Medicare Advantage Plans for Broome County, New York

  • 67 Total Plans
  • 45,490 Seniors Eligible for Medicare
  • 26,231 Seniors on Medicare Advantage (58%)
  • 5 plans with 1,567 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 40 plans with 15,290 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 37% 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
Excellus Health Plan, Inc Medicare BlueEssential (PPO)
H3335-053-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,615
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-077-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 1,704
Excellus Health Plan, Inc Medicare BlueClassic (PPO)
H3335-038-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,689
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 1,632
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,561
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 1,460
Excellus Health Plan, Inc Medicare BlueEnhanced (PPO)
H3335-015-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,075
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 1,070
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 1,067
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-048-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 904
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 820
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 769
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 663
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 635
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 630
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-046-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 600
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 590
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 561
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 470
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 461
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 440
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 428
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 347
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 283
Excellus Health Plan, Inc Medicare BlueActive (PPO)
H3335-055-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 280
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 248
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 247
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 245
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 211
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 202
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 189
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-006-0 		Local PPO $45 per Quarter No $180 Yes Yes No Yes Yes No 176
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 143
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 113
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 112
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 95
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 92
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 79
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 79
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 78
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 74
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 70
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 68
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-340-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 61
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 61
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 60
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 59
EmblemHealth EmblemHealth VIP Rx Saver (HMO)
H3330-045-0 		HMO $125 per Month No $0 Yes $1,500 No No No No No 48
CDPHP Medicare Advantage CDPHP $0 Medicare Rx (HMO)
H3388-014-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 41
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 35
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 34
CDPHP Medicare Advantage CDPHP Value Rx (HMO)
H3388-004-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 34
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 31
CDPHP Medicare Advantage CDPHP Basic RX (HMO)
H3388-013-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 29
Excellus Health Plan, Inc Medicare BlueFlex (PPO)
H3335-058-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 29
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 28
CDPHP Medicare Advantage CDPHP Vital Rx (PPO)
H5042-009-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 26
CDPHP Medicare Advantage CDPHP Choice Rx (HMO)
H3388-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 25
Wellcare Wellcare Premium Enhanced (PFFS)
H2816-019-0 		PFFS No $0 No 24
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 23
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0 		HMO No $0 No 22
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 20
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-323-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 18
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H3379-022-0 		HMOPOS $90 per Quarter Yes $360 Yes $2,000 Yes No Yes Yes No 18
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 16
Nascentia Health Plus Nascentia Dual Advantage (HMO D-SNP)
H9066-003-0 		HMO $200 per Month No $0 Yes $0 No No No No No 16
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 14
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