Medicare Advantage Plans for Fresno County, California

  • 72 Total Plans
  • 149,683 Seniors Eligible for Medicare
  • 59,798 Seniors on Medicare Advantage (40%)
  • 5 plans with 3,549 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 38 plans with 46,455 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 33% 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? California Enrollees
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
H0524-038-0 		HMO $60 per Quarter No $240 No 7,791
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO)
H0524-046-0 		HMO $60 per Quarter No $240 No 6,862
Brand New Day Brand New Day Classic Care II Plan (HMO)
H0838-051-2 		HMO $50 per Month No $0 Yes No No Yes Yes No 4,891
Wellcare by Health Net Wellcare No Premium Ruby (HMO)
H0562-079-0 		HMO $101 per Quarter No $404 Yes $1,000 No No Yes Yes No 4,326
Brand New Day Brand New Day Embrace Care Plan (HMO C-SNP)
H0838-039-2 		HMO $45 per Quarter No $180 Yes No No Yes Yes No 4,190
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 4,007
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 2,153
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H1375-002-0 		HMOPOS $160 per Month No $1,920 Yes $3,600 No No Yes Yes No 2,002
Humana Humana Gold Plus H5619-012 (HMO)
H5619-012-0 		HMO $10 per Quarter Yes $40 Yes No No Yes No No 1,844
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,707
Brand New Day Brand New Day Embrace Choice Plan (HMO C-SNP)
H0838-040-2 		HMO $50 per Month No $0 Yes No No Yes Yes No 1,413
Wellcare by Health Net Wellcare Dual Liberty (HMO D-SNP)
H0562-121-0 		HMO $220 per Quarter No $880 Yes $2,000 No No Yes Yes Yes 1,195
Anthem Blue Cross Anthem MediBlue Dual Plus (HMO D-SNP)
H0544-087-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No No Yes Yes No 1,149
Humana Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)
H5619-038-0 		HMO $600 per Month No $0 Yes $1,000 Yes No Yes No No 1,141
Alignment Health Plan Alignment Health the ONE (HMO)
H3815-035-0 		HMO $135 per Quarter No $540 Yes $1,000 No No No No No 1,113
UnitedHealthcare AARP Medicare Advantage Focus (HMO-POS)
H0543-223-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,106
UnitedHealthcare AARP Medicare Advantage SecureHorizons (HMO-POS)
H0543-035-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,100
Brand New Day Brand New Day Dual Access Plan (HMO D-SNP)
H0838-024-0 		HMO $33 per Month No $0 Yes No No Yes Yes No 977
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0 		HMO $65 per Quarter No $260 No 966
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-056-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 952
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-010-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 936
Wellcare by Health Net Wellcare Specialty No Premium (HMO C-SNP)
H0562-118-0 		HMO $56 per Quarter No $224 Yes $1,500 No No Yes Yes Yes 718
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-052-0 		HMO $21 per Quarter Yes $84 Yes $3,000 No No Yes Yes No 673
Innovative Integrated Health Inc. Innovative Integrated Health (PACE)
H9592-001-0 		National PACE No $0 No 655
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 541
Wellcare by Health Net Wellcare Dual Liberty Amber (HMO D-SNP)
H3561-001-0 		HMO $75 per Month Yes $0 Yes $2,000 No No Yes Yes No 470
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-332-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 425
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 407
WelbeHealth WelbeHealth Sequoia PACE (PACE)
H2384-001-0 		National PACE No $0 No 263
Aetna Medicare Aetna Medicare Preferred Plan (HMO D-SNP)
H4982-009-0 		HMO $50 per Month No $0 Yes $5,000 No No Yes No No 251
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 239
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0 		HMO $200 per Quarter No $800 No 215
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 204
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 202
Humana Humana Honor (HMO)
H5619-121-0 		HMO No $0 Yes No No Yes No No 184
Aetna Medicare Aetna Medicare Select Plan (HMO)
H0523-072-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 162
Anthem Blue Cross Partnership Plan Anthem MediBlue Prime (HMO)
H4161-006-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 161
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue ESRD Care (PPO C-SNP)
H8552-028-0 		Local PPO $150 per Quarter Yes $600 No 146
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 137
Humana Humana Gold Plus H5619-150 (HMO)
H5619-150-0 		HMO No $0 Yes No No Yes No No 137
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 114
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 102
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 99
Wellcare by Health Net Wellcare Assist (HMO)
H0562-127-0 		HMO $100 per Quarter No $400 Yes $1,000 No No Yes Yes Yes 99
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 97
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 78
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 69
Imperial Health Plan of California, Inc. Imperial Dual Plan (HMO D-SNP)
H5496-011-0 		HMO $140 per Quarter No $560 Yes $2,500 No No No Yes Yes 67
Humana Humana Gold Plus H5619-148 (HMO)
H5619-148-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 64
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 63
Alignment Health Plan Alignment Health CalPlus + Veterans (HMO)
H3815-036-0 		HMO No $0 Yes $600 No No No No No 61
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 57
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 54
Imperial Health Plan of California, Inc. Imperial Traditional (HMO)
H5496-007-0 		HMO $75 per Quarter No $300 Yes $500 No No No Yes Yes 34
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 31
Aetna Medicare Aetna Medicare Eagle Plan (HMO)
H4982-013-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 29
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 28
Imperial Health Plan of California, Inc. Imperial Senior Value (HMO C-SNP)
H5496-005-0 		HMO $75 per Quarter No $300 Yes $500 No No No Yes Yes 25
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0 		HMO $200 per Quarter No $800 Yes $2,000 No No No No No 24
Brand New Day Brand New Day Classic Care I Plan (HMO)
H0838-050-2 		HMO $50 per Month No $0 Yes No No Yes Yes No 24
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 24
Aetna Medicare Aetna Medicare Eagle Plus Plan (PPO)
H5521-369-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 23
Central Health Medicare Plan Central Health Focus Plan (HMO C-SNP)
H5649-006-0 		HMO $46 per Month No $0 Yes $2,000 No No No Yes Yes 23
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 22
Central Health Medicare Plan Central Health Premier Plan I (HMO)
H5649-020-2 		HMO $50 per Month No $0 Yes $3,000 No No No Yes Yes 15
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 15
Humana Humana Gold Plus H5619-015 (HMO)
H5619-015-0 		HMO No $0 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-802-0 		HMO No $0 No 14
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 12
Brand New Day Brand New Day Bridges Care Plan (HMO C-SNP)
H0838-028-0 		HMO $135 per Quarter No $540 Yes No No Yes Yes No 11
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