Medicare Advantage Plans for Gilmer County, West Virginia

  • 15 Total Plans
  • 1,430 Seniors Eligible for Medicare
  • 817 Seniors on Medicare Advantage (57%)
  • 2 plans with 65 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 8 plans with 222 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? West Virginia Enrollees
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 272
Humana HumanaChoice H5216-182 (PPO)
H5216-182-0 		Local PPO No $0 Yes No No Yes No No 83
Humana HumanaChoice SNP-DE H5216-220 (PPO D-SNP)
H5216-220-0 		Local PPO $840 per Month No $0 Yes No No Yes No No 52
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-013-0 		Local PPO $135 per Month No $0 Yes $2,000 Yes No Yes Yes No 48
Aetna Medicare Aetna Medicare Advantra Silver (HMO-POS)
H1692-002-0 		HMOPOS $135 per Quarter No $540 Yes $2,500 No No Yes No No 44
Humana HumanaChoice H5216-052 (PPO)
H5216-052-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 34
The Health Plan The Health Plan SecureCare SNP (HMO D-SNP)
H3672-019-0 		HMO No $0 Yes $2,000 No No No No No 34
Humana HumanaChoice H5216-327 (PPO)
H5216-327-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 28
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H1692-005-0 		HMO $200 per Month No $0 Yes $4,000 No No Yes No No 23
Humana HumanaChoice H5216-328 (PPO)
H5216-328-0 		Local PPO No $0 Yes No No Yes Yes No 23
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H8211-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 20
Aetna Medicare Aetna Medicare Advantra Gold (PPO)
H1608-027-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 14
Humana Humana Honor (PPO)
H5216-225-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 12
Aetna Medicare Aetna Medicare Advantra Value (PPO)
H1608-040-0 		Local PPO $105 per Quarter No $420 Yes $1,000 No No Yes No No 11
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