Medicare Advantage Plans for Kalamazoo County, Michigan

  • 70 Total Plans
  • 51,921 Seniors Eligible for Medicare
  • 32,565 Seniors on Medicare Advantage (63%)
  • 4 plans with 1,672 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 48 plans with 19,076 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 40% 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? Michigan Enrollees
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 5,575
Priority Health Medicare PriorityMedicare Key (HMO-POS)
H2320-022-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 4,528
Priority Health Medicare PriorityMedicare Edge (PPO)
H4875-020-3 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 3,037
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 2,249
MeridianComplete (Medicare-Medicaid Plan) MeridianComplete (Medicare-Medicaid Plan)
H0480-001-0 		Medicare-Medicaid Plan HMO $20 per Month No $0 Yes No No No Yes Yes 1,364
Blue Care Network BCN Advantage HMO-POS Prime Value (HMO-POS)
H5883-014-5 		HMOPOS $125 per Quarter Yes $500 Yes $1,200 Yes No No No No 1,187
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H2247-001-0 		HMOPOS $198 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,152
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 1,103
Priority Health Medicare PriorityMedicare EG Calendar Year (HMO-POS)
H2320-803-0 		HMOPOS $0 per Month No $0 No 959
Priority Health Medicare PriorityMedicare Value (HMO-POS)
H2320-029-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 817
Aetna Better Health Premier Plan Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
H8026-001-0 		Medicare-Medicaid Plan HMO $60 per Month No $0 Yes No No No Yes Yes 744
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO UT (PPO)
H9572-806-0 		Local PPO No $0 No 611
Humana HumanaChoice H8087-004 (PPO)
H8087-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 527
Wellcare Wellcare No Premium (HMO-POS)
H5475-026-0 		HMOPOS $86 per Quarter No $344 Yes $1,500 No No Yes Yes No 436
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Essential (PPO)
H9572-004-6 		Local PPO $125 per Quarter Yes $500 Yes $1,500 Yes No No No No 396
Priority Health Medicare PriorityMedicare Merit (PPO)
H4875-016-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 391
Humana HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
H8087-003-0 		Local PPO No $0 Yes No No Yes No No 375
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-019-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 344
Wellcare Wellcare No Premium Open (PPO)
H2117-001-0 		Local PPO $35 per Month Yes $0 Yes $1,000 No No Yes Yes No 334
Blue Care Network BCN Advantage HMO-POS Classic (HMO-POS)
H5883-002-7 		HMOPOS $50 per Quarter Yes $200 Yes $1,200 Yes No No No No 329
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 308
Wellcare Wellcare Dual Access (HMO-POS D-SNP)
H5475-001-0 		HMOPOS $134 per Month Yes $0 Yes $3,000 No No Yes Yes No 302
Priority Health Medicare PriorityMedicare (HMO-POS)
H2320-028-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 290
Senior Care Partners P.A.C.E. Senior Care Partners PACE Dual (PACE)
H1310-001-0 		National PACE No $0 No 258
Priority Health Medicare PriorityMedicare D-SNP (HMO D-SNP)
H8379-001-0 		HMO $222 per Quarter No $888 Yes No No No No No 227
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-028-0 		Local PPO $168 per Month No $0 Yes $2,500 Yes No Yes Yes No 227
Aetna Medicare Aetna Medicare Value (PPO)
H5521-219-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes No No 223
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Vitality (PPO)
H9572-002-6 		Local PPO $50 per Quarter Yes $200 Yes $1,500 Yes No No No No 208
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Signature (PPO)
H9572-001-6 		Local PPO $50 per Quarter Yes $200 Yes $1,500 Yes No No No No 206
Blue Care Network BCN Advantage (HMO-POS)
H5883-805-0 		HMOPOS No $0 No 205
Priority Health Medicare PriorityMedicare Select (PPO)
H4875-017-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 185
Humana HumanaChoice H5216-009 (PPO)
H5216-009-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 183
Blue Care Network BCN Advantage (HMO-POS)
H5883-801-0 		HMOPOS No $0 No 177
Humana HumanaChoice H8087-001 (PPO)
H8087-001-0 		Local PPO No $0 Yes No No Yes No No 175
Priority Health Medicare PriorityMedicare Ideal (PPO)
H4875-018-5 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 169
UnitedHealthcare AARP Medicare Advantage Open Plan 2 (PPO)
H0294-020-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 166
Wellcare by Allwell Ascension Complete Michigan Secure (HMO)
H0482-002-0 		HMO $77 per Month Yes $0 Yes $1,500 No No Yes Yes No 164
Humana HumanaChoice H5216-306 (PPO)
H5216-306-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 162
Humana Humana Honor (PPO)
H5216-190-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 155
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 147
Priority Health Medicare PriorityMedicare Vital (PPO)
H4875-022-5 		Local PPO $30 per Month No $0 Yes No No No No No 146
Wellcare Wellcare Giveback (HMO)
H5475-031-0 		HMO No $0 No 144
Wellcare Wellcare Assist (HMO)
H5475-038-0 		HMO $37 per Month Yes $0 Yes $3,000 No No Yes Yes No 143
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-194-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 141
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 126
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2117-002-0 		Local PPO $155 per Month Yes $0 Yes $4,000 No No Yes Yes No 120
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 84
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Assure (PPO)
H9572-003-6 		Local PPO $50 per Quarter Yes $200 Yes $1,500 Yes No No No No 83
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H0294-022-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 78
Humana Humana Value Plus H8087-002 (PPO)
H8087-002-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 69
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 62
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 57
Wellcare by Allwell Ascension Complete Michigan Reward (HMO)
H0482-001-0 		HMO $68 per Quarter No $272 Yes $700 No No Yes Yes Yes 56
PHP Medicare PHP Advantage (HMO-POS)
H7646-003-0 		HMOPOS $64 per Quarter No $256 Yes $1,000 No No No No No 50
Blue Care Network BCN Advantage HMO ConnectedCare (HMO)
H5883-007-0 		HMO $50 per Quarter Yes $200 No 44
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H2247-003-0 		HMOPOS $68 per Month No $0 Yes $1,100 Yes No Yes Yes No 39
Ascension Complete Ascension Complete Michigan Access Plus (PPO)
H7512-003-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 36
Ascension Complete Ascension Complete Michigan Access (PPO)
H7512-004-0 		Local PPO $79 per Quarter No $316 Yes $700 No No Yes Yes No 36
PHP Medicare PHP Advantage Plus (HMO-POS)
H7646-006-0 		HMOPOS $89 per Quarter No $356 Yes $1,500 No No No No No 34
Wellcare Wellcare Patriot Giveback Open (PPO)
H2117-003-0 		Local PPO $86 per Quarter No $344 Yes $2,000 No No Yes Yes No 31
Blue Care Network BCN Advantage Elements (HMO-POS)
H5883-001-5 		HMOPOS $50 per Quarter Yes $200 Yes $1,200 Yes No No No No 29
Humana HumanaChoice R3887-001 (Regional PPO)
R3887-001-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 28
HAP Senior Plus HAP Senior Plus (HMO)
H2354-015-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 27
Wellcare by Allwell Ascension Complete Michigan DSNP (HMO D-SNP)
H0482-005-0 		HMO $180 per Month Yes $0 Yes $3,000 No No Yes Yes No 26
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 23
Wellcare Wellcare Community Assist (PPO)
H2117-004-0 		Local PPO $103 per Quarter No $412 Yes $1,500 No No Yes Yes No 23
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 19
Blue Care Network BCN Advantage HMO-POS Prestige (HMO-POS)
H5883-003-5 		HMOPOS $50 per Quarter Yes $200 Yes $1,200 Yes No No No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 14
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 11
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