Medicare Advantage Plans for Oneida County, New York

  • 71 Total Plans
  • 54,423 Seniors Eligible for Medicare
  • 26,862 Seniors on Medicare Advantage (49%)
  • 5 plans with 1,607 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 41 plans with 20,177 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 40% 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 2,971
Excellus Health Plan, Inc Medicare BlueClassic (PPO)
H3335-038-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,829
Excellus Health Plan, Inc Medicare BlueEnhanced (PPO)
H3335-015-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 2,498
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 1,899
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 1,229
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 1,215
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-039-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,051
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 887
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-048-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 832
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 810
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 765
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 713
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 654
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 615
Humana HumanaChoice H5970-015 (PPO)
H5970-015-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 576
Humana HumanaChoice H5970-018 (PPO)
H5970-018-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 532
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 484
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 444
Excellus Health Plan, Inc Medicare BlueActive (PPO)
H3335-055-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 434
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 407
Wellcare by Fidelis Care Wellcare Fidelis No Premium (HMO)
H5599-004-0 		HMO No $0 Yes $700 No No Yes Yes No 340
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 277
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 267
Humana Humana Gold Plus H3533-013 (HMO)
H3533-013-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 260
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 249
Humana HumanaChoice H5970-001 (PPO)
H5970-001-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 248
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 223
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 191
Humana Humana Gold Plus H3533-006 (HMO)
H3533-006-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 186
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 186
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 162
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 151
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 150
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 144
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H3418-007-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 142
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 137
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 133
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 121
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 108
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 97
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 94
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 89
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 85
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 80
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 66
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 53
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-804-0 		HMOPOS No $0 No 51
CDPHP Medicare Advantage CDPHP $0 Medicare Rx (HMO)
H3388-014-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 46
Excellus Health Plan, Inc Medicare BlueFlex (PPO)
H3335-058-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 45
CDPHP Medicare Advantage CDPHP Value Rx (HMO)
H3388-004-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 42
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 39
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 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 36
Wellcare Wellcare Premium Enhanced (PFFS)
H2816-019-0 		PFFS No $0 No 35
CDPHP Medicare Advantage CDPHP Basic RX (HMO)
H3388-013-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 34
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 31
CDPHP Medicare Advantage CDPHP Choice Rx (HMO)
H3388-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 27
Wellcare Wellcare Advantage Premium Enhanced (PFFS)
H2816-037-0 		PFFS No $0 No 27
CDPHP Medicare Advantage CDPHP Vital Rx (PPO)
H5042-009-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 21
Wellcare Wellcare Premium Ultra (PFFS)
H2816-013-0 		PFFS $50 per Quarter No $200 No 21
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 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 19
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 15
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 15
CDPHP Medicare Advantage CDPHP Flex Rx (PPO)
H5042-011-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 13
Excellus Health Plan, Inc Medicare BlueSalute (PPO)
H3335-043-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 13
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 12
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 12
CDPHP Medicare Advantage CDPHP Group Medicare Rx (HMO)
H3388-803-0 		HMO No $0 No 11
MediGold MediGold No Premium (HMO)
H9827-001-0 		HMO $105 per Quarter No $420 Yes No No Yes No No 11
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