Medicare Advantage Plans for St. Clair County, Michigan

  • 73 Total Plans
  • 39,258 Seniors Eligible for Medicare
  • 21,822 Seniors on Medicare Advantage (56%)
  • 11 plans with 4,419 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 7,002 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 29% 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 3,773
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 1,999
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO UT (PPO)
H9572-806-0 		Local PPO No $0 No 1,508
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 1,503
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 1,386
Humana HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
H8087-003-0 		Local PPO No $0 Yes No No Yes No No 1,001
Humana HumanaChoice H8087-004 (PPO)
H8087-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 805
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H3192-003-0 		HMOPOS $90 per Quarter No $360 Yes $1,000 No No Yes No No 711
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 615
HAP Senior Plus HAP Senior Plus (HMO)
H2354-015-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 495
Priority Health Medicare PriorityMedicare Edge (PPO)
H4875-020-3 		Local PPO $95 per Quarter No $380 Yes No No Yes No No 492
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 490
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 438
HAP Senior Plus HAP Senior Plus Group (HMO)
H2354-801-0 		HMO No $0 No 423
Aetna Medicare Aetna Medicare Value (PPO)
H5521-214-0 		Local PPO $90 per Quarter No $360 Yes $1,500 No No Yes No No 377
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 377
Priority Health Medicare PriorityMedicare Key (HMO-POS)
H2320-022-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 371
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 348
Blue Care Network BCN Advantage (HMO-POS)
H5883-801-0 		HMOPOS No $0 No 284
Humana HumanaChoice H8087-001 (PPO)
H8087-001-0 		Local PPO No $0 Yes No No Yes No No 284
Humana Humana Gold Plus H8908-004 (HMO-POS)
H8908-004-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 257
Humana Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)
H8908-005-0 		HMO $2,100 per Month No $0 Yes No No Yes No No 254
Priority Health Medicare PriorityMedicare EG Calendar Year (HMO-POS)
H2320-803-0 		HMOPOS $0 per Month No $0 No 246
Humana Humana Honor (PPO)
H5216-190-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 215
HAP Senior Plus (PPO) HAP Senior Plus Option 1 (PPO)
H2322-011-0 		Local PPO $70 per Quarter Yes $280 Yes No No Yes No No 168
Priority Health Medicare PriorityMedicare D-SNP (HMO D-SNP)
H8379-001-0 		HMO $222 per Quarter No $888 Yes No No No No No 167
Blue Care Network BCN Advantage (HMO-POS)
H5883-805-0 		HMOPOS No $0 No 164
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 157
Humana HumanaChoice H5216-306 (PPO)
H5216-306-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 143
Priority Health Medicare PriorityMedicare PPO EG Calendar Year (PPO)
H4875-804-0 		Local PPO $0 per Month No $0 No 141
Humana Humana Value Plus H8087-002 (PPO)
H8087-002-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 135
HAP Senior Plus HAP Senior Plus Option 1 (HMO-POS)
H2354-021-0 		HMOPOS $90 per Quarter Yes $360 Yes No No Yes No No 130
Priority Health Medicare PriorityMedicare Merit (PPO)
H4875-016-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 130
Humana HumanaChoice R3887-002 (Regional PPO)
R3887-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 113
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-217-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No Yes No No 101
Blue Care Network BCN Advantage HMO ConnectedCare (HMO)
H5883-007-0 		HMO $50 per Quarter Yes $200 No 89
Priority Health Medicare PriorityMedicare Value (HMO-POS)
H2320-029-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 86
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 84
Priority Health Medicare PriorityMedicare Ideal (PPO)
H4875-018-5 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 68
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 65
Priority Health Medicare PriorityMedicare Vital (PPO)
H4875-022-5 		Local PPO $30 per Month No $0 Yes No No No No No 59
Priority Health Medicare PriorityMedicare Select (PPO)
H4875-017-5 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 57
Aetna Medicare Aetna Medicare Assure Premier (HMO D-SNP)
H3192-007-0 		HMO $220 per Month No $0 Yes $4,000 No No Yes No No 56
Blue Care Network BCN Advantage HMO-POS Community Value (HMO-POS)
H5883-012-2 		HMOPOS $125 per Quarter Yes $500 Yes $1,500 Yes No No No No 56
HAP Senior Plus HAP Senior Plus Medical Only (HMO)
H2354-019-0 		HMO $65 per Quarter Yes $260 Yes No No Yes No No 53
Humana HumanaChoice R3887-001 (Regional PPO)
R3887-001-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 50
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 49
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 48
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 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 47
Wellcare by Allwell Ascension Complete Michigan Reward (HMO)
H0482-003-0 		HMO $40 per Quarter No $160 Yes $700 No No Yes Yes No 44
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 43
HAP Senior Plus HAP Senior Plus Group (HMO-POS)
H2354-802-0 		HMOPOS No $0 No 38
Wellcare by Allwell Ascension Complete Michigan Secure (HMO)
H0482-004-0 		HMO $144 per Quarter No $576 Yes $1,500 No No Yes Yes Yes 38
Ascension Complete Ascension Complete Michigan Access (PPO)
H7512-002-0 		Local PPO $79 per Quarter No $316 Yes $700 No No Yes Yes No 36
Sunrise PACE Dual Eligible Plan 01 (PACE)
H9052-001-0 		National PACE No $0 No 30
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 28
Ascension Complete Ascension Complete Michigan Access Plus (PPO)
H7512-001-0 		Local PPO $94 per Quarter No $376 Yes $1,000 No No Yes Yes No 27
CCA Health Michigan CCA Medicare Excel (HMO)
H9861-001-0 		HMO $240 per Quarter No $960 Yes $1,500 Yes No No No No 27
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 22
HAP Senior Plus (PPO) HAP Senior Plus Option 3 (PPO)
H2322-008-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 22
HAP Senior Plus (PPO) HAP Senior Plus Option 2 (PPO)
H2322-012-0 		Local PPO $65 per Quarter Yes $260 Yes No No Yes No No 20
HAP Senior Plus (PPO) HAP Senior Plus Option 4 (PPO)
H2322-004-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 19
CCA Health Michigan CCA Medicare Maximum (HMO D-SNP)
H9861-003-0 		HMO $750 per Quarter No $3,000 Yes $1,500 Yes No No No No 18
McLaren Medicare McLaren Medicare Inspire Flex (HMO-POS)
H6322-003-2 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 18
Priority Health Medicare PriorityMedicare (HMO-POS)
H2320-028-5 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 18
Wellcare Wellcare No Premium Open (PPO)
H2117-001-0 		Local PPO $35 per Month Yes $0 Yes $1,000 No No Yes Yes No 16
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 15
Molina Healthcare of Michigan Molina Dual Options (Medicare-Medicaid Plan)
H7844-001-0 		Medicare-Medicaid Plan HMO $75 per Quarter No $300 Yes No No No Yes Yes 15
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 13
HAP Senior Plus HAP Senior Plus Option 2 (HMO-POS)
H2354-022-0 		HMOPOS $75 per Quarter Yes $300 Yes No No Yes No No 12
Wellcare Wellcare Assist (HMO)
H5475-038-0 		HMO $37 per Month Yes $0 Yes $3,000 No No Yes Yes No 12
Wellcare Wellcare No Premium (HMO-POS)
H5475-026-0 		HMOPOS $86 per Quarter No $344 Yes $1,500 No No Yes Yes No 12
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