Medicare Advantage Plans for Hamilton County, Ohio

  • 115 Total Plans
  • 154,213 Seniors Eligible for Medicare
  • 85,563 Seniors on Medicare Advantage (55%)
  • 14 plans with 15,672 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 69 plans with 51,492 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 44% 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
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 10,417
Humana Humana Gold Plus H6622-021 (HMO-POS)
H6622-021-2 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 9,975
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 5,504
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-109-4 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 5,118
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H5253-059-0 		HMOPOS $222 per Month No $0 Yes $3,600 Yes No Yes Yes No 5,030
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 4,134
UnitedHealthcare AARP Medicare Advantage Flex Plan 6 (HMO-POS)
H5253-052-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 3,807
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 3,637
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 3,033
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 2,817
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-087-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 2,695
Humana Humana Gold Plus H6622-055 (HMO)
H6622-055-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 2,268
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H0628-003-0 		HMOPOS $135 per Quarter No $540 Yes $2,500 No No Yes No No 1,785
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 1,653
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 1,632
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-015-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 1,625
Humana HumanaChoice H5216-023 (PPO)
H5216-023-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,163
MediGold MediGold Mount Carmel No Premium (HMO)
H3668-019-2 		HMO $110 per Quarter No $440 Yes No No Yes No No 1,091
Humana HumanaChoice H5216-285 (PPO)
H5216-285-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,054
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 1,041
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 980
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 916
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP)
H3655-044-0 		HMO $250 per Quarter Yes $1,000 Yes $3,000 No No Yes Yes No 911
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H4036-023-0 		Local PPO $35 per Quarter Yes $140 Yes $3,000 No No Yes Yes No 840
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 771
Medical Mutual of Ohio MedMutual Advantage Classic (HMO)
H6723-001-3 		HMO $70 per Quarter No $280 Yes No No Yes No No 650
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 583
Wellcare by Allwell Wellcare No Premium (HMO)
H0908-003-0 		HMO $66 per Month Yes $0 Yes $3,000 No No Yes Yes No 552
Humana HumanaChoice H5216-309 (PPO)
H5216-309-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 498
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 439
Wellcare Wellcare No Premium Essential (HMO-POS)
H5475-011-0 		HMOPOS No $0 Yes $2,000 No No Yes Yes No 349
Aetna Medicare Aetna Medicare Value (HMO-POS)
H3931-109-0 		HMOPOS $135 per Quarter No $540 Yes $2,500 No No Yes No No 325
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 307
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 306
Communicare Advantage CommuniCare Advantage ISNP (HMO I-SNP)
H3727-002-3 		HMO $155 per Quarter No $620 Yes $0 No No No No No 300
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-051-0 		HMOPOS No $0 Yes Yes No Yes Yes No 299
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 296
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 291
Humana Humana Honor (PPO)
H5216-218-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 264
Wellcare by Allwell Wellcare Giveback (HMO)
H0908-005-0 		HMO $40 per Quarter No $160 No 262
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-809-0 		Local PPO No $0 No 248
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-027-0 		Local PPO $395 per Quarter Yes $1,580 Yes $2,500 Yes No Yes Yes No 246
MediGold MediGold Mount Carmel Premier (HMO)
H3668-018-2 		HMO $125 per Quarter No $500 Yes No No Yes No No 239
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 237
Wellcare by Allwell Wellcare No Premium Medicare (HMO)
H0724-001-0 		HMO $81 per Quarter No $324 Yes $700 No No Yes Yes Yes 211
CareSource CareSource Dual Advantage (HMO D-SNP)
H6396-005-0 		HMO No $0 Yes No No No No No 185
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 184
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 178
Humana HumanaChoice H5525-030 (PPO)
H5525-030-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 169
Wellcare Wellcare Dividend Giveback (HMO)
H5475-032-0 		HMO $40 per Quarter No $160 No 168
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H3655-034-0 		HMO $100 per Quarter Yes $400 Yes $3,000 Yes No Yes Yes No 164
Medical Mutual of Ohio MedMutual Advantage Signature (HMO)
H6723-006-7 		HMO $70 per Quarter No $280 Yes No No Yes No No 163
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-021-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 163
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 157
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 147
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 140
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 136
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 132
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 106
Humana HumanaChoice H5525-042 (PPO)
H5525-042-0 		Local PPO No $0 Yes No No Yes No No 102
Medical Mutual of Ohio MedMutual Advantage Select (PPO)
H4497-001-3 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 100
Medical Mutual of Ohio MedMutual Advantage Access (PPO)
H4497-005-4 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 97
Wellcare Wellcare Dual Access Extra (HMO-POS D-SNP)
H5475-021-0 		HMOPOS $117 per Month Yes $0 Yes $3,000 No No Yes Yes No 91
Medical Mutual of Ohio MedMutual Advantage Premium (PPO)
H4497-003-3 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 80
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 80
Devoted Health Devoted GIVEBACK Ohio (HMO)
H2697-006-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 78
Wellcare Wellcare No Premium Open (PPO)
H7169-001-0 		Local PPO $32 per Month Yes $0 Yes $1,500 No No Yes Yes No 73
Medical Mutual of Ohio MedMutual Advantage Choice (HMO)
H6723-002-3 		HMO $0 per Month No $0 Yes No No Yes No No 72
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H0672-017-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 71
Devoted Health Devoted CORE Ohio (HMO)
H2697-004-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 70
Medical Mutual of Ohio MedMutual Advantage Preferred (PPO)
H4497-002-3 		Local PPO $0 per Month No $0 Yes No No Yes No No 66
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 62
Humana HumanaChoice R5495-001 (Regional PPO)
R5495-001-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 60
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 59
UnitedHealthcare UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
H2406-001-0 		Local PPO $380 per Quarter Yes $1,520 Yes $2,000 No No Yes Yes No 57
Humana Humana Gold Choice H8145-032 (PFFS)
H8145-032-0 		PFFS $50 per Quarter Yes $200 Yes No No Yes No No 54
Wellcare by Allwell Wellcare Assist (HMO)
H0908-004-0 		HMO $67 per Month Yes $0 Yes $3,000 No No Yes Yes No 51
Devoted Health Devoted DUAL Ohio - 1 (HMO D-SNP)
H2697-010-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 48
Humana Humana Medicare Employer (PPO)
H5216-812-0 		Local PPO No $0 No 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 46
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 45
Molina Healthcare of Ohio Molina Medicare Choice Care (HMO)
H9955-002-0 		HMO No $0 Yes Yes No No No No 43
Molina Healthcare of Ohio Molina Medicare Complete Care Select (HMO D-SNP)
H9955-003-0 		HMO No $0 Yes Yes No No No No 42
Humana Humana Gold Plus H6622-019 (HMO)
H6622-019-0 		HMO No $0 Yes No No Yes No No 40
Aetna Medicare Aetna Medicare Eagle (HMO)
H0628-015-0 		HMO $180 per Quarter No $720 Yes $2,500 No No Yes No No 38
Humana Humana Medicare Employer (Regional PPO)
R5495-801-0 		Regional PPO No $0 No 33
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H5253-122-0 		HMOPOS $91 per Month No $0 Yes $1,100 Yes No Yes Yes No 32
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 31
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H7169-003-0 		Local PPO $145 per Month Yes $0 Yes $2,000 No No Yes Yes No 30
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 28
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0672-013-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 28
Devoted Health Devoted PRIME Ohio (HMO)
H2697-005-0 		HMO $185 per Quarter No $740 Yes No No Yes No No 27
Devoted Health Devoted CHOICE Ohio (PPO)
H2526-001-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 26
Essence Healthcare Essence Advantage (HMO)
H3189-001-0 		HMO $0 per Month No $0 Yes $2,000 No No No No No 25
Wellcare by Allwell Wellcare Giveback Boost (HMO)
H0724-007-0 		HMO No $0 Yes $700 No No Yes Yes Yes 25
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
Devoted Health Devoted DUAL Ohio - 2 (HMO D-SNP)
H2697-011-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 21
Medical Mutual of Ohio MedMutual Advantage Plus (HMO)
H6723-003-3 		HMO $40 per Quarter No $160 Yes No No Yes No No 20
MediGold MediGold Mount Carmel No Premium Choice (PPO)
H1846-005-0 		Local PPO $105 per Quarter No $420 Yes No No Yes No No 20
Humana Humana USAA Honor with Rx (PPO)
H5216-307-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 19
MediGold MediGold Mount Carmel Cash Back No Premium (HMO)
H3668-030-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 18
MediGold MediGold Mount Carmel Plus (HMO)
H3668-023-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 17
Perennial Advantage Perennial Advantage Strive (HMO I-SNP)
H8797-001-0 		HMO $175 per Quarter Yes $700 Yes $1,700 Yes No No No No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 17
MediGold MediGold Mount Carmel Choice (PPO)
H1846-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 16
Paramount Elite Medicare Plans Paramount Elite Essential (HMO)
H3653-024-0 		HMO $150 per Quarter No $600 Yes $1,000 No No Yes No No 16
Buckeye Health Plan - MyCare Ohio Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)
H0022-001-0 		Medicare-Medicaid Plan HMO $25 per Month No $0 Yes No No No No No 14
Humana HumanaChoice R5495-002 (Regional PPO)
R5495-002-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 13
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 12
Medical Mutual of Ohio MedMutual Advantage Secure (HMO)
H6723-005-2 		HMO $80 per Quarter No $320 Yes No No Yes No No 12
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 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 12
Wellcare by Allwell Wellcare Assist Complement (HMO)
H0724-006-0 		HMO $70 per Quarter No $280 Yes $700 No No Yes Yes Yes 12
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-088-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 11
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