Medicare Advantage Plans for Sussex County, Delaware

  • 56 Total Plans
  • 83,800 Seniors Eligible for Medicare
  • 22,278 Seniors on Medicare Advantage (27%)
  • 3 plans with 695 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 24 plans with 14,763 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 18% 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? Delaware Enrollees
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-093-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 2,900
Humana Humana Gold Plus H6622-010 (HMO-POS)
H6622-010-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 2,667
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,167
Highmark Blue Cross Blue Shield Freedom Blue PPO Distinct (PPO)
H8166-002-0 		Local PPO $135 per Quarter No $540 Yes $500 No No Yes No No 2,111
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H7445-005-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 1,128
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,062
Aetna Medicare Aetna Medicare Value (PPO)
H5521-262-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,017
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H3113-011-0 		HMOPOS $189 per Month No $0 Yes $1,100 Yes No Yes Yes No 997
Cigna Healthcare Cigna Preferred Medicare (HMO)
H2108-028-0 		HMO $105 per Quarter No $420 Yes $1,400 No No No No No 895
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 832
Aetna Medicare Aetna Medicare Advantra Value (HMO-POS)
H3959-055-0 		HMOPOS $120 per Quarter No $480 Yes $2,500 No No Yes No No 790
Humana Humana Gold Plus SNP-DE H6622-051 (HMO D-SNP)
H6622-051-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 613
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 411
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-095-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 381
Highmark Blue Cross Blue Shield Freedom Blue PPO Signature (PPO)
H8166-001-0 		Local PPO $95 per Quarter No $380 Yes $500 No No Yes No No 342
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-129-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 336
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 278
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 237
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H3113-013-0 		HMOPOS $64 per Month No $0 Yes $1,100 Yes No Yes Yes No 214
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 187
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-063-0 		HMO $200 per Month No $0 Yes $2,500 No No Yes No No 185
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 183
Cigna Cigna True Choice Medicare (PPO)
H7849-803-0 		Local PPO No $0 No 160
Humana HumanaChoice H5216-029 (PPO)
H5216-029-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 155
Humana Humana Honor (PPO)
H5216-129-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 144
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H7445-006-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 135
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 130
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 127
CareFirst BlueCross BlueShield Medicare Advantage CareFirst BlueCross BlueShield Group Advantage (PPO)
H7379-801-0 		Local PPO No $0 No 126
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 116
Aetna Medicare Aetna Medicare Elite (HMO-POS)
H3931-104-0 		HMOPOS $75 per Quarter No $300 No 101
Humana HumanaChoice H5216-308 (PPO)
H5216-308-0 		Local PPO No $0 Yes No No Yes No No 91
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 90
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 86
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 72
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 54
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-017-0 		Local PPO $220 per Quarter Yes $880 Yes $2,000 Yes No Yes Yes No 54
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H2108-001-0 		HMO $200 per Quarter No $800 Yes $1,400 No No No No No 52
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 45
Aetna Medicare Aetna Medicare Premier Plus (HMO)
H3931-102-0 		HMO $90 per Quarter No $360 Yes $2,500 No No Yes No No 39
Cigna Healthcare Cigna Achieve Medicare (HMO C-SNP)
H2108-029-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 39
Aetna Medicare Aetna Medicare Advantra Eagle (HMO-POS)
H3959-056-0 		HMOPOS $120 per Quarter No $480 Yes $1,500 No No Yes No No 36
Highmark Blue Cross Blue Shield Freedom Blue PPO Valor (PPO)
H8166-003-0 		Local PPO $100 per Quarter No $400 Yes $500 No No Yes No No 36
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-008-0 		Local PPO $30 per Quarter No $120 Yes $1,400 No No No No No 34
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 31
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H2108-039-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 29
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2228-010-0 		Local PPO $200 per Quarter Yes $800 No 28
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 14
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 13
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 12
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO PA MAPD Calendar (PPO)
H3916-806-0 		Local PPO No $0 No 11
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