Medicare Advantage Plans for Muskegon County, Michigan
- 61 Total Plans
- 40,833 Seniors Eligible for Medicare
- 27,637 Seniors on Medicare Advantage (68%)
- 8 plans with 5,814 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 35 plans with 14,057 seniors have OTC benefits that partially cover MDHearing hearing aids
- 49% 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 |
Priority Health Medicare |
PriorityMedicare Key (HMO-POS) H2320-022-5 |
HMOPOS | $95 per Quarter | No | $380 | Yes | No | No | Yes | No | No | 4,324 | |
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0 |
Local PPO | No | $0 | No | 3,564 | |||||||
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 | 2,719 |
HAP Senior Plus |
HAP Choice Medicare - West Michigan Option 1 (HMO) H2354-026-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | No | No | Yes | No | No | 1,829 | |
Humana |
HumanaChoice SNP-DE H8087-003 (PPO D-SNP) H8087-003-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 1,697 | ||
Priority Health Medicare |
PriorityMedicare Edge (PPO) H4875-020-3 |
Local PPO | $95 per Quarter | No | $380 | Yes | No | No | Yes | No | No | 1,626 | |
Priority Health Medicare |
PriorityMedicare EG Calendar Year (HMO-POS) H2320-803-0 |
HMOPOS | $0 per Month | No | $0 | No | 1,170 | ||||||
Priority Health Medicare |
PriorityMedicare Value (HMO-POS) H2320-029-5 |
HMOPOS | $40 per Quarter | No | $160 | Yes | No | No | Yes | No | No | 1,008 | |
Humana |
HumanaChoice H8087-004 (PPO) H8087-004-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 895 | |
Priority Health Medicare |
PriorityMedicare D-SNP (HMO D-SNP) H8379-001-0 |
HMO | $222 per Quarter | No | $888 | Yes | No | No | No | No | No | 817 | |
Humana |
Humana Gold Plus H8908-002 (HMO) H8908-002-0 |
HMO | No | $0 | Yes | No | No | Yes | No | No | 743 | ||
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 | 555 |
Aetna Medicare |
Aetna Medicare Premier (PPO) H5521-194-0 |
Local PPO | $105 per Quarter | No | $420 | Yes | $1,500 | No | No | Yes | No | No | 544 |
Priority Health Medicare |
PriorityMedicare (HMO-POS) H2320-028-5 |
HMOPOS | $40 per Quarter | No | $160 | Yes | No | No | Yes | No | No | 510 | |
Molina Healthcare of Michigan |
Molina Medicare Complete Care (HMO D-SNP) H5926-001-0 |
HMO | $370 per Quarter | No | $1,480 | Yes | Yes | No | No | No | No | 468 | |
Aetna Medicare |
Aetna Medicare Value (PPO) H5521-219-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $1,500 | No | No | Yes | No | No | 369 |
Priority Health Medicare |
PriorityMedicare Merit (PPO) H4875-016-5 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 316 | |
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 | 272 |
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 242 | |||||||
Blue Care Network |
BCN Advantage (HMO-POS) H5883-805-0 |
HMOPOS | No | $0 | No | 242 | |||||||
Humana |
Humana Honor (PPO) H5216-190-0 |
Local PPO | $125 per Quarter | No | $500 | Yes | No | No | Yes | No | No | 233 | |
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer Rx CY (PPO) H9572-801-0 |
Local PPO | No | $0 | No | 229 | |||||||
Humana |
HumanaChoice H5216-306 (PPO) H5216-306-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 203 | |
LIFECIRCLES |
LifeCircles (PACE) H2936-001-0 |
National PACE | No | $0 | No | 184 | |||||||
Humana |
HumanaChoice H5216-009 (PPO) H5216-009-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 174 | |
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 | 165 |
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 | 155 |
Humana |
HumanaChoice H8087-001 (PPO) H8087-001-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 154 | ||
Priority Health Medicare |
PriorityMedicare Ideal (PPO) H4875-018-5 |
Local PPO | $80 per Quarter | No | $320 | Yes | No | No | Yes | No | No | 150 | |
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 145 | |||||||
Priority Health Medicare |
PriorityMedicare Vital (PPO) H4875-022-5 |
Local PPO | $30 per Month | No | $0 | Yes | No | No | No | No | No | 143 | |
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 | 140 |
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO UT (PPO) H9572-806-0 |
Local PPO | No | $0 | No | 136 | |||||||
HAP Senior Plus |
HAP Choice Medicare - West Michigan Option 2 (HMO) H2354-027-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | No | No | Yes | No | No | 108 | |
Molina Healthcare of Michigan |
Molina Medicare Choice Care (HMO) H5926-006-0 |
HMO | $115 per Quarter | No | $460 | Yes | Yes | No | No | No | No | 94 | |
Priority Health Medicare |
PriorityMedicare Select (PPO) H4875-017-5 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 92 | |
Wellcare |
Wellcare No Premium Open (PPO) H2117-001-0 |
Local PPO | $35 per Month | Yes | $0 | Yes | $1,000 | No | No | Yes | Yes | No | 90 |
Wellcare |
Wellcare No Premium (HMO-POS) H5475-026-0 |
HMOPOS | $86 per Quarter | No | $344 | Yes | $1,500 | No | No | Yes | Yes | No | 87 |
Humana |
Humana Medicare Employer (PPO) H5216-806-0 |
Local PPO | No | $0 | No | 84 | |||||||
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 | 84 |
HAP Senior Plus |
HAP Senior Plus (HMO) H2354-015-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 64 | |
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 | 59 |
Wellcare |
Wellcare Giveback (HMO) H5475-031-0 |
HMO | No | $0 | No | 58 | |||||||
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 | 56 |
Humana |
Humana Gold Choice H8145-006 (PFFS) H8145-006-0 |
PFFS | $175 per Quarter | Yes | $700 | Yes | No | No | Yes | No | No | 56 | |
Molina Healthcare of Michigan |
Molina Medicare Complete Care Select (HMO D-SNP) H5926-005-0 |
HMO | $225 per Quarter | No | $900 | Yes | Yes | No | No | No | No | 53 | |
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 | 43 |
Wellcare |
Wellcare Assist (HMO) H5475-038-0 |
HMO | $37 per Month | Yes | $0 | Yes | $3,000 | No | No | Yes | Yes | No | 42 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 39 | |||||||
Aetna Medicare |
Aetna Medicare Eagle (PPO) H5521-286-0 |
Local PPO | $120 per Quarter | No | $480 | Yes | $3,000 | No | No | Yes | No | No | 35 |
Blue Care Network |
BCN Advantage (HMO-POS) H5883-801-0 |
HMOPOS | No | $0 | No | 34 | |||||||
Humana |
HumanaChoice R3887-001 (Regional PPO) R3887-001-0 |
Regional PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 34 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 27 | |||||||
Wellcare |
Wellcare Patriot Giveback Open (PPO) H2117-003-0 |
Local PPO | $86 per Quarter | No | $344 | Yes | $2,000 | No | No | Yes | Yes | No | 23 |
Priority Health Medicare |
PriorityMedicare EG HMO w PD Cal Year (HMO) H2320-805-0 |
HMO | $0 per Month | No | $0 | No | 22 | ||||||
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 20 | |||||||
HAP Senior Plus |
HAP Senior Plus Medical Only (HMO) H2354-019-0 |
HMO | $65 per Quarter | Yes | $260 | Yes | No | No | Yes | No | No | 16 | |
Align Senior Care |
Align Thrive (HMO I-SNP) H6832-001-0 |
HMO | $175 per Quarter | Yes | $700 | Yes | $1,350 | Yes | No | No | No | No | 15 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 14 | |||||||
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 13 | |||||||
Priority Health Medicare |
PriorityMedicare EG Non-Calendar Year (HMO-POS) H2320-802-0 |
HMOPOS | $0 per Month | No | $0 | No | 13 |