Medicare Advantage Plans for Madison County, Illinois
- 57 Total Plans
- 56,911 Seniors Eligible for Medicare
- 25,491 Seniors on Medicare Advantage (45%)
- 3 plans with 151 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 34 plans with 21,044 seniors have OTC benefits that partially cover MDHearing hearing aids
- 37% 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 |
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO-POS) H2802-028-0 |
HMOPOS | $70 per Quarter | No | $280 | Yes | Yes | No | Yes | Yes | No | 5,585 | |
Essence Healthcare |
Essence Advantage (HMO) H2610-005-0 |
HMO | $0 per Month | No | $0 | Yes | $1,000 | No | No | No | No | No | 3,285 |
Aetna Medicare |
Aetna Medicare Gold Advantage Prime (HMO) H2663-005-0 |
HMO | $120 per Quarter | No | $480 | Yes | $4,000 | No | No | Yes | No | No | 2,011 |
UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H2228-030-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | Yes | No | 1,404 | |
Humana |
Humana Gold Plus H0028-014 (HMO) H0028-014-0 |
HMO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 1,369 | |
Humana |
HumanaChoice H5216-318 (PPO) H5216-318-3 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 972 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 951 | |||||||
Essence Healthcare |
Essence Advantage Select (HMO) H2610-016-0 |
HMO | $0 per Month | No | $0 | Yes | $1,000 | No | No | No | No | No | 849 |
UnitedHealthcare |
AARP Medicare Advantage Plan 2 (HMO-POS) H2802-052-0 |
HMOPOS | $100 per Quarter | No | $400 | Yes | Yes | No | Yes | Yes | No | 726 | |
UnitedHealthcare |
AARP Medicare Advantage Walgreens (PPO) H2228-083-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | No | No | Yes | Yes | No | 720 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 719 | |||||||
UnitedHealthcare |
UnitedHealthcare Chronic Complete Assure (PPO C-SNP) H0271-026-0 |
Local PPO | $180 per Month | No | $0 | Yes | $2,500 | Yes | No | Yes | Yes | No | 623 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 548 | |||||||
Aetna Medicare |
Aetna Medicare Value (PPO) H7301-011-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $2,500 | No | No | Yes | No | No | 434 |
Wellcare |
Wellcare No Premium (HMO-POS) H1416-009-0 |
HMOPOS | $67 per Month | Yes | $0 | Yes | $3,000 | No | No | Yes | Yes | No | 419 |
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 | 413 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx (HMO) H3959-804-0 |
HMO | No | $0 | No | 392 | |||||||
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 | 348 | |
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 | 318 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0 |
Local PPO | No | $0 | No | 315 | |||||||
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 | 243 | |
Aetna Medicare |
Aetna Medicare Elite (PPO) H1608-050-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $4,000 | No | No | Yes | No | No | 228 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 228 | |||||||
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 170 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Patriot (HMO-POS) H2802-050-0 |
HMOPOS | $110 per Quarter | No | $440 | Yes | Yes | No | Yes | Yes | No | 157 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (HMO) H2802-804-0 |
HMO | No | $0 | No | 142 | |||||||
Aetna Medicare |
Aetna Medicare Option 2 (HMO) H2663-002-0 |
HMO | $90 per Quarter | No | $360 | Yes | $5,000 | No | No | Yes | No | No | 141 |
Wellcare |
Wellcare No Premium Open (PPO) H6713-001-0 |
Local PPO | $22 per Month | Yes | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 115 |
Humana |
Humana Honor (PPO) H5216-140-0 |
Local PPO | $90 per Quarter | Yes | $360 | Yes | No | No | Yes | No | No | 108 | |
Wellcare |
Wellcare Assist Compass (HMO) H1416-023-0 |
HMO | $60 per Month | Yes | $0 | Yes | $4,000 | No | No | Yes | Yes | No | 107 |
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 | 98 | ||
Aetna Medicare |
Aetna Medicare Option 1 (HMO-POS) H2663-006-0 |
HMOPOS | $90 per Quarter | No | $360 | Yes | $5,000 | No | No | Yes | No | No | 96 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-847-0 |
Local PPO | No | $0 | No | 95 | |||||||
Wellcare |
Wellcare Giveback Open (PPO) H6713-002-0 |
Local PPO | No | $0 | Yes | $700 | No | No | Yes | Yes | No | 85 | |
Wellcare |
Wellcare Assist (HMO) H5779-008-0 |
HMO | $100 per Quarter | No | $400 | Yes | $4,000 | No | No | Yes | Yes | Yes | 84 |
Aetna Medicare |
Aetna Medicare Plan w/Rx (HMO) H2663-810-0 |
HMO | No | $0 | No | 73 | |||||||
Aetna Medicare |
Aetna Medicare Premier (PPO) H1608-013-0 |
Local PPO | $60 per Quarter | No | $240 | Yes | $3,000 | No | No | Yes | No | No | 71 |
Essence Healthcare |
Essence Advantage Plus (HMO) H2610-006-0 |
HMO | $0 per Month | No | $0 | Yes | $1,000 | No | No | No | No | No | 64 |
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 61 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-825-0 |
Local PPO | No | $0 | No | 59 | |||||||
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 | 49 | |
Wellcare |
Wellcare No Premium Essential (HMO) H5779-002-0 |
HMO | $75 per Quarter | No | $300 | Yes | $2,000 | No | No | Yes | Yes | No | 41 |
Humana |
HumanaChoice H5216-032 (PPO) H5216-032-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 38 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 36 | |||||||
Humana |
Humana Medicare Employer (PPO) H7617-801-0 |
Local PPO | No | $0 | No | 36 | |||||||
Cigna Healthcare |
Cigna Preferred Medicare (HMO) H7389-003-0 |
HMO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 30 | |
Humana |
Humana Honor (PPO) H5216-329-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 29 | |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-802-0 |
Local PPO | No | $0 | No | 24 | |||||||
Essence Healthcare |
Essence Advantage Choice (PPO) H6200-001-0 |
Local PPO | $0 per Month | No | $0 | Yes | $1,000 | No | No | No | No | No | 24 |
Blue Cross and Blue Shield of IL, NM |
Blue Cross Medicare Advantage Basic (HMO) H3822-013-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | No | No | Yes | No | No | 22 | |
Blue Cross and Blue Shield of IL, NM |
Blue Cross Medicare Advantage Classic (PPO) H8634-011-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | $1,000 | No | No | No | No | No | 21 |
Essence Healthcare |
Essence Advantage Choice Plus (PPO) H6200-002-0 |
Local PPO | $0 per Month | No | $0 | Yes | $2,000 | No | No | No | No | No | 21 |
Cigna Healthcare |
Cigna True Choice Medicare (PPO) H7849-057-0 |
Local PPO | $70 per Quarter | No | $280 | Yes | No | No | Yes | No | No | 18 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-857-0 |
Local PPO | No | $0 | No | 17 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 16 | |||||||
Humana |
Humana Medicare Employer (PPO) H5216-806-0 |
Local PPO | No | $0 | No | 14 | |||||||
Medica |
SSM Health Plan Integrity (HMO-POS) H8019-002-0 |
HMOPOS | $55 per Quarter | No | $220 | Yes | No | No | No | No | No | 12 |