Medicare Advantage Plans for Mecklenburg County, North Carolina

  • 83 Total Plans
  • 151,628 Seniors Eligible for Medicare
  • 76,609 Seniors on Medicare Advantage (51%)
  • 6 plans with 10,149 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 50,367 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 40% 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 H1036-137 (HMO-POS)
H1036-137-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 8,698
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 7,398
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 7,149
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 6,920
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 6,868
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 6,651
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3146-001-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 3,869
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 2,680
Humana Humana Gold Plus SNP-DE H1036-167 (HMO-POS D-SNP)
H1036-167-0 		HMOPOS $3,900 per Month Yes $0 Yes No No Yes Yes No 2,480
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 2,363
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 2,324
Cigna Healthcare Cigna Preferred Medicare (HMO)
H9725-009-4 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,487
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 1,447
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 1,005
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 953
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-110-0 		HMOPOS No $0 Yes Yes No Yes Yes No 896
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 879
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 865
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 802
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 712
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H9725-006-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 603
Humana HumanaChoice H5216-017 (PPO)
H5216-017-0 		Local PPO No $0 Yes No No Yes No No 576
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 541
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 538
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-008-0 		HMO $185 per Month Yes $0 Yes $5,000 No No Yes No No 528
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 519
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-019-0 		Local PPO No $0 Yes $1,500 No No No No No 420
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 359
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 337
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 Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 294
Humana HumanaChoice H5216-343 (PPO)
H5216-343-0 		Local PPO No $0 Yes No No Yes No No 274
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 274
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 210
Cigna Healthcare Cigna Preferred Select Medicare (HMO)
H9725-014-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 200
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-354-0 		Local PPO $75 per Quarter No $300 No 194
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 165
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 162
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H9725-003-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 157
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 149
PACE of the Southern Piedmont PACE of the Southern Piedmont- Duals (PACE)
H4714-001-0 		National PACE No $0 No 147
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 147
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 136
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 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 130
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 129
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 126
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 124
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 121
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 118
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 110
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 96
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 92
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 90
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 90
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 86
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 85
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 84
Wellcare Wellcare Assist Open (PPO)
H7175-003-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 65
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 54
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 53
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 49
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 46
Cigna Healthcare Cigna Courage Medicare (HMO)
H9725-005-0 		HMO No $0 Yes No No Yes No No 46
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 32
Blue Cross and Blue Shield of North Carolina Blue Medicare Freedom+ (PPO)
H3404-004-0 		Local PPO $0 per Month No $0 No 32
Blue Cross and Blue Shield of North Carolina Blue Medicare HMO EGWP Classic (HMO)
H3449-815-0 		HMO No $0 No 30
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 29
Wellcare Wellcare Patriot No Premium Open (PPO)
H7175-005-0 		Local PPO No $0 No 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 26
ApexHealth ApexBold (HMO)
H9828-001-0 		HMO $50 per Quarter Yes $200 Yes $1,350 No No No No No 25
UnitedHealthcare Erickson Advantage Liberty with Drugs (HMO-POS)
H5652-008-0 		HMOPOS No $0 Yes Yes No Yes Yes No 23
UnitedHealthcare Erickson Advantage Liberty without Drugs (HMO-POS)
H5652-002-0 		HMOPOS No $0 Yes Yes No Yes Yes No 21
UnitedHealthcare Erickson Advantage Freedom (HMO-POS)
H5652-006-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 20
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 18
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 13
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 12
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 12
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 12
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-140-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No No No No 11
Humana HumanaChoice SNP-DE H5525-036 (PPO D-SNP)
H5525-036-0 		Local PPO $3,000 per Month No $0 Yes No No Yes No No 11
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