Medicare Advantage Plans for St. Louis County, Missouri

  • 86 Total Plans
  • 214,134 Seniors Eligible for Medicare
  • 113,577 Seniors on Medicare Advantage (53%)
  • 8 plans with 5,491 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 92,626 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 46% 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 24,737
Essence Healthcare Essence Advantage (HMO)
H2610-005-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 16,668
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 12,291
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-030-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 5,403
Essence Healthcare Essence Advantage Select (HMO)
H2610-016-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 5,357
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 4,310
Humana Humana Gold Plus H0028-014 (HMO)
H0028-014-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 3,886
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-083-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 3,659
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-038-2 		HMO $85 per Quarter Yes $340 Yes $3,000 Yes No Yes Yes No 3,184
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 3,071
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 2,628
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H2802-052-0 		HMOPOS $100 per Quarter No $400 Yes Yes No Yes Yes No 2,361
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 2,170
Humana HumanaChoice H5216-318 (PPO)
H5216-318-3 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,914
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 1,634
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-050-0 		Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 1,627
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 1,399
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 1,295
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 1,231
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 1,218
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 960
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 947
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 865
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H2663-810-0 		HMO No $0 No 841
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 702
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-013-0 		Local PPO $60 per Quarter No $240 Yes $3,000 No No Yes No No 660
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 591
Essence Healthcare Essence Advantage Plus (HMO)
H2610-006-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 474
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H2802-050-0 		HMOPOS $110 per Quarter No $440 Yes Yes No Yes Yes No 465
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H2802-804-0 		HMO No $0 No 435
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 310
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 292
Humana Humana Honor (PPO)
H5216-140-0 		Local PPO $90 per Quarter Yes $360 Yes No No Yes No No 275
Medica SSM Health Plan Integrity (HMO-POS)
H8019-002-0 		HMOPOS $55 per Quarter No $220 Yes No No No No No 263
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 258
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 258
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 258
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 228
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 227
Aetna Medicare Aetna Medicare Option 2 (HMO)
H2663-002-0 		HMO $90 per Quarter No $360 Yes $5,000 No No Yes No No 220
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 216
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 208
Wellcare by Allwell Wellcare No Premium (HMO)
H1664-004-0 		HMO $79 per Month Yes $0 Yes $1,000 No No Yes Yes No 206
Wellcare by Allwell Wellcare Giveback (HMO)
H1664-006-0 		HMO No $0 Yes $700 No No Yes Yes No 150
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 2 (Regional PPO)
R3444-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 137
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 131
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO No $0 No 130
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 122
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-003-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 122
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R3444-009-0 		Regional PPO No $0 Yes Yes No Yes Yes No 122
Humana HumanaChoice H5216-032 (PPO)
H5216-032-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 121
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 116
Wellcare Wellcare No Premium Open (PPO)
H7518-001-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 109
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 104
Essence Healthcare Essence Advantage Choice (PPO)
H6200-001-0 		Local PPO $0 per Month No $0 Yes $1,000 No No No No No 99
Wellcare by Allwell Wellcare Assist (HMO)
H1664-007-0 		HMO $70 per Month Yes $0 Yes $3,000 No No Yes Yes No 98
Wellcare Wellcare Patriot Giveback Open (PPO)
H7518-002-0 		Local PPO $150 per Quarter No $600 Yes $2,000 No No Yes Yes No 95
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 93
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-057-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 90
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 88
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H0271-052-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 88
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 80
Humana Humana Honor (PPO)
H5216-329-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 71
Humana Humana Gold Choice H8145-125 (PFFS)
H8145-125-0 		PFFS No $0 Yes No No Yes No No 65
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 59
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 57
Humana HumanaChoice R1532-001 (Regional PPO)
R1532-001-0 		Regional PPO $100 per Quarter Yes $400 Yes No No Yes No No 52
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 49
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-077-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 41
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 40
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H1664-005-0 		HMO $190 per Month Yes $0 Yes $2,000 No No Yes Yes No 40
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 39
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R3444-023-0 		Regional PPO No $0 Yes No No Yes Yes No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 32
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 32
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-841-0 		Local PPO No $0 No 28
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H5302-810-0 		HMO No $0 No 27
American Health Advantage of Missouri American Health Advantage of Missouri Choice (HMO I-SNP)
H4490-003-0 		HMO $95 per Month No $0 Yes $1,000 No No Yes No No 26
Wellcare Wellcare Low Premium Open (PPO)
H7518-004-0 		Local PPO $84 per Month Yes $0 Yes $2,000 No No Yes Yes No 26
Humana HumanaChoice R1532-002 (Regional PPO)
R1532-002-0 		Regional PPO $50 per Quarter No $200 Yes No No Yes No No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 16
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H1608-802-0 		Local PPO No $0 No 14
NHC Advantage NHC Advantage (HMO I-SNP)
H4172-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 14
American Health Advantage of Missouri American Health Advantage of Missouri Premier (HMO I-SNP)
H4490-002-0 		HMO $215 per Quarter No $860 Yes $1,000 No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 13
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