Medicare Advantage Plans for Albany County, New York

  • 89 Total Plans
  • 63,642 Seniors Eligible for Medicare
  • 34,598 Seniors on Medicare Advantage (54%)
  • 4 plans with 1,787 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 48 plans with 18,486 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 32% 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 York Enrollees
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0 		HMO No $0 No 5,546
CDPHP Medicare Advantage CDPHP Choice Rx (HMO)
H3388-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 2,857
CDPHP Medicare Advantage CDPHP Value Rx (HMO)
H3388-004-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 2,488
CDPHP Medicare Advantage CDPHP Basic RX (HMO)
H3388-013-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 1,547
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,253
CDPHP Medicare Advantage CDPHP $0 Medicare Rx (HMO)
H3388-014-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,225
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,185
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 1,102
UnitedHealthcare UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP)
H3387-014-2 		HMOPOS $193 per Month No $0 Yes $2,000 Yes No Yes Yes No 941
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-802-0 		Local PPO No $0 No 883
Wellcare by Fidelis Care Wellcare Fidelis Dual Access (HMO D-SNP)
H5599-001-0 		HMO $123 per Month Yes $0 Yes $700 No No Yes Yes No 848
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 723
Humana HumanaChoice SNP-DE H5970-020 (PPO D-SNP)
H5970-020-0 		Local PPO $2,400 per Month No $0 Yes No No Yes No No 698
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-008-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 698
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 690
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 611
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Nation (PPO)
H5526-021-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 601
Humana Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)
H3533-002-0 		HMO $1,680 per Month No $0 Yes No No Yes No No 583
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 550
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 464
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 428
CDPHP Medicare Advantage CDPHP Group Medicare (PPO)
H5042-803-0 		Local PPO No $0 No 361
CDPHP Medicare Advantage CDPHP Vital Rx (PPO)
H5042-009-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 361
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 344
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 338
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 337
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2292-001-0 		Local PPO $300 per Quarter Yes $1,200 Yes $2,000 Yes No Yes Yes No 315
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 275
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Plus (HMO)
H3384-059-0 		HMO $35 per Quarter Yes $140 Yes No No Yes No No 272
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 271
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Senior Blue 652 (HMO)
H3384-013-0 		HMO $35 per Quarter Yes $140 Yes No No Yes No No 268
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 263
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 235
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Value (HMO)
H3384-063-0 		HMO $25 per Quarter Yes $100 Yes No No Yes No No 232
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA Only) CY (PPO)
H5526-806-0 		Local PPO No $0 No 223
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2775-112-0 		Local PPO $84 per Month Yes $0 Yes $2,000 No No Yes Yes No 217
MVP HEALTH CARE MVP Medicare Preferred Gold with Part D (HMO-POS)
H3305-021-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 214
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 210
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3312-070-0 		HMO $180 per Month No $0 Yes $2,500 No No Yes No No 204
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 191
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-038-2 		HMO $72 per Quarter Yes $288 Yes $500 Yes No No No No 176
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 175
Anthem BlueCross BlueShield Empire MediBlue Access (PPO)
H3342-023-2 		Local PPO $35 per Quarter Yes $140 No 169
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Forever Blue 770 (PPO)
H5526-018-0 		Local PPO $35 per Quarter Yes $140 Yes No No Yes No No 150
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 145
CDPHP Medicare Advantage CDPHP Choice (HMO)
H3388-001-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 142
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 139
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 135
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-110-0 		Local PPO No $0 Yes $2,500 No No Yes No No 124
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-039-2 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes Yes No 120
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 118
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 117
MVP HEALTH CARE MVP Medicare Secure Plus with Part D (HMO-POS)
H3305-022-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 106
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 100
Eddy SeniorCare Senior Care Connection dba Eddy SeniorCare (PACE)
H3322-001-0 		National PACE No $0 No 99
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 73
UnitedHealthcare UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP)
H3387-015-2 		HMOPOS $57 per Month No $0 Yes $2,000 Yes No Yes Yes No 70
Wellcare by Fidelis Care Wellcare Fidelis Assist (HMO-POS)
H5599-002-0 		HMOPOS $28 per Month Yes $0 Yes $700 Yes No Yes Yes No 66
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 63
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-801-0 		Local PPO No $0 No 61
EmblemHealth EmblemHealth VIP Rx Saver (HMO)
H3330-045-0 		HMO $125 per Month No $0 Yes $1,500 No No No No No 61
MVP HEALTH CARE MVP Medicare WellSelect Plus with Part D (PPO)
H9615-007-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 60
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-119-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 58
MVP HEALTH CARE MVP Medicare Secure with Part D (HMO-POS)
H3305-032-0 		HMOPOS $25 per Quarter No $100 Yes No No Yes No No 58
Highmark Blue Cross Blue Shield or Highmark Blue Shield Highmark Blue Shield Freedom Basic (PPO)
H5526-022-0 		Local PPO No $0 No 55
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-060-2 		Local PPO $163 per Month No $0 Yes $2,000 Yes No Yes Yes No 51
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 51
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3312-062-0 		HMOPOS $45 per Quarter No $180 Yes $2,000 No No Yes No No 48
MediGold MediGold No Premium (HMO)
H9827-001-0 		HMO $105 per Quarter No $420 Yes No No Yes No No 48
EmblemHealth EmblemHealth VIP Dual (HMO D-SNP)
H3330-042-3 		HMO $110 per Month No $1,320 Yes $1,500 No No No No No 43
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 41
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-382-0 		Local PPO $45 per Quarter No $180 Yes $2,000 No No Yes No No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 35
Humana Humana Medicare Employer (PPO)
H5970-802-0 		Local PPO No $0 No 32
Highmark Blue Cross Blue Shield or Highmark Blue Shield HMO Group (MA-PD) Calendar Year (HMO)
H3384-806-0 		HMO No $0 No 30
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 29
Wellcare by Fidelis Care Wellcare Fidelis Dual Plus (HMO D-SNP)
H5599-008-0 		HMO $184 per Month Yes $0 Yes $1,500 No No Yes Yes No 27
CDPHP Medicare Advantage CDPHP Flex (PPO)
H5042-012-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 25
MediGold MediGold Plus (HMO)
H9827-002-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 23
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 23
MVP HEALTH CARE MVP Medicare Preferred Gold without Part D (HMO-POS)
H3305-020-0 		HMOPOS $25 per Quarter No $100 Yes No No Yes No No 21
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 17
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes No 17
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 15
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 12
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