Medicare Advantage Plans for Prince William County, Virginia

  • 58 Total Plans
  • 56,532 Seniors Eligible for Medicare
  • 17,778 Seniors on Medicare Advantage (31%)
  • 11 plans with 2,285 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 22 plans with 8,771 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 20% 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
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)
H2172-009-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 1,901
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-089-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,534
Kaiser Permanente Kaiser Permanente Medicare Advantage Value VA (HMO-POS)
H2172-010-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 1,533
Humana Humana Gold Plus H5619-047 (HMO)
H5619-047-0 		HMO No $0 Yes No No Yes No No 1,185
Kaiser Permanente Kaiser Permanente Medicare Advantage for Groups (HMO)
H2172-801-0 		HMO No $0 No 869
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-014-0 		HMO $120 per Quarter Yes $480 Yes $2,000 No No Yes Yes No 859
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-009-0 		Local PPO No $0 Yes Yes No Yes Yes No 828
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 799
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed w/Part D (HMO)
H2172-803-0 		HMO No $0 No 761
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 744
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 725
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-344-0 		Local PPO $90 per Quarter No $360 Yes $3,000 No No Yes No No 721
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-143-0 		HMOPOS $135 per Quarter No $540 Yes $3,000 No No Yes No No 451
Kaiser Permanente Kaiser Permanente Medicare Advantage High VA (HMO-POS)
H2172-008-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 373
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 314
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 314
Humana HumanaChoice H5216-027 (PPO)
H5216-027-0 		Local PPO No $0 Yes No No Yes No No 274
UnitedHealthcare UnitedHealthcare Dual Complete ONE Plus (HMO-POS D-SNP)
H7464-007-0 		HMOPOS $309 per Month No $0 Yes $3,600 Yes No Yes Yes No 224
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 215
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 175
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-027-0 		Local PPO No $0 Yes $1,000 No No Yes No No 154
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 154
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 149
Sentara Medicare Optima Medicare Value (HMO)
H2563-008-0 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 142
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 135
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 132
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 132
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-120-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 125
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 114
Anthem HealthKeepers Anthem Diabetes and Heart Care (HMO C-SNP)
H3447-037-0 		HMO $50 per Quarter Yes $200 Yes $2,000 Yes No Yes Yes No 109
Humana HumanaChoice H5216-308 (PPO)
H5216-308-0 		Local PPO No $0 Yes No No Yes No No 105
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-032-0 		Local PPO $380 per Quarter Yes $1,520 Yes $3,600 Yes No Yes Yes No 96
Aetna Medicare Aetna Medicare Prime Plan (HMO-POS)
H3931-096-0 		HMOPOS $105 per Quarter No $420 Yes $1,000 No No Yes No No 91
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 86
Cigna Cigna True Choice Core Medicare (PPO)
H7849-804-0 		Local PPO No $0 No 84
UnitedHealthcare UnitedHealthcare Dual Complete Balance (HMO-POS D-SNP)
H7464-006-0 		HMOPOS $120 per Month No $0 Yes $3,600 Yes No Yes Yes No 78
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2577-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 76
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 71
Kaiser Permanente Kaiser Permanente Medicare Advantage Liberty (HMO)
H2172-005-0 		HMO $30 per Quarter No $120 Yes $2,000 No No No Yes Yes 67
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 67
Humana Humana Gold Plus H6622-074 (HMO)
H6622-074-2 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 56
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 50
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 47
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 47
Sentara Medicare Optima Community Complete (HMO D-SNP)
H2563-004-0 		HMO $500 per Quarter No $2,000 Yes $2,000 No No Yes No No 45
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-006-0 		Local PPO $244 per Month No $0 Yes $3,600 Yes No Yes Yes No 42
Humana HumanaChoice H5216-152 (PPO)
H5216-152-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 41
Aetna Better Health of Virginia Aetna Medicare Assure Premier (HMO D-SNP)
H1610-002-0 		HMO $300 per Month No $0 Yes $5,000 No No Yes No No 36
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 36
Aetna Better Health of Virginia Aetna Medicare Assure Value (HMO D-SNP)
H1610-003-0 		HMO $240 per Month No $0 Yes $5,000 No No Yes No No 32
Molina Healthcare of Virginia Molina Medicare Complete Care (HMO D-SNP)
H7559-001-0 		HMO $355 per Quarter Yes $1,420 Yes Yes No No No No 24
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 21
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
H7464-005-0 		HMOPOS $359 per Month No $0 Yes $3,600 Yes No Yes Yes No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 21
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 16
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 11
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