Medicare Advantage Plans for Berkeley County, South Carolina

  • 65 Total Plans
  • 42,061 Seniors Eligible for Medicare
  • 16,204 Seniors on Medicare Advantage (39%)
  • 4 plans with 1,123 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 38 plans with 10,237 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 27% 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? South Carolina Enrollees
Humana Humana Gold Plus H5619-152 (HMO)
H5619-152-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,969
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-247-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 1,372
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-016-0 		Local PPO $236 per Month No $0 Yes $2,500 Yes No Yes Yes No 1,325
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-006-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 979
Humana HumanaChoice H5216-347 (PPO)
H5216-347-0 		Local PPO No $0 Yes No No Yes No No 940
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H8748-002-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 838
Humana Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
H5619-082-0 		HMO $2,100 per Month No $0 Yes No No Yes No No 526
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H8748-025-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 493
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 470
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 442
Wellcare Wellcare Giveback Open (PPO)
H7326-003-0 		Local PPO No $0 Yes $700 No No Yes Yes No 407
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 378
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 370
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 340
Humana Humana Gold Plus H5619-083 (HMO)
H5619-083-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 335
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 334
Blue Cross Blue Shield of South Carolina BlueCross Total (PPO)
H8003-003-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 300
Wellcare Wellcare No Premium Open (PPO)
H7326-001-0 		Local PPO $29 per Month Yes $0 Yes $1,500 No No Yes Yes No 270
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 253
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R2604-002-0 		Regional PPO $245 per Quarter Yes $980 Yes $1,100 Yes No Yes Yes No 233
Humana HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
H5216-277-0 		Local PPO $2,400 per Month No $0 Yes No No Yes No No 194
FIRST CHOICE VIP CARE PLUS First Choice VIP Care Plus (Medicare-Medicaid Plan)
H8213-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes $1,500 No No No No No 179
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-244-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 170
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 167
Wellcare Wellcare No Premium (HMO)
H4847-001-0 		HMO No $0 Yes $1,500 No No Yes Yes No 161
Wellcare Prime by Absolute Total Care Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)
H1723-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes $1,250 No No No No No 150
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 147
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 134
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H8748-019-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 132
UnitedHealthcare UnitedHealthcare Chronic Complete (PPO C-SNP)
H0271-057-0 		Local PPO $75 per Month No $0 Yes Yes No Yes Yes No 130
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-026-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 129
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H4847-004-0 		HMO $150 per Month Yes $0 Yes $3,000 No No Yes Yes No 115
Blue Cross Blue Shield of South Carolina BlueCross Total Value (PPO)
H8003-006-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 112
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 107
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 88
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 86
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2577-005-0 		Local PPO No $0 Yes Yes No Yes Yes No 85
Clover Health Clover Health LiveHealthy (PPO)
H5141-036-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 77
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-037-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 71
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 69
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 69
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-279-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 63
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 62
Molina Healthcare of South Carolina Molina Dual Options (Medicare-Medicaid Plan)
H2533-001-0 		Medicare-Medicaid Plan HMO $100 per Quarter No $400 Yes $1,500 Yes No No Yes No 61
Wellcare Wellcare Assist (HMO)
H4847-005-0 		HMO $30 per Month Yes $0 Yes $1,500 No No Yes Yes No 60
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-251-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 59
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 51
Wellcare Wellcare Patriot Giveback (HMO-POS)
H4847-006-0 		HMOPOS No $0 Yes $2,000 No No Yes Yes No 48
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 47
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-045-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 40
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7020-008-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 39
Molina Healthcare of South Carolina Molina Medicare Complete Care (HMO D-SNP)
H8176-001-0 		HMO $0 per Month No $0 Yes Yes No No No No 39
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 34
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 34
PruittHealth Premier PruittHealth Premier (HMO I-SNP)
H6345-002-0 		HMO $85 per Month No $0 Yes $2,500 No No No No No 31
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 29
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 26
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-011-0 		HMO $105 per Quarter No $420 Yes $4,000 No No Yes No No 20
Molina Healthcare of South Carolina Molina Medicare Choice Care (HMO)
H8176-003-0 		HMO $85 per Quarter No $340 Yes Yes No No No No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 18
Wellcare Wellcare Assist Open (PPO)
H7326-007-0 		Local PPO $55 per Month Yes $0 Yes $700 No No Yes Yes No 13
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-017-0 		HMO $135 per Month Yes $0 Yes $4,000 No No Yes No No 11
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-373-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 11
UnitedHealthcare UnitedHealthcare Dual Complete Select (PPO D-SNP)
H0271-056-0 		Local PPO $96 per Month No $0 Yes $1,100 Yes No Yes Yes No 11
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