Medicare Advantage Plans for Robeson County, North Carolina

  • 45 Total Plans
  • 25,079 Seniors Eligible for Medicare
  • 12,836 Seniors on Medicare Advantage (51%)
  • 4 plans with 1,271 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 24 plans with 7,526 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 35% 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 2,363
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-169-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 2,134
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 1,241
Troy Medicare Troy Medicare (HMO)
H4676-001-0 		HMO $65 per Quarter No $260 Yes $750 No No No No No 646
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 541
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 482
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-348-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 429
Troy Medicare Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
H4676-002-0 		HMO $325 per Quarter No $1,300 Yes $0 No No No No No 393
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 384
Humana HumanaChoice H5525-035 (PPO)
H5525-035-0 		Local PPO No $0 Yes No No Yes No No 367
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 338
Humana HumanaChoice H5525-050 (PPO)
H5525-050-0 		Local PPO No $0 Yes No No Yes No No 295
Wellcare Wellcare No Premium (HMO)
H4073-001-0 		HMO $107 per Quarter No $428 Yes $1,500 No No Yes Yes No 286
Humana HumanaChoice H5525-049 (PPO)
H5525-049-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 252
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 238
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 191
Wellcare Wellcare Giveback Open (PPO)
H7175-004-0 		Local PPO No $0 Yes $1,500 No No Yes Yes No 175
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-243-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 171
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO EGWP Classic (PPO)
H3404-811-0 		Local PPO No $0 No 170
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 157
Humana HumanaChoice H5525-065 (PPO)
H5525-065-0 		Local PPO No $0 Yes No No Yes No No 133
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 125
Wellcare Wellcare No Premium Open (PPO)
H7175-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 123
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 111
Wellcare Wellcare Assist Open (PPO)
H7175-003-0 		Local PPO $125 per Quarter No $500 Yes $2,000 No No Yes Yes No 104
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-018-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 100
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 95
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 90
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 79
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 74
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 68
Wellcare Wellcare Dual Access (HMO D-SNP)
H4073-002-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes Yes No 55
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-015-0 		HMO $170 per Month Yes $0 Yes $5,000 No No Yes No No 47
Blue Cross and Blue Shield of North Carolina Blue Medicare PPO EGWP Complete (PPO)
H3404-810-0 		Local PPO No $0 No 39
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 37
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2577-019-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 35
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 24
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 16
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 Freedom+ (PPO)
H3404-004-0 		Local PPO $0 per Month No $0 No 12
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 12
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