Medicare Advantage Plans for Randolph County, North Carolina

  • 51 Total Plans
  • 32,693 Seniors Eligible for Medicare
  • 22,760 Seniors on Medicare Advantage (70%)
  • 5 plans with 2,303 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 31 plans with 16,833 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 59% 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 3,880
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 3,018
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 2,264
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 2,003
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 1,945
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 1,930
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-038-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,527
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-117-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 931
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 748
Humana Humana Gold Plus SNP-DE H1036-168 (HMO-POS D-SNP)
H1036-168-0 		HMOPOS No $0 Yes No No Yes No No 466
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 334
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 322
Humana HumanaChoice H5216-017 (PPO)
H5216-017-0 		Local PPO No $0 Yes No No Yes No No 299
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 277
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-040-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 228
Aetna Medicare Aetna Medicare Prime (HMO-POS)
H3146-007-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 210
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-110-0 		HMOPOS No $0 Yes Yes No Yes Yes No 201
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 191
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 181
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 128
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 127
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 126
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 105
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 104
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 102
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 77
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 65
StayWell Senior Care StayWell Senior Care - Dual Eligible (PACE)
H1533-001-0 		National PACE No $0 No 63
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 62
Humana HumanaChoice H5216-343 (PPO)
H5216-343-0 		Local PPO No $0 Yes No No Yes No No 56
Humana HumanaChoice H5216-211 (PPO)
H5216-211-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 52
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 52
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 51
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 50
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 46
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 39
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 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 35
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 35
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 34
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 33
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 30
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 29
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 24
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H9725-012-0 		HMO No $0 Yes No No Yes No No 21
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 20
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 17
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 13
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 12
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 11
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