Medicare Advantage Plans for Jefferson County, Missouri

  • 71 Total Plans
  • 47,289 Seniors Eligible for Medicare
  • 29,652 Seniors on Medicare Advantage (63%)
  • 8 plans with 1,290 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 39 plans with 24,016 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 54% 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? Missouri Enrollees
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H2802-028-0 		HMOPOS $70 per Quarter No $280 Yes Yes No Yes Yes No 6,304
Essence Healthcare Essence Advantage (HMO)
H2610-005-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 6,216
Aetna Medicare Aetna Medicare Gold Advantage Prime (HMO)
H2663-005-0 		HMO $120 per Quarter No $480 Yes $4,000 No No Yes No No 2,582
Essence Healthcare Essence Advantage Select (HMO)
H2610-016-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 1,759
Humana Humana Gold Plus H0028-014 (HMO)
H0028-014-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,259
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 901
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 888
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-038-2 		HMO $85 per Quarter Yes $340 Yes $3,000 Yes No Yes Yes No 856
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-030-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 829
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H0169-002-0 		HMOPOS $220 per Month No $0 Yes $2,500 Yes No Yes Yes No 725
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-083-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 634
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 596
Humana HumanaChoice H5216-318 (PPO)
H5216-318-3 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 580
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-029-0 		Local PPO $190 per Month No $0 Yes $2,500 Yes No Yes Yes No 573
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H2802-052-0 		HMOPOS $100 per Quarter No $400 Yes Yes No Yes Yes No 543
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 352
Anthem HealthKeepers Anthem MediBlue Dual Advantage (HMO D-SNP)
H3447-018-0 		HMO $180 per Month No $0 Yes $3,000 Yes No Yes Yes No 253
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-050-0 		Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 243
Aetna Medicare Aetna Medicare Assure Gold Prime (HMO D-SNP)
H5325-005-0 		HMO $275 per Month Yes $0 Yes $5,000 No No Yes No No 230
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 228
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H2663-810-0 		HMO No $0 No 212
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Basic (PPO)
H4909-016-0 		Local PPO $67 per Quarter Yes $268 Yes $3,000 Yes No Yes Yes No 207
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 205
Humana Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)
H0028-015-0 		HMOPOS $1,500 per Month No $0 Yes $3,000 Yes No Yes No No 190
Essence Healthcare Essence Advantage Plus (HMO)
H2610-006-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 166
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H2802-050-0 		HMOPOS $110 per Quarter No $440 Yes Yes No Yes Yes No 152
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 130
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 109
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H2802-804-0 		HMO No $0 No 108
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-013-0 		Local PPO $60 per Quarter No $240 Yes $3,000 No No Yes No No 104
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 95
Humana Humana Honor (PPO)
H5216-140-0 		Local PPO $90 per Quarter Yes $360 Yes No No Yes No No 91
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R3444-008-0 		Regional PPO $125 per Quarter No $500 Yes $2,000 Yes No Yes Yes No 76
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4909-015-0 		Local PPO $62 per Quarter Yes $248 Yes $3,000 Yes No Yes Yes No 61
Wellcare by Allwell Wellcare No Premium (HMO)
H1664-004-0 		HMO $79 per Month Yes $0 Yes $1,000 No No Yes Yes No 58
Essence Healthcare Essence Dual Advantage (HMO D-SNP)
H2610-017-0 		HMO $530 per Quarter No $2,120 Yes $2,000 No No No No No 47
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 2 (Regional PPO)
R3444-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 47
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-003-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 46
Provider Partners Health Plans Provider Partners Missouri Advantage Plan (HMO I-SNP)
H9191-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 40
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H4909-021-0 		Local PPO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 39
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 38
Aetna Medicare Aetna Medicare Option 2 (HMO)
H2663-002-0 		HMO $90 per Quarter No $360 Yes $5,000 No No Yes No No 36
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 36
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-016-0 		Local PPO $320 per Quarter Yes $1,280 Yes $2,000 Yes No Yes Yes No 35
Wellcare Wellcare No Premium Open (PPO)
H7518-001-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 35
Wellcare by Allwell Wellcare Giveback (HMO)
H1664-006-0 		HMO No $0 Yes $700 No No Yes Yes No 35
Humana Humana Gold Choice H8145-125 (PFFS)
H8145-125-0 		PFFS No $0 Yes No No Yes No No 33
Essence Healthcare Essence Advantage Choice Plus (PPO)
H6200-002-0 		Local PPO $0 per Month No $0 Yes $2,000 No No No No No 32
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 30
Essence Healthcare Essence Advantage Choice (PPO)
H6200-001-0 		Local PPO $0 per Month No $0 Yes $1,000 No No No No No 30
Aetna Medicare Aetna Medicare Option 1 (HMO-POS)
H2663-006-0 		HMOPOS $90 per Quarter No $360 Yes $5,000 No No Yes No No 29
Humana HumanaChoice H5216-032 (PPO)
H5216-032-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 29
Wellcare by Allwell Wellcare Assist (HMO)
H1664-007-0 		HMO $70 per Month Yes $0 Yes $3,000 No No Yes Yes No 28
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R3444-009-0 		Regional PPO No $0 Yes Yes No Yes Yes No 26
Wellcare Wellcare Patriot Giveback Open (PPO)
H7518-002-0 		Local PPO $150 per Quarter No $600 Yes $2,000 No No Yes Yes No 25
American Health Advantage of Missouri American Health Advantage of Missouri (HMO I-SNP)
H4490-001-0 		HMO No $0 Yes $1,000 No No Yes No No 24
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H0271-052-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 24
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-057-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 23
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H0028-051-0 		HMO $600 per Month No $0 Yes No No Yes No No 18
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO No $0 No 18
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 17
Humana Humana Honor (PPO)
H5216-329-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 16
Wellcare Wellcare Low Premium Open (PPO)
H7518-004-0 		Local PPO $84 per Month Yes $0 Yes $2,000 No No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 15
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-077-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 14
Humana HumanaChoice R1532-001 (Regional PPO)
R1532-001-0 		Regional PPO $100 per Quarter Yes $400 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H0169-008-0 		HMOPOS $64 per Month No $0 Yes $2,500 Yes No Yes Yes No 14
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H7518-003-0 		Local PPO $205 per Month Yes $0 Yes $2,000 No No Yes Yes No 13
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Access (PPO D-SNP)
H4909-028-0 		Local PPO $125 per Month No $1,500 Yes $3,000 No No Yes Yes No 12
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R3444-023-0 		Regional PPO No $0 Yes No No Yes Yes No 12
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 11
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