Medicare Advantage Plans for Monmouth County, New Jersey

  • 75 Total Plans
  • 134,478 Seniors Eligible for Medicare
  • 39,290 Seniors on Medicare Advantage (29%)
  • 4 plans with 1,028 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 32 plans with 16,113 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 13% 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 11,098
Braven Health Braven Medicare Choice (PPO)
H0885-001-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 4,525
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,312
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,994
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,704
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,601
Aetna Medicare Aetna Medicare Explorer Value (HMO)
H3152-082-0 		HMO No $0 Yes $2,000 No No Yes No No 1,129
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 1,124
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 949
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 853
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 707
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 695
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS No $0 Yes Yes No Yes Yes No 658
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 611
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 521
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 475
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0 		Local PPO No $0 Yes $2,500 No No Yes No No 422
Aetna Medicare Aetna Medicare Prime Credit (PPO)
H5521-277-0 		Local PPO No $0 Yes $2,000 No No Yes No No 422
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0 		Local PPO $15 per Month No $0 Yes No No Yes No No 335
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 301
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 280
Aetna Medicare Aetna Medicare Prime Value (HMO-POS)
H3152-080-0 		HMOPOS $60 per Quarter No $240 Yes $2,500 No No Yes No No 267
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 242
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-390-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 238
Humana Humana Gold Plus H6622-063 (HMO)
H6622-063-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 225
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 214
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 212
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H0755-045-0 		HMOPOS No $0 Yes Yes No Yes Yes No 198
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 196
Aetna Medicare Aetna Medicare Explorer Premier Plus (HMO-POS)
H3152-048-0 		HMOPOS $45 per Quarter No $180 Yes $2,500 No No Yes No No 184
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 182
Braven Health Braven Medicare Plus (HMO)
H4675-001-0 		HMO $70 per Quarter No $280 Yes $1,250 No No No No No 176
Beacon of LIFE PACE Beacon of LIFE PACE (PACE)
H9323-001-0 		National PACE No $0 No 168
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 163
Humana HumanaChoice H5216-342 (PPO)
H5216-342-0 		Local PPO No $0 Yes No No Yes No No 153
Aetna Medicare Aetna Medicare Prime Premier (PPO)
H5521-275-0 		Local PPO No $0 Yes $2,500 No No Yes No No 142
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-034-0 		HMO $130 per Quarter No $520 Yes No No Yes No No 126
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-030-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 120
Braven Health Braven Medicare Freedom (PPO)
H0885-002-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 112
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 112
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 107
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 107
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 102
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 94
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 94
Aetna Medicare Aetna Medicare Prime Value (PPO)
H5521-392-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 85
Aetna Medicare Aetna Medicare Explorer Elite 2 (HMO)
H3152-092-0 		HMO No $0 Yes $2,500 No No Yes No No 83
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 83
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 76
Humana HumanaChoice H5216-172 (PPO)
H5216-172-0 		Local PPO No $0 Yes No No Yes No No 76
Humana Humana Honor (PPO)
H5216-174-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 72
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 71
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 68
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 68
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0755-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 68
Braven Health Braven Medicare Group w/Rx (PPO)
H0885-802-0 		Local PPO No $0 No 62
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 57
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 56
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 49
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 41
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 41
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 40
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3152-804-0 		HMO No $0 No 34
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 31
UnitedHealthcare Erickson Advantage Freedom (HMO-POS)
H5652-006-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 29
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 29
UnitedHealthcare Erickson Advantage Champion (HMO-POS C-SNP)
H5652-004-0 		HMOPOS $80 per Quarter No $320 Yes Yes No Yes Yes No 27
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 21
Wellpoint Amerivantage ESRD Care (HMO-POS C-SNP)
H3240-017-0 		HMOPOS $150 per Quarter Yes $600 Yes $2,000 Yes No Yes Yes No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 19
Braven Health Braven Medicare Access Group w/Rx (HMO-POS)
H4675-802-0 		HMOPOS No $0 No 18
Wellcare Wellcare Patriot No Premium (HMO)
H0913-020-0 		HMO $63 per Quarter No $252 Yes $2,000 No No Yes Yes No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0755-813-0 		HMO No $0 No 11
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