Medicare Advantage Plans for Bristol County, Massachusetts

  • 73 Total Plans
  • 127,179 Seniors Eligible for Medicare
  • 41,887 Seniors on Medicare Advantage (33%)
  • 2 plans with 533 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 25,526 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 20% 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? Massachusetts Enrollees
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 6,762
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 3,079
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-005-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes Yes No 2,547
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue ValueRx (PPO)
H2230-018-2 		Local PPO No $0 Yes No No Yes No No 2,229
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 2,091
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue SaverRx (PPO)
H2230-017-0 		Local PPO $250 per Quarter No $1,000 Yes No No Yes No No 2,042
Senior Whole Health Senior Whole Health NHC (HMO D-SNP)
H2224-003-0 		HMO $270 per Quarter No $1,080 No 1,586
Senior Whole Health Senior Whole Health (HMO D-SNP)
H2224-001-0 		HMO $270 per Quarter No $1,080 No 1,385
Commonwealth Care Alliance Massachusetts CCA One Care (Medicare-Medicaid Plan)
H0137-001-0 		Medicare-Medicaid Plan HMO No $0 Yes Yes No No Yes No 1,358
Tufts Health Plan Tufts Medicare Preferred HMO Smart Saver Rx (HMO)
H2256-046-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,188
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,029
Fallon Health NaviCare (HMO D-SNP)
H8928-001-0 		HMO $162 per Quarter No $648 No 976
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-026-3 		HMO No $0 Yes No No Yes No No 927
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-018-8 		HMO No $0 Yes No No Yes No No 915
Tufts Health Plan Tufts Health Unify (Medicare-Medicaid Plan)
H7419-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 891
UnitedHealthcare UnitedHealthcare Senior Care Options (HMO D-SNP)
H2226-001-0 		HMO $125 per Month No $0 No 766
Tufts Health Plan Tufts Medicare Preferred HMO Saver Rx (HMO)
H2256-028-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 731
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 720
Humana HumanaChoice H5216-250 (PPO)
H5216-250-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 704
UnitedHealthcare UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
H9239-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 656
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO)
H2261-022-2 		HMO No $0 Yes No No Yes No No 655
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 647
Humana HumanaChoice H5216-249 (PPO)
H5216-249-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 509
Commonwealth Care Alliance Massachusetts CCA Senior Care Options (HMO D-SNP)
H2225-001-0 		HMO $475 per Quarter No $1,900 No 474
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue FlexRx (HMO-POS)
H2261-023-2 		HMOPOS No $0 Yes No No Yes No No 369
Tufts Health Plan Tufts Health Plan Senior Care Options (HMO D-SNP)
H8330-001-0 		HMO $0 per Month Yes $0 No 355
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 343
Fallon Health Fallon Medicare Plus Orange HMO (HMO)
H9001-038-0 		HMO $275 per Month No $0 Yes No No Yes No No 343
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-015-6 		HMO No $0 Yes No No Yes No No 340
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-006-0 		HMOPOS No $0 Yes Yes No Yes Yes No 334
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 304
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue SaverRx (HMO)
H2261-024-0 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 297
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $32 per Month Yes $0 Yes $2,000 No No Yes Yes No 286
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
H2256-001-6 		HMO No $0 Yes No No Yes No No 276
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $125 per Month No $0 No 275
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO)
H2230-002-0 		Local PPO No $0 Yes No No Yes No No 257
Commonwealth Care Alliance Massachusetts CCA Medicare Preferred (PPO)
H9414-001-0 		Local PPO $220 per Quarter No $880 Yes Yes No Yes No No 231
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 212
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 208
Fallon Health Fallon Medicare Plus Blue HMO (HMO)
H9001-031-18 		HMO No $0 Yes No No Yes No No 150
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Group Preferred (HMO-POS)
H4152-815-0 		HMOPOS No $0 No 145
Tufts Health Plan Tufts Health Plan Senior Care Options CW (HMO D-SNP)
H8330-002-0 		HMO $0 per Month Yes $0 No 138
WellSense Health Plan WellSense Senior Care Options (HMO D-SNP)
H9585-001-0 		HMO $115 per Month No $0 No 133
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO)
H2261-005-0 		HMO No $0 Yes No No Yes No No 116
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 110
Blue Cross & Blue Shield of Rhode Island HealthMate Coast-to-Coast for Medicare Group (PPO)
H3557-801-0 		Local PPO No $0 No 106
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-018-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 104
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND Neighborhood INTEGRITY (Medicare-Medicaid Plan)
H9576-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No No No 104
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 102
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-808-0 		HMO No $0 No 99
Tufts Health Plan Tufts Medicare Preferred HMO Rx (HMO)
H2256-801-0 		HMO No $0 No 98
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 90
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 84
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 82
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 74
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO)
H2261-801-0 		HMO No $0 No 69
Tufts Health Plan Tufts Medicare Preferred Access (PPO)
H9907-001-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 65
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 64
Commonwealth Care Alliance Massachusetts CCA Medicare Value (PPO)
H9414-002-0 		Local PPO $335 per Quarter No $1,340 Yes $2,000 Yes No No No No 59
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 45
Fallon Health Fallon Medicare Plus Green HMO (HMO)
H9001-030-18 		HMO $255 per Month No $0 Yes No No Yes No No 44
Fallon Health Fallon Medicare Plus Super Saver HMO (HMO)
H9001-040-0 		HMO No $0 Yes No No Yes No No 44
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-296-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 42
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 37
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $51 per Month Yes $0 Yes $4,000 No No Yes Yes No 37
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 29
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Value (HMO-POS)
H4152-020-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes No No 24
Elder Service Plan of Harbor Health Services, Inc Harbor Health Elder Service Plan, Dual Eligible (PACE)
H2218-001-0 		National PACE No $0 No 18
Molina Healthcare of Wisconsin and Massachusetts Senior Whole Health Medicare Choice Care (HMO)
H2879-002-0 		HMO $75 per Quarter No $300 Yes Yes No No No No 18
Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Group Plus (HMO)
H4152-817-0 		HMO No $0 No 15
Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO)
H2256-016-2 		HMO No $0 Yes No No Yes No No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 15
Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO)
H2256-019-7 		HMO No $0 Yes No No Yes No No 12
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