Medicare Advantage Plans for DuPage County, Illinois

  • 81 Total Plans
  • 170,647 Seniors Eligible for Medicare
  • 52,468 Seniors on Medicare Advantage (31%)
  • 11 plans with 16,699 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 24,639 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 24% 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? Illinois Enrollees
Humana Humana Gold Plus H1468-013 (HMO)
H1468-013-0 		HMO $150 per Quarter Yes $600 Yes No No Yes No No 11,356
Aetna Medicare Aetna Medicare Value (PPO)
H5521-086-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 4,247
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-005-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 2,621
Humana HumanaChoice H5216-251 (PPO)
H5216-251-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 2,462
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H8768-010-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 2,445
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-001-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 2,174
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,982
Aetna Medicare Aetna Medicare Duly Prime (PPO)
H5521-314-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes No No 1,772
Blue Cross Community MMAI Blue Medicare Advantage (Medicare-Medicaid Plan)
H0927-001-0 		Medicare-Medicaid Plan HMO $30 per Quarter No $120 Yes No No No Yes No 1,740
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 1,436
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,319
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,287
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Flex (PPO)
H8634-014-0 		Local PPO No $0 Yes No No Yes No No 1,168
Humana Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
H0336-001-0 		Medicare-Medicaid Plan HMO $65 per Quarter No $260 Yes Yes No No No No 1,012
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 883
Humana Humana Community HMO Diabetes and Heart (HMO C-SNP)
H1468-017-0 		HMO $600 per Month No $0 Yes No No Yes No No 871
Humana HumanaChoice H5216-013 (PPO)
H5216-013-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 842
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-016-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 811
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H2802-025-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 802
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-003-0 		Local PPO $85 per Quarter Yes $340 Yes No No Yes No No 743
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-002-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 720
Meridian Medicare-Medicaid Plan (MMP) Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)
H6080-001-0 		Medicare-Medicaid Plan HMO $50 per Month No $0 Yes No No No Yes No 653
Aetna Better Health Premier Plan Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)
H2506-001-0 		Medicare-Medicaid Plan HMO $60 per Month No $0 Yes No No No Yes No 643
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 565
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Elite (PPO)
H8634-016-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 479
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Premier (PPO)
H8634-004-0 		Local PPO No $0 Yes No No Yes No No 475
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic Plus (HMO-POS)
H3822-007-0 		HMOPOS $105 per Quarter Yes $420 Yes No No Yes No No 466
Humana HumanaChoice H5216-283 (PPO)
H5216-283-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 419
Cigna Healthcare Cigna Preferred Medicare (HMO)
H1415-024-0 		HMO $75 per Quarter No $300 Yes $1,400 No No No No No 357
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-027-0 		Local PPO $148 per Month No $0 Yes $2,500 Yes No Yes Yes No 342
UnitedHealthcare AARP Medicare Advantage Access (HMO-POS)
H2802-024-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 317
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Classic (PPO)
H8634-008-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 302
Wellcare Wellcare No Premium Open (PPO)
H6713-001-0 		Local PPO $22 per Month Yes $0 Yes $1,500 No No Yes Yes No 298
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-039-0 		Local PPO $350 per Quarter Yes $1,400 Yes $2,000 Yes No Yes Yes No 271
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 270
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 264
Aetna Medicare Aetna Medicare Prime (HMO-POS)
H3192-001-0 		HMOPOS $135 per Quarter No $540 Yes $2,000 No No Yes No No 230
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 213
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Premier Plus (HMO-POS)
H3822-008-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 183
Devoted Health Devoted CORE Illinois (HMO)
H7151-001-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 183
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H2802-054-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 167
Cigna Healthcare Cigna Premier Medicare (HMO-POS)
H1415-021-0 		HMOPOS $30 per Quarter No $120 Yes $1,500 No No No No No 156
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 148
Provider Partners Health Plans Provider Partners Illinois Advantage Plan (HMO I-SNP)
H3800-001-0 		HMO $230 per Quarter No $920 Yes $1,000 No No No No No 140
Wellcare by Allwell Ascension Complete Illinois Secure (HMO)
H7399-002-0 		HMO $132 per Quarter No $528 Yes $1,000 No No Yes Yes Yes 140
Wellcare Wellcare Giveback Open (PPO)
H6713-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 107
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 98
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-019-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 98
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 94
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-813-0 		Local PPO No $0 No 94
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-802-0 		Local PPO No $0 No 91
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-815-0 		Local PPO No $0 No 85
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 80
Wellcare Wellcare Assist (HMO)
H5779-008-0 		HMO $100 per Quarter No $400 Yes $4,000 No No Yes Yes Yes 70
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-080-0 		Local PPO No $0 Yes No No Yes No No 63
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 62
Devoted Health Devoted GIVEBACK Illinois (HMO)
H7151-003-0 		HMO $0 per Month No $0 Yes No No Yes No No 61
Wellcare Wellcare No Premium Essential (HMO)
H5779-002-0 		HMO $75 per Quarter No $300 Yes $2,000 No No Yes Yes No 58
Wellcare by Allwell Ascension Complete Illinois Reward (HMO)
H7399-001-0 		HMO $40 per Quarter No $160 Yes $700 No No Yes Yes No 55
Humana Humana Medicare Employer (HMO)
H1468-802-0 		HMO No $0 No 51
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 47
Blue Cross and Blue Shield of Illinois Blue Medicare Advocate Health (HMO)
H8547-001-0 		HMO $125 per Quarter Yes $500 Yes No No Yes No No 42
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 40
Devoted Health Devoted CHOICE Illinois (PPO)
H6545-001-0 		Local PPO $155 per Quarter No $620 Yes No No Yes No No 38
Molina Healthcare of Illinois Molina Dual Options (Medicare-Medicaid Plan)
H8046-001-0 		Medicare-Medicaid Plan HMO $60 per Quarter No $240 Yes Yes No No Yes No 36
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 34
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Dental Premier (PPO)
H8634-021-0 		Local PPO No $0 Yes No No Yes No No 33
Humana HumanaChoice R5361-002 (Regional PPO)
R5361-002-0 		Regional PPO $15 per Quarter No $60 Yes No No Yes No No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 29
Cigna Healthcare Cigna True Choice Plus Medicare (PPO)
H7849-079-0 		Local PPO $210 per Quarter No $840 Yes $1,400 No No No No No 27
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP)
H2802-027-0 		HMOPOS $125 per Quarter Yes $500 Yes $2,000 Yes No Yes Yes No 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 20
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Health Choice (PPO)
H8634-018-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 17
Clear Spring Health Clear Spring Health Community Advantage Plan (HMO)
H3071-002-0 		HMO $75 per Month No $0 Yes $1,000 Yes No No No No 17
Humana HumanaChoice H5216-357 (PPO)
H5216-357-0 		Local PPO No $0 Yes No No Yes No No 17
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 16
Humana Humana Medicare Employer (Regional PPO)
R5361-801-0 		Regional PPO No $0 No 15
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-272-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 11
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