Medicare Advantage Plans for Fond du Lac County, Wisconsin

  • 49 Total Plans
  • 23,291 Seniors Eligible for Medicare
  • 14,989 Seniors on Medicare Advantage (64%)
  • 4 plans with 124 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 13,952 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 60% 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? Wisconsin Enrollees
Network Health Medicare Advantage Plans Network PlatinumSelect (PPO)
H5215-008-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 4,795
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H0294-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,487
Network Health Medicare Advantage Plans Network PlatinumChoice (PPO)
H5215-011-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,355
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-011-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,321
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 856
UnitedHealthcare UnitedHealthcare Dual Complete LP1 (HMO-POS D-SNP)
H3794-002-0 		HMOPOS $189 per Month No $0 Yes $2,500 Yes No Yes Yes No 748
Network Health Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO)
H5215-002-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 460
Network Health Medicare Advantage Plans Network Health Medicare Advantage PlatinumZero (PPO)
H5215-012-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 381
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-006-0 		HMO $65 per Quarter Yes $260 Yes $3,000 Yes No Yes Yes No 369
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 294
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 276
Network Health Medicare Advantage Plans NetworkCares (PPO D-SNP)
H5215-007-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 267
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-034-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 267
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 266
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 181
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H8189-001-0 		HMO $220 per Month Yes $0 Yes $5,000 No No Yes Yes No 157
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H9525-003-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 154
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Plus (PPO)
H4036-020-0 		Local PPO $35 per Quarter Yes $140 Yes $1,500 Yes No Yes Yes No 119
Network Health Medicare Advantage Plans Network PlatinumPlus (PPO)
H5215-001-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 96
Network Health Medicare Advantage Plans Network PlatinumPremier Pharmacy (PPO)
H5215-005-0 		Local PPO $225 per Quarter No $900 Yes $75 No No Yes No No 88
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 75
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 65
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4036-008-0 		Local PPO $44 per Quarter Yes $176 Yes $3,000 Yes No Yes Yes No 62
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 57
Dean Advantage Dean Advantage SSM Presence (HMO-POS)
H9096-012-0 		HMOPOS $50 per Quarter No $200 Yes $750 No No No No No 52
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 52
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 44
Network Health Medicare Advantage Plans Network Health Armor (PPO)
H5215-013-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 44
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 42
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 41
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 35
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0294-027-0 		Local PPO $164 per Month No $0 Yes $2,500 Yes No Yes Yes No 32
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 28
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H5253-007-0 		HMOPOS $300 per Quarter Yes $1,200 Yes $2,000 Yes No Yes Yes No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 25
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 24
Network Health Medicare Advantage Plans Network PlatinumPremier (PPO)
H5215-006-0 		Local PPO $225 per Quarter No $900 Yes $75 No No Yes No No 24
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 24
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 23
Dean Advantage Dean Advantage Essential (HMO)
H9096-004-0 		HMO $35 per Quarter No $140 Yes $750 No No No No No 22
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H4036-024-0 		Local PPO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 16
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 15
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 13
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 13
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 12
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 12
Community Care Community Care's PACE Program (PACE)
H5212-001-0 		National PACE No $0 No 12
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