Medicare Advantage Plans for Santa Clara County, California

  • 101 Total Plans
  • 286,302 Seniors Eligible for Medicare
  • 136,603 Seniors on Medicare Advantage (48%)
  • 13 plans with 8,086 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 49 plans with 92,941 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 35% 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 Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 45,133
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 16,403
Santa Clara Family Health Plan DualConnect (HMO D-SNP)
H4045-001-0 		HMO $135 per Quarter No $540 No 10,456
Kaiser Permanente Kaiser Permanente Sr Adv Basic Santa Clara (HMO)
H0524-062-0 		HMO $60 per Quarter No $240 No 7,404
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 5,131
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 4,206
UnitedHealthcare AARP Medicare Advantage SecureHorizons (HMO-POS)
H0543-029-0 		HMOPOS No $0 Yes No No Yes Yes No 3,513
Kaiser Permanente Senior Advantage Medicare Medi-Cal Santa Clara (HMO D-SNP)
H0524-074-0 		HMO $100 per Quarter No $400 No 3,168
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 3,090
Essence Healthcare Essence Advantage Platinum (HMO)
H2986-001-0 		HMO $75 per Quarter No $300 No 2,144
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 2,111
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 2,034
Alignment Health Plan Alignment Health Sutter Advantage (HMO)
H3815-020-0 		HMO $60 per Quarter No $240 No 1,678
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 1,582
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-108-0 		HMO $30 per Quarter Yes $120 Yes $3,000 Yes No Yes Yes No 1,579
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,491
Anthem Blue Cross Anthem MediBlue StartSmart Plus (HMO)
H0544-121-2 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 1,383
Alignment Health Plan Alignment Health Harmony (HMO)
H3815-031-0 		HMO $100 per Quarter No $400 Yes $500 No No No No No 1,366
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 1,333
UnitedHealthcare AARP Medicare Advantage SecureHorizons Focus (HMO-POS)
H0543-193-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,141
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 1,100
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-006-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 1,083
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 1,006
Anthem Blue Cross Anthem MediBlue Coordination Plus (HMO)
H0544-110-0 		HMO $175 per Quarter Yes $700 Yes $3,000 No No Yes Yes No 999
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 883
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 839
Essence Healthcare Essence Advantage Gold (HMO)
H2986-002-0 		HMO No $0 No 757
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 756
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 752
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H4829-004-0 		Local PPO No $0 Yes No No Yes Yes No 749
Aetna Medicare Aetna Medicare Select Plan (HMO)
H0523-069-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 706
Anthem Blue Cross Anthem MediBlue Value Plus (HMO)
H0544-120-2 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 649
Wellcare by Health Net Wellcare No Premium (HMO)
H0562-120-0 		HMO $57 per Quarter No $228 Yes $1,000 No No Yes Yes Yes 613
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 516
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 483
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 460
Anthem Blue Cross Anthem MediBlue Connect (HMO D-SNP)
H0544-003-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 421
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 394
Anthem Blue Cross Anthem MediBlue Care On Site (HMO I-SNP)
H0544-050-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 386
Anthem Blue Cross Anthem MediBlue Diabetes (HMO C-SNP)
H0544-118-2 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 355
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0 		HMO $65 per Quarter No $260 No 340
On Lok PACE On Lok PACE (Dual Eligibles) (PACE)
H5403-001-0 		National PACE No $0 No 310
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 288
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-129-0 		HMO $175 per Quarter Yes $700 Yes $3,000 No No Yes Yes No 259
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 253
SCAN Health Plan SCAN Options (HMO)
H5425-073-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 248
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-016-0 		Local PPO No $0 Yes No No Yes Yes No 244
CCA Health California CCA Medicare Excel (HMO)
H1426-002-0 		HMO $120 per Quarter No $480 Yes $1,000 Yes No No Yes No 243
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 219
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 201
HEALTH PLAN OF SAN MATEO CareAdvantage (HMO D-SNP)
H6019-001-0 		HMO $90 per Quarter No $360 No 190
Anthem Blue Cross Anthem MediBlue Diabetes Care (HMO C-SNP)
H0544-102-0 		HMO $50 per Quarter Yes $200 Yes $3,000 No No Yes Yes No 160
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 148
Wellcare by Health Net Wellcare Assist (HMO)
H0562-127-0 		HMO $100 per Quarter No $400 Yes $1,000 No No Yes Yes Yes 140
SCAN Health Plan SCAN Classic (HMO)
H5425-020-0 		HMO $85 per Quarter Yes $340 Yes No No Yes No No 129
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 119
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 110
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 109
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 106
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 102
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 99
Central Health Medicare Plan Central Health Premier Plan II (HMO)
H5649-021-2 		HMO $50 per Month No $0 Yes $3,000 No No No Yes Yes 98
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 90
Anthem Blue Cross Anthem MediBlue Heart (HMO C-SNP)
H0544-119-2 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 84
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 83
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 73
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 71
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0 		HMO $200 per Quarter No $800 No 70
Anthem Blue Cross Anthem MediBlue Lung (HMO C-SNP)
H0544-117-2 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 67
Alignment Health Plan Alignment Health Balance (PPO)
H4961-006-0 		Local PPO $65 per Quarter No $260 No 65
Aetna Medicare Aetna Medicare Eagle Plan (HMO)
H4982-013-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 63
Essence Healthcare Essence Advantage Select (HMO)
H2986-008-0 		HMO $0 per Month No $0 Yes $250 No No No No No 63
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 63
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 62
UnitedHealthcare AARP Medicare Advantage Focus (HMO-POS)
H0543-230-0 		HMOPOS No $0 Yes Yes No Yes Yes No 61
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 59
Essence Healthcare Essence Advantage EGWP MAPD Calendar Year (HMO)
H2986-801-0 		HMO No $0 No 52
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 49
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 47
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 No 46
Alignment Health Plan Alignment Health CalPlus + Veterans (HMO)
H3815-036-0 		HMO No $0 Yes $600 No No No No No 39
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 38
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 35
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 35
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 30
Anthem Blue Cross Anthem MediBlue Heart Care (HMO C-SNP)
H0544-106-0 		HMO $50 per Quarter Yes $200 Yes $3,000 No No Yes Yes No 27
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-806-0 		Local PPO No $0 No 26
Anthem Blue Cross Senior Secure (HMO)
H0544-805-0 		HMO No $0 No 23
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 23
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 22
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 22
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 21
Anthem Blue Cross Anthem MediBlue Lung Care (HMO C-SNP)
H0544-101-0 		HMO $50 per Quarter Yes $200 Yes $3,000 No No Yes Yes No 20
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No $0 No 19
Kaiser Permanente Kaiser Permanente Senior Advantage Santa Cruz (HMO)
H0524-054-0 		HMO $60 per Quarter No $240 No 17
Align Senior Care Align Kidney Care (HMO C-SNP)
H3274-004-0 		HMO $600 per Month No $0 Yes $3,000 Yes No No No No 16
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego (HMO)
H0524-037-0 		HMO $50 per Quarter No $200 No 15
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
H0524-043-0 		HMO $60 per Quarter No $240 No 14
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 13
Kaiser Permanente Kaiser Permanente Senior Advantage Inland Empire (HMO)
H0524-015-0 		HMO $50 per Quarter No $200 No 11
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