Medicare Advantage Plans for San Mateo County, California

  • 62 Total Plans
  • 133,937 Seniors Eligible for Medicare
  • 67,030 Seniors on Medicare Advantage (50%)
  • 1 plans with 536 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 39,749 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 30% 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 Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 No 20,958
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 12,019
HEALTH PLAN OF SAN MATEO CareAdvantage (HMO D-SNP)
H6019-001-0 		HMO $90 per Quarter No $360 No 8,043
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 4,627
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
H0543-028-0 		HMOPOS No $0 Yes Yes No Yes Yes No 3,888
Kaiser Permanente Kaiser Permanente Senior Advantage Basic San Mateo (HMO)
H0524-065-0 		HMO $60 per Quarter No $240 No 2,466
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-096-0 		HMO $50 per Quarter Yes $200 Yes $3,000 Yes No Yes Yes No 1,348
Kaiser Permanente Senior Advantage Medicare Medi-Cal San Mateo (HMO D-SNP)
H0524-075-0 		HMO $100 per Quarter No $400 No 1,120
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 973
Alignment Health Plan Alignment Health Sutter Advantage (HMO)
H3815-023-0 		HMO $60 per Quarter No $240 No 928
Blue Shield of California Blue Shield Inspire (HMO)
H0504-041-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 737
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 725
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 621
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 605
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 587
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 574
Anthem Blue Cross Anthem MediBlue Coordination Plus (HMO)
H0544-099-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes Yes No 536
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 510
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 499
CCHP (Chinese Community Health Plan) CCHP Senior Program (HMO)
H0571-001-0 		HMO $40 per Month No $0 Yes No No Yes No No 476
Essence Healthcare Essence Advantage Platinum (HMO)
H2986-004-0 		HMO $50 per Quarter No $200 No 467
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 431
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 412
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 276
Alignment Health Plan Alignment Health My Choice (PPO)
H4961-003-0 		Local PPO $60 per Quarter No $240 No 266
SCAN Health Plan SCAN Classic (HMO)
H5425-078-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 239
Anthem Blue Cross Partnership Plan Anthem MediBlue Prime (HMO)
H4161-005-0 		HMO $50 per Quarter Yes $200 Yes $3,000 Yes No Yes Yes No 210
Wellcare by Health Net Wellcare No Premium (HMO)
H0562-128-0 		HMO $89 per Quarter No $356 Yes $1,000 No No Yes Yes No 200
Central Health Medicare Plan Central Health San Mateo Medicare Plan (HMO)
H5649-018-0 		HMO $41 per Month No $0 Yes $2,000 No No No Yes Yes 159
Essence Healthcare Essence Advantage Gold (HMO)
H2986-007-0 		HMO No $0 No 154
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 154
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 134
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 130
CCHP (Chinese Community Health Plan) CCHP Senior Value Program (HMO)
H0571-007-0 		HMO $30 per Month No $0 Yes No No Yes No No 127
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 127
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 116
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 108
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-804-0 		HMO No $0 No 74
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 70
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 65
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 41
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 38
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 33
Essence Healthcare Essence Advantage EGWP MAPD Calendar Year (HMO)
H2986-801-0 		HMO No $0 No 32
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 32
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 30
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 28
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-079-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 26
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 21
Santa Clara Family Health Plan DualConnect (HMO D-SNP)
H4045-001-0 		HMO $135 per Quarter No $540 No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 20
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 19
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 16
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 16
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 16
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 15
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 15
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $60 per Quarter No $240 No 14
On Lok PACE On Lok PACE (Dual Eligibles) (PACE)
H5403-001-0 		National PACE No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 13
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 12
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