Medicare Advantage Plans for Suffolk County, New York

  • 66 Total Plans
  • 308,291 Seniors Eligible for Medicare
  • 80,585 Seniors on Medicare Advantage (26%)
  • 3 plans with 2,725 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 28 plans with 23,694 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 9% 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
Humana HumanaChoice H5970-024 (PPO)
H5970-024-2 		Local PPO No $0 Yes No No Yes No No 10,070
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-120-0 		Local PPO No $0 Yes $2,500 No No Yes No No 9,359
Anthem BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-011-0 		HMO $45 per Quarter Yes $180 Yes $2,000 Yes No Yes Yes No 5,484
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 5,156
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 4,264
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 3,799
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 3,742
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 2,749
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 2,707
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,460
Humana Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)
H3533-034-2 		HMO $1,860 per Month No $0 Yes $1,000 Yes No Yes No No 2,365
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 2,283
Humana Humana Gold Plus H3533-010 (HMO)
H3533-010-0 		HMO No $0 Yes No No Yes No No 1,740
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus (HMO)
H1732-006-0 		HMO $40 per Quarter Yes $160 Yes $2,000 No No Yes Yes No 1,685
EmblemHealth EmblemHealth VIP Essential (HMO)
H3330-032-4 		HMO No $0 Yes $900 No No No No No 1,672
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 1,582
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 1,521
EmblemHealth EmblemHealth VIP Premier (HMO)
H3330-814-0 		HMO No $0 No 1,515
Humana Humana Gold Plus H3533-027 (HMO)
H3533-027-0 		HMO No $0 Yes No No Yes No No 1,406
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3312-069-0 		HMO $215 per Month No $0 Yes $2,500 No No Yes No No 1,332
EmblemHealth EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0 		HMO No $0 No 1,311
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-117-0 		Local PPO No $0 Yes $2,500 No No Yes No No 1,170
ANTHEM BLUE CROSS AND BLUE SHIELD Empire MediBlue HealthPlus Dual Connect (HMO D-SNP)
H1732-003-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 1,099
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 1,072
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-341-0 		Local PPO No $0 Yes $1,500 No No Yes No No 891
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 764
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 596
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 553
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 527
Humana Humana Honor (PPO)
H5970-016-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 485
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 456
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 407
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 375
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 367
EmblemHealth EmblemHealth VIP Gold (HMO)
H3330-021-3 		HMO No $0 Yes $2,400 No No No No No 346
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 321
Anthem BlueCross BlueShield Empire MediBlue Dual Advantage Select (HMO D-SNP)
H8432-034-0 		HMO $255 per Quarter Yes $1,020 Yes $2,000 Yes No Yes Yes No 272
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 236
Aetna Medicare Aetna Medicare Value Plan (HMO)
H3312-064-0 		HMO No $0 Yes $2,500 No No Yes No No 234
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 145
AgeWell New York AgeWell New York CareWell (HMO I-SNP)
H4922-004-0 		HMO No $0 Yes $1,500 No No No Yes No 140
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 139
Partners Health Plan PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)
H9869-001-0 		Medicare-Medicaid Plan HMO $0 per Month No $0 Yes Yes No No Yes No 130
EmblemHealth EmblemHealth VIP Gold Plus (HMO)
H3330-038-0 		HMO No $0 Yes $3,000 No No No No No 118
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 117
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-320-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 113
CenterLight Healthcare PACE CenterLight Healthcare PACE Dual Eligible (PACE)
H3329-001-0 		National PACE No $0 No 108
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 88
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 77
Elderplan Elderplan Assist (HMO I-SNP)
H3347-015-0 		HMO $120 per Month No $0 Yes $2,000 No No Yes Yes No 63
VNS Health Medicare VNS Health Total (HMO D-SNP)
H5549-003-0 		HMO $266 per Month No $0 Yes $1,500 Yes No No No No 61
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 51
Healthfirst Medicare Plan Healthfirst Life Improvement Plan (HMO D-SNP)
H3359-021-0 		HMO $0 per Month No $0 Yes No No Yes Yes No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 43
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 39
VNS Health Medicare VNS Health EasyCare Plus (HMO D-SNP)
H5549-011-0 		HMO $225 per Month No $0 Yes $1,400 Yes No No No No 28
VNS Health Medicare VNS Health EasyCare (HMO)
H5549-012-0 		HMO $87 per Quarter No $348 Yes $1,000 Yes No No No No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 18
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-273-0 		Local PPO $25 per Month No $0 Yes $2,000 No No Yes No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 15
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3312-804-0 		HMO No $0 No 13
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-272-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 13
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-270-0 		Local PPO $35 per Month No $0 Yes $2,500 No No Yes No No 13
Healthfirst Medicare Plan Healthfirst Increased Benefits Plan (HMO)
H3359-019-0 		HMO $0 per Month No $0 Yes No No Yes Yes No 13
Healthfirst Medicare Plan Healthfirst CompleteCare (HMO D-SNP)
H3359-034-0 		HMO $0 per Month No $0 No 11
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