Medicare Advantage Plans for Fairfield County, Ohio

  • 71 Total Plans
  • 31,035 Seniors Eligible for Medicare
  • 17,635 Seniors on Medicare Advantage (57%)
  • 9 plans with 2,780 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 43 plans with 11,115 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 45% 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? Ohio Enrollees
MediGold MediGold Mount Carmel Premier (HMO)
H3668-018-2 		HMO $125 per Quarter No $500 Yes No No Yes No No 2,687
MediGold MediGold Mount Carmel No Premium (HMO)
H3668-019-2 		HMO $110 per Quarter No $440 Yes No No Yes No No 2,059
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,047
Anthem Blue Cross and Blue Shield Anthem MediBlue Preferred (HMO)
H3655-045-4 		HMO $75 per Quarter Yes $300 Yes $3,000 Yes No Yes Yes No 1,840
Humana Humana Gold Plus H6622-013 (HMO-POS)
H6622-013-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 1,275
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-089-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 1,225
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H3655-033-0 		HMO $205 per Month No $0 Yes $3,000 Yes No Yes Yes No 513
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5322-028-0 		HMOPOS $187 per Month No $0 Yes $2,500 Yes No Yes Yes No 443
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 392
Humana HumanaChoice H5216-285 (PPO)
H5216-285-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 324
Humana Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)
H6622-015-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 314
UnitedHealthcare AARP Medicare Advantage Plan 5 (HMO-POS)
H5253-062-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 289
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H0628-017-0 		HMOPOS $135 per Quarter No $540 Yes $2,500 No No Yes No No 278
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-109-4 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 262
Anthem Blue Cross and Blue Shield Anthem MediBlue Preferred Plus (HMO)
H3655-042-0 		HMO $90 per Quarter Yes $360 Yes $3,000 Yes No Yes Yes No 241
Medical Mutual of Ohio MedMutual Advantage Classic (HMO)
H6723-001-3 		HMO $70 per Quarter No $280 Yes No No Yes No No 187
Humana HumanaChoice H5216-309 (PPO)
H5216-309-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 147
UnitedHealthcare AARP Medicare Advantage Choice Flex (PPO)
H8768-007-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 135
MediGold MediGold Mount Carmel Plus (HMO)
H3668-022-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 134
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 133
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 132
Aetna Medicare Aetna Medicare Assure 1 (HMO D-SNP)
H0628-013-0 		HMO $235 per Month No $0 Yes $4,000 No No Yes No No 128
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 123
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4036-025-0 		Local PPO $107 per Quarter Yes $428 Yes $3,000 Yes No Yes Yes No 116
Humana HumanaChoice H5216-023 (PPO)
H5216-023-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 105
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 98
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Basic (Regional PPO)
R5941-014-0 		Regional PPO No $0 Yes $2,000 Yes No Yes Yes No 93
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 90
Humana Humana Honor (PPO)
H5216-218-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 79
Anthem Blue Cross and Blue Shield Anthem MediBlue Extra (HMO)
H3655-041-0 		HMO $125 per Quarter Yes $500 Yes $3,000 Yes No Yes Yes No 77
UnitedHealthcare AARP Medicare Advantage Choice Plan 4 (PPO)
H8768-033-0 		Local PPO No $0 Yes No No Yes Yes No 76
MediGold MediGold Mount Carmel Cash Back No Premium MA Only (HMO)
H3668-013-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 67
MediGold MediGold Mount Carmel Choice (PPO)
H1846-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 65
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 60
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 54
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H4036-022-0 		Local PPO $150 per Quarter Yes $600 Yes $3,000 Yes No Yes Yes No 51
Medical Mutual of Ohio MedMutual Advantage Signature (HMO)
H6723-006-7 		HMO $70 per Quarter No $280 Yes No No Yes No No 51
Wellcare by Allwell Wellcare No Premium (HMO)
H0908-003-0 		HMO $66 per Month Yes $0 Yes $3,000 No No Yes Yes No 48
MediGold MediGold Mount Carmel Trinity EGWP (HMO)
H3668-802-0 		HMO No $0 No 47
CareSource CareSource Dual Advantage (HMO D-SNP)
H6396-005-0 		HMO No $0 Yes No No No No No 44
Aetna Better Health of Ohio, MyCare Ohio Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)
H7172-001-0 		Medicare-Medicaid Plan HMO $35 per Month No $0 Yes No No No No No 42
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H6622-017-0 		HMO $420 per Month No $0 Yes No No Yes No No 42
Molina Healthcare of Ohio Molina Medicare Complete Care (HMO D-SNP)
H9955-001-0 		HMO $100 per Quarter No $400 Yes Yes No No No No 42
Medical Mutual of Ohio MedMutual Advantage Premium (PPO)
H4497-003-3 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 41
Wellcare by Allwell Wellcare Giveback (HMO)
H0908-005-0 		HMO $40 per Quarter No $160 No 41
Humana HumanaChoice H5525-030 (PPO)
H5525-030-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 40
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 38
MediGold MediGold Mount Carmel No Premium Choice (PPO)
H1846-005-0 		Local PPO $105 per Quarter No $420 Yes No No Yes No No 38
Molina Healthcare of Ohio Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)
H5280-001-0 		Medicare-Medicaid Plan HMO $60 per Quarter No $240 Yes Yes No No Yes No 36
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-021-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 36
MediGold MediGold Mount Carmel Cash Back No Premium (HMO)
H3668-030-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 35
Medical Mutual of Ohio MedMutual Advantage Select (PPO)
H4497-001-3 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 34
Humana HumanaChoice H5525-042 (PPO)
H5525-042-0 		Local PPO No $0 Yes No No Yes No No 33
Valor Health Plan Valor Health Plan (HMO I-SNP)
H1119-001-0 		HMO $107 per Quarter No $428 No 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 32
Medical Mutual of Ohio MedMutual Advantage Access (PPO)
H4497-005-4 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 31
Medical Mutual of Ohio MedMutual Advantage Choice (HMO)
H6723-002-3 		HMO $0 per Month No $0 Yes No No Yes No No 30
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-051-0 		HMOPOS No $0 Yes Yes No Yes Yes No 29
Humana Humana Gold Choice H8145-032 (PFFS)
H8145-032-0 		PFFS $50 per Quarter Yes $200 Yes No No Yes No No 27
Medical Mutual of Ohio MedMutual Advantage Preferred (PPO)
H4497-002-3 		Local PPO $0 per Month No $0 Yes No No Yes No No 24
Wellcare Wellcare No Premium Open (PPO)
H7169-001-0 		Local PPO $32 per Month Yes $0 Yes $1,500 No No Yes Yes No 24
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-055-0 		Local PPO $161 per Month No $0 Yes $2,500 Yes No Yes Yes No 23
Aetna Medicare Aetna Medicare Premier 2 (PPO)
H5521-020-0 		Local PPO $135 per Quarter No $540 Yes $2,500 No No Yes No No 21
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Core (Regional PPO)
R5941-013-0 		Regional PPO $130 per Quarter Yes $520 Yes $3,000 Yes No Yes Yes No 20
Humana HumanaChoice R5495-001 (Regional PPO)
R5495-001-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 20
Wellcare by Allwell Wellcare No Premium Medicare (HMO)
H0724-001-0 		HMO $81 per Quarter No $324 Yes $700 No No Yes Yes Yes 20
Aetna Medicare Aetna Medicare Premier 1 (PPO)
H5521-134-0 		Local PPO $165 per Quarter No $660 Yes $2,000 No No Yes No No 19
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H0908-001-0 		HMO $173 per Month Yes $0 Yes $3,000 No No Yes Yes No 19
Aetna Medicare Aetna Medicare Premier Plus 1 (Regional PPO)
R6694-003-0 		Regional PPO $135 per Quarter No $540 Yes $2,500 No No Yes No No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 12
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 11
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