Medicare Advantage Plans for Sumter County, Florida

  • 102 Total Plans
  • 82,550 Seniors Eligible for Medicare
  • 43,774 Seniors on Medicare Advantage (53%)
  • 3 plans with 693 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 57 plans with 32,924 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? Florida Enrollees
UnitedHealthcare UnitedHealthcare The Villages Medicare Advantage (HMO-POS)
H1045-025-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 13,450
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2406-016-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,419
UnitedHealthcare UnitedHealthcare The Villages Medicare Focus (HMO-POS)
H1045-056-0 		HMOPOS $215 per Quarter No $860 Yes Yes No Yes Yes No 2,907
Florida Blue HMO BlueMedicare Premier (HMO)
H1035-043-0 		HMO $150 per Quarter No $600 Yes $2,000 No No Yes No No 2,463
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,821
Florida Blue BlueMedicare Value (PPO)
H5434-036-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 1,596
Freedom Health, Inc. Freedom VIP Savings (HMO C-SNP)
H5427-072-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 1,327
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 1,027
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 867
Humana HumanaChoice Florida H5216-074 (PPO)
H5216-074-0 		Local PPO No $0 Yes $1,000 Yes No Yes No No 812
UnitedHealthcare AARP Medicare Advantage Patriot (Regional PPO)
R0759-002-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 778
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 711
CarePlus Health Plans, Inc. CareFree (HMO)
H1019-120-2 		HMO $40 per Month No $0 Yes $1,500 No No Yes No No 694
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-002-2 		Local PPO $220 per Month No $0 Yes $3,600 Yes No Yes Yes No 613
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 608
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 589
Freedom Health, Inc. Freedom Platinum Rewards Plan Rx (HMO)
H5427-096-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 560
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-271-0 		Local PPO $35 per Month No $0 Yes $2,000 No No Yes No No 496
Freedom Health, Inc. Freedom Platinum Plan Rx (HMO)
H5427-094-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 491
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 467
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 444
Humana Humana Gold Plus H1036-269 (HMO)
H1036-269-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 428
CarePlus Health Plans, Inc. CareOne Plus (HMO-POS)
H1019-057-0 		HMOPOS $50 per Month No $0 Yes $2,000 No No Yes No No 399
Florida Blue HMO BlueMedicare Classic (HMO)
H1035-019-0 		HMO No $0 Yes No No Yes No No 357
Humana Humana Gold Plus H1036-146 (HMO)
H1036-146-0 		HMO $150 per Quarter Yes $600 Yes No No Yes No No 324
Humana HumanaChoice Florida H5216-304 (PPO)
H5216-304-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 Yes No Yes No No 299
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H1045-039-0 		HMOPOS $270 per Month No $0 Yes $3,600 Yes No Yes Yes No 290
Freedom Health, Inc. Freedom VIP Savings COPD (HMO C-SNP)
H5427-077-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 289
Florida Blue BlueMedicare Choice (Regional PPO)
R3332-001-0 		Regional PPO No $0 Yes No No Yes No No 270
Florida Blue BlueMedicare Patriot (PPO)
H5434-038-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 234
CarePlus Health Plans, Inc. CareNeeds Plus (HMO D-SNP)
H1019-026-0 		HMO $1,800 per Month No $0 Yes $1,500 No No Yes No No 208
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 203
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 191
Freedom Health, Inc. Freedom VIP Care (HMO C-SNP)
H5427-070-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 181
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 178
UnitedHealthcare UnitedHealthcare Medicare Advantage Walgreens (HMO-POS C-SNP)
H1045-048-4 		HMOPOS $100 per Month No $0 Yes Yes No Yes Yes No 175
Humana HumanaChoice Florida H7284-001 (PPO)
H7284-001-0 		Local PPO $25 per Month No $0 Yes $1,000 Yes No Yes No No 170
Humana Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
H1036-213-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 161
Freedom Health, Inc. Freedom Medi-Medi Partial (HMO D-SNP)
H5427-078-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 151
Wellcare Wellcare Giveback (HMO)
H1032-193-0 		HMO No $0 Yes $2,000 No No Yes Yes No 151
Ultimate Health Plans Advantage Care by Ultimate (HMO C-SNP)
H2962-029-0 		HMO No $0 Yes $2,000 No No No No No 150
Freedom Health, Inc. Freedom Medi-Medi Full (HMO D-SNP)
H5427-087-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 124
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 123
CarePlus Health Plans, Inc. CareFree Platinum (HMO)
H1019-137-0 		HMO $25 per Month No $0 Yes $1,200 No No Yes No No 115
Wellcare Wellcare No Premium (HMO)
H1032-194-0 		HMO $45 per Month Yes $0 Yes $2,000 No No Yes Yes No 111
Aetna Medicare Aetna Medicare Select (HMO)
H1609-042-0 		HMO $50 per Month No $0 Yes $3,000 No No Yes No No 87
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 86
CarePlus Health Plans, Inc. CareOne Platinum (HMO)
H1019-112-0 		HMO $100 per Month No $1,200 Yes $2,500 No No Yes No No 81
Ultimate Health Plans Premier by Ultimate (HMO)
H2962-028-0 		HMO $45 per Month No $0 Yes $2,000 No No No No No 71
Devoted Health Devoted CORE North Florida (HMO)
H1290-027-0 		HMO $140 per Quarter No $560 Yes No No Yes No No 70
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 69
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 69
Cigna Healthcare Cigna Preferred Medicare (HMO)
H5410-024-0 		HMO $210 per Quarter No $840 Yes No No Yes No No 63
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-175-0 		HMO $180 per Month Yes $0 Yes $5,000 No No Yes Yes No 62
Humana Humana Community (HMO)
H1036-295-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 58
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-124-0 		HMO $170 per Month Yes $0 Yes $4,000 No No Yes Yes No 53
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 51
Humana Humana Honor (HMO)
H1036-290-0 		HMO $30 per Month Yes $0 Yes No No Yes No No 50
Humana HumanaChoice R5826-074 (Regional PPO)
R5826-074-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 49
Devoted Health Devoted ESSENTIALS North Florida (HMO)
H1290-035-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 48
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H5410-026-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 47
Wellcare Wellcare No Premium Open (PPO)
H5199-008-0 		Local PPO $77 per Quarter No $308 Yes $2,000 No No Yes Yes No 45
Devoted Health Devoted PREMIUM (HMO)
H1290-044-3 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 40
Florida Blue HMO BlueMedicare Complete (HMO D-SNP)
H1035-029-0 		HMO $100 per Month No $0 Yes $3,000 No No No No No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 37
Ultimate Health Plans Advantage Care COPD by Ultimate (HMO C-SNP)
H2962-023-0 		HMO No $0 Yes $2,000 No No No No No 35
UnitedHealthcare UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
R0759-003-0 		Regional PPO $43 per Month No $0 Yes $3,600 Yes No Yes Yes No 35
Optimum HealthCare, Inc. Optimum Diamond Savings (HMO C-SNP)
H5594-030-0 		HMO $30 per Month No $0 Yes $1,000 No No Yes No No 34
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 30
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 29
CarePlus Health Plans, Inc. CareComplete Platinum (HMO C-SNP)
H1019-122-0 		HMO $75 per Month No $0 Yes $1,500 No No Yes No No 27
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-033-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 26
Optimum HealthCare, Inc. Optimum Gold Rewards Plan (HMO)
H5594-026-0 		HMO $30 per Month No $0 Yes $1,000 No No Yes No No 26
Humana HumanaChoice R5826-018 (Regional PPO)
R5826-018-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 25
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 24
Devoted Health Devoted DUAL North Florida (HMO D-SNP)
H1290-033-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 23
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 20
Freedom Health, Inc. Freedom Savings Plan (HMO)
H5427-052-0 		HMO $35 per Month No $0 Yes $1,000 No No Yes No No 19
Humana HumanaChoice R5826-005 (Regional PPO)
R5826-005-0 		Regional PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 19
Optimum HealthCare, Inc. Optimum Emerald Partial (HMO D-SNP)
H5594-016-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 18
CarePlus Health Plans, Inc. CareComplete (HMO C-SNP)
H1019-107-0 		HMO $75 per Month No $900 Yes $1,200 No No Yes No No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 17
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-017-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 16
Optimum HealthCare, Inc. Optimum Diamond Savings COPD (HMO C-SNP)
H5594-031-0 		HMO $30 per Month No $0 Yes $1,000 No No Yes No No 16
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 15
Humana Humana Honor (PPO)
H5216-257-0 		Local PPO $35 per Month Yes $0 Yes $1,000 Yes No Yes No No 14
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 14
Ultimate Health Plans Advantage Plus by Ultimate (Partial) (HMO D-SNP)
H2962-036-0 		HMO $125 per Month No $0 Yes $2,000 No No No No No 14
Aetna Medicare Aetna Medicare Assure Plus (HMO D-SNP)
H1609-046-0 		HMO $270 per Month No $0 Yes $5,000 No No Yes No No 13
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 12
Cigna Cigna True Choice Medicare (PPO)
H7849-803-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
Vermont Blue Advantage Vermont Blue Advantage Group PPO (PPO)
H6898-803-0 		Local PPO No $0 No 12
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 11
Freedom Health, Inc. Freedom Platinum Plus Plan Rx (HMO)
H5427-104-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 11
Optimum HealthCare, Inc. Optimum Emerald Full (HMO D-SNP)
H5594-017-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 11
Wellcare Wellcare Dual Select (HMO D-SNP)
H1032-182-0 		HMO $207 per Quarter No $828 Yes $2,000 No No Yes Yes Yes 11
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