Medicare Advantage Plans for Sandoval County, New Mexico

  • 64 Total Plans
  • 34,025 Seniors Eligible for Medicare
  • 18,579 Seniors on Medicare Advantage (55%)
  • 9 plans with 1,864 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 28 plans with 7,273 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 27% 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 Senior Care Plan 2 with Rx (HMO)
H3204-001-0 		HMO No $0 Yes No No Yes No No 4,278
Humana Humana Gold Plus H0028-019 (HMO)
H0028-019-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 2,378
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0 		HMOPOS No $0 No 1,149
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5 		HMO No $0 Yes $1,500 No No No No No 1,078
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Select (HMO)
H3251-002-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 939
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H9431-001-0 		Local PPO $75 per Quarter No $300 Yes $1,000 No No Yes No No 932
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-047-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 671
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 619
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-116-0 		Local PPO $55 per Quarter No $220 Yes No No Yes Yes No 469
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H6526-001-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 456
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-028-0 		Local PPO $75 per Quarter No $300 Yes $2,000 No No No No No 451
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0 		HMO No $0 Yes No No Yes No No 368
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0 		HMO No $0 Yes No No Yes No No 314
Presbyterian Health Plan Presbyterian UltraFlex (HMO-POS)
H3204-015-0 		HMOPOS $215 per Quarter Yes $860 Yes No No Yes No No 281
Blue Cross and Blue Shield of IL, NM Blue Cross Group Medicare Advantage (HMO)
H3822-802-0 		HMO No $0 No 221
Amerigroup Community Care of New Mexico Amerivantage Plus (HMO)
H5746-018-0 		HMO $105 per Quarter Yes $420 Yes $3,000 No No Yes Yes No 220
Humana HumanaChoice H5216-078 (PPO)
H5216-078-2 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 218
Humana Humana Value Plus H5216-199 (PPO)
H5216-199-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 189
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 177
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H0672-005-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 174
Humana Humana Honor (PPO)
H5216-213-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 170
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Basic (HMO)
H3822-002-0 		HMO No $0 No 169
Humana HumanaChoice H5216-196 (PPO)
H5216-196-2 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 167
Wellcare by Allwell Wellcare Dual Liberty (HMO D-SNP)
H2134-001-0 		HMO $105 per Month Yes $0 Yes $1,500 No No Yes Yes No 144
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 142
Amerigroup Community Care of New Mexico Amerivantage Care Access (HMO)
H5746-016-0 		HMO $255 per Quarter Yes $1,020 Yes $3,000 No No Yes Yes No 135
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 135
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2134-003-0 		HMO $65 per Month Yes $0 Yes $1,500 No No Yes Yes No 124
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 114
Blue Cross and Blue Shield of New Mexico Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
H3251-029-0 		HMO $280 per Quarter Yes $1,120 Yes $2,000 No No Yes No No 102
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 102
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Choice Plus (PPO)
H8634-002-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 No No No No No 101
UnitedHealthcare UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
H0271-033-0 		Local PPO $75 per Month No $0 Yes $3,600 Yes No Yes Yes No 89
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2228-098-0 		Local PPO $60 per Quarter No $240 Yes No No Yes Yes No 80
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 65
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H9431-017-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 63
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 63
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Flex (PPO)
H8634-015-0 		Local PPO No $0 Yes No No Yes No No 63
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-012-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 60
Blue Cross and Blue Shield of IL, NM Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)
H8634-009-0 		Local PPO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes No No 55
Blue Cross and Blue Shield of New Mexico Blue Cross Group Medicare Advantage Plan (HMO)
H3251-804-0 		HMO No $0 No 50
Wellcare by Allwell Wellcare No Premium (HMO)
H2134-005-0 		HMO $98 per Quarter No $392 Yes $1,000 No No Yes Yes No 49
InnovAge New Mexico PACE Total Community Care (PACE)
H5213-001-0 		National PACE No $0 No 46
Humana HumanaChoice H5216-137 (PPO)
H5216-137-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 44
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 42
Blue Cross and Blue Shield of IL, NM Blue Cross Medicare Advantage Classic (PPO)
H8634-010-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 36
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 33
Humana HumanaChoice H5216-077 (PPO)
H5216-077-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 32
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-125-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 31
Humana HumanaChoice H5216-341 (PPO)
H5216-341-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 29
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Health Choice (PPO)
H1666-014-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 26
Wellcare by Allwell Wellcare No Premium Open (PPO)
H9976-002-0 		Local PPO $138 per Quarter No $552 Yes $1,000 No No Yes Yes No 23
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 22
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 1 with Rx (HMO)
H3204-801-0 		HMO No $0 No 22
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 20
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Dental Premier (PPO)
H1666-016-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 20
Humana Humana Gold Choice H8145-123 (PFFS)
H8145-123-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 18
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 17
Humana Humana Medicare Employer (HMO)
H0028-801-0 		HMO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 14
Molina Healthcare of New Mexico, Inc. Molina Medicare Choice Care Select (HMO)
H9082-011-0 		HMO $110 per Quarter No $440 No 11
Wellcare by Allwell Wellcare Assist Open (PPO)
H9976-001-0 		Local PPO $75 per Quarter No $300 Yes $1,500 No No Yes Yes No 11
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