Medicare Advantage Plans for Passaic County, New Jersey

  • 66 Total Plans
  • 87,240 Seniors Eligible for Medicare
  • 38,533 Seniors on Medicare Advantage (44%)
  • 5 plans with 2,808 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 22,605 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 29% 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 5,688
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 3,850
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,302
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 3,174
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 3,137
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 2,375
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 2,351
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,881
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 1,409
Braven Health Braven Medicare Choice (PPO)
H0885-001-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 1,094
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 1,023
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,011
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 801
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 622
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 427
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 425
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 410
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0 		Local PPO No $0 Yes $2,500 No No Yes No No 402
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 320
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H0755-045-0 		HMOPOS No $0 Yes Yes No Yes Yes No 294
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 276
Clover Health Clover Health Value (HMO)
H8010-003-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 257
Aetna Medicare Aetna Medicare Prime Credit (PPO)
H5521-277-0 		Local PPO No $0 Yes $2,000 No No Yes No No 243
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 240
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 233
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 211
Humana Humana Gold Plus H6622-063 (HMO)
H6622-063-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 210
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 171
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 170
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 166
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 154
Humana HumanaChoice H5216-342 (PPO)
H5216-342-0 		Local PPO No $0 Yes No No Yes No No 143
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 124
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0 		Local PPO $15 per Month No $0 Yes No No Yes No No 123
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 115
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 114
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 100
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 92
Braven Health Braven Medicare Group w/Rx (PPO)
H0885-802-0 		Local PPO No $0 No 88
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 86
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 77
Aetna Medicare Aetna Medicare Prime Premier (PPO)
H5521-275-0 		Local PPO No $0 Yes $2,500 No No Yes No No 77
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 71
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 61
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 56
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 55
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 50
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 49
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0755-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 45
Braven Health Braven Medicare Freedom (PPO)
H0885-002-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 39
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 38
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 38
Humana HumanaChoice H5216-172 (PPO)
H5216-172-0 		Local PPO No $0 Yes No No Yes No No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 32
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 31
Clover Health Clover Health Premier Value (PPO)
H5141-055-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 29
Aetna Medicare Aetna Medicare Explorer Elite 2 (HMO)
H3152-092-0 		HMO No $0 Yes $2,500 No No Yes No No 28
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 26
Humana Humana Honor (PPO)
H5216-174-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 25
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 24
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 21
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 19
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3152-804-0 		HMO No $0 No 17
UnitedHealthcare UnitedHealthcare Assisted Living Plan (PPO I-SNP)
H0710-056-0 		Local PPO $235 per Quarter Yes $940 Yes $2,000 Yes No Yes Yes No 14
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 (PPO)
H2001-840-0 		Local PPO No $0 No 11
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