Medicare Advantage Plans for Jefferson County, Texas

  • 73 Total Plans
  • 44,102 Seniors Eligible for Medicare
  • 25,428 Seniors on Medicare Advantage (58%)
  • 6 plans with 962 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 47 plans with 17,527 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 42% 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
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 3,238
Wellcare Wellcare TexanPlus Classic No Premium (HMO)
H4506-003-0 		HMO $33 per Month Yes $0 Yes $1,500 No No Yes Yes No 2,752
Humana Humana Gold Plus H0028-042 (HMO)
H0028-042-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 2,267
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H4514-013-3 		HMOPOS $135 per Month No $0 Yes $2,000 Yes No Yes Yes No 1,786
Wellcare Wellcare No Premium (HMO)
H0174-010-0 		HMO $55 per Month Yes $0 Yes $1,500 No No Yes Yes No 1,688
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H4527-037-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,645
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-061-5 		HMO $105 per Quarter No $420 Yes No No Yes No No 1,195
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,089
Humana HumanaChoice H0473-005 (PPO)
H0473-005-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 671
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 581
Wellcare Wellcare Giveback (HMO)
H0174-019-0 		HMO No $0 Yes $700 No No Yes Yes No 507
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H4513-060-5 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 445
Wellcare Wellcare Dual Access (HMO D-SNP)
H0174-004-0 		HMO $119 per Month Yes $0 Yes $2,000 No No Yes Yes No 357
Wellpoint Amerivantage Dual Coordination Plus (HMO D-SNP)
H8849-010-5 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 356
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0174-006-0 		HMO $144 per Month Yes $0 Yes $3,000 No No Yes Yes No 314
Humana Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)
H0028-033-0 		HMO $900 per Month No $0 Yes $2,500 Yes No Yes No No 301
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-014-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 299
Cigna Healthcare Cigna Alliance Medicare (HMO)
H4513-064-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 297
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-066-0 		HMO $35 per Quarter No $140 Yes $1,500 No No No No No 293
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 285
Aetna Medicare Aetna Medicare Premier Plan (HMO)
H4523-015-0 		HMO $90 per Quarter No $360 Yes $1,000 No No Yes No No 280
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 265
Wellcare Wellcare Assist (HMO)
H0174-009-0 		HMO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 257
Aetna Medicare Aetna Medicare Freedom Plan (PPO)
H2293-016-0 		Local PPO $165 per Quarter No $660 Yes $2,000 No No Yes No No 237
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 228
Devoted Health Devoted CORE Greater Houston (HMO)
H7993-001-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 224
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 216
Aetna Medicare Aetna Medicare Dual Complete Plan (HMO D-SNP)
H8597-003-0 		HMO $150 per Month No $0 Yes $5,000 No No Yes No No 214
Devoted Health Devoted PRIME Greater Houston (HMO)
H7993-002-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 212
Aetna Medicare Aetna Medicare Choice II Plan (PPO)
H3288-018-0 		Local PPO $120 per Quarter No $480 Yes $1,000 No No Yes No No 166
Wellcare Wellcare No Premium Open (PPO)
H7323-003-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes Yes No 166
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 150
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 146
Humana HumanaChoice H5216-042 (PPO)
H5216-042-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 145
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H3288-006-0 		Local PPO $165 per Quarter No $660 Yes $1,000 No No Yes No No 134
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 128
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H4514-007-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 106
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-009-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 94
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 88
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 83
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-032-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes Yes No 80
Humana Humana Gold Choice H8145-126 (PFFS)
H8145-126-0 		PFFS $75 per Quarter Yes $300 Yes Yes No Yes No No 77
Blue Cross and Blue Shield of Texas Blue Cross Medicare Advantage Basic (HMO)
H8133-001-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 75
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 73
Wellcare Wellcare TexanPlus Patriot Giveback (HMO)
H4506-010-0 		HMO No $0 Yes $1,500 No No Yes Yes No 69
Blue Cross and Blue Shield of NM, TX Blue Cross Group Medicare Advantage Plan (PPO)
H1666-801-0 		Local PPO No $0 No 66
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 65
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 59
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 59
Wellpoint Amerivantage Dual Secure Plus (HMO D-SNP)
H8849-011-5 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 55
Devoted Health Devoted GIVEBACK Greater Houston (HMO)
H7993-006-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 53
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 53
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 52
Wellpoint Amerivantage Classic (HMO)
H2593-029-0 		HMO No $0 No 44
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 43
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 42
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Premier (PPO)
H1666-003-0 		Local PPO No $0 Yes No No Yes No No 39
Wellcare Wellcare TexanPlus No Premium (HMO-POS)
H4506-029-0 		HMOPOS $71 per Quarter No $284 No 35
ProCare Advantage ProCare Advantage (HMO-POS I-SNP)
H3467-001-0 		HMOPOS $20 per Month No $0 No 33
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 31
Provider Partners Health Plans Provider Partners Texas Advantage Plan (HMO I-SNP)
H4054-001-0 		HMO $110 per Quarter No $440 Yes $1,000 No No No No No 31
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-006-0 		Local PPO No $0 Yes No No Yes No No 29
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Classic (PPO)
H4801-002-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 28
Aetna Medicare Aetna Medicare Select Plan (HMO)
H8332-003-0 		HMO $165 per Quarter No $660 Yes $2,500 No No Yes No No 24
Humana Humana Gold Choice H8145-084 (PFFS)
H8145-084-0 		PFFS No $0 Yes No No Yes No No 24
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-038-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 21
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 18
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4527-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 17
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 13
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 11
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 11
Wellpoint Amerivantage ESRD Care Plus (HMO C-SNP)
H2593-043-0 		HMO $90 per Quarter Yes $360 Yes $3,000 Yes No Yes Yes No 11
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