Medicare Advantage Plans for Wayne County, New York

  • 50 Total Plans
  • 23,248 Seniors Eligible for Medicare
  • 15,883 Seniors on Medicare Advantage (68%)
  • 1 plans with 56 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 24 plans with 8,835 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 2,771
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO)
R5342-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 1,801
Excellus Health Plan, Inc Medicare Blue Choice - Group (HMO-POS)
H3351-802-0 		HMOPOS No $0 No 1,153
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 836
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 792
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 722
Excellus Health Plan, Inc Medicare Blue PPO Group (PPO)
H3335-811-0 		Local PPO No $0 No 659
Wellcare Wellcare No Premium Open (PPO)
H2775-106-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 652
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H3379-041-0 		HMOPOS No $0 Yes Yes No Yes Yes No 612
Wellcare Wellcare Giveback Open (PPO)
H2775-111-0 		Local PPO No $0 Yes $700 No No Yes Yes No 546
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 540
Excellus Health Plan, Inc Medicare Blue Choice Extra (HMO)
H3351-021-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 414
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 407
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 364
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-118-0 		Local PPO No $0 Yes $2,500 No No Yes No No 303
Aetna Medicare Aetna Medicare Credit Plan (PPO)
H5521-313-0 		Local PPO No $0 Yes $1,500 No No Yes No No 257
MVP HEALTH CARE MVP USA Care Rx - Employer Group (PPO)
H9615-807-0 		Local PPO No $0 No 250
MVP HEALTH CARE MVP Preferred Gold Rx - Employer Group (HMO-POS)
H3305-803-0 		HMOPOS No $0 No 211
Wellcare Wellcare Assist Open (PPO)
H2775-113-0 		Local PPO $45 per Month Yes $0 Yes $1,500 No No Yes Yes No 177
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 165
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 164
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 161
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO)
R5342-006-0 		Regional PPO No $0 Yes Yes No Yes Yes No 160
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 154
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 147
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 143
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
R5342-005-0 		Regional PPO No $0 Yes Yes No Yes Yes No 136
Wellcare Wellcare No Premium (HMO)
H4868-019-0 		HMO No $0 Yes $1,500 No No Yes Yes No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 106
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 100
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R5342-002-0 		Regional PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 93
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 82
Aetna Medicare Aetna Medicare Discover Value Plan (PPO)
H5521-318-0 		Local PPO No $0 Yes $2,500 No No Yes No No 56
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 56
Wellcare Wellcare Dual Access (HMO D-SNP)
H4868-004-0 		HMO $100 per Month Yes $0 Yes $2,000 No No Yes Yes No 56
ElderONE an Affiliate of Rochester Regional Health ElderONE an Affiliate of Rochester Regional Health (PACE)
H3331-001-0 		National PACE No $0 No 53
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 50
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 49
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 47
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
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-076-0 		Local PPO No $0 Yes $2,500 No No Yes No No 36
Humana Humana Medicare Employer (PPO)
H5970-801-0 		Local PPO No $0 No 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 20
Wellcare Wellcare Premium Ultra Open (PPO)
H2775-105-0 		Local PPO $131 per Quarter No $524 Yes $1,500 No No Yes Yes No 17
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 16
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 16
Wellcare Wellcare Advantage Premium Enhanced (PFFS)
H2816-037-0 		PFFS No $0 No 16
Wellcare Wellcare Advantage No Premium (PFFS)
H2816-038-0 		PFFS No $0 No 15
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 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 12
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