Medicare Advantage Plans for Sangamon County, Illinois

  • 49 Total Plans
  • 43,050 Seniors Eligible for Medicare
  • 13,397 Seniors on Medicare Advantage (31%)
  • 2 plans with 91 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 28 plans with 9,196 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 22% 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
Aetna Medicare Aetna Medicare Value (PPO)
H7301-007-0
Local PPO $60 per Quarter No $240 Yes $4,000 No No Yes No No 3,201
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0
HMO No $0 No 2,225
Aetna Medicare Aetna Medicare Premier (PPO)
H7301-009-0
Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 1,669
Humana HumanaChoice H5216-215 (PPO)
H5216-215-0
Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,380
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 734
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 659
Humana HumanaChoice H5216-013 (PPO)
H5216-013-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 339
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H8768-011-0
Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 337
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 245
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 211
Health Alliance Medicare Health Alliance Medicare HMO 40 Rx (HMO)
H1463-010-0
HMO $96 per Month No $1,152 Yes No No Yes No No 169
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 158
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 130
Wellcare Wellcare No Premium Open (PPO)
H6713-001-0
Local PPO $22 per Month Yes $0 Yes $1,500 No No Yes Yes No 107
Health Alliance Medicare Health Alliance Medicare HMO Basic Rx (HMO)
H1463-009-0
HMO $96 per Month No $1,152 Yes No No Yes No No 105
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-059-0
Local PPO $65 per Quarter No $260 Yes No No Yes No No 101
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-108-3
HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 101
Health Alliance Medicare Health Alliance Medicare POS 10 Rx (HMO-POS)
H1463-019-0
HMOPOS $35 per Quarter No $140 Yes No No Yes No No 91
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 88
Humana Humana Medicare Employer (PPO)
H5216-805-0
Local PPO No $0 No 87
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 87
Humana Humana Medicare Employer (PPO)
H5216-806-0
Local PPO No $0 No 70
Health Alliance Medicare Health Alliance Medicare HMO 20 Rx (HMO)
H1463-003-0
HMO $35 per Quarter No $140 Yes No No Yes No No 63
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 63
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 54
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No $0 No 52
Medical Associates Health Plan, Inc. Live360 Health Plan (Cost)
H1651-025-0
1876 Cost No $0 No 50
Health Alliance Medicare Health Alliance Medicare POS 30 Rx (HMO-POS)
H1463-017-0
HMOPOS $96 per Month No $1,152 Yes No No Yes No No 48
Humana Humana Honor (Regional PPO)
R5361-001-0
Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 48
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-012-0
HMO $125 per Quarter Yes $500 Yes No No Yes No No 46
Humana Humana Honor (PPO)
H5216-258-0
Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 45
Wellcare Wellcare Giveback Open (PPO)
H6713-002-0
Local PPO No $0 Yes $700 No No Yes Yes No 44
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-019-0
Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 35
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-003-0
Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 34
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-007-0
Local PPO $50 per Quarter Yes $200 Yes $1,000 No No No No No 28
Health Alliance Medicare Health Alliance Medicare POS Basic Rx (HMO-POS)
H1463-015-0
HMOPOS $35 per Quarter No $140 Yes No No Yes No No 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0
Local PPO No $0 No 26
Humana Humana Honor (PPO)
H5216-355-0
Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 25
Wellcare Wellcare No Premium Essential (HMO)
H5779-002-0
HMO $75 per Quarter No $300 Yes $2,000 No No Yes Yes No 25
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No $0 No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0
Local PPO No $0 No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0
Local PPO No $0 No 20
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (PPO)
H8634-813-0
Local PPO No $0 No 18
Humana Humana Gold Choice H8145-121 (PFFS)
H8145-121-0
PFFS $150 per Quarter No $600 No 18
Health Alliance Medicare Medicare Employer HMO-POS with Rx (HMO-POS)
H1463-812-0
HMOPOS No $0 No 16
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Saver Plus (PPO)
H8634-020-0
Local PPO No $0 Yes No No Yes No No 12
Health Alliance Medicare Health Alliance Medicare HMO Basic (HMO)
H1463-008-0
HMO $35 per Quarter No $140 Yes No No Yes No No 12
Humana Humana Medicare Employer (PPO)
H7617-801-0
Local PPO No $0 No 12
Humana Humana Gold Choice H8145-008 (PFFS)
H8145-008-0
PFFS No $0 No 11
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