Medicare Advantage Plans for Fulton County, Georgia

  • 109 Total Plans
  • 145,858 Seniors Eligible for Medicare
  • 75,310 Seniors on Medicare Advantage (52%)
  • 13 plans with 9,096 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 56 plans with 43,589 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 36% 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 Humana Gold Plus H4141-015 (HMO)
H4141-015-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 6,692
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 6,531
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 5,611
Humana Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)
H4141-003-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 3,752
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 No 3,570
Humana HumanaChoice H5216-203 (PPO)
H5216-203-2 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 3,452
Aetna Medicare Aetna Medicare Signature Plan (PPO)
H5521-360-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 2,181
Wellcare Wellcare No Premium (HMO)
H1112-038-0 		HMO No $0 Yes $3,000 No No Yes Yes No 1,905
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 1,884
UnitedHealthcare AARP Medicare Advantage Walgreens (HMO-POS)
H1111-011-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 1,771
Wellcare Wellcare Dual Access (HMO D-SNP)
H1112-006-0 		HMO $84 per Month Yes $0 Yes $4,000 No No Yes Yes No 1,761
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5322-030-0 		HMOPOS $185 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,453
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 1,351
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $125 per Quarter No $500 No 1,335
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 1,224
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 1,200
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,072
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1112-033-0 		HMO $140 per Month Yes $0 Yes $5,000 No No Yes Yes No 977
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 965
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP)
H5422-016-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 964
Aetna Medicare Aetna Medicare Plus Plan (PPO)
H3288-045-0 		Local PPO No $0 Yes $1,000 No No Yes No No 960
Wellcare Wellcare Assist (HMO)
H1112-043-0 		HMO $25 per Month Yes $0 Yes $2,000 No No Yes Yes No 951
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0439-007-0 		HMO $35 per Quarter No $140 Yes No No Yes No No 856
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 829
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 824
Wellcare Wellcare No Premium Focus (HMO)
H1112-040-0 		HMO $65 per Quarter No $260 Yes $2,000 No No Yes Yes Yes 797
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 784
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H5422-011-0 		HMO No $0 Yes $1,000 Yes No Yes Yes No 725
Wellcare Wellcare Giveback (HMO)
H1112-042-0 		HMO No $0 Yes $700 No No Yes Yes No 721
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 716
Humana Humana Gold Plus SNP-DE H4141-021 (HMO D-SNP)
H4141-021-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 715
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 668
UnitedHealthcare UnitedHealthcare Dual Complete (PPO D-SNP)
H2228-044-0 		Local PPO $55 per Month No $660 Yes $3,600 No No Yes Yes No 651
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 625
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 618
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 559
Humana Humana Gold Plus H4141-017 (HMO)
H4141-017-5 		HMO $25 per Quarter No $100 Yes No No Yes No No 558
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 536
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 513
Aetna Medicare Aetna Medicare Dual Preferred Plan (HMO D-SNP)
H5302-012-0 		HMO $195 per Month No $0 Yes $2,500 No No Yes No No 512
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 458
Wellcare Wellcare No Premium Open (PPO)
H0111-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes Yes No 453
Humana HumanaChoice H5216-073 (PPO)
H5216-073-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 445
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-246-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 410
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H0439-002-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 407
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 406
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 400
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 399
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-003-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 388
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 386
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H7728-005-0 		Local PPO $35 per Quarter Yes $140 Yes $2,000 No No Yes Yes No 374
Aetna Medicare Aetna Medicare Select Plan (HMO)
H1109-005-0 		HMO $90 per Quarter No $360 Yes $1,000 No No Yes No No 361
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H7728-012-0 		Local PPO $35 per Quarter Yes $140 No 316
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 280
Anthem Blue Cross and Blue Shield Anthem MediBlue Extra (HMO)
H5422-013-0 		HMO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 263
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 252
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $255 per Quarter No $1,020 No 251
UnitedHealthcare UnitedHealthcare Dual Complete Choice Select LP (PPO D-SNP)
H3256-002-0 		Local PPO $71 per Month No $0 Yes $2,500 Yes No Yes Yes No 244
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 232
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 230
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 222
Aetna Medicare Aetna Medicare Advantage Plus Plan (PPO)
H2293-010-0 		Local PPO No $0 Yes $1,000 No No Yes No No 200
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger (HMO)
H5422-017-0 		HMO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 188
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 183
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 181
Aetna Medicare Aetna Medicare Advantra Preferred Plan (PPO)
H1608-028-0 		Local PPO $60 per Quarter No $240 Yes $1,000 No No Yes No No 180
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 171
Cigna Healthcare Cigna Preferred GA Medicare (HMO)
H0439-003-2 		HMO No $0 Yes No No Yes No No 170
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 170
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H0439-006-0 		HMO $20 per Quarter No $80 Yes No No Yes No No 147
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 145
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-069-0 		Local PPO No $0 Yes $2,000 No No No No No 138
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H0439-012-0 		HMO $260 per Quarter No $1,040 Yes No No Yes No No 128
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1112-034-0 		HMOPOS $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 126
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 118
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-033-0 		Local PPO $315 per Quarter Yes $1,260 Yes $2,000 Yes No Yes Yes No 98
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 97
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 96
Aetna Medicare Aetna Medicare Dual Choice Plan (PPO D-SNP)
H2293-003-0 		Local PPO $80 per Month No $0 Yes $2,500 No No Yes No No 88
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 88
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H3291-001-0 		HMO $30 per Month No $0 Yes $2,500 No No No No No 80
Anthem Blue Cross and Blue Shield Anthem MediBlue Essential (HMO)
H5422-008-0 		HMO $57 per Quarter Yes $228 Yes $2,000 No No Yes Yes No 74
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 64
Aetna Medicare Aetna Medicare Dual Choice Plus Plan (PPO D-SNP)
H2293-002-0 		Local PPO $190 per Month No $0 Yes $2,500 No No Yes No No 62
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 62
Humana Humana Care Extra (PPO)
H5216-239-0 		Local PPO No $0 Yes No No Yes No No 59
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 58
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (HMO)
H5422-014-0 		HMO $75 per Quarter Yes $300 Yes $1,000 Yes No Yes Yes No 57
Humana Humana Care Extra (PPO D-SNP)
H5216-240-0 		Local PPO No $0 Yes No No Yes No No 55
Aetna Medicare Aetna Medicare Value Plus Plan (PPO)
H5521-364-0 		Local PPO $45 per Month No $0 Yes $2,500 No No Yes No No 52
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 52
Sonder Health Plans, Inc. Sonder Complete Health Medicare Advantage (HMO)
H1748-001-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 46
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 42
Sonder Health Plans, Inc. Sonder Dual Complete (HMO D-SNP)
H1748-005-0 		HMO $500 per Quarter No $2,000 Yes No No No No No 41
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2228-013-0 		Local PPO $245 per Quarter Yes $980 Yes $1,100 No No Yes Yes No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 32
Kaiser Permanente Kaiser Permanente Senior Advantage Care Plus (HMO-POS)
H1170-013-0 		HMOPOS $115 per Quarter No $460 No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 29
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H3288-034-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 27
Sonder Health Plans, Inc. Sonder Diabetes Wellness (HMO C-SNP)
H1748-003-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 22
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H1109-802-0 		HMO No $0 No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 19
Aetna Medicare Aetna Medicare Plan (HMO)
H1109-801-0 		HMO No $0 No 17
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 17
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
H6528-006-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 11
Wellcare Wellcare Premium Enhanced Open (PPO)
H0111-003-0 		Local PPO $60 per Quarter No $240 Yes $2,000 No No Yes Yes No 11
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