Medicare Advantage Plans for Smith County, Texas

  • 50 Total Plans
  • 48,933 Seniors Eligible for Medicare
  • 22,335 Seniors on Medicare Advantage (46%)
  • 2 plans with 377 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 31 plans with 14,853 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 31% 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 AARP Medicare Advantage (HMO-POS)
H4590-042-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 3,908
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 2,989
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 1,901
Humana Humana Gold Plus H0028-041 (HMO)
H0028-041-0 		HMO $90 per Quarter No $360 Yes No No Yes No No 1,763
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 1,377
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 1,317
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-026-0 		HMO $115 per Quarter No $460 Yes No No Yes No No 1,211
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 717
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 693
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 622
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 450
Humana HumanaChoice H5216-358 (PPO)
H5216-358-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 409
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 381
Humana HumanaChoice H5216-352 (PPO)
H5216-352-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 376
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-066-0 		HMO $35 per Quarter No $140 Yes $1,500 No No No No No 342
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 313
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 308
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H4513-027-0 		HMO $270 per Quarter No $1,080 Yes No No Yes No No 306
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 299
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-040-0 		Local PPO $30 per Quarter No $120 Yes $1,400 No No No No No 265
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 218
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 210
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 181
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 144
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 133
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 124
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 123
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 111
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 86
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 78
Humana HumanaChoice H5216-042 (PPO)
H5216-042-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 75
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 63
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 56
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 51
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 48
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 45
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 45
CHRISTUS Health Advantage CHRISTUS Health Plan Guardian (HMO)
H1189-008-0 		HMO $100 per Quarter No $400 Yes $2,000 No No No No No 41
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 38
Blue Cross and Blue Shield of NM, TX Blue Cross Group Medicare Advantage Plan (PPO)
H1666-801-0 		Local PPO No $0 No 35
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H4514-019-0 		HMOPOS $50 per Month No $0 Yes $1,100 Yes No Yes Yes No 32
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 31
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-802-0 		Local PPO No $0 No 28
Wellcare by Allwell Wellcare Complement Assist (HMO)
H5294-016-0 		HMO $48 per Month Yes $0 Yes $1,500 No No Yes Yes No 28
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 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 23
Lasso Healthcare Lasso Healthcare Growth (MSA)
H1924-001-0 		MSA No $0 No 20
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 16
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 15
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 13
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