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 |