Medicare Advantage Plans for Ottawa County, Michigan

  • 67 Total Plans
  • 56,700 Seniors Eligible for Medicare
  • 41,843 Seniors on Medicare Advantage (74%)
  • 7 plans with 2,717 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 32,216 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 62% 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 11,636
Priority Health Medicare PriorityMedicare Value (HMO-POS)
H2320-029-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 4,700
Priority Health Medicare PriorityMedicare Edge (PPO)
H4875-020-3 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 4,569
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 3,783
Priority Health Medicare PriorityMedicare EG Calendar Year (HMO-POS)
H2320-803-0 		HMOPOS $0 per Month No $0 No 3,195
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 1,925
Priority Health Medicare PriorityMedicare (HMO-POS)
H2320-028-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 1,752
Priority Health Medicare PriorityMedicare Merit (PPO)
H4875-016-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 963
Priority Health Medicare PriorityMedicare D-SNP (HMO D-SNP)
H8379-001-0 		HMO $222 per Quarter No $888 Yes No No No No No 708
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 598
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO UT (PPO)
H9572-806-0 		Local PPO No $0 No 517
Humana HumanaChoice H8087-004 (PPO)
H8087-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 483
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 453
Priority Health Medicare PriorityMedicare ONE (HMO-POS)
H2320-030-2 		HMOPOS $26 per Month No $0 Yes No No Yes No No 395
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 377
Humana HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
H8087-003-0 		Local PPO No $0 Yes No No Yes No No 349
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 342
Blue Care Network BCN Advantage (HMO-POS)
H5883-801-0 		HMOPOS No $0 No 323
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 323
Priority Health Medicare PriorityMedicare Select (PPO)
H4875-017-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 307
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-194-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 292
Aetna Medicare Aetna Medicare Value (PPO)
H5521-219-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes No No 260
Priority Health Medicare PriorityMedicare Vital (PPO)
H4875-022-5 		Local PPO $30 per Month No $0 Yes No No No No No 242
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 183
Blue Care Network BCN Advantage (HMO-POS)
H5883-805-0 		HMOPOS No $0 No 159
Humana HumanaChoice H8087-001 (PPO)
H8087-001-0 		Local PPO No $0 Yes No No Yes No No 159
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 158
Priority Health Medicare PriorityMedicare Ideal (PPO)
H4875-018-5 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 151
LIFECIRCLES LifeCircles (PACE)
H2936-001-0 		National PACE No $0 No 150
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 148
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 145
Humana HumanaChoice H5216-306 (PPO)
H5216-306-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 135
Humana Humana Honor (PPO)
H5216-190-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 134
Priority Health Medicare PriorityMedicare PPO EG Calendar Year (PPO)
H4875-804-0 		Local PPO $0 per Month No $0 No 119
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 115
Priority Health Medicare PriorityMedicare EG HMO w PD Cal Year (HMO)
H2320-805-0 		HMO $0 per Month No $0 No 113
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 103
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 91
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 87
Humana HumanaChoice H5216-009 (PPO)
H5216-009-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 86
Wellcare Wellcare No Premium Open (PPO)
H2117-001-0 		Local PPO $35 per Month Yes $0 Yes $1,000 No No Yes Yes No 83
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 78
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 72
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 68
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 64
Humana Humana Value Plus H8087-002 (PPO)
H8087-002-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 56
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 56
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 52
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 38
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 36
Wellcare Wellcare No Premium (HMO-POS)
H5475-026-0 		HMOPOS $86 per Quarter No $344 Yes $1,500 No No Yes Yes No 32
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 30
Wellcare Wellcare Giveback (HMO)
H5475-031-0 		HMO No $0 No 30
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 29
Priority Health Medicare PriorityMedicare EG Non-Calendar Year (HMO-POS)
H2320-802-0 		HMOPOS $0 per Month No $0 No 29
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 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 23
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 20
Wellcare Wellcare Patriot Giveback Open (PPO)
H2117-003-0 		Local PPO $86 per Quarter No $344 Yes $2,000 No No Yes Yes No 20
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
Wellcare Wellcare Assist (HMO)
H5475-038-0 		HMO $37 per Month Yes $0 Yes $3,000 No No Yes Yes No 19
HAP Senior Plus HAP Senior Plus (HMO)
H2354-015-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 18
Humana HumanaChoice R3887-001 (Regional PPO)
R3887-001-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 18
Molina Healthcare of Michigan Molina Medicare Choice Care (HMO)
H5926-006-0 		HMO $115 per Quarter No $460 Yes Yes No No No No 16
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 14
Priority Health Medicare PriorityMedicare PPO EG Non-Calendar Year (PPO)
H4875-803-0 		Local PPO $0 per Month No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 12
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