Medicare Advantage Plans for Winnebago County, Iowa

  • 15 Total Plans
  • 2,702 Seniors Eligible for Medicare
  • 487 Seniors on Medicare Advantage (18%)
  • 1 plans with 27 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 11 plans with 296 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
Humana Humana Gold Plus H0028-053 (HMO)
H0028-053-4 		HMO No $0 Yes No No Yes No No 67
Humana HumanaChoice H5216-254 (PPO)
H5216-254-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 63
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H8768-017-2 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 37
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H8768-032-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 37
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 27
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 26
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-107-2 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 25
Medical Associates Health Plan, Inc. MercyOne North Iowa Senior Plan (Cost)
H1651-015-0 		1876 Cost No $0 No 24
Medica Medica Prime Solution Premier (Cost)
H2450-042-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 20
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H0907-001-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 20
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 19
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
Humana HumanaChoice H5216-014 (PPO)
H5216-014-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 15
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 11
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