Medicare Advantage Plans for Jefferson County, Louisiana

  • 60 Total Plans
  • 90,846 Seniors Eligible for Medicare
  • 62,590 Seniors on Medicare Advantage (69%)
  • 4 plans with 3,905 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 38 plans with 34,239 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? Louisiana Enrollees
Humana Humana Gold Plus H1951-047 (HMO)
H1951-047-2 		HMO No $0 Yes Yes No Yes No No 20,816
Peoples Health Peoples Health Choices 65 (HMO-POS)
H1961-014-4 		HMOPOS $65 per Quarter No $260 Yes Yes No Yes Yes No 13,387
Humana Humana-Ochsner Network H1951-038 (HMO)
H1951-038-0 		HMO $75 per Quarter No $300 Yes $2,000 Yes No Yes No No 3,351
Humana Humana Gold Plus SNP-DE H1951-033 (HMO D-SNP)
H1951-033-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 2,998
Peoples Health Peoples Health Secure Complete (HMO-POS D-SNP)
H1961-019-0 		HMOPOS $248 per Month No $0 Yes $2,500 Yes No Yes Yes No 2,604
Peoples Health Peoples Health Secure Health (HMO-POS D-SNP)
H1961-003-0 		HMOPOS $112 per Month No $0 Yes $1,100 Yes No Yes Yes No 2,550
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5008-010-0 		HMOPOS $250 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,909
Humana Humana LCMC Advantage H1951-051 (HMO)
H1951-051-0 		HMO $90 per Quarter No $360 Yes No No Yes No No 1,671
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H1951-044-0 		HMO $900 per Month No $0 Yes No No Yes No No 1,419
Humana Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)
H1951-057-0 		HMO $2,940 per Month No $0 Yes No No Yes No No 1,276
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-008-2 		HMO $50 per Quarter No $200 Yes $500 No No Yes No No 1,025
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 862
Humana Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP)
H1951-056-0 		HMO $1,200 per Month No $0 Yes No No Yes No No 621
Aetna Medicare Aetna Medicare Dual Preferred Plan (HMO D-SNP)
H3239-001-0 		HMO $235 per Month No $0 Yes $2,500 No No Yes No No 592
Humana HumanaChoice SNP-DE H5216-332 (PPO D-SNP)
H5216-332-0 		Local PPO $2,100 per Month No $0 Yes Yes No Yes No No 589
Peoples Health Peoples Health Group Medicare (HMO-POS)
H1961-801-0 		HMOPOS No $0 No 501
Ochsner Health Plan Ochsner Health Plan Premier (HMO)
H9763-003-2 		HMO $85 per Quarter No $340 Yes $0 Yes No No No No 457
Humana Humana Medicare Employer (HMO)
H1951-801-0 		HMO No $0 No 391
Humana Humana Honor (PPO)
H5216-201-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes No No 377
Humana HumanaChoice R0110-003 (Regional PPO)
R0110-003-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 368
Aetna Medicare Aetna Medicare Freedom Plan (PPO)
H5521-178-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 336
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 317
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 298
Humana HumanaChoice H5216-325 (PPO)
H5216-325-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 291
Wellcare Wellcare Dual Pinnacle Liberty (HMO D-SNP)
H2491-012-0 		HMO $240 per Month Yes $0 Yes $2,000 No No Yes Yes No 248
Healthy Blue Healthy Blue Dual Advantage (HMO D-SNP)
H1947-001-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 246
Humana HumanaChoice H5216-064 (PPO)
H5216-064-0 		Local PPO No $0 Yes No No Yes No No 246
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 224
Wellcare Wellcare No Premium (HMO)
H2491-007-0 		HMO $91 per Quarter No $364 Yes $1,000 No No Yes Yes Yes 223
Wellcare Wellcare Dual Freedom Access (HMO D-SNP)
H2491-011-0 		HMO $200 per Month Yes $0 Yes $2,000 No No Yes Yes No 216
Aetna Medicare Aetna Medicare Advantra Plan (HMO)
H3928-001-0 		HMO $120 per Quarter No $480 Yes $1,000 No No Yes No No 189
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 180
Wellcare Wellcare Assist (HMO)
H2491-010-0 		HMO $40 per Month Yes $0 Yes $1,000 No No Yes Yes No 142
Peoples Health Peoples Health Choices (PPO)
H4544-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 125
Blue Cross and Blue Shield of Louisiana Blue Advantage (PPO)
H1248-801-0 		Local PPO No $0 No 122
Wellcare Wellcare Giveback Open (PPO)
H3047-002-0 		Local PPO $50 per Quarter No $200 Yes $700 No No Yes Yes No 118
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-010-0 		Local PPO $215 per Month No $0 Yes $2,500 Yes No Yes Yes No 109
Blue Cross and Blue Shield of Louisiana Blue Advantage (PPO)
H1248-004-0 		Local PPO $150 per Quarter No $600 Yes $1,100 Yes No Yes No No 96
Aetna Medicare Aetna Medicare Value Plus Plan (PPO)
H5521-326-0 		Local PPO $70 per Month No $0 Yes $1,000 No No Yes No No 92
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 79
Aetna Medicare Aetna Medicare Signature Plan (PPO)
H5521-365-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 77
Aetna Medicare Aetna Medicare Dual Plus Plan (HMO D-SNP)
H3239-013-0 		HMO $245 per Month No $0 Yes $2,500 No No Yes No No 72
Peoples Health Peoples Health Patriot (PPO)
H4544-002-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 68
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-801-0 		HMO No $0 No 63
Wellcare Wellcare Endurance (HMO)
H2491-016-0 		HMO $72 per Quarter No $288 Yes $700 No No Yes Yes No 49
Ochsner Health Plan Ochsner Health Plan Freedom (HMO-POS)
H9763-002-0 		HMOPOS $85 per Quarter No $340 Yes $1,000 No No No No No 45
Wellcare Wellcare No Premium Open (PPO)
H3047-001-0 		Local PPO $40 per Month Yes $0 Yes $700 No No Yes Yes No 44
Aetna Medicare Aetna Medicare Dual Select Plan (HMO D-SNP)
H3239-011-0 		HMO $120 per Month No $0 Yes $1,000 No No Yes No No 41
Blue Cross and Blue Shield of Louisiana Blue Advantage (PPO)
H1248-007-0 		Local PPO $140 per Quarter No $560 Yes $1,100 Yes No Yes No No 39
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 30
Humana HumanaChoice R0110-001 (Regional PPO)
R0110-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 25
Pace Greater New Orleans PACE Greater New Orleans (PACE)
H1904-001-0 		National PACE No $0 No 23
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-235-0 		Local PPO $120 per Quarter No $480 Yes $1,000 No No Yes No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 16
Humana Humana Gold Plus H1951-028 (HMO)
H1951-028-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 15
Vantage Health Plan Vantage DUAL PLUS (HMO-POS D-SNP)
H5576-019-0 		HMOPOS $150 per Quarter No $600 Yes $1,500 No No Yes No No 15
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 13
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 11
Healthy Blue Healthy Blue Enhanced Care (HMO D-SNP)
H1947-003-0 		HMO $55 per Month No $0 Yes $3,000 Yes No Yes Yes No 11
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