Medicare Advantage Plans for Guadalupe County, New Mexico
- 12 Total Plans
- 1,059 Seniors Eligible for Medicare
- 477 Seniors on Medicare Advantage (45%)
- 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 7 plans with 243 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 |
Presbyterian Health Plan |
Presbyterian Dual Plus (HMO D-SNP) H3204-013-5 |
HMO | No | $0 | Yes | $1,500 | No | No | No | No | No | 99 | |
Molina Healthcare of New Mexico, Inc. |
Molina Medicare Choice Care Plus (HMO) H9082-010-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | No | Yes | No | 87 | |
Humana |
Humana Value Plus H5216-199 (PPO) H5216-199-0 |
Local PPO | $175 per Quarter | No | $700 | Yes | No | No | Yes | No | No | 55 | |
Humana |
HumanaChoice H5216-196 (PPO) H5216-196-2 |
Local PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 32 | |
Blue Cross and Blue Shield of IL, NM |
Blue Cross Group Medicare Advantage (HMO) H3822-802-0 |
HMO | No | $0 | No | 24 | |||||||
Presbyterian Health Plan |
Presbyterian Senior Care Emp Group Plan 4 (HMO-POS) H3204-808-0 |
HMOPOS | No | $0 | No | 21 | |||||||
Humana |
HumanaChoice H5216-137 (PPO) H5216-137-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 20 | |
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 | 19 | ||
Humana |
HumanaChoice H5216-339 (PPO) H5216-339-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 18 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 18 | |||||||
Humana |
Humana Honor (PPO) H5216-213-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 16 | |
Humana |
HumanaChoice H5216-341 (PPO) H5216-341-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 15 |