Medicare Advantage Plans for Virginia

1,123,784 Total Medicare Advantage Enrollees

Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Virginia Enrollees
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 35,537
Humana Humana Gold Plus H6622-005 (HMO)
H6622-005-0 		HMO $100 per Quarter No $400 Yes No Yes No No 27,788
Humana Humana Gold Plus H6622-004 (HMO)
H6622-004-0 		HMO $100 per Quarter No $400 Yes No Yes No No 25,637
Anthem HealthKeepers Anthem MediBlue Full Dual Advantage (HMO D-SNP)
H3447-011-0 		HMO $400 per Quarter Yes $1,600 Yes $3,000 No Yes Yes No 21,978
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-111-2 		HMOPOS $50 per Quarter No $200 Yes No Yes Yes No 20,171
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 17,146
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4909-014-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 No Yes Yes No 16,977
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H7464-001-0 		HMOPOS $250 per Month No $3,000 Yes $3,600 No Yes Yes No 13,950
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-047-0 		HMOPOS $110 per Quarter No $440 Yes No Yes Yes No 13,669
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-112-2 		HMOPOS $80 per Quarter No $320 Yes No Yes Yes No 13,174
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 12,172
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-089-0 		HMOPOS $50 per Quarter No $200 Yes No Yes Yes No 11,317
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)
H2172-009-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No Yes Yes 10,730
Anthem HealthKeepers Anthem MediBlue + Kroger (HMO)
H3447-039-0 		HMO $200 per Quarter Yes $800 Yes $2,000 No Yes Yes No 10,326
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-013-0 		HMO $170 per Quarter Yes $680 Yes $3,000 No Yes Yes No 9,901
Optima Medicare Optima Medicare Value (HMO)
H2563-017-2 		HMO $125 per Quarter No $500 Yes $2,000 No No No No 9,404
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-014-0 		Local PPO $40 per Quarter No $160 Yes No Yes Yes No 8,038
Kaiser Permanente Kaiser Permanente Medicare Advantage Value VA (HMO-POS)
H2172-010-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No Yes Yes 7,843
Anthem HealthKeepers Anthem MediBlue Essential (HMO)
H3447-025-0 		HMO $42 per Quarter Yes $168 Yes $2,000 No Yes Yes No 7,498
Humana Humana Gold Plus H6622-074 (HMO)
H6622-074-2 		HMO $300 per Quarter No $1,200 Yes No Yes No No 7,336
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H5253-087-0 		HMOPOS $100 per Quarter No $400 Yes No Yes Yes No 6,564
Aetna Better Health of Virginia Aetna Better Health of Virginia (HMO D-SNP)
H1610-001-0 		HMO $750 per Quarter No $3,000 Yes $5,000 No Yes No No 6,523
Virginia Premier Virginia Premier Advantage Elite (HMO D-SNP)
H9877-001-0 		HMO $350 per Quarter No $1,400 Yes $2,000 No Yes No No 6,478
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No Yes No No 6,320
Humana Humana Gold Plus H5619-135 (HMO)
H5619-135-0 		HMO $50 per Quarter No $200 Yes No Yes No No 6,033
UnitedHealthcare UnitedHealthcare Dual Complete ONE Plus (HMO-POS D-SNP)
H7464-007-0 		HMOPOS $300 per Month No $3,600 Yes $3,600 No Yes Yes No 6,033
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 6,004
Humana Humana Gold Plus H5619-095 (HMO)
H5619-095-0 		HMO $100 per Quarter Yes $400 Yes No Yes No No 5,636
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 5,632
Humana Humana Gold Plus H5619-091 (HMO)
H5619-091-0 		HMO $150 per Quarter Yes $600 Yes No Yes No No 5,522
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-344-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No Yes No No 5,468
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-099-0 		HMOPOS $210 per Quarter No $840 Yes $4,000 No Yes No No 5,431
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-009-0 		Local PPO No $0 Yes No Yes Yes No 5,407
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 5,218
Anthem HealthKeepers Anthem MediBlue Dual Advantage (HMO D-SNP)
H3447-030-0 		HMO $450 per Quarter Yes $1,800 Yes $3,000 No Yes Yes No 5,138
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-048-0 		HMOPOS $110 per Quarter No $440 Yes No Yes Yes No 5,015
Humana HumanaChoice H5216-144 (PPO)
H5216-144-0 		Local PPO $25 per Quarter No $100 Yes No Yes No No 4,930
Kaiser Permanente Kaiser Permanente Medicare Advantage for Groups (HMO)
H2172-801-0 		HMO No $0 No 4,850
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 4,741
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-101-0 		HMOPOS $150 per Quarter No $600 Yes $1,000 No Yes No No 4,716
Humana Humana Gold Plus H5619-047 (HMO)
H5619-047-0 		HMO $100 per Quarter No $400 Yes No Yes No No 4,624
Humana Humana Gold Plus H5619-090 (HMO)
H5619-090-0 		HMO $200 per Quarter Yes $800 Yes No Yes No No 4,052
Optima Medicare Optima Community Complete (HMO D-SNP)
H2563-004-0 		HMO $400 per Quarter No $1,600 Yes $2,000 No Yes No No 4,010
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No Yes No No 3,825
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No Yes No No 3,675
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed w/Part D (HMO)
H2172-803-0 		HMO No $0 No 3,459
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-143-0 		HMOPOS $135 per Quarter No $540 Yes $2,000 No Yes No No 3,364
Optima Medicare Optima Medicare Value (HMO)
H2563-009-0 		HMO $110 per Quarter No $440 Yes $2,000 No No No No 3,339
Anthem HealthKeepers Anthem MediBlue Extra (HMO)
H3447-027-0 		HMO $75 per Quarter Yes $300 Yes $3,000 No Yes Yes No 3,280
Humana HumanaChoice H5216-308 (PPO)
H5216-308-0 		Local PPO No $0 Yes No Yes No No 3,178

Top 20 Medicare Advantage Insurance Companyes for Virginia

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Humana 172,798 178,683 193,537
UnitedHealthcare 148,283 191,893 207,073
Anthem HealthKeepers 66,966 63,653 67,717
Aetna Medicare 49,988 25,855 26,149
Kaiser Permanente 29,181 21,923 21,923
Anthem Blue Cross and Blue Shield 26,103 21,680 20,378
Optima Medicare 21,827 22,577 22,577
Aetna Better Health of Virginia 8,524 9,601 9,601
Virginia Premier 6,478 6,627 6,627
Mary Washington Medicare Advantage 3,411 2,928 2,928
Highmark Inc. 2,364 0 0
Cigna 600 158 158
Molina Healthcare of Virginia 563 1,058 1,058
LifeWorks Advantage 416 0 531
InnovAge Virginia PACE - Richmond and Peninsula 399 0 0
Blue Cross Blue Shield of Michigan 268 0 0
Centra PACE 228 0 0
InnovAge Virginia PACE- Roanoke Valley 211 0 0
Sentara PACE 192 0 0
InnovAge Virginia PACE - Blue Ridge 184 0 0

Counties in Virginia

County Medicare Advantage Enrolless
Accomack 7,056
Albemarle 17,748
Alexandria City 10,518
Alleghany 3,596
Amelia 2,442
Amherst 6,559
Appomattox 3,305
Arlington 13,875
Augusta 15,436
Bath 897
Bedford 17,262
Bland 1,307
Botetourt 7,280
Bristol City 3,599
Brunswick 3,230
Buchanan 6,071
Buckingham 2,921
Buena Vista City 1,032
Campbell 11,160
Caroline 4,309
Carroll 6,867
Charles City 1,442
Charlotte 2,450
Charlottesville City 4,738
Chesapeake City 26,072
Chesterfield 52,260
Clarke 2,417
Colonial Heights City 2,592
Covington City 1,077
Craig 989
Culpeper 7,422
Cumberland 1,758
Danville City 9,759
Dickenson 3,983
Dinwiddie 4,630
Emporia City 768
Essex 2,213
Fairfax 93,935
Fairfax City 2,391
Falls Church City 1,100
Fauquier 9,129
Floyd 3,309
Fluvanna 4,969
Franklin 13,008
Franklin City 1,636
Frederick 13,032
Fredericksburg City 2,699
Galax City 1,146
Giles 3,689
Gloucester 6,300
Goochland 5,521
Grayson 3,613
Greene 2,978
Greensville 1,794
Halifax 8,017
Hampton City 17,356
Hanover 19,409
Harrisonburg City 4,335
Henrico 50,006
Henry 12,505
Highland 550
Hopewell City 3,150
Isle of Wight 6,297
James City 15,292
King and Queen 1,297
King George 2,081
King William 2,949
Lancaster 3,181
Lee 5,177
Lexington City 815
Loudoun 28,576
Louisa 7,000
Lunenburg 2,378
Lynchburg City 12,038
Madison 2,549
Manassas City 3,170
Manassas Park City 794
Martinsville City 3,102
Mathews 2,115
Mecklenburg 7,526
Middlesex 2,762
Montgomery 11,679
Nelson 3,507
New Kent 3,820
Newport News City 20,531
Norfolk City 23,839
Northampton 2,991
Northumberland 3,419
Norton City 765
Nottoway 2,681
Orange 6,321
Page 4,703
Patrick 4,376
Petersburg City 5,194
Pittsylvania 15,029
Poquoson City 1,340
Portsmouth City 12,480
Powhatan 5,314
Prince Edward 3,654
Prince George 4,085
Prince William 31,932
Pulaski 7,378
Radford City 1,599
Rappahannock 1,318
Richmond 1,416
Richmond City 28,587
Roanoke 19,916
Roanoke City 17,177
Rockbridge 4,984
Rockingham 15,084
Russell 7,102
Salem City 4,652
Scott 5,691
Shenandoah 8,322
Smyth 6,885
Southampton 3,136
Spotsylvania 14,849
Stafford 10,522
Staunton City 4,896
Suffolk City 12,199
Surry 1,194
Sussex 1,826
Tazewell 10,038
Virginia Beach City 47,380
Warren 5,988
Washington 12,993
Waynesboro City 3,935
Westmoreland 3,429
Williamsburg City 1,989
Winchester City 3,900
Wise 8,355
Wythe 6,578
York 7,090
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