Medicare Advantage Plans for Schenectady County, New York
- 80 Total Plans
- 32,912 Seniors Eligible for Medicare
- 19,468 Seniors on Medicare Advantage (59%)
- 4 plans with 1,228 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 47 plans with 11,087 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 |
CDPHP Medicare Advantage |
CDPHP Group Medicare Rx (HMO) H3388-803-0 |
HMO | No | $0 | No | 1,227 | |||||||
CDPHP Medicare Advantage |
CDPHP Value Rx (HMO) H3388-004-0 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 1,192 | |
CDPHP Medicare Advantage |
CDPHP Choice Rx (HMO) H3388-002-0 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 1,191 | |
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 | 871 |
MVP HEALTH CARE |
MVP USA Care Rx - Employer Group (PPO) H9615-807-0 |
Local PPO | No | $0 | No | 810 | |||||||
CDPHP Medicare Advantage |
CDPHP Basic RX (HMO) H3388-013-0 |
HMO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 785 | |
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) R5342-001-0 |
Regional PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 784 | ||
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 | 735 | |
MVP HEALTH CARE |
MVP Preferred Gold Rx - Employer Group (HMO-POS) H3305-804-0 |
HMOPOS | No | $0 | No | 730 | |||||||
Humana |
HumanaChoice H5970-015 (PPO) H5970-015-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 649 | |
CDPHP Medicare Advantage |
CDPHP $0 Medicare Rx (HMO) H3388-014-0 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 635 | |
Humana |
Humana Medicare Employer (PPO) H5970-801-0 |
Local PPO | No | $0 | No | 619 | |||||||
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 | 597 |
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 | 489 | |
Humana |
Humana Gold Plus H3533-006 (HMO) H3533-006-0 |
HMO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 476 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 389 | |||||||
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 | 377 | |
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 | 349 | |
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 | 344 | |
CDPHP Medicare Advantage |
CDPHP Flex Rx (PPO) H5042-011-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 281 | |
Wellcare |
Wellcare No Premium Open (PPO) H2775-106-0 |
Local PPO | $84 per Quarter | No | $336 | Yes | $1,500 | No | No | Yes | Yes | No | 279 |
Wellcare |
Wellcare Giveback Open (PPO) H2775-111-0 |
Local PPO | No | $0 | Yes | $700 | No | No | Yes | Yes | No | 262 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 239 | |||||||
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 | 239 |
Humana |
HumanaChoice H5970-018 (PPO) H5970-018-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 237 | |
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) R5342-006-0 |
Regional PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 234 | ||
CDPHP Medicare Advantage |
CDPHP Group Medicare Rx (PPO) H5042-802-0 |
Local PPO | No | $0 | No | 231 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H3418-004-0 |
Local PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 210 | ||
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 | 208 | |
CDPHP Medicare Advantage |
CDPHP Vital Rx (PPO) H5042-009-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 203 | |
Humana |
HumanaChoice H5970-001 (PPO) H5970-001-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | No | No | Yes | No | No | 200 | |
Eddy SeniorCare |
Senior Care Connection dba Eddy SeniorCare (PACE) H3322-001-0 |
National PACE | No | $0 | No | 176 | |||||||
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
PPO Group (MA-PD) CY (PPO) H5526-808-0 |
Local PPO | No | $0 | No | 175 | |||||||
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 | 167 | |
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 | 164 | |
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 | 156 | |
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 | 153 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 137 | |||||||
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) R5342-005-0 |
Regional PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 124 | ||
Humana |
Humana Gold Plus H3533-013 (HMO) H3533-013-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 123 | |
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 | 121 |
Wellcare |
Wellcare Assist Open (PPO) H2775-113-0 |
Local PPO | $45 per Month | Yes | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 110 |
CDPHP Medicare Advantage |
CDPHP Group Medicare (PPO) H5042-803-0 |
Local PPO | No | $0 | No | 103 | |||||||
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
PPO Group (MA Only) CY (PPO) H5526-806-0 |
Local PPO | No | $0 | No | 96 | |||||||
Wellcare |
Wellcare No Premium (HMO) H4868-019-0 |
HMO | No | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 96 | |
Wellcare |
Wellcare Dual Access (HMO D-SNP) H4868-004-0 |
HMO | $100 per Month | Yes | $0 | Yes | $2,000 | No | No | Yes | Yes | No | 90 |
Anthem BlueCross BlueShield |
Empire MediBlue Plus (HMO) H8432-038-2 |
HMO | $72 per Quarter | Yes | $288 | Yes | $500 | Yes | No | No | No | No | 82 |
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 | 80 | |
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | 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 | 70 |
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 | 67 | |
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 | 67 | |
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 | 66 |
Aetna Medicare |
Aetna Medicare Premier Plan (PPO) H5521-110-0 |
Local PPO | No | $0 | Yes | $2,500 | No | No | Yes | No | No | 63 | |
Humana |
Humana Honor (PPO) H5970-016-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 62 | |
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 | 47 |
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) R5342-002-0 |
Regional PPO | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 45 | |
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 | 40 |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Highmark Blue Shield Freedom Basic (PPO) H5526-022-0 |
Local PPO | No | $0 | No | 37 | |||||||
Wellcare |
Wellcare Premium Ultra Open (PPO) H2775-105-0 |
Local PPO | $131 per Quarter | No | $524 | Yes | $1,500 | No | No | Yes | Yes | No | 37 |
Aetna Medicare |
Aetna Medicare Credit Plan (PPO) H5521-313-0 |
Local PPO | No | $0 | Yes | $1,500 | No | No | Yes | No | No | 34 | |
CDPHP Medicare Advantage |
CDPHP Choice (HMO) H3388-001-0 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 34 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 31 | |||||||
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 | 27 |
EmblemHealth |
EmblemHealth VIP Rx Saver (HMO) H3330-045-0 |
HMO | $125 per Month | No | $0 | Yes | $1,500 | No | No | No | No | No | 26 |
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 | 24 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 24 | |||||||
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 | 24 |
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 21 | |||||||
CDPHP Medicare Advantage |
CDPHP Group Medicare (HMO) H3388-804-0 |
HMO | No | $0 | No | 21 | |||||||
MediGold |
MediGold No Premium (HMO) H9827-001-0 |
HMO | $105 per Quarter | No | $420 | Yes | No | No | Yes | No | No | 17 | |
Wellcare |
Wellcare Advantage No Premium (PFFS) H2816-038-0 |
PFFS | No | $0 | No | 17 | |||||||
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 | 15 |
Wellcare by Fidelis Care |
Wellcare Fidelis No Premium (HMO) H5599-004-0 |
HMO | No | $0 | Yes | $700 | No | No | Yes | Yes | No | 15 | |
Blue Medicare Advantage |
Secure Preferred (PPO) H6078-801-0 |
Local PPO | No | $0 | No | 14 | |||||||
MVP HEALTH CARE |
MVP DualAccess (HMO D-SNP) H3305-033-0 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | No | No | No | 14 | |
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 | 14 | |
Anthem BlueCross BlueShield |
Empire MediBlue Access (PPO) H3342-023-2 |
Local PPO | $35 per Quarter | Yes | $140 | No | 12 | ||||||
CDPHP Medicare Advantage |
CDPHP Flex (PPO) H5042-012-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 12 | |
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 | 12 |