Medicare Advantage Plans for Sioux County, Iowa

  • 14 Total Plans
  • 6,386 Seniors Eligible for Medicare
  • 870 Seniors on Medicare Advantage (14%)
  • 1 plans with 36 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 12 plans with 725 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 12% 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? Iowa Enrollees
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H1609-001-0 		HMOPOS $105 per Quarter No $420 Yes $2,500 No No Yes No No 145
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-007-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 105
HealthPartners UnityPoint Health HealthPartners UnityPoint Health Align (PPO)
H3416-001-7 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 103
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-001-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 95
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H0907-001-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 55
Humana HumanaChoice H5216-254 (PPO)
H5216-254-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 45
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-037-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 38
Wellmark Advantage Health Plan Blue Medicare Advantage PPO (PPO)
H5900-001-0 		Local PPO $85 per Quarter No $340 Yes $2,000 No No No No No 38
Humana HumanaChoice SNP-DE H5216-268 (PPO D-SNP)
H5216-268-0 		Local PPO $2,040 per Month No $0 Yes No No Yes No No 36
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H0169-001-0 		HMOPOS $216 per Month No $0 Yes $2,500 Yes No Yes Yes No 35
Humana Humana Gold Plus H0028-053 (HMO)
H0028-053-4 		HMO No $0 Yes No No Yes No No 33
Medica Medica Prime Solution Premier (Cost)
H2450-042-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 32
Wellmark Advantage Health Plan Blue Medicare Advantage Enhanced PPO (PPO)
H5900-002-0 		Local PPO $95 per Quarter No $380 Yes $2,500 No No No No No 18
Humana Humana Honor (PPO)
H5216-278-3 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 16
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