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
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