Medicare Advantage Plans for San Diego County, California

  • 146 Total Plans
  • 572,362 Seniors Eligible for Medicare
  • 294,015 Seniors on Medicare Advantage (51%)
  • 13 plans with 11,928 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 76 plans with 224,026 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 41% 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 San Diego (HMO)
H0524-037-0 		HMO $50 per Quarter No $200 No 66,707
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No $0 No 25,909
SCAN Health Plan Scripps Classic offered by SCAN Health Plan (HMO)
H5425-005-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 20,285
UnitedHealthcare Sharp Walgreens by UnitedHealthcare (HMO-POS)
H0543-204-0 		HMOPOS $55 per Quarter No $220 Yes Yes No Yes Yes No 19,575
UnitedHealthcare Sharp SecureHorizons Plan by UnitedHealthcare (HMO-POS)
H0543-145-0 		HMOPOS $115 per Quarter No $460 Yes Yes No Yes Yes No 16,094
UnitedHealthcare AARP Medicare Advantage SecureHorizons Value (HMO-POS)
H0543-013-0 		HMOPOS $110 per Quarter No $440 Yes Yes No Yes Yes No 8,096
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 4 (HMO-POS)
H0543-152-0 		HMOPOS $70 per Quarter No $280 Yes Yes No Yes Yes No 7,367
Alignment Health Plan Alignment Health Platinum (HMO)
H3815-016-0 		HMO $100 per Quarter No $400 Yes $1,000 No No No No No 7,059
Community Health Group CommuniCare Advantage (HMO SNP) (HMO D-SNP)
H4733-001-0 		HMO $180 per Quarter No $720 No 6,560
Sharp Health Plan Sharp Direct Advantage VIP Plan (HMO)
H5386-005-0 		HMO $100 per Quarter No $400 Yes $3,000 Yes No No Yes No 5,920
Blue Shield of California Blue Shield AdvantageOptimum Plan 1 (HMO)
H5928-010-0 		HMO $65 per Quarter No $260 No 5,675
UnitedHealthcare AARP Medicare Advantage SecureHorizons Premier (HMO-POS)
H0543-060-0 		HMOPOS $100 per Quarter No $400 Yes Yes No Yes Yes No 5,530
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 5,354
Humana Humana Gold Plus H5619-016 (HMO)
H5619-016-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 4,964
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-028-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 4,579
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-005-0 		HMO $210 per Quarter No $840 Yes $2,000 No No No No No 3,630
Kaiser Permanente Senior Advantage Medicare Medi-Cal San Diego (HMO D-SNP)
H0524-071-0 		HMO $100 per Quarter No $400 No 3,622
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-065-0 		HMO $32 per Quarter Yes $128 Yes $3,000 Yes No Yes Yes No 3,530
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-004-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 3,524
Humana UC San Diego Health Humana (HMO)
H5619-131-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 3,493
Molina Healthcare of California Molina Medicare Complete Care Plus (HMO D-SNP)
H5810-016-0 		HMO $400 per Quarter No $1,600 Yes No No No Yes No 3,486
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-809-0 		HMO No $0 No 3,430
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 3,409
SCAN Health Plan SCAN Alta (HMO)
H5425-082-0 		HMO $190 per Quarter Yes $760 Yes No No Yes No No 3,200
Sharp Health Plan Sharp Direct Advantage Gold Card (HMO)
H5386-003-0 		HMO $100 per Quarter No $400 Yes $3,000 Yes No No Yes No 2,667
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 2,384
Anthem Blue Cross Anthem MediBlue Select (HMO)
H0544-091-0 		HMO $75 per Quarter Yes $300 Yes $3,000 Yes No Yes Yes No 2,276
Wellcare by Health Net Wellcare Dual Align 129 (HMO D-SNP)
H0562-129-0 		HMO $260 per Quarter No $1,040 Yes $2,000 No No Yes Yes Yes 2,250
UnitedHealthcare AARP Medicare Advantage Freedom Plus (HMO-POS)
H0543-225-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 2,211
Wellcare by Health Net Wellcare No Premium (HMO)
H0562-012-0 		HMO $100 per Quarter No $400 Yes $1,000 No No Yes Yes No 2,046
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 1,818
Brand New Day Brand New Day Part B Savings Plan (HMO)
H0838-049-0 		HMO $25 per Month No $0 Yes No No Yes Yes No 1,745
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 1,689
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-053-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 1,666
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 1,609
San Diego PACE San Diego PACE (Duals) (PACE)
H9616-001-0 		National PACE No $0 No 1,447
SCAN Health Plan Scripps Signature offered by SCAN Health Plan (HMO)
H5425-004-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 1,443
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 1,348
Molina Healthcare of California Molina Medicare Complete Care (HMO D-SNP)
H5810-001-0 		HMO $210 per Quarter No $840 Yes No No No Yes No 1,320
SCAN Health Plan SCAN Connections (HMO D-SNP)
H5425-010-0 		HMO $175 per Quarter Yes $700 Yes No No Yes No No 1,279
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 1,271
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0543-121-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,255
Sharp Health Plan Sharp Direct Advantage Calendar Year (HMO)
H5386-801-0 		HMO No $0 No 1,166
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,095
St. Paul's PACE St. Paul's PACE 1833PACENOW (PACE)
H5629-001-0 		National PACE No $0 No 1,045
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 977
Anthem Blue Cross Anthem MediBlue Extra (HMO)
H0544-081-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes Yes No 909
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego Value (HMO)
H0524-082-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 846
Humana Humana Honor (HMO)
H5619-120-0 		HMO No $0 Yes No No Yes No No 835
Sharp Health Plan Sharp Direct Advantage Non-Calendar Year (HMO)
H5386-802-0 		HMO No $0 No 777
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 750
Sharp Health Plan Sharp Direct Advantage Platinum Card (HMO)
H5386-004-0 		HMO $125 per Quarter No $500 Yes $3,500 Yes No No Yes No 683
Alignment Health Plan Alignment Health AVA (PPO)
H4961-007-0 		Local PPO $15 per Quarter No $60 No 594
Aetna Medicare Aetna Medicare Select Plan (HMO)
H0523-052-0 		HMO No $0 Yes $1,000 No No Yes No No 479
Aetna Medicare Aetna Medicare Preferred Plan (HMO D-SNP)
H4982-016-0 		HMO $50 per Month No $0 Yes $5,000 No No Yes No No 461
Anthem Blue Cross Partnership Plan Anthem MediBlue Prime (HMO)
H4161-003-0 		HMO $125 per Quarter Yes $500 Yes $3,000 Yes No Yes Yes No 440
Astiva Health Astiva Health Classic Plan (HMO)
H1993-003-0 		HMO $100 per Quarter No $400 Yes $1,000 No No No Yes Yes 410
Alignment Health Plan Alignment Health Select (HMO)
H3815-032-0 		HMO $75 per Quarter No $300 Yes $1,000 No No No Yes Yes 365
Humana Humana USAA Honor with Rx (PPO)
H5525-057-0 		Local PPO No $0 Yes No No Yes No No 358
Astiva Health Astiva Health C-SNP Premium (HMO C-SNP)
H1993-008-0 		HMO $25 per Month Yes $0 Yes $1,500 Yes No No Yes Yes 349
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 339
SCAN Health Plan SCAN Retiree Group (HMO)
H5425-804-0 		HMO No $0 No 312
Wellcare by Health Net Wellcare Specialty No Premium (HMO C-SNP)
H0562-114-0 		HMO $56 per Quarter No $224 Yes $1,500 No No Yes Yes Yes 278
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 270
Alignment Health Plan Alignment Health the ONE + Rite Aid (HMO)
H3815-034-0 		HMO $185 per Quarter No $740 Yes $2,000 No No No No No 259
UnitedHealthcare UnitedHealthcare Chronic Complete Focus (HMO-POS C-SNP)
H0543-214-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 247
Gary and Mary West PACE Gary and Mary West Senior Services, Inc (PACE)
H3563-001-0 		National PACE No $0 No 240
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 240
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 234
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0 		HMO $200 per Quarter No $800 No 232
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 214
Alignment Health Plan Alignment Health smartHMO (HMO)
H3815-013-0 		HMO $15 per Quarter No $60 No 213
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 207
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 197
Clever Care Health Plan Clever Care Value Medicare Advantage (HMO)
H7607-008-5 		HMO $100 per Quarter No $400 Yes $1,200 Yes No No Yes No 180
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 179
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-802-0 		HMO No $0 No 177
Humana Humana Gold Plus H5619-150 (HMO)
H5619-150-0 		HMO No $0 Yes No No Yes No No 174
Molina Healthcare of California Molina Medicare Choice Care (HMO)
H5810-014-0 		HMO $90 per Quarter No $360 Yes Yes No No No No 167
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 159
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 157
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-801-0 		HMO No $0 No 157
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 148
Clever Care Health Plan Clever Care Longevity Medicare Advantage (HMO)
H7607-002-5 		HMO $275 per Quarter No $1,100 Yes $1,200 Yes No No Yes No 137
Humana Humana Gold Plus H5619-148 (HMO)
H5619-148-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 136
Family Health-Center for Older Adults FamilyHealth - Center for Older Adults (PACE)
H1693-002-0 		National PACE No $0 No 130
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 123
SCAN Health Plan Scripps Heart First offered by SCAN Health Plan (HMO C-SNP)
H5425-055-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 109
Kaiser Permanente Kaiser Permanente Senior Advantage Inland Empire (HMO)
H0524-015-0 		HMO $50 per Quarter No $200 No 108
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 104
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 104
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 97
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 96
Blue Shield of California Blue Shield Select (PPO)
H4937-002-0 		Local PPO $40 per Quarter No $160 Yes $1,000 No No No No No 84
Aetna Medicare Aetna Medicare Eagle Plan (HMO)
H4982-013-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 80
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 74
Alignment Health Plan Alignment Health AVA (HMO-POS)
H3815-026-0 		HMOPOS $215 per Quarter No $860 Yes $1,000 No No No No No 70
Astiva Health Astiva Health C-SNP Savings (HMO C-SNP)
H1993-007-0 		HMO $25 per Month Yes $0 Yes $1,500 Yes No No Yes Yes 66
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-806-0 		HMO No $0 No 65
SCAN Health Plan SCAN Classic (HMO)
H5425-008-0 		HMO $120 per Quarter Yes $480 Yes No No Yes No No 64
SCAN Health Plan SCAN Retiree Group (HMO)
H5425-803-0 		HMO No $0 No 64
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 55
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 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 49
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-807-0 		HMO No $0 No 47
Brand New Day Brand New Day Select Care II Plan (HMO I-SNP)
H0838-043-0 		HMO $65 per Month No $0 Yes No No Yes Yes No 44
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 44
SCAN Health Plan SCAN Classic (HMO)
H5425-007-0 		HMO $90 per Quarter Yes $360 Yes No No Yes No No 41
Anthem Blue Cross Senior Secure (HMO)
H0544-805-0 		HMO No $0 No 38
Astiva Health Astiva Health Savings Plan (HMO)
H1993-001-0 		HMO $0 per Month No $0 No 38
Alignment Health Plan Alignment Health CalPlus + Veterans (HMO)
H3815-036-0 		HMO No $0 Yes $600 No No No No No 35
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 35
IEHP DualChoice IEHP DualChoice (HMO D-SNP)
H8894-001-0 		HMO $40 per Quarter No $160 No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 35
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 33
Alignment Health Plan Alignment Health Harmony (HMO)
H3815-031-0 		HMO $100 per Quarter No $400 Yes $500 No No No No No 30
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 29
SCAN Health Plan SCAN Classic (HMO)
H5425-006-0 		HMO $125 per Quarter Yes $500 Yes No No Yes No No 29
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 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 25
Brand New Day Brand New Day Select Choice II Plan (HMO I-SNP)
H0838-045-0 		HMO $465 per Quarter No $1,860 Yes No No Yes Yes No 23
Clever Care Health Plan Clever Care Fortune Medicare Advantage (HMO)
H7607-007-5 		HMO $75 per Quarter No $300 Yes $1,200 Yes No No Yes No 23
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 19
Humana Humana Gold Plus H5619-021 (HMO)
H5619-021-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 19
Aetna Medicare Aetna Medicare Plan (HMO)
H0523-801-0 		HMO No $0 No 18
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-002-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 17
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-804-0 		HMO No $0 No 17
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-004-0 		HMO $90 per Quarter No $360 No 17
Molina Healthcare of California Molina Medicare Choice Care Select (HMO)
H5810-015-0 		HMO $70 per Quarter No $280 No 17
SCAN Health Plan SCAN Venture (HMO)
H5425-085-0 		HMO $65 per Quarter Yes $260 Yes No No Yes No No 17
CalOptima Health OneCare OneCare (HMO D-SNP)
H5433-001-0 		HMO $100 per Quarter No $400 Yes $1,000 No No No Yes Yes 16
Blue Shield of California Blue Shield 65 Plus Choice Plan (HMO)
H0504-040-0 		HMO $90 per Quarter No $360 Yes No No Yes No No 15
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-803-0 		HMO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-861-0 		Local PPO No $0 No 14
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 13
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-015-0 		HMO No $0 Yes No No Yes No No 13
Cigna Healthcare Cigna Alliance Medicare (HMO)
H0354-028-0 		HMO $85 per Quarter No $340 Yes $2,000 No No No No No 13
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 13
Anthem Blue Cross Partnership Plan Anthem MediBlue Full Dual Advantage (HMO D-SNP)
H4161-001-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No No Yes Yes No 12
Blue Shield of California Blue Shield Inspire (HMO)
H0504-043-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 12
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 12
SCAN Health Plan SCAN Classic (HMO)
H5425-009-0 		HMO $110 per Quarter Yes $440 Yes No No Yes No No 12
UnitedHealthcare AARP Medicare Advantage SecureHorizons Focus (HMO-POS)
H0543-170-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 12
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 11
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