Medicare Advantage Plans for St. Clair County, Illinois

  • 58 Total Plans
  • 51,251 Seniors Eligible for Medicare
  • 24,481 Seniors on Medicare Advantage (48%)
  • 3 plans with 224 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 21,476 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 42% 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
Essence Healthcare Essence Advantage (HMO)
H2610-005-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 5,010
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H2802-028-0 		HMOPOS $70 per Quarter No $280 Yes Yes No Yes Yes No 3,688
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 2,245
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-030-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 1,438
Essence Healthcare Essence Advantage Select (HMO)
H2610-016-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 1,349
Humana Humana Gold Plus H0028-014 (HMO)
H0028-014-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,048
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H2802-052-0 		HMOPOS $100 per Quarter No $400 Yes Yes No Yes Yes No 1,043
Humana HumanaChoice H5216-318 (PPO)
H5216-318-3 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 968
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 872
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 583
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-083-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 520
Aetna Medicare Aetna Medicare Value (PPO)
H7301-011-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 466
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 448
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 360
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 324
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 322
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H2802-050-0 		HMOPOS $110 per Quarter No $440 Yes Yes No Yes Yes No 302
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-050-0 		Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 292
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 286
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 263
Humana Humana Honor (PPO)
H5216-140-0 		Local PPO $90 per Quarter Yes $360 Yes No No Yes No No 183
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 172
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 170
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 169
Essence Healthcare Essence Advantage Plus (HMO)
H2610-006-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 134
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 126
Aetna Medicare Aetna Medicare Option 2 (HMO)
H2663-002-0 		HMO $90 per Quarter No $360 Yes $5,000 No No Yes No No 84
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-013-0 		Local PPO $60 per Quarter No $240 Yes $3,000 No No Yes No No 84
Wellcare Wellcare No Premium Open (PPO)
H6713-001-0 		Local PPO $22 per Month Yes $0 Yes $1,500 No No Yes Yes No 80
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 72
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 63
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 61
Humana HumanaChoice H5216-032 (PPO)
H5216-032-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 58
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-057-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 47
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 44
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 43
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 42
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H2663-810-0 		HMO No $0 No 39
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-003-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 38
Humana Humana Honor (PPO)
H5216-329-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H2802-804-0 		HMO No $0 No 36
Wellcare Wellcare Giveback Open (PPO)
H6713-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 30
Wellcare Wellcare No Premium Essential (HMO)
H5779-002-0 		HMO $75 per Quarter No $300 Yes $2,000 No No Yes Yes No 30
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 27
Essence Healthcare Essence Advantage Choice (PPO)
H6200-001-0 		Local PPO $0 per Month No $0 Yes $1,000 No No No No No 25
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 24
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 22
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 22
Blue Cross and Blue Shield of NM, TX Blue Cross Group Medicare Advantage Plan (PPO)
H1666-801-0 		Local PPO No $0 No 21
Medica SSM Health Plan Integrity (HMO-POS)
H8019-002-0 		HMOPOS $55 per Quarter No $220 Yes No No No No No 15
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 14
Humana Humana Gold Choice H8145-121 (PFFS)
H8145-121-0 		PFFS $150 per Quarter No $600 No 14
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 14
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-077-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 13
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 11
Wellcare Wellcare Assist (HMO)
H5779-008-0 		HMO $100 per Quarter No $400 Yes $4,000 No No Yes Yes Yes 11
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