Medicare Advantage Plans for Suffolk County, Massachusetts

  • 74 Total Plans
  • 109,584 Seniors Eligible for Medicare
  • 43,493 Seniors on Medicare Advantage (40%)
  • 2 plans with 2,332 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 26,959 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 27% 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)
H3442-003-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 4,594
UnitedHealthcare UnitedHealthcare Senior Care Options (HMO D-SNP)
H2226-001-0 		HMO $125 per Month No $0 No 3,994
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 3,911
Senior Whole Health Senior Whole Health (HMO D-SNP)
H2224-001-0 		HMO $270 per Quarter No $1,080 No 2,457
Commonwealth Care Alliance Massachusetts CCA Senior Care Options (HMO D-SNP)
H2225-001-0 		HMO $475 per Quarter No $1,900 No 2,299
UnitedHealthcare UnitedHealthcare Senior Care Options NHC (HMO D-SNP)
H2226-003-0 		HMO $125 per Month No $0 No 2,043
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-001-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,838
Aetna Medicare Aetna Medicare Explorer Plan (PPO)
H5521-159-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 1,784
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 1,473
Tufts Health Plan Tufts Health Plan Senior Care Options (HMO D-SNP)
H8330-001-0 		HMO $0 per Month Yes $0 No 1,419
WellSense Health Plan WellSense Senior Care Options (HMO D-SNP)
H9585-001-0 		HMO $115 per Month No $0 No 1,362
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue ValueRx (PPO)
H2230-018-2 		Local PPO No $0 Yes No No Yes No No 1,253
Senior Whole Health Senior Whole Health NHC (HMO D-SNP)
H2224-003-0 		HMO $270 per Quarter No $1,080 No 1,244
Tufts Health Plan Tufts Health Unify (Medicare-Medicaid Plan)
H7419-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 1,082
Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO)
H2256-026-3 		HMO No $0 Yes No No Yes No No 996
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 910
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 885
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 879
Wellcare Wellcare No Premium Open (PPO)
H9761-001-0 		Local PPO $28 per Month Yes $0 Yes $2,000 No No Yes Yes No 874
UnitedHealthcare UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
H9239-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 711
Neighborhood PACE Neighborhood PACE (PACE)
H2223-001-0 		National PACE No $0 No 624
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO)
H2256-015-6 		HMO No $0 Yes No No Yes No No 575
Tufts Health Plan Tufts Health Plan Senior Care Options CW (HMO D-SNP)
H8330-002-0 		HMO $0 per Month Yes $0 No 505
Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
H2256-001-6 		HMO No $0 Yes No No Yes No No 367
Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO)
H2256-018-8 		HMO No $0 Yes No No Yes No No 329
Wellcare Wellcare No Premium (HMO)
H6193-001-0 		HMO $32 per Month Yes $0 Yes $2,000 No No Yes Yes No 321
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-808-0 		HMO No $0 No 307
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 281
Tufts Health Plan Tufts Medicare Preferred HMO Rx (HMO)
H2256-801-0 		HMO No $0 No 249
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO)
H2261-022-2 		HMO No $0 Yes No No Yes No No 245
Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO)
H2230-002-0 		Local PPO No $0 Yes No No Yes No No 239
Wellcare Wellcare Giveback Open (PPO)
H9761-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 238
Upham's PACE Upham's Corner Health Committee, Inc. (PACE)
H2220-001-0 		National PACE No $0 No 227
UnitedHealthcare AARP Medicare Advantage Choice (Regional PPO)
R7444-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 226
Elder Service Plan of Harbor Health Services, Inc Harbor Health Elder Service Plan, Dual Eligible (PACE)
H2218-001-0 		National PACE No $0 No 198
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-004-0 		HMOPOS No $0 Yes Yes No Yes Yes No 198
Humana HumanaChoice H5216-250 (PPO)
H5216-250-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 187
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 146
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 146
Fallon Health NaviCare (HMO D-SNP)
H8928-001-0 		HMO $162 per Quarter No $648 No 120
Humana HumanaChoice H5216-249 (PPO)
H5216-249-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 114
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H5793-018-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 109
Commonwealth Care Alliance Massachusetts CCA Medicare Preferred (PPO)
H9414-001-0 		Local PPO $220 per Quarter No $880 Yes Yes No Yes No No 106
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue FlexRx (HMO-POS)
H2261-023-2 		HMOPOS No $0 Yes No No Yes No No 92
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 89
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 76
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H3442-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 76
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue (HMO)
H2261-801-0 		HMO No $0 No 68
CHA PACE CHA PACE fka ESP of CHA (PACE)
H2221-001-0 		National PACE No $0 No 67
Fallon Health Fallon Medicare Plus Orange HMO (HMO)
H9001-038-0 		HMO $275 per Month No $0 Yes No No Yes No No 66
Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO)
H2261-005-0 		HMO No $0 Yes No No Yes No No 65
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 56
Tufts Health Plan Tufts Medicare Preferred Access (PPO)
H9907-001-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 47
Humana HumanaChoice H5216-138 (PPO)
H5216-138-0 		Local PPO No $0 Yes No No Yes No No 43
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 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 33
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-296-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 31
Mass General Brigham Health Plan Mass General Brigham Advantage Premier (PPO)
H9485-002-0 		Local PPO $120 per Quarter No $480 Yes No No Yes No No 31
Mass General Brigham Health Plan Mass General Brigham Advantage Secure (HMO-POS)
H6847-001-0 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 30
Tufts Health Plan Tufts Medicare Preferred HMO Basic No Rx (HMO)
H2256-042-0 		HMO No $0 Yes No No Yes No No 29
Tufts Health Plan Tufts Medicare Preferred HMO (HMO)
H2256-802-0 		HMO No $0 No 28
Mass General Brigham Health Plan Mass General Brigham Advantage (PPO)
H9485-001-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 27
eternalHealth eternalHealth Give Back PPO (PPO)
H2694-002-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 24
Wellcare Wellcare Premium Enhanced Open (PPO)
H9761-004-0 		Local PPO $51 per Month Yes $0 Yes $4,000 No No Yes Yes No 24
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 22
Humana Humana Honor (PPO)
H5216-059-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 19
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 17
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3442-004-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 15
eternalHealth eternalHealth Freedom PPO (PPO)
H2694-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 14
Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO)
H2256-016-2 		HMO No $0 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 13
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 11
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