Medicare Advantage Plans for Guilford County, North Carolina
- 76 Total Plans
- 101,352 Seniors Eligible for Medicare
- 66,921 Seniors on Medicare Advantage (66%)
- 5 plans with 7,276 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 42 plans with 44,711 seniors have OTC benefits that partially cover MDHearing hearing aids
- 51% 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 Gold Plus H1036-291 (HMO-POS) H1036-291-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 8,380 | |
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 7,452 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO-POS) H5253-037-0 |
HMOPOS | $60 per Quarter | No | $240 | Yes | Yes | No | Yes | Yes | No | 6,386 | |
Aetna Medicare |
Aetna Medicare Premier Plus Plan (PPO) H5521-170-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $2,500 | No | No | Yes | No | No | 6,270 |
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 | 6,212 |
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA |
HealthTeam Advantage Plan I (PPO) H9808-004-0 |
Local PPO | $40 per Quarter | Yes | $160 | Yes | No | No | Yes | No | No | 5,947 | |
UnitedHealthcare |
AARP Medicare Advantage Plan 2 (HMO-POS) H5253-038-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 4,386 | |
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 | 2,528 | |
UnitedHealthcare |
AARP Medicare Advantage Plan 3 (HMO-POS) H5253-117-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 1,923 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 1,517 | |||||||
Humana |
Humana Gold Plus SNP-DE H1036-168 (HMO-POS D-SNP) H1036-168-0 |
HMOPOS | No | $0 | Yes | No | No | Yes | No | No | 1,448 | ||
UnitedHealthcare |
AARP Medicare Advantage Choice Flex Plan 1 (PPO) H2228-018-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | Yes | No | 1,398 | |
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 | 1,088 | |
Humana |
HumanaChoice H5216-017 (PPO) H5216-017-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 757 | ||
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 | 681 | |
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA |
HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP) H2624-001-0 |
HMO | $60 per Quarter | Yes | $240 | Yes | No | No | Yes | No | No | 639 | |
Aetna Medicare |
Aetna Medicare Premier Plan (PPO) H5521-081-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 628 |
UnitedHealthcare |
AARP Medicare Advantage Patriot (HMO-POS) H5253-040-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 595 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 595 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Rebate (HMO-POS) H5253-110-0 |
HMOPOS | No | $0 | Yes | Yes | No | Yes | Yes | No | 498 | ||
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 | 491 |
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 388 | |||||||
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 | 365 |
Aetna Medicare |
Aetna Medicare Assure Plan (HMO D-SNP) H3146-003-0 |
HMO | $230 per Month | Yes | $0 | Yes | $5,000 | No | No | Yes | No | No | 356 |
Blue Cross and Blue Shield of North Carolina |
Blue Medicare Choice (HMO) H3449-026-0 |
HMO | $85 per Quarter | No | $340 | Yes | No | No | Yes | No | No | 332 | |
CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINA |
HealthTeam Advantage Plan II (PPO) H9808-005-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | No | No | Yes | No | No | 325 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 318 | |||||||
Aetna Medicare |
Aetna Medicare Prime (HMO-POS) H3146-007-0 |
HMOPOS | $90 per Quarter | No | $360 | Yes | $2,500 | No | No | Yes | No | No | 265 |
Cigna Healthcare |
Cigna Preferred Medicare (HMO) H9725-009-4 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 264 | |
Devoted Health |
Devoted CORE North Carolina (HMO) H5299-001-0 |
HMO | $65 per Quarter | No | $260 | Yes | No | No | Yes | No | No | 248 | |
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 | 236 |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 192 | |||||||
PACE OF THE TRIAD |
PACE of The Triad - Dual (PACE) H6059-001-0 |
National PACE | No | $0 | No | 189 | |||||||
Wellcare |
Wellcare Giveback Open (PPO) H7175-004-0 |
Local PPO | No | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 186 | |
Cigna Healthcare |
Cigna True Choice Savings Medicare (PPO) H7849-011-0 |
Local PPO | No | $0 | Yes | $1,400 | No | No | No | No | No | 181 | |
Humana |
Humana Honor (Regional PPO) R1390-003-0 |
Regional PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 173 | |
Humana |
HumanaChoice H5216-343 (PPO) H5216-343-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 170 | ||
UnitedHealthcare |
AARP Medicare Advantage Choice Flex Plan 2 (PPO) H2228-127-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | No | No | Yes | Yes | No | 157 | |
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 | 139 | |
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 | 138 |
Wellcare |
Wellcare No Premium (HMO) H4073-001-0 |
HMO | $107 per Quarter | No | $428 | Yes | $1,500 | No | No | Yes | Yes | No | 134 |
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 | 133 |
Cigna Healthcare |
Cigna Preferred Plus Medicare (HMO) H9725-006-0 |
HMO | $40 per Quarter | No | $160 | Yes | No | No | Yes | No | No | 126 | |
Humana |
HumanaChoice H5216-211 (PPO) H5216-211-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 121 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-825-0 |
Local PPO | No | $0 | No | 112 | |||||||
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 | 108 |
Blue Cross and Blue Shield of North Carolina |
Blue Medicare HMO EGWP Classic (HMO) H3449-815-0 |
HMO | No | $0 | No | 102 | |||||||
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0 |
Local PPO | No | $0 | No | 102 | |||||||
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 | 101 |
Devoted Health |
Devoted GIVEBACK North Carolina (HMO) H5299-002-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 95 | |
Wellcare |
Wellcare No Premium Open (PPO) H7175-001-0 |
Local PPO | $93 per Quarter | No | $372 | Yes | $1,000 | No | No | Yes | Yes | No | 81 |
Cigna Healthcare |
Cigna Preferred Select Medicare (HMO) H9725-014-0 |
HMO | $120 per Quarter | No | $480 | Yes | No | No | Yes | No | No | 68 | |
Cigna Healthcare |
Cigna TotalCare (HMO D-SNP) H9725-003-0 |
HMO | $200 per Quarter | No | $800 | Yes | No | No | Yes | No | No | 64 | |
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 | 63 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-847-0 |
Local PPO | No | $0 | No | 63 | |||||||
Humana |
HumanaChoice R1390-001 (Regional PPO) R1390-001-0 |
Regional PPO | $45 per Quarter | No | $180 | Yes | No | No | Yes | No | No | 56 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 48 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0 |
Local PPO | No | $0 | No | 48 | |||||||
Alignment Health Plan |
Alignment Health Platinum (HMO-POS) H5296-003-0 |
HMOPOS | $115 per Quarter | No | $460 | Yes | $0 | No | No | No | No | No | 47 |
Cigna Healthcare |
Cigna Preferred Savings Medicare (HMO) H9725-012-0 |
HMO | No | $0 | Yes | No | No | Yes | No | No | 46 | ||
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 | 43 |
Wellcare |
Wellcare Assist Open (PPO) H7175-003-0 |
Local PPO | $125 per Quarter | No | $500 | Yes | $2,000 | No | No | Yes | Yes | No | 42 |
Wellcare |
Wellcare Dual Access (HMO D-SNP) H4073-002-0 |
HMO | $170 per Month | Yes | $0 | Yes | $5,000 | No | No | Yes | Yes | No | 37 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 36 | |||||||
Blue Cross and Blue Shield of North Carolina |
Blue Medicare Freedom+ (PPO) H3404-004-0 |
Local PPO | $0 per Month | No | $0 | No | 36 | ||||||
Humana |
HumanaChoice R1390-002 (Regional PPO) R1390-002-0 |
Regional PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 33 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-869-0 |
Local PPO | No | $0 | No | 31 | |||||||
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 | 28 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-857-0 |
Local PPO | No | $0 | No | 28 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-866-0 |
Local PPO | No | $0 | No | 26 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (HMO) H5253-813-0 |
HMO | No | $0 | No | 25 | |||||||
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Freedom Blue PPO MA PA CALENDAR (PPO) H3916-801-0 |
Local PPO | No | $0 | No | 22 | |||||||
Devoted Health |
Devoted PRIME North Carolina (HMO) H5299-003-0 |
HMO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 21 | |
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 Patriot No Premium Open (PPO) H7175-005-0 |
Local PPO | No | $0 | No | 15 | |||||||
Blue Cross and Blue Shield of North Carolina |
Blue Medicare PPO EGWP Complete (PPO) H3404-810-0 |
Local PPO | No | $0 | No | 13 |