Medicare Advantage Plans for Carroll County, Georgia

  • 53 Total Plans
  • 22,496 Seniors Eligible for Medicare
  • 12,389 Seniors on Medicare Advantage (55%)
  • 6 plans with 2,373 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 27 plans with 4,575 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 31% 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? Georgia Enrollees
Humana HumanaChoice H5216-203 (PPO)
H5216-203-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 2,604
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,762
Humana HumanaChoice SNP-DE H5216-205 (PPO D-SNP)
H5216-205-0 		Local PPO $1,800 per Month No $0 Yes No No Yes No No 1,137
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 676
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 531
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 511
Humana HumanaChoice SNP-DE H5216-206 (PPO D-SNP)
H5216-206-0 		Local PPO $900 per Month No $0 Yes No No Yes No No 510
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R2604-002-0 		Regional PPO $245 per Quarter Yes $980 Yes $1,100 Yes No Yes Yes No 487
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 479
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-091-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 327
Humana HumanaChoice H5216-073 (PPO)
H5216-073-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 237
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 216
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-246-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 199
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-328-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 168
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO No $0 Yes $3,000 No No Yes Yes No 162
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 150
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 149
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 142
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes Yes No 139
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO No $0 Yes $700 No No Yes Yes No 117
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 95
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 95
Aetna Medicare Aetna Medicare Dual Preferred Plan (HMO D-SNP)
H5302-013-0 		HMO $190 per Month No $0 Yes $2,500 No No Yes No No 92
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 90
Aetna Medicare Aetna Medicare Freedom Plus Plan (PPO)
H2293-008-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 88
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H0111-004-0 		Local PPO $84 per Month Yes $0 Yes $3,000 No No Yes Yes No 87
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 83
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $25 per Month Yes $0 Yes $2,000 No No Yes Yes No 82
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 80
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $140 per Month Yes $0 Yes $5,000 No No Yes Yes No 77
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $84 per Month Yes $0 Yes $4,000 No No Yes Yes No 60
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 53
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 48
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 48
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 41
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 37
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 31
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 29
Aetna Medicare Aetna Medicare Dual Select Plan (HMO D-SNP)
H5302-020-0 		HMO $80 per Month No $0 Yes $2,500 No No Yes No No 28
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H5422-007-0 		HMO $300 per Quarter Yes $1,200 Yes $3,000 Yes No Yes Yes No 28
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5422-011-0 		HMO No $0 Yes $1,000 Yes No Yes Yes No 26
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 26
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-069-0 		Local PPO No $0 Yes $2,000 No No No No No 24
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 23
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Basic (PPO)
H7728-006-0 		Local PPO $35 per Quarter Yes $140 Yes $2,000 No No Yes Yes No 20
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 19
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1112-034-0 		HMOPOS $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 18
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-003-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 16
Anthem Blue Cross and Blue Shield Anthem MediBlue Enhanced Care (HMO D-SNP)
H5422-018-0 		HMO $0 per Month No $0 Yes $2,000 Yes No Yes Yes No 15
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H0439-012-0 		HMO $260 per Quarter No $1,040 Yes No No Yes No No 13
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Access (PPO D-SNP)
H7728-011-0 		Local PPO $335 per Quarter Yes $1,340 Yes $3,000 No No Yes Yes No 12
Aetna Medicare Aetna Medicare Value Plus Plan (PPO)
H2293-001-0 		Local PPO $40 per Month No $0 Yes $2,500 No No Yes No No 11
UnitedHealthcare UnitedHealthcare Dual Complete Choice LP (PPO D-SNP)
H3256-001-0 		Local PPO $169 per Month No $0 Yes $2,500 Yes No Yes Yes No 11
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