Medicare Advantage Plans for Middlesex County, Virginia
- 26 Total Plans
- 3,813 Seniors Eligible for Medicare
- 993 Seniors on Medicare Advantage (26%)
- 6 plans with 366 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 10 plans with 372 seniors have OTC benefits that partially cover MDHearing hearing aids
- 19% 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? | Virginia Enrollees |
| Anthem HealthKeepers |
Anthem MediBlue Plus (HMO) H3447-013-0 |
HMO | $170 per Quarter | Yes | $680 | Yes | $3,000 | Yes | No | Yes | Yes | No | 215 |
| Humana |
HumanaChoice H5216-266 (PPO) H5216-266-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 96 | |
| UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H2577-014-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 82 | |
| Sentara Medicare |
Optima Medicare Value (HMO) H2563-009-0 |
HMO | $110 per Quarter | No | $440 | Yes | $2,000 | No | No | Yes | No | No | 55 |
| Anthem HealthKeepers |
Anthem MediBlue Full Dual Advantage (HMO D-SNP) H3447-011-0 |
HMO | $400 per Quarter | Yes | $1,600 | Yes | $3,000 | Yes | No | Yes | Yes | No | 49 |
| Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4909-014-0 |
Local PPO | No | $0 | Yes | $1,000 | Yes | No | Yes | Yes | No | 47 | |
| Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 38 | |||||||
| Humana |
Humana Gold Plus H6622-074 (HMO) H6622-074-2 |
HMO | $300 per Quarter | No | $1,200 | Yes | No | No | Yes | No | No | 37 | |
| Anthem HealthKeepers |
Anthem MediBlue Extra (HMO) H3447-028-0 |
HMO | $135 per Quarter | Yes | $540 | Yes | $3,000 | Yes | No | Yes | Yes | No | 36 |
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 33 | |||||||
| Humana |
Humana Gold Choice H8145-004 (PFFS) H8145-004-0 |
PFFS | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 29 | |
| Aetna Medicare |
Aetna Medicare Select Plan (HMO-POS) H3931-100-0 |
HMOPOS | $210 per Quarter | No | $840 | Yes | $3,000 | No | No | Yes | No | No | 26 |
| UnitedHealthcare |
UnitedHealthcare Dual Complete (HMO-POS D-SNP) H7464-001-0 |
HMOPOS | $264 per Month | No | $0 | Yes | $3,600 | Yes | No | Yes | Yes | No | 24 |
| Humana |
HumanaChoice R1390-002 (Regional PPO) R1390-002-0 |
Regional PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 18 | |
| Aetna Better Health of Virginia |
Aetna Better Health of Virginia (HMO D-SNP) H1610-001-0 |
HMO | $375 per Month | No | $0 | Yes | $5,000 | No | No | Yes | No | No | 17 |
| Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 17 | |||||||
| Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 15 | |||||||
| Anthem HealthKeepers |
Anthem MediBlue Dual Advantage (HMO D-SNP) H3447-030-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 15 |
| Humana |
Humana Honor (Regional PPO) R1390-003-0 |
Regional PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 14 | |
| Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 14 | |||||||
| Aetna Medicare |
Aetna Medicare Essential Plan (PPO) H5521-084-0 |
Local PPO | $120 per Quarter | No | $480 | Yes | $5,000 | No | No | Yes | No | No | 13 |
| Humana |
HumanaChoice H5216-312 (PPO) H5216-312-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 13 | ||
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 13 | |||||||
| Humana |
Humana Honor (PPO) H5216-310-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 12 | ||
| UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 12 | |||||||
| Virginia Premier |
Virginia Premier Advantage Elite (HMO D-SNP) H9877-001-0 |
HMO | $350 per Quarter | No | $1,400 | Yes | $2,000 | No | No | Yes | No | No | 12 |