Medicare Advantage Plans for Catron County, New Mexico

  • 13 Total Plans
  • 1,543 Seniors Eligible for Medicare
  • 509 Seniors on Medicare Advantage (33%)
  • 1 plans with 16 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 8 plans with 334 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 23% 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 Mexico Enrollees
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 118
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-118-0 		Local PPO $45 per Quarter No $180 Yes No No Yes Yes No 60
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 57
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 39
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-115-0 		Local PPO $65 per Quarter No $260 Yes No No Yes Yes No 30
Humana HumanaChoice H5216-339 (PPO)
H5216-339-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 28
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 19
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 16
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 15
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 15
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 15
Presbyterian Insurance Company, Inc. Presbyterian MediCare PPO Plan 2 with Rx (PPO)
H3206-001-0 		Local PPO No $0 Yes No No Yes No No 11
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-119-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 11
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