Medicare Advantage Plans for St. Louis City County, Missouri

  • 72 Total Plans
  • 49,152 Seniors Eligible for Medicare
  • 29,364 Seniors on Medicare Advantage (60%)
  • 8 plans with 2,684 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 24,161 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 55% 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 4,730
Essence Healthcare Essence Advantage (HMO)
H2610-005-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 3,582
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 2,309
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 2,025
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 1,944
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 1,527
Essence Healthcare Essence Advantage Select (HMO)
H2610-016-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 1,434
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-038-2 		HMO $85 per Quarter Yes $340 Yes $3,000 Yes No Yes Yes No 1,326
Humana Humana Gold Plus H0028-014 (HMO)
H0028-014-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,302
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 1,006
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 954
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 739
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2228-030-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 730
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H2802-052-0 		HMOPOS $100 per Quarter No $400 Yes Yes No Yes Yes No 677
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2228-083-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 497
Humana HumanaChoice H5216-318 (PPO)
H5216-318-3 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 468
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 423
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 304
Aetna Medicare Aetna Medicare Elite (PPO)
H1608-050-0 		Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 223
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 189
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 166
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H2802-050-0 		HMOPOS $110 per Quarter No $440 Yes Yes No Yes Yes No 156
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 150
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 135
Humana Humana Honor (PPO)
H5216-140-0 		Local PPO $90 per Quarter Yes $360 Yes No No Yes No No 117
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 108
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 107
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 104
Essence Healthcare Essence Advantage Plus (HMO)
H2610-006-0 		HMO $0 per Month No $0 Yes $1,000 No No No No No 99
Wellcare by Allwell Wellcare Giveback (HMO)
H1664-006-0 		HMO No $0 Yes $700 No No Yes Yes No 96
Aetna Medicare Aetna Medicare Premier (PPO)
H1608-013-0 		Local PPO $60 per Quarter No $240 Yes $3,000 No No Yes No No 92
Wellcare by Allwell Wellcare Assist (HMO)
H1664-007-0 		HMO $70 per Month Yes $0 Yes $3,000 No No Yes Yes No 85
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO No $0 No 84
Wellcare by Allwell Wellcare No Premium (HMO)
H1664-004-0 		HMO $79 per Month Yes $0 Yes $1,000 No No Yes Yes No 80
Medica SSM Health Plan Integrity (HMO-POS)
H8019-002-0 		HMOPOS $55 per Quarter No $220 Yes No No No No No 77
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 75
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H2663-810-0 		HMO No $0 No 53
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 53
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 51
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7389-003-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 49
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 47
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 45
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H0271-052-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 45
Wellcare Wellcare Patriot Giveback Open (PPO)
H7518-002-0 		Local PPO $150 per Quarter No $600 Yes $2,000 No No Yes Yes No 45
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R3444-009-0 		Regional PPO No $0 Yes Yes No Yes Yes No 43
Aetna Medicare Aetna Medicare Option 2 (HMO)
H2663-002-0 		HMO $90 per Quarter No $360 Yes $5,000 No No Yes No No 42
Wellcare Wellcare No Premium Open (PPO)
H7518-001-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 42
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 39
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 38
Humana HumanaChoice H5216-032 (PPO)
H5216-032-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 37
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 32
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 30
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-057-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 30
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 2 (Regional PPO)
R3444-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 30
Humana Humana Honor (PPO)
H5216-329-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H2802-804-0 		HMO No $0 No 29
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 28
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 28
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 21
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 21
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 20
New Horizons PACE New Horizons PACE (PACE)
H7831-001-0 		National PACE No $0 No 18
Wellcare Wellcare Low Premium Open (PPO)
H7518-004-0 		Local PPO $84 per Month Yes $0 Yes $2,000 No No Yes Yes No 17
Essence Healthcare Essence Advantage Choice (PPO)
H6200-001-0 		Local PPO $0 per Month No $0 Yes $1,000 No No No No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 16
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 15
Humana HumanaChoice R1532-001 (Regional PPO)
R1532-001-0 		Regional PPO $100 per Quarter Yes $400 Yes No No Yes No No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 15
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 13
Humana Humana Gold Choice H8145-125 (PFFS)
H8145-125-0 		PFFS No $0 Yes No No Yes No No 12
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 12
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-077-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 11
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