Medicare Advantage Plans for St. Tammany County, Louisiana

  • 62 Total Plans
  • 57,545 Seniors Eligible for Medicare
  • 34,369 Seniors on Medicare Advantage (60%)
  • 3 plans with 996 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 27,968 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 50% 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 H1951-028 (HMO)
H1951-028-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 9,499
Peoples Health Peoples Health Choices 65 (HMO-POS)
H1961-014-4 		HMOPOS $65 per Quarter No $260 Yes Yes No Yes Yes No 6,161
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-009-2 		HMO $50 per Quarter No $200 Yes $500 No No Yes No No 2,784
Humana Humana Medicare Employer (HMO)
H1951-801-0 		HMO No $0 No 2,346
Humana Humana Gold Plus SNP-DE H1951-034 (HMO D-SNP)
H1951-034-0 		HMO $240 per Quarter No $960 Yes No No Yes No No 1,561
Ochsner Health Plan Ochsner Health Plan Premier (HMO)
H9763-003-2 		HMO $85 per Quarter No $340 Yes $0 Yes No No No No 1,333
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 1,064
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 1,039
Humana HumanaChoice R0110-003 (Regional PPO)
R0110-003-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 585
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 549
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 487
Humana HumanaChoice H5216-064 (PPO)
H5216-064-0 		Local PPO No $0 Yes No No Yes No No 476
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 448
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 419
Peoples Health Peoples Health Choices (PPO)
H4544-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 357
Humana HumanaChoice H5216-326 (PPO)
H5216-326-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 344
Humana Humana Honor (PPO)
H5216-201-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes No No 325
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 321
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 300
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 285
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 279
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 256
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 211
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 196
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 187
Humana Humana Value Plus H5216-161 (PPO)
H5216-161-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 179
Wellcare Wellcare No Premium (HMO)
H2491-007-0 		HMO $91 per Quarter No $364 Yes $1,000 No No Yes Yes Yes 176
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 163
Peoples Health Peoples Health Group Medicare (HMO-POS)
H1961-801-0 		HMOPOS No $0 No 159
Wellcare Wellcare Giveback Open (PPO)
H3047-002-0 		Local PPO $50 per Quarter No $200 Yes $700 No No Yes Yes No 151
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 147
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 140
Blue Cross and Blue Shield of Louisiana Blue Advantage (PPO)
H1248-801-0 		Local PPO No $0 No 113
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 105
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 97
Wellcare Wellcare Assist (HMO)
H2491-010-0 		HMO $40 per Month Yes $0 Yes $1,000 No No Yes Yes No 90
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 70
Humana HumanaChoice R0110-001 (Regional PPO)
R0110-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 68
Wellcare Wellcare Endurance (HMO)
H2491-016-0 		HMO $72 per Quarter No $288 Yes $700 No No Yes Yes No 66
Peoples Health Peoples Health Patriot (PPO)
H4544-002-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 58
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 51
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-801-0 		HMO No $0 No 48
Wellcare Wellcare No Premium Open (PPO)
H3047-001-0 		Local PPO $40 per Month Yes $0 Yes $700 No No Yes Yes No 48
Dignity Health Plan Dignity Health Plan (HMO I-SNP)
H8492-001-0 		HMO No $0 Yes $1,000 No No Yes No No 45
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 41
Aetna Medicare Aetna Medicare Advantra Plan (HMO)
H3928-002-0 		HMO $105 per Quarter No $420 Yes $1,000 No No Yes No No 27
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 27
Humana Humana Gold Plus H1951-047 (HMO)
H1951-047-2 		HMO No $0 Yes Yes No Yes No No 27
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 23
Blue Cross and Blue Shield of Louisiana Blue Advantage (HMO)
H6453-011-0 		HMO $140 per Quarter No $560 Yes $1,100 Yes No Yes No No 23
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 23
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 20
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 19
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 17
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 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 14
Humana Humana Gold Plus H1036-171 (HMO)
H1036-171-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 12
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 12
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 11
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 11
Humana Humana Gold Plus H1951-024 (HMO)
H1951-024-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 11
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