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Medicare Advantage Plans for West Virginia

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Company	Plan name	Plan type	Total monthly premium	Coverage?	Covered Amount	In Network Required?	Coinsurance?	Copay?	Prior Authorization?	Need Referral?	West Virginia Enrollees
Humana	Humana Medicare Employer (PPO) H5216-805-0	Local PPO		No							41,976
Humana	HumanaChoice H5216-182 (PPO) H5216-182-0	Local PPO	$0	No							11,845
Humana	HumanaChoice H5216-021 (PPO) H5216-021-0	Local PPO	$14	Yes		No	No	Yes	No	No	8,347
Humana	HumanaChoice SNP-DE H5216-220 (PPO D-SNP) H5216-220-0	Local PPO	$0	Yes		No	No	Yes	No	No	7,306
UnitedHealthcare	UnitedHealthcare Dual Complete (PPO D-SNP) H0271-013-0	Local PPO	$0	Yes	$2,000	No	No	Yes	Yes	No	6,836
UnitedHealthcare	AARP Medicare Advantage Choice Plan 1 (PPO) H8211-001-0	Local PPO	$12	Yes		No	No	Yes	Yes	No	6,423
Aetna Medicare	Aetna Medicare Plan (PPO) H5521-801-0	Local PPO		No							6,149
Humana	Humana Gold Plus H5619-113 (HMO) H5619-113-0	HMO	$0	Yes		No	No	Yes	No	No	5,946
Humana	Humana Value Plus H5216-125 (PPO) H5216-125-0	Local PPO	$0	Yes		No	No	Yes	No	No	5,461
Aetna Medicare	Aetna Medicare Advantra Gold (PPO) H1608-027-0	Local PPO	$24	Yes	$1,000	No	No	Yes	No	No	4,975
Humana	Humana Medicare Employer (PPO) H5525-809-0	Local PPO		No							4,127
Aetna Medicare	Aetna Medicare Advantra Cares (HMO D-SNP) H1692-005-0	HMO	$0	Yes	$4,000	No	No	Yes	No	No	3,820
Aetna Medicare	Aetna Medicare Advantra Value (PPO) H1608-040-0	Local PPO	$0	Yes	$1,000	No	No	Yes	No	No	3,758
Aetna Medicare	Aetna Medicare Advantra Value (PPO) H1608-041-0	Local PPO	$0	Yes	$1,000	No	No	Yes	No	No	3,642
UnitedHealthcare	UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0	Local PPO		No							3,577
Aetna Medicare	Aetna Medicare Advantra Silver (HMO-POS) H1692-002-0	HMOPOS	$0	Yes	$1,000	No	No	Yes	No	No	3,290
Aetna Medicare	Aetna Medicare Plan w/Rx (PPO) H5521-802-0	Local PPO		No							3,248
The Health Plan	The Health Plan SecureCare SNP (HMO D-SNP) H3672-019-0	HMO	$0	Yes	$2,000	No	No	No	No	No	3,175
Humana	HumanaChoice H5216-052 (PPO) H5216-052-2	Local PPO	$18	Yes		No	No	Yes	No	No	2,796
Highmark Inc.	Freedom Blue PPO Distinct (PPO) H5106-029-2	Local PPO	$0	Yes	$500	No	No	Yes	No	No	2,664
Highmark Inc.	Freedom Blue PPO Standard (PPO) H5106-013-0	Local PPO	$95	Yes	$500	No	No	Yes	No	No	2,283
Humana	Humana Honor (PPO) H5216-225-0	Local PPO	$0	Yes		No	No	Yes	No	No	2,265
UnitedHealthcare	AARP Medicare Advantage Choice Plan 3 (PPO) H8211-006-0	Local PPO	$0	Yes		No	No	Yes	Yes	No	1,982
The Health Plan	The Health Plan SecureCare - Option II (HMO) H3672-020-0	HMO	$0	Yes		No	No	Yes	No	No	1,935
Aetna Medicare	Aetna Medicare Advantra Credit Value (PPO) H1608-031-0	Local PPO	$0	Yes	$1,000	No	No	Yes	No	No	1,861
Humana	HumanaChoice H5216-022 (PPO) H5216-022-0	Local PPO	$26	Yes		No	No	Yes	No	No	1,785
Humana	Humana Gold Choice H8145-021 (PFFS) H8145-021-0	PFFS	$0	No							1,782
UnitedHealthcare	AARP Medicare Advantage Choice Plan 2 (PPO) H8211-002-0	Local PPO	$0	Yes		No	No	Yes	Yes	No	1,779
Aetna Medicare	Aetna Medicare Advantra Gold (PPO) H1608-026-0	Local PPO	$42	Yes	$2,500	No	No	Yes	No	No	1,763
Highmark Inc.	Freedom Blue PPO MAPD PA CALENDAR (PPO) H3916-802-0	Local PPO		No							1,476
Humana	Humana Gold Plus SNP-DE H5619-126 (HMO D-SNP) H5619-126-0	HMO	$0	Yes		No	No	Yes	No	No	1,456
Humana	HumanaChoice H5216-124 (PPO) H5216-124-0	Local PPO	$82	Yes		No	No	Yes	No	No	1,452
Aetna Medicare	Aetna Medicare Advantra Elite (HMO-POS) H1692-004-0	HMOPOS	$0	Yes	$1,000	No	No	Yes	No	No	1,385
Humana	HumanaChoice R0923-002 (Regional PPO) R0923-002-0	Regional PPO	$38	No							1,179
UnitedHealthcare	UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0	Local PPO		No							1,144
Humana	HumanaChoice H5525-023 (PPO) H5525-023-0	Local PPO	$32	Yes		No	No	Yes	No	No	944
Humana	HumanaChoice H5216-105 (PPO) H5216-105-0	Local PPO	$0	Yes		No	No	Yes	No	No	938
Aetna Medicare	Aetna Medicare Advantra Elite (HMO) H1692-003-0	HMO	$0	Yes	$1,000	No	No	Yes	No	No	863
Humana	HumanaChoice R0923-001 (Regional PPO) R0923-001-0	Regional PPO	$0	Yes		No	No	Yes	No	No	843
West Virginia Senior Advantage	WV Senior Advantage (HMO I-SNP) H9153-001-0	HMO	$0	Yes	$1,800	No	No	No	Yes	No	768
Aetna Medicare	Aetna Medicare Plan (PPO) H1608-801-0	Local PPO		No							684
The Health Plan	The Health Plan SecureChoice - Option II (PPO) H8604-011-0	Local PPO	$76	No							346
Highmark Inc.	Freedom Blue PPO MAPD WV CALENDAR (PPO) H5106-808-0	Local PPO		No							334
The Health Plan	The Health Plan SecureCare - Employer (HMO) H3672-805-0	HMO		No							233
Highmark Inc.	Community Blue Medicare PPO PA MAPD Calendar (PPO) H3916-806-0	Local PPO		No							215
The Health Plan	WVU Medicine - The Health Plan SecureCare (HMO) H3672-025-0	HMO	$0	No							163
The Health Plan	The Health Plan SecureCare - Option I, MA Only (HMO) H3672-021-0	HMO	$0	Yes		No	No	Yes	No	No	128
Humana	Humana Medicare Employer (Regional PPO) R0923-801-0	Regional PPO		No							84
The Health Plan	The Health Plan SecureCare Capitol Plan (HMO) H3672-023-0	HMO	$0	Yes		No	No	Yes	No	No	76
The Health Plan	The Health Plan SecureChoice Capitol Plan (PPO) H8604-013-0	Local PPO	$43	No							69

County	Medicare Advantage Enrolless
Barbour	1,457
Berkeley	7,376
Boone	1,984
Braxton	1,694
Brooke	2,542
Cabell	9,211
Calhoun	773
Clay	1,181
Doddridge	634
Fayette	4,366
Gilmer	615
Grant	930
Greenbrier	3,152
Hampshire	1,874
Hancock	2,868
Hardy	1,106
Harrison	6,106
Jackson	2,884
Jefferson	3,394
Kanawha	21,507
Lewis	1,886
Lincoln	2,479
Logan	3,272
Marion	4,444
Marshall	3,431
Mason	2,873
McDowell	2,142
Mercer	6,871
Mineral	1,908
Mingo	2,743
Monongalia	5,773
Monroe	1,207
Morgan	1,481
Nicholas	3,143
Ohio	4,749
Pendleton	691
Pleasants	647
Pocahontas	835
Preston	3,007
Putnam	5,925
Raleigh	6,066
Randolph	2,587
Ritchie	1,048
Roane	1,780
Summers	1,169
Taylor	1,398
Tucker	755
Tyler	882
Upshur	2,771
Wayne	4,603
Webster	1,105
Wetzel	1,709
Wirt	588
Wood	8,196
Wyoming	2,032

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