Medicare Advantage Plans for Sacramento County, California

  • 81 Total Plans
  • 274,003 Seniors Eligible for Medicare
  • 157,881 Seniors on Medicare Advantage (58%)
  • 3 plans with 4,470 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 79,422 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 31% 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 (HMO)
H0524-806-0 		HMO No $0 No 38,321
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 24,046
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 19,119
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 12,897
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 8,696
UnitedHealthcare AARP Medicare Advantage SecureHorizons Focus 1 (HMO-POS)
H0543-146-0 		HMOPOS No $0 Yes Yes No Yes Yes No 5,248
UnitedHealthcare AARP Medicare Advantage SecureHorizons (HMO-POS)
H0543-089-0 		HMOPOS No $0 Yes Yes No Yes Yes No 4,170
Anthem Blue Cross Anthem MediBlue Dual Plus (HMO D-SNP)
H0544-089-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 4,039
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-064-0 		HMO $50 per Quarter Yes $200 Yes $1,500 Yes No Yes Yes No 3,808
Alignment Health Plan Alignment Health Sutter Advantage (HMO)
H3815-019-0 		HMO $60 per Quarter No $240 No 3,060
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-054-0 		HMO $20 per Quarter Yes $80 Yes $3,000 No No Yes Yes No 2,581
Blue Shield of California Blue Shield Inspire (HMO)
H0504-037-0 		HMO No $0 No 2,280
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-293-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 2,236
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 2,006
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 1,992
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 1,919
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 1,635
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 1,571
UnitedHealthcare AARP Medicare Advantage SecureHorizons Focus 2 (HMO-POS)
H0543-222-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,534
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 1,424
Western Health Advantage Western Health Advantage MyCare (HMO)
H2782-002-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,172
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 1,133
Wellcare by Health Net Wellcare No Premium (HMO)
H0562-124-0 		HMO $58 per Quarter No $232 Yes $1,000 No No Yes Yes Yes 988
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 937
Wellcare by Health Net Wellcare Premium Ultra (HMO)
H0562-084-0 		HMO No $0 No 928
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 754
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 671
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 637
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H4829-008-0 		Local PPO No $0 Yes No No Yes Yes No 585
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 513
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 508
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 506
Anthem Blue Cross Anthem MediBlue Diabetes Care Plus (HMO C-SNP)
H0544-094-0 		HMO $150 per Quarter Yes $600 Yes $3,000 No No Yes Yes No 404
Sutter SeniorCare PACE Sutter SeniorCare (PACE)
H5406-001-0 		National PACE No $0 No 373
Imperial Health Plan of California, Inc. Imperial Dynamic Plan (HMO)
H5496-012-0 		HMO $120 per Quarter No $480 Yes $500 No No No Yes Yes 369
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 346
Anthem Blue Cross Partnership Plan Anthem MediBlue Prime (HMO)
H4161-004-0 		HMO $50 per Quarter Yes $200 Yes $1,500 Yes No Yes Yes No 310
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-017-0 		Local PPO No $0 Yes No No Yes Yes No 253
Alignment Health Plan Alignment Health My Choice (PPO)
H4961-001-0 		Local PPO $60 per Quarter No $240 No 224
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 186
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 169
Alignment Health Plan Alignment Health My Choice CalPlus (HMO)
H3815-007-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 167
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 157
Wellcare by Health Net Wellcare Patriot Giveback (HMO)
H0562-044-0 		HMO No $0 No 152
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 139
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 136
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 136
Western Health Advantage Western Health Advantage MyCare EGWP (HMO)
H2782-801-0 		HMO No $0 No 133
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 132
Aetna Medicare Aetna Medicare Select Plan (HMO)
H0523-065-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 132
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 124
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 106
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 105
InnovAge California PACE - Sacramento InnovAge California PACE Sacramento Dual Eligibles (PACE)
H2368-001-0 		National PACE No $0 No 100
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 92
Western Health Advantage Western Health Advantage MyCare Plus (HMO)
H2782-003-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 88
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 81
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 70
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 65
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-804-0 		HMO No $0 No 54
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 49
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 44
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 35
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Solano (HMO)
H0524-008-0 		HMO $60 per Quarter No $240 No 31
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 31
HEALTH PLAN OF SAN MATEO CareAdvantage (HMO D-SNP)
H6019-001-0 		HMO $90 per Quarter No $360 No 30
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 30
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue Dual Access (PPO D-SNP)
H8552-030-0 		Local PPO $80 per Quarter Yes $320 Yes $3,000 No No Yes Yes No 27
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $60 per Quarter No $240 No 24
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-804-0 		HMO No $0 No 21
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
H0524-043-0 		HMO $60 per Quarter No $240 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 19
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 18
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
H0524-042-0 		HMO $60 per Quarter No $240 No 16
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No $0 No 16
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 No 16
Alignment Health Plan Alignment Health CalPlus + Veterans (HMO)
H3815-036-0 		HMO No $0 Yes $600 No No No No No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 12
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue Access (PPO)
H8552-029-0 		Local PPO No $0 Yes $3,000 Yes No Yes Yes No 11
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