Medicare Advantage Plans for Pleasants County, West Virginia

  • 17 Total Plans
  • 1,826 Seniors Eligible for Medicare
  • 849 Seniors on Medicare Advantage (46%)
  • 2 plans with 50 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 8 plans with 225 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 15% 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 297
Humana HumanaChoice H5216-182 (PPO)
H5216-182-0 		Local PPO No $0 Yes No No Yes No No 92
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 52
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 39
Humana HumanaChoice H5216-052 (PPO)
H5216-052-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 37
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 34
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 27
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 25
Humana HumanaChoice H5216-327 (PPO)
H5216-327-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 21
West Virginia Senior Advantage WV Senior Advantage (HMO I-SNP)
H9153-001-0 		HMO No $0 Yes $1,900 No No No Yes No 20
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 17
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 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 12
Aetna Medicare Aetna Medicare Advantra Credit Value (PPO)
H1608-031-0 		Local PPO $45 per Quarter No $180 Yes $1,000 No No Yes No No 11
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 11
Humana Humana Honor (PPO)
H5216-225-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 11
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