Medicare Advantage Plans for Buncombe County, North Carolina

  • 70 Total Plans
  • 64,881 Seniors Eligible for Medicare
  • 28,229 Seniors on Medicare Advantage (44%)
  • 5 plans with 3,123 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 37 plans with 16,217 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 30% 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? North Carolina Enrollees
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 4,654
Humana Humana Gold Plus H6622-025 (HMO-POS)
H6622-025-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 2,848
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-079-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,695
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5253-041-0 		HMOPOS $326 per Month No $0 Yes $2,500 Yes No Yes Yes No 2,358
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-236-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 1,852
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential Plus (HMO-POS)
H3449-023-5 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 1,520
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-080-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,350
Humana Humana Gold Plus H6622-026 (HMO-POS)
H6622-026-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 1,296
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 803
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO Enhanced (PPO)
H3404-003-2 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 552
Humana Humana Gold Plus SNP-DE H6622-027 (HMO-POS D-SNP)
H6622-027-0 		HMOPOS $2,100 per Month No $0 Yes No No Yes No No 544
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-016-0 		Local PPO No $0 Yes Yes No Yes Yes No 537
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 447
Humana HumanaChoice H5216-017 (PPO)
H5216-017-0 		Local PPO No $0 Yes No No Yes No No 398
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-105-0 		HMOPOS No $0 Yes Yes No Yes Yes No 391
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 391
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 389
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 388
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 329
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 316
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 308
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 266
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 254
Humana HumanaChoice H5216-343 (PPO)
H5216-343-0 		Local PPO No $0 Yes No No Yes No No 247
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-006-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 221
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 173
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-009-0 		HMO $240 per Month Yes $0 Yes $5,000 No No Yes No No 164
Blue Cross and Blue Shield of North Carolina Blue Medicare Enhanced (HMO-POS)
H3449-024-3 		HMOPOS $95 per Quarter No $380 Yes No No Yes No No 149
CarePartners PACE CarePartners PACE (PACE)
H6846-001-0 		National PACE No $0 No 148
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-005-0 		Local PPO $301 per Month No $0 Yes $2,500 Yes No Yes Yes No 144
Alignment Health Plan Alignment Health Platinum (HMO-POS)
H5296-003-0 		HMOPOS $115 per Quarter No $460 Yes $0 No No No No No 142
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 128
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 124
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 110
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H7175-002-0 		Local PPO $144 per Month Yes $0 Yes $3,000 No No Yes Yes No 110
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-241-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 82
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 80
Wellcare Wellcare Dual Access Medicare (HMO D-SNP)
H0712-025-0 		HMO $100 per Month Yes $0 Yes $4,000 No No Yes Yes No 80
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 76
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 75
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H5374-001-0 		HMO $160 per Quarter No $640 Yes $3,200 Yes No No Yes No 62
Blue Cross and Blue Shield of North Carolina Healthy Blue + Medicare (HMO D-SNP)
H9147-001-0 		HMO $257 per Month No $0 Yes $3,000 Yes No Yes Yes No 59
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-034-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 50
Wellcare Wellcare No Premium Value (HMO)
H0712-023-0 		HMO $83 per Quarter No $332 Yes $1,000 No No Yes Yes No 50
Blue Cross and Blue Shield of North Carolina Blue Medicare Essential (HMO)
H3449-027-2 		HMO $0 per Month No $0 Yes No No Yes No No 46
Blue Cross and Blue Shield of North Carolina Blue Medicare Medical Only (HMO-POS)
H3449-012-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 45
Wellcare Wellcare Assist Open (PPO)
H7175-003-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 42
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 38
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H5253-116-0 		HMOPOS $72 per Month No $0 Yes $1,100 Yes No Yes Yes No 34
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 33
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H5253-042-0 		HMOPOS $240 per Quarter Yes $960 Yes $2,000 Yes No Yes Yes No 27
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 25
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 23
FirstMedicare Direct FirstMedicare Direct POS Plus (HMO-POS)
H6306-011-3 		HMOPOS $96 per Month No $1,152 Yes No No Yes No No 19
Wellcare Wellcare Patriot No Premium Open (PPO)
H7175-005-0 		Local PPO No $0 No 18
Liberty Medicare Advantage Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
H6351-001-0 		HMO No $0 Yes $2,800 No No No Yes No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 16
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-354-0 		Local PPO $75 per Quarter No $300 No 15
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 15
Wellcare Wellcare Premium Enhanced Open (PPO)
H7175-006-0 		Local PPO $64 per Quarter No $256 Yes $1,000 No No Yes Yes No 13
Blue Cross and Blue Shield of North Carolina Blue Medicare Freedom+ (PPO)
H3404-004-0 		Local PPO $0 per Month No $0 No 12
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-046-0 		Local PPO No $0 Yes $2,000 No No No No No 12
FirstMedicare Direct FirstMedicare Direct POS Standard (HMO-POS)
H6306-012-5 		HMOPOS $96 per Month No $1,152 Yes No No Yes No No 12
Humana HumanaChoice H5216-336 (PPO)
H5216-336-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 12
Alignment Health Plan Alignment Health AVA (PPO)
H7074-001-0 		Local PPO $50 per Quarter No $200 No 11
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 11
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