Medicare Advantage Plans for Virginia
1,123,784 Total Medicare Advantage Enrollees
OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
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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 |
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 | 612 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H4909-020-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $1,000 | Yes | No | Yes | Yes | No | 596 |
UnitedHealthcare |
AARP Medicare Advantage Patriot (HMO-POS) H5253-113-0 |
HMOPOS | $125 per Quarter | No | $500 | Yes | Yes | No | Yes | Yes | No | 588 | |
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 | 563 | |
Humana |
Humana Gold Choice H8145-042 (PFFS) H8145-042-0 |
PFFS | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 532 | |
Mary Washington Medicare Advantage |
Mary Washington Medicare Advantage Rewards (HMO) H2825-002-0 |
HMO | No | $0 | No | 513 | |||||||
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 | 503 |
Humana |
Humana Gold Plus H5619-041 (HMO) H5619-041-0 |
HMO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 500 | |
Humana |
Humana Gold Choice H8145-091 (PFFS) H8145-091-0 |
PFFS | $250 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 498 | |
Cigna |
Cigna True Choice Core Medicare (PPO) H7849-804-0 |
Local PPO | No | $0 | No | 477 | |||||||
LifeWorks Advantage |
LifeWorks Advantage I-SNP (HMO I-SNP) H2185-001-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | $1,000 | Yes | No | No | No | No | 416 |
InnovAge Virginia PACE - Richmond and Peninsula |
InnovAge Virginia PACE II, LLC (PACE) H8655-004-0 |
National PACE | No | $0 | No | 399 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-853-0 |
Local PPO | No | $0 | No | 378 | |||||||
Sentara Medicare |
Optima Medicare Salute (HMO) H2563-014-0 |
HMO | $125 per Quarter | No | $500 | Yes | $2,000 | No | No | Yes | No | No | 377 |
Humana |
HumanaChoice H5216-149 (PPO) H5216-149-0 |
Local PPO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 375 | |
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 | 373 |
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 | 325 |
Humana |
Humana Gold Plus H5377-001 (HMO) H5377-001-0 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 307 | |
Aetna Medicare |
Aetna Medicare Essential Plan (PPO) H5521-082-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $1,000 | No | No | Yes | No | No | 293 |
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0 |
Local PPO | No | $0 | No | 268 | |||||||
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 | 238 |
Centra PACE |
Centra PACE - Dual (PACE) H8096-001-0 |
National PACE | No | $0 | No | 228 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Rebate (HMO-POS) H5253-121-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 225 | ||
Humana |
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H5619-145-0 |
HMO | $3,300 per Month | No | $0 | Yes | No | No | Yes | No | No | 219 | |
UnitedHealthcare |
Erickson Advantage Signature with Drugs (HMO-POS) H5652-001-0 |
HMOPOS | $60 per Quarter | No | $240 | Yes | Yes | No | Yes | Yes | No | 216 | |
Aetna Medicare |
Aetna Medicare Premier Plan (PPO) H5521-345-0 |
Local PPO | $105 per Quarter | No | $420 | Yes | $2,500 | No | No | Yes | No | No | 213 |
InnovAge Virginia PACE- Roanoke Valley |
InnovAge Virginia PACE- Roanoke Valley (PACE) H1239-001-0 |
National PACE | No | $0 | No | 211 | |||||||
Sentara PACE |
Sentara Senior Community Care Dual (PACE) H2941-001-0 |
National PACE | No | $0 | No | 192 | |||||||
InnovAge Virginia PACE - Blue Ridge |
Blue Ridge PACE Dual (PACE) H3473-001-0 |
National PACE | No | $0 | No | 184 | |||||||
Aetna Medicare |
Aetna Medicare Eagle (PPO) H5521-322-0 |
Local PPO | $150 per Quarter | No | $600 | Yes | $5,000 | No | No | Yes | No | No | 179 |
Anthem HealthKeepers |
Anthem MediBlue COPD (HMO C-SNP) H3447-003-0 |
HMO | $150 per Quarter | Yes | $600 | Yes | $3,000 | Yes | No | Yes | Yes | No | 155 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-869-0 |
Local PPO | No | $0 | No | 155 | |||||||
Clear Spring Health |
Clear Spring Health Essential (HMO) H8293-001-0 |
HMO | $87 per Month | No | $0 | Yes | $1,000 | Yes | No | No | No | No | 142 |
Aetna Medicare |
Aetna Medicare Essential Plan (PPO) H5521-083-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $1,000 | No | No | Yes | No | No | 134 |
Sentara Medicare |
Optima Medicare Value (HMO) H2563-015-0 |
HMO | $170 per Quarter | No | $680 | Yes | $2,000 | No | No | Yes | No | No | 134 |
Aetna Medicare |
Aetna Medicare Essential Plan (PPO) H5521-102-0 |
Local PPO | $90 per Quarter | No | $360 | Yes | $2,000 | No | No | Yes | No | No | 123 |
UnitedHealthcare |
Erickson Advantage Liberty without Drugs (HMO-POS) H5652-002-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 111 | ||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-857-0 |
Local PPO | No | $0 | No | 111 | |||||||
Humana |
Humana Honor (HMO) H5619-151-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 108 | |
Anthem HealthKeepers |
Anthem MediBlue Care on Site (HMO I-SNP) H3447-010-0 |
HMO | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 99 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-872-0 |
Local PPO | No | $0 | No | 96 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Rebate (HMO-POS) H5253-119-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 89 | ||
Cigna Healthcare |
Cigna Preferred Medicare (HMO) H9725-010-0 |
HMO | $110 per Quarter | No | $440 | Yes | No | No | Yes | No | No | 84 | |
Appalachian Agency for Senior Citizens, Inc, |
AllCARE for Seniors - Duals- Mount Rogers PACE (PACE) H2386-001-0 |
National PACE | No | $0 | No | 82 | |||||||
BlueCross BlueShield of Tennessee |
BlueAdvantage Plus (PPO) H7917-801-0 |
Local PPO | No | $0 | No | 77 | |||||||
Anthem HealthKeepers |
Anthem MediBlue Care To You (HMO I-SNP) H3447-026-0 |
HMO | $205 per Quarter | Yes | $820 | Yes | $3,000 | Yes | No | Yes | Yes | No | 71 |
UnitedHealthcare |
Erickson Advantage Freedom (HMO-POS) H5652-006-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 65 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-840-0 |
Local PPO | No | $0 | No | 65 | |||||||
Mountain Empire PACE |
Mountain Empire PACE - Dual (PACE) H5037-001-0 |
National PACE | No | $0 | No | 56 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-866-0 |
Local PPO | No | $0 | No | 46 |