Medicare Advantage Plans for Wayne County, Ohio

  • 72 Total Plans
  • 24,534 Seniors Eligible for Medicare
  • 13,026 Seniors on Medicare Advantage (53%)
  • 8 plans with 2,051 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 47 plans with 7,927 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 41% 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 1,518
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,398
Humana Humana Gold Plus H6622-014 (HMO-POS)
H6622-014-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes No No 888
SummaCare Medicare Advantage Plans SummaCare Medicare Topaz (HMO)
H3660-050-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 682
Humana HumanaChoice H5216-106 (PPO)
H5216-106-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 597
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 526
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-050-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 491
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 471
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H0628-005-0 		HMOPOS $150 per Quarter No $600 Yes $2,500 No No Yes No No 430
Humana HumanaChoice H5216-051 (PPO)
H5216-051-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 350
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 345
UnitedHealthcare AARP Medicare Advantage Plan 7 (HMO-POS)
H5253-049-0 		HMOPOS $50 per Quarter No $200 Yes No No Yes Yes No 317
PrimeTime Health Plan PrimeTime Health Plan Plus (HMO-POS)
H3664-017-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes No No 281
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 279
Medical Mutual of Ohio MedMutual Advantage Classic (HMO)
H6723-001-3 		HMO $70 per Quarter No $280 Yes No No Yes No No 265
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 237
SummaCare Medicare Advantage Plans SummaCare Medicare Ruby (HMO)
H3660-044-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 220
Medical Mutual of Ohio MedMutual Advantage Signature (HMO)
H6723-006-7 		HMO $70 per Quarter No $280 Yes No No Yes No No 216
SummaCare Medicare Advantage Plans SummaCare Medicare Sapphire (HMO-POS)
H3660-029-0 		HMOPOS $80 per Quarter No $320 Yes No No Yes No No 203
SummaCare Medicare Advantage Plans SummaCare Medicare Garnet (HMO)
H3660-053-2 		HMO $100 per Quarter No $400 Yes No No Yes No No 199
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 188
The Health Plan The Health Plan SecureCare - Option II (HMO)
H3672-013-0 		HMO $145 per Quarter No $580 Yes No No Yes No No 169
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 164
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 149
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 140
PrimeTime Health Plan PrimeTime Health Plan Classic (HMO-POS)
H3664-020-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes No No 140
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 137
PrimeTime Health Plan PrimeTime Health Plan Aultimate (HMO-POS)
H3664-021-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes No No 122
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-014-0 		Local PPO No $0 Yes Yes No Yes Yes No 112
Aetna Medicare Aetna Medicare Part B Only Plan (PPO)
H5521-805-0 		Local PPO No $0 No 105
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 101
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 101
Humana HumanaChoice H5216-285 (PPO)
H5216-285-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 76
UnitedHealthcare AARP Medicare Advantage Flex Plan 8 (HMO-POS)
H5253-115-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes Yes No 75
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 75
Humana HumanaChoice H5216-309 (PPO)
H5216-309-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 70
Humana Humana Honor (PPO)
H5216-218-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 62
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 57
Medical Mutual of Ohio MedMutual Advantage Access (PPO)
H4497-005-4 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 53
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 47
Medical Mutual of Ohio MedMutual Advantage Choice (HMO)
H6723-002-3 		HMO $0 per Month No $0 Yes No No Yes No No 46
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 46
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 43
Wellcare by Allwell Wellcare No Premium (HMO)
H0908-003-0 		HMO $66 per Month Yes $0 Yes $3,000 No No Yes Yes No 42
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 37
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H8768-021-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes 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 32
Medical Mutual of Ohio MedMutual Advantage Premium (PPO)
H4497-003-3 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 31
Medical Mutual of Ohio MedMutual Advantage Preferred (PPO)
H4497-002-3 		Local PPO $0 per Month No $0 Yes No No Yes No No 29
Devoted Health Devoted CORE Ohio (HMO)
H2697-001-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 28
Humana HumanaChoice H5525-030 (PPO)
H5525-030-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 28
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 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 27
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 26
Humana Humana Medicare Employer (PPO)
H5216-812-0 		Local PPO No $0 No 25
Medical Mutual of Ohio MedMutual Advantage Secure (HMO)
H6723-005-2 		HMO $80 per Quarter No $320 Yes No No Yes No No 25
The Health Plan The Health Plan SecureCare - Option I, MA Only (HMO)
H3672-014-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 24
PrimeTime Health Plan PrimeTime Health Plan Basic - MA Only (HMO-POS)
H3664-014-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes No No 22
Wellcare by Allwell Wellcare Giveback (HMO)
H0908-005-0 		HMO $40 per Quarter No $160 No 22
PrimeTime Health Plan PrimeTime Health Plan Employer Group HMO MA-Only (HMO-POS)
H3664-802-0 		HMOPOS No $0 No 21
Valor Health Plan Valor Health Plan (HMO I-SNP)
H1119-001-0 		HMO $107 per Quarter No $428 No 20
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 18
Devoted Health Devoted GIVEBACK Ohio (HMO)
H2697-003-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 17
Humana HumanaChoice R5495-001 (Regional PPO)
R5495-001-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 16
SummaCare Medicare Advantage Plans SummaCare Medicare Emerald (HMO-POS)
H3660-028-0 		HMOPOS $55 per Quarter No $220 Yes No No Yes No No 16
The Health Plan The Health Plan SecureChoice - Option II (PPO)
H8604-010-0 		Local PPO $45 per Quarter No $180 No 13
Devoted Health Devoted PRIME Ohio (HMO)
H2697-002-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 12
Humana Humana Gold Choice H8145-032 (PFFS)
H8145-032-0 		PFFS $50 per Quarter Yes $200 Yes No No Yes No No 12
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 11
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 11
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