yes Yes No 1,622
Humana Humana Gold Plus H0028-046 (HMO)
H0028-046-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,490
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H5322-026-0 		HMOPOS $73 per Month No $0 Yes $1,100 Yes No Yes Yes No 1,307
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H3288-009-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 1,134
Aetna Medicare Aetna Medicare Dual Complete Plan (HMO D-SNP)
H8597-001-0 		HMO $150 per Month No $0 Yes $2,500 No No Yes No No 1,021
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 1,014
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-066-0 		HMO $35 per Quarter No $140 Yes $1,500 No No No No No 936
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-010-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 874
Wellcare by Allwell Wellcare Giveback (HMO)
H5294-012-0 		HMO $96 per Quarter No $384 Yes $700 No No Yes Yes No 869
Aetna Medicare Aetna Medicare Freedom Plan (PPO)
H2293-017-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 684
Humana HumanaChoice H5216-350 (PPO)
H5216-350-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 665
Humana HumanaChoice H5216-360 (PPO)
H5216-360-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 648
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-009-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 642
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 564
Humana Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP)
H0028-045-0 		HMO $1,200 per Month No $0 Yes No No Yes No No 485
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 468
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 446
Prominence Health Plan Prominence Dual (HMO D-SNP)
H7680-007-0 		HMO $280 per Quarter No $1,120 Yes $3,000 No No Yes No No 421
Wellcare by Allwell Wellcare Complement Assist (HMO)
H5294-013-0 		HMO $65 per Month Yes $0 Yes $1,500 No No Yes Yes No 354
Texas Independence Health Plan Texas Independence Health Plan, Inc. (HMO I-SNP)
H5015-001-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 290
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-039-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 270
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 270
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 236
Humana Humana Gold Choice H8145-126 (PFFS)
H8145-126-0 		PFFS $75 per Quarter Yes $300 Yes Yes No Yes No No 220
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 197
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 183
Blue Cross and Blue Shield of Texas Blue Cross Medicare Advantage Basic (HMO)
H8133-005-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 146
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Value (HMO)
H8554-001-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 142
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 142
Humana Humana Gold Plus H0783-002 (HMO)
H0783-002-0 		HMO $150 per Quarter No $600 Yes No No Yes No No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 112
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H7323-005-0 		Local PPO $71 per Month Yes $0 Yes $2,000 No No Yes Yes No 103
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 102
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 102
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 99
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 96
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 88
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 84
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4527-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 74
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 70
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 64
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 58
Wellcare Wellcare No Premium Open (PPO)
H7323-007-0 		Local PPO $35 per Month Yes $0 Yes $1,000 No No Yes Yes No 57
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 54
Molina Healthcare of Texas, Inc. Molina Medicare Choice Care (HMO)
H7678-004-0 		HMO $110 per Quarter No $440 Yes Yes No No No No 44
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 43
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 34
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 32
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-010-0 		Local PPO No $0 Yes $1,000 No No No No No 26
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Classic (PPO)
H4801-006-0 		Local PPO No $0 Yes $1,000 No No No No No 26
Humana Humana Gold Choice H8145-084 (PFFS)
H8145-084-0 		PFFS No $0 Yes No No Yes No No 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 18
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 17
Wellcare by Allwell Wellcare Patriot No Premium (HMO)
H5294-014-0 		HMO $50 per Month Yes $0 Yes $1,500 No No Yes Yes No 14
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 11
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