Medicare Advantage Plans for Lafayette County, Louisiana

  • 49 Total Plans
  • 43,300 Seniors Eligible for Medicare
  • 15,217 Seniors on Medicare Advantage (35%)
  • 3 plans with 621 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 12,325 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 30% 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 H1951-049 (HMO)
H1951-049-3 		HMO $45 per Quarter No $180 Yes No No Yes No No 3,199
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 1,381
Aetna Medicare Aetna Medicare Freedom Plan (PPO)
H5521-234-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 1,213
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-010-2 		HMO $50 per Quarter No $200 Yes $500 No No Yes No No 1,078
Humana Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)
H1951-041-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 763
Humana HumanaChoice H5216-064 (PPO)
H5216-064-0 		Local PPO No $0 Yes No No Yes No No 565
Peoples Health Peoples Health Choices Gold (HMO-POS)
H1961-017-0 		HMOPOS $45 per Quarter No $180 Yes Yes No Yes Yes No 492
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 422
Humana Humana FMOL Lafayette H1951-054 (HMO)
H1951-054-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 401
Wellcare Wellcare No Premium (HMO)
H2491-007-0 		HMO $91 per Quarter No $364 Yes $1,000 No No Yes Yes Yes 392
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 375
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 361
Aetna Medicare Aetna Medicare Dual Preferred Plan (HMO D-SNP)
H3239-007-0 		HMO $235 per Month No $0 Yes $2,500 No No Yes No No 340
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 283
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 281
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 272
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 267
Humana Humana Honor (PPO)
H5216-201-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes No No 243
Wellcare Wellcare Assist (HMO)
H2491-010-0 		HMO $40 per Month Yes $0 Yes $1,000 No No Yes Yes No 241
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 238
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 194
Humana HumanaChoice SNP-DE H5216-330 (PPO D-SNP)
H5216-330-0 		Local PPO $1,800 per Month No $0 Yes Yes No Yes No No 160
Blue Cross and Blue Shield of Louisiana Blue Advantage (PPO)
H1248-801-0 		Local PPO No $0 No 152
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 144
Wellcare Wellcare Giveback Open (PPO)
H3047-002-0 		Local PPO $50 per Quarter No $200 Yes $700 No No Yes Yes No 143
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 126
Peoples Health Peoples Health Choices (PPO)
H4544-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 123
Humana HumanaChoice R0110-003 (Regional PPO)
R0110-003-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 107
Humana HumanaChoice H5216-326 (PPO)
H5216-326-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 104
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 98
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 97
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 94
PACE Baton Rouge Franciscan PACE, Inc. (PACE)
H6231-001-0 		National PACE No $0 No 94
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 66
Wellcare Wellcare Endurance (HMO)
H2491-016-0 		HMO $72 per Quarter No $288 Yes $700 No No Yes Yes No 63
Wellcare Wellcare No Premium Open (PPO)
H3047-001-0 		Local PPO $40 per Month Yes $0 Yes $700 No No Yes Yes No 60
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 51
Vantage Health Plan Vantage - MAPD Employer Calendar (HMO-POS)
H5576-801-0 		HMOPOS No $0 No 44
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 41
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 39
Humana HumanaChoice R0110-001 (Regional PPO)
R0110-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 39
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 38
Peoples Health Peoples Health Patriot (PPO)
H4544-002-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 33
Vantage Health Plan Vantage BASIC (HMO-POS)
H5576-020-2 		HMOPOS $100 per Quarter No $400 Yes $1,000 No No Yes No No 33
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-801-0 		HMO No $0 No 30
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 30
Wellcare by Allwell Wellcare No Premium Medicare (HMO)
H5117-003-0 		HMO $55 per Quarter No $220 Yes $1,000 No No Yes Yes Yes 26
Vantage Health Plan Vantage STANDARD (HMO-POS)
H5576-017-2 		HMOPOS $100 per Quarter No $400 Yes $1,100 No No Yes No No 17
Peoples Health Peoples Health Group Medicare (HMO-POS)
H1961-801-0 		HMOPOS No $0 No 15
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