Medicare Advantage Plans for Ontario County, New York

  • 47 Total Plans
  • 28,119 Seniors Eligible for Medicare
  • 19,440 Seniors on Medicare Advantage (69%)
  • 0 plans with 0 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 22 plans with 10,818 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 38% 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 Blue Choice Select (HMO)
H3351-016-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 3,376
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 2,698
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 1,440
Excellus Health Plan, Inc Medicare Blue Choice Advanced (HMO-POS)
H3351-018-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 1,123
Excellus Health Plan, Inc Medicare Blue Choice Value Plus (HMO-POS)
H3351-013-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 1,092
Excellus Health Plan, Inc Medicare Blue Choice Access (PPO)
H3335-057-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 953
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 827
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 814
Excellus Health Plan, Inc Medicare Blue Choice Extra (HMO)
H3351-021-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 632
MVP HEALTH CARE MVP Medicare Preferred Gold with Part D (HMO-POS)
H3305-015-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 481
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 443
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-803-0 		HMOPOS No $0 No 439
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 425
MVP HEALTH CARE MVP Medicare Secure with Part D (HMO-POS)
H3305-030-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 419
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 388
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-118-0 		Local PPO No $0 Yes $2,500 No No Yes No No 352
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 307
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 271
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 242
Excellus Health Plan, Inc Medicare Blue Choice Optimum (HMO-POS)
H3351-006-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 239
MVP HEALTH CARE MVP Medicare WellSelect with Part D (PPO)
H9615-012-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 237
MVP HEALTH CARE MVP Medicare Patriot Plan with Part D (PPO)
H9615-014-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 216
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-041-0 		HMOPOS No $0 Yes Yes No Yes Yes No 198
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 186
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 163
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 147
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 135
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 125
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 104
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 85
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-318-0 		Local PPO No $0 Yes $2,500 No No Yes No No 76
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 69
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 63
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 52
MVP HEALTH CARE MVP Medicare Preferred Gold without Part D (HMO-POS)
H3305-007-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 49
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-076-0 		Local PPO No $0 Yes $2,500 No No Yes No No 41
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 41
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 41
Excellus Health Plan, Inc Medicare Blue Choice Freedom (HMO-POS)
H3351-007-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes No No 30
ElderONE an Affiliate of Rochester Regional Health ElderONE an Affiliate of Rochester Regional Health (PACE)
H3331-001-0 		National PACE No $0 No 29
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 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 24
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 23
Elderplan Elderplan Advantage For Nursing Home Residents (HMO I-SNP)
H3347-003-0 		HMO $150 per Month No $0 Yes $2,000 No No Yes Yes No 19
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 13
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