Medicare Advantage Plans for Pembina County, North Dakota
- 8 Total Plans
- 1,856 Seniors Eligible for Medicare
- 348 Seniors on Medicare Advantage (19%)
- 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 8 plans with 304 seniors have OTC benefits that partially cover MDHearing hearing aids
- 16% 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 Dakota Enrollees |
| Medica |
Medica Prime Solution Core (Cost) H2450-034-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 123 |
| Medica |
Medica Prime Solution Premier (Cost) H2450-036-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 53 |
| NextBlue of North Dakota |
NextBlue Premium PPO (PPO) H6202-002-0 |
Local PPO | $60 per Quarter | No | $240 | Yes | $2,500 | No | No | No | No | No | 41 |
| Medica |
Medica Prime Solution Standard (Cost) H2450-044-0 |
1876 Cost | $25 per Quarter | No | $100 | No | 29 | ||||||
| NextBlue of North Dakota |
NextBlue Classic PPO (PPO) H6202-001-0 |
Local PPO | $35 per Quarter | No | $140 | Yes | $2,000 | No | No | No | No | No | 19 |
| Humana |
HumanaChoice H5525-067 (PPO) H5525-067-0 |
Local PPO | $45 per Quarter | Yes | $180 | Yes | No | No | Yes | No | No | 16 | |
| UnitedHealthcare |
AARP Medicare Advantage Headwaters (PPO) H7404-005-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 12 | |
| Medica |
Medica Prime Solution Core w/Rx (Cost) H2450-035-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 11 |
