Medicare Advantage Plans for Atlantic County, New Jersey

  • 62 Total Plans
  • 61,537 Seniors Eligible for Medicare
  • 23,618 Seniors on Medicare Advantage (38%)
  • 5 plans with 1,446 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 28 plans with 12,239 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 22% 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? New Jersey Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 5,948
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,842
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,331
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,275
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 1,041
Horizon Blue Cross Blue Shield of New Jersey Horizon NJ TotalCare (HMO D-SNP)
H8298-001-0 		HMO $720 per Quarter No $2,880 No 945
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 831
Braven Health Braven Medicare Choice (PPO)
H0885-006-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 684
Humana HumanaChoice H5216-185 (PPO)
H5216-185-0 		Local PPO $20 per Month Yes $0 Yes No No Yes No No 610
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 581
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-032-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 483
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 477
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 387
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 379
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 364
Clover Health Clover Health Value (HMO)
H8010-003-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 345
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 291
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 286
Aetna Medicare Aetna Medicare Explorer Premier Plus (PPO)
H5521-278-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 278
Humana Humana Gold Plus H6622-066 (HMO)
H6622-066-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 233
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-391-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 227
Aetna Medicare Aetna Medicare Explorer Premier (HMO-POS)
H3152-022-0 		HMOPOS $45 per Quarter No $180 Yes $2,500 No No Yes No No 223
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 223
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 218
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $290 per Quarter Yes $1,160 Yes $2,000 Yes No Yes Yes No 208
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 201
Humana HumanaChoice H5216-319 (PPO)
H5216-319-0 		Local PPO No $0 Yes No No Yes No No 193
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 187
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 150
Humana HumanaChoice H5216-186 (PPO)
H5216-186-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 143
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 138
AtlantiCare LIFE Connection AtlantiCare LIFE Connection (PACE)
H7619-001-0 		National PACE No $0 No 121
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 118
Aetna Medicare Aetna Medicare Explorer Value (HMO)
H3152-082-0 		HMO No $0 Yes $2,000 No No Yes No No 114
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 114
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-033-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 110
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 109
Aetna Medicare Aetna Medicare Explorer Premier 2 (PPO)
H5521-124-0 		Local PPO No $0 Yes $2,500 No No Yes No No 98
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 94
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS No $0 Yes Yes No Yes Yes No 88
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 84
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 77
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 69
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 55
Humana HumanaChoice H5216-320 (PPO)
H5216-320-0 		Local PPO No $0 Yes No No Yes No No 45
Longevity Health Plan Longevity Health Plan (PPO I-SNP)
H9942-001-0 		Local PPO $200 per Quarter No $800 Yes $2,000 Yes No No Yes No 35
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 33
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0755-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 31
Clover Health Clover Health Choice (PPO)
H5141-032-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 28
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 28
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS No $0 Yes Yes No Yes Yes No 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 26
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 25
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 20
Aetna Medicare Aetna Medicare SNJ Prime Elite (PPO)
H5521-123-0 		Local PPO No $0 Yes $2,500 No No Yes No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 18
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-110-0 		Local PPO No $0 Yes No No Yes No No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 15
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3152-804-0 		HMO No $0 No 14
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 13
Clover Health Clover Health Premier Value (PPO)
H5141-055-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 13
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