Medicare Advantage Plans for Virginia

1,123,784 Total Medicare Advantage Enrollees

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
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 3,128
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 3,087
Sentara Medicare Optima Medicare Value (HMO)
H2563-016-0 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 2,884
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-014-0 		HMO $120 per Quarter Yes $480 Yes $2,000 No No Yes Yes No 2,828
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 2,694
Humana Humana Gold Plus H5377-002 (HMO-POS)
H5377-002-0 		HMOPOS No $0 Yes No No Yes No No 2,684
Humana Humana Gold Plus H5619-140 (HMO)
H5619-140-2 		HMO $15 per Quarter Yes $60 Yes No No Yes No No 2,598
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 2,489
Humana Humana Gold Plus H5619-139 (HMO)
H5619-139-2 		HMO No $0 Yes No No Yes No No 2,346
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 2,265
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H5253-088-0 		HMOPOS $120 per Quarter No $480 Yes Yes No Yes Yes No 2,263
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-011-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 2,232
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-098-0 		HMOPOS $105 per Quarter No $420 Yes $2,000 No No Yes No No 2,182
Mary Washington Medicare Advantage Mary Washington Medicare Advantage Complete (HMO)
H2825-001-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 2,180
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 2,036
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Access (PPO D-SNP)
H4909-018-0 		Local PPO $330 per Quarter Yes $1,320 Yes $3,000 Yes No Yes Yes No 1,999
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2577-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,989
Humana HumanaChoice H5216-027 (PPO)
H5216-027-0 		Local PPO No $0 Yes No No Yes No No 1,891
Anthem HealthKeepers Anthem MediBlue Local (HMO)
H3447-001-0 		HMO $100 per Quarter Yes $400 Yes $3,000 Yes No Yes Yes No 1,667
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 1,663
Humana HumanaChoice H5216-271 (PPO)
H5216-271-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 1,436
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-013-0 		Local PPO No $0 Yes Yes No Yes Yes No 1,423
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 1,389
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 1,385
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 1,325
Anthem HealthKeepers Anthem MediBlue Smart Fit (HMO)
H3447-005-0 		HMO No $0 Yes $3,000 Yes No Yes Yes No 1,294
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Flex 2 (PPO)
H1659-003-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,292
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-027-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,283
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H4909-026-0 		Local PPO $75 per Quarter Yes $300 No 1,273
Anthem HealthKeepers Anthem MediBlue Extra (HMO)
H3447-028-0 		HMO $135 per Quarter Yes $540 Yes $3,000 Yes No Yes Yes No 1,265
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-027-0 		Local PPO No $0 Yes $1,000 No No Yes No No 1,186
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,103
Humana HumanaChoice H5216-152 (PPO)
H5216-152-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,073
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-120-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,003
Anthem HealthKeepers Anthem MediBlue Diabetes and Heart Care (HMO C-SNP)
H3447-004-0 		HMO $150 per Quarter Yes $600 Yes $3,000 Yes No Yes Yes No 963
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 944
Sentara Medicare Optima Medicare Value (HMO)
H2563-008-0 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 938
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H5619-046-0 		HMO $15 per Month Yes $0 Yes No No Yes No No 824
Aetna Medicare Aetna Medicare UVA Health System Prime (HMO-POS)
H3931-124-0 		HMOPOS $105 per Quarter No $420 Yes $2,000 No No Yes No No 814
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 774
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (PPO)
H2577-020-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 737
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 736
Humana HumanaChoice H5216-100 (PPO)
H5216-100-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 733
Mary Washington Medicare Advantage Riverside Medicare Advantage Complete (HMO)
H2825-003-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 718
Sentara Medicare Optima Medicare Prime (HMO)
H2563-005-2 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 711
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 677
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 661
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 649
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 648
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Flex 1 (PPO)
H1659-002-0 		Local PPO $60 per Quarter No $240 Yes Yes No Yes Yes No 636

Top 20 Medicare Advantage Insurance Companyes for Virginia

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Humana 172,798 170,019 207,944
UnitedHealthcare 148,283 218,442 228,994
Anthem HealthKeepers 66,966 68,467 69,659
Aetna Medicare 49,988 25,035 26,132
Kaiser Permanente 29,181 23,051 23,051
Anthem Blue Cross and Blue Shield 26,103 4,642 19,305
Sentara Medicare 21,827 24,736 24,736
Aetna Better Health of Virginia 8,524 13,331 13,331
Virginia Premier 6,478 5,948 5,948
Mary Washington Medicare Advantage 3,411 2,812 2,812
Highmark Blue Cross Blue Shield or Highmark Blue Shield 2,340 0 0
Molina Healthcare of Virginia 563 1,384 1,384
Cigna 493 0 0
LifeWorks Advantage 416 402 402
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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