Medicare Advantage Plans for Dutchess County, New York

  • 70 Total Plans
  • 63,870 Seniors Eligible for Medicare
  • 23,676 Seniors on Medicare Advantage (37%)
  • 4 plans with 634 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 9,633 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 16% 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
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 3,095
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 2,806
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-010-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,421
UnitedHealthcare AARP Medicare Advantage Value Care (PPO)
H3418-002-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,062
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 993
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-110-0 		Local PPO No $0 Yes $2,500 No No Yes No No 863
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 851
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 793
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 682
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 637
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 630
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 629
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3307-025-0 		HMOPOS No $0 Yes No No Yes Yes No 621
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 510
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 406
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 372
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 359
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 357
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 356
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 353
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 282
Humana HumanaChoice Partnered H5970-025 (PPO)
H5970-025-0 		Local PPO $75 per Quarter Yes $300 Yes No No Yes No No 273
Anthem BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-016-0 		HMO $35 per Quarter Yes $140 Yes $2,000 Yes No Yes Yes No 265
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 238
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 222
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 198
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 182
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 178
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 165
MVP HEALTH CARE MVP Medicare WellSelect Plus with Part D (PPO)
H9615-009-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 160
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 153
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-083-0 		Local PPO $110 per Quarter No $440 Yes No No Yes No No 152
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 148
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2292-002-0 		Local PPO $190 per Quarter Yes $760 Yes $2,000 Yes No Yes Yes No 121
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 116
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 111
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 110
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 109
Humana HumanaChoice Partnered H5970-027 (PPO)
H5970-027-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 104
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 97
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 94
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 93
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 91
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 91
ArchCare Advantage ArchCare Advantage (HMO I-SNP)
H1777-007-0 		HMO $120 per Month No $1,440 Yes $1,500 No Yes No Yes No 86
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 82
MVP HEALTH CARE MVP DualAccess (HMO D-SNP)
H3305-033-0 		HMO $75 per Quarter No $300 Yes No No No No No 81
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 68
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 62
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 49
Hamaspik, Inc. Hamaspik Medicare Select (HMO D-SNP)
H0034-001-0 		HMO $170 per Month No $0 No 45
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 45
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 42
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 39
Hamaspik, Inc. Hamaspik Medicare Choice (HMO D-SNP)
H0034-002-0 		HMO $180 per Month No $0 No 35
Wellcare Wellcare Patriot No Premium (HMO)
H4868-003-0 		HMO $100 per Quarter No $400 Yes $1,500 No No Yes Yes No 31
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 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 25
CDPHP Medicare Advantage CDPHP Group Medicare Rx (PPO)
H5042-802-0 		Local PPO No $0 No 25
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 25
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 23
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-383-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 18
MVP HEALTH CARE MVP Medicare Patriot Plan with Part D (PPO)
H9615-018-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 13
EmblemHealth EmblemHealth VIP Premier (HMO)
H3330-814-0 		HMO No $0 No 12
EmblemHealth EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0 		HMO No $0 No 12
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 11
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0 		HMO No $0 No 11
Highmark Blue Cross Blue Shield or Highmark Blue Shield PPO Group (MA-PD) CY (PPO)
H5526-808-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
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