Medicare Advantage Plans for Lorain County, Ohio

  • 95 Total Plans
  • 72,296 Seniors Eligible for Medicare
  • 39,028 Seniors on Medicare Advantage (54%)
  • 12 plans with 7,283 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 56 plans with 18,718 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 36% 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 4,828
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 3,953
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 3,509
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-050-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 3,047
UnitedHealthcare AARP Medicare Advantage Plan 7 (HMO-POS)
H5253-049-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes Yes No 1,604
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 1,590
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,521
CareSource MyCare Ohio CareSource MyCare Ohio (Medicare-Medicaid Plan)
H8452-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes No No No No No 1,361
Humana Humana Cleveland Clinic Preferred (HMO-POS)
H6622-023-0 		HMOPOS $125 per Quarter No $500 Yes No No Yes No No 1,096
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H0628-005-0 		HMOPOS $150 per Quarter No $600 Yes $2,500 No No Yes No No 1,046
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 944
Humana Humana Gold Plus H6622-022 (HMO-POS)
H6622-022-0 		HMOPOS $125 per Quarter No $500 Yes No No Yes No No 854
Devoted Health Devoted CORE Ohio (HMO)
H2697-001-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 724
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 710
Anthem Blue Cross and Blue Shield Anthem MediBlue Prime Select (HMO)
H3655-038-0 		HMO $150 per Quarter Yes $600 Yes $3,000 No No Yes Yes No 582
Devoted Health Devoted PRIME Ohio (HMO)
H2697-002-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 524
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 496
UnitedHealthcare Community Plan UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)
H2531-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 484
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-014-0 		Local PPO No $0 Yes Yes No Yes Yes No 451
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 410
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 407
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Plus (PPO)
H4036-017-0 		Local PPO $100 per Quarter Yes $400 Yes $2,000 Yes No Yes Yes No 394
Humana HumanaChoice H5216-106 (PPO)
H5216-106-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 363
Medical Mutual of Ohio MedMutual Advantage Classic (HMO)
H6723-001-3 		HMO $70 per Quarter No $280 Yes No No Yes No No 322
Wellcare Wellcare No Premium Essential (HMO-POS)
H5475-022-0 		HMOPOS $41 per Month Yes $0 Yes $3,000 No No Yes Yes No 315
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 308
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 299
UnitedHealthcare AARP Medicare Advantage Flex Plan 8 (HMO-POS)
H5253-115-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes Yes No 298
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 296
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 286
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 283
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 270
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3931-107-0 		HMOPOS $165 per Quarter No $660 Yes $3,000 No No Yes No No 256
Medical Mutual of Ohio MedMutual Advantage Signature (HMO)
H6723-006-7 		HMO $70 per Quarter No $280 Yes No No Yes No No 256
Medical Mutual of Ohio MedMutual Advantage EGWP (MA-Only) (PPO)
H4497-803-0 		Local PPO No $0 No 255
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-088-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 246
Devoted Health Devoted GIVEBACK Ohio (HMO)
H2697-003-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 230
SummaCare Medicare Advantage Plans SummaCare Medicare Topaz (HMO)
H3660-050-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 206
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 141
Aetna Medicare Aetna Medicare Advantra Silver (PPO)
H1608-029-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 136
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 134
Medical Mutual of Ohio MedMutual Advantage Choice (HMO)
H6723-002-3 		HMO $0 per Month No $0 Yes No No Yes No No 131
Medical Mutual of Ohio MedMutual Advantage Premium (PPO)
H4497-003-3 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 125
Medical Mutual of Ohio MedMutual Advantage Secure (HMO)
H6723-005-2 		HMO $80 per Quarter No $320 Yes No No Yes No No 123
Humana Humana Honor (PPO)
H5216-218-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 120
Humana HumanaChoice H5216-285 (PPO)
H5216-285-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 115
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-021-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 115
Medical Mutual of Ohio MedMutual Advantage Access (PPO)
H4497-005-4 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 112
SummaCare Medicare Advantage Plans SummaCare Medicare Ruby (HMO)
H3660-044-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 112
Wellcare by Allwell Wellcare No Premium (HMO)
H0908-003-0 		HMO $66 per Month Yes $0 Yes $3,000 No No Yes Yes No 108
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 106
Humana HumanaChoice H5525-030 (PPO)
H5525-030-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 99
Humana HumanaChoice H5216-309 (PPO)
H5216-309-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 93
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 92
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 85
CareSource CareSource Dual Advantage (HMO D-SNP)
H6396-015-0 		HMO No $0 Yes No No No No No 83
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H5253-051-0 		HMOPOS No $0 Yes Yes No Yes Yes No 83
Medical Mutual of Ohio MedMutual Advantage Plus (HMO)
H6723-003-3 		HMO $40 per Quarter No $160 Yes No No Yes No No 82
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 74
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-015-0 		Local PPO $55 per Quarter No $220 Yes No No Yes No No 74
Medical Mutual of Ohio MedMutual Advantage Select (PPO)
H4497-001-3 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 74
Devoted Health Devoted DUAL Ohio - 1 (HMO D-SNP)
H2697-010-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 66
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 65
Humana Humana Medicare Employer (PPO)
H5216-812-0 		Local PPO No $0 No 63
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 63
Medical Mutual of Ohio MedMutual Advantage EGWP (Calendar Year) (PPO)
H4497-801-0 		Local PPO No $0 No 61
Cigna Healthcare Cigna Preferred Medicare (HMO)
H0672-006-0 		HMO $140 per Quarter No $560 Yes No No Yes No No 57
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 56
SummaCare Medicare Advantage Plans SummaCare Medicare Sapphire (HMO-POS)
H3660-029-0 		HMOPOS $80 per Quarter No $320 Yes No No Yes No No 56
Medical Mutual of Ohio MedMutual Advantage Preferred (PPO)
H4497-002-3 		Local PPO $0 per Month No $0 Yes No No Yes No No 54
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 54
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H0672-016-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 52
Humana HumanaChoice R5495-002 (Regional PPO)
R5495-002-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 51
Wellcare by Allwell Wellcare Giveback (HMO)
H0908-005-0 		HMO $40 per Quarter No $160 No 51
Humana HumanaChoice H5525-042 (PPO)
H5525-042-0 		Local PPO No $0 Yes No No Yes No No 45
Devoted Health Devoted DUAL Ohio - 2 (HMO D-SNP)
H2697-011-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 43
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 40
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 39
Wellcare by Allwell Wellcare Assist (HMO)
H0908-004-0 		HMO $67 per Month Yes $0 Yes $3,000 No No Yes Yes No 39
Wellcare Wellcare Dividend Giveback (HMO)
H5475-032-0 		HMO $40 per Quarter No $160 No 37
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 36
Humana HumanaChoice R5495-001 (Regional PPO)
R5495-001-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 35
Wellcare by Allwell Wellcare No Premium Medicare (HMO)
H0724-001-0 		HMO $81 per Quarter No $324 Yes $700 No No Yes Yes Yes 35
Medical Mutual of Ohio MedMutual Advantage EGWP (Calendar Year) (HMO)
H6723-801-0 		HMO No $0 No 34
Communicare Advantage CommuniCare Advantage ISNP (HMO I-SNP)
H3727-002-3 		HMO $155 per Quarter No $620 Yes $0 No No No No No 31
SummaCare Medicare Advantage Plans SummaCare Medicare Garnet (HMO)
H3660-053-2 		HMO $100 per Quarter No $400 Yes No No Yes No No 30
Devoted Health Devoted CHOICE Ohio (PPO)
H2526-001-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 26
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 Select (HMO-POS D-SNP)
H5322-034-0 		HMOPOS $77 per Month No $0 Yes $1,100 Yes No Yes Yes No 20
Humana Humana Gold Plus H6622-019 (HMO)
H6622-019-0 		HMO No $0 Yes No No Yes No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 14
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 12
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 11
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer Rx CY (PPO)
H9572-801-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H5253-060-0 		HMOPOS $130 per Quarter Yes $520 No 11
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