Medicare Advantage Plans for Pickens County, South Carolina

  • 60 Total Plans
  • 27,718 Seniors Eligible for Medicare
  • 13,879 Seniors on Medicare Advantage (50%)
  • 5 plans with 1,055 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 9,198 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 37% 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 2,982
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-140-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No No No No 1,913
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 850
Aetna Medicare Aetna Medicare Premier Plus Plan (PPO)
H5521-319-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 703
Humana HumanaChoice H5216-347 (PPO)
H5216-347-0 		Local PPO No $0 Yes No No Yes No No 622
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 587
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2577-005-0 		Local PPO No $0 Yes Yes No Yes Yes No 580
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 436
Wellcare Wellcare Giveback Open (PPO)
H7326-003-0 		Local PPO No $0 Yes $700 No No Yes Yes No 424
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 365
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-006-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 307
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H8748-002-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 288
Humana HumanaChoice H5216-346 (PPO)
H5216-346-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 219
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 214
Blue Cross Blue Shield of South Carolina BlueCross Total (PPO)
H8003-001-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 201
Humana Humana Gold Plus SNP-DE H5619-153 (HMO D-SNP)
H5619-153-0 		HMO $2,400 per Month No $0 Yes No No Yes No No 184
Wellcare Wellcare No Premium Open (PPO)
H7326-001-0 		Local PPO $29 per Month Yes $0 Yes $1,500 No No Yes Yes No 180
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 166
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 164
Wellcare Wellcare No Premium (HMO)
H4847-001-0 		HMO No $0 Yes $1,500 No No Yes Yes No 125
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-036-0 		HMO $100 per Month Yes $0 Yes $5,000 No No Yes Yes No 117
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 116
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 114
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 113
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 108
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H8748-025-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 108
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-244-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 98
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 82
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7020-004-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 79
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 78
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 76
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 76
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 73
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 72
Aetna Medicare Aetna Medicare Prime Plan (HMO-POS)
H3146-014-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 70
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 70
Wellcare Wellcare Assist (HMO)
H4847-005-0 		HMO $30 per Month Yes $0 Yes $1,500 No No Yes Yes No 63
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 60
Blue Cross Blue Shield of South Carolina BlueCross Total Value (PPO)
H8003-004-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 58
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 55
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 51
Wellcare Wellcare No Premium Value (HMO)
H1416-056-0 		HMO $69 per Quarter No $276 Yes $700 No No Yes Yes No 46
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 38
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 36
Devoted Health Devoted CHOICE GIVEBACK Upstate (PPO)
H7028-002-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 33
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H8748-019-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 31
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 29
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 26
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 24
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 23
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 22
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H7020-006-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 21
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H4847-004-0 		HMO $150 per Month Yes $0 Yes $3,000 No No Yes Yes No 19
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-026-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 15
Aetna Medicare Aetna Medicare Assure Plan (HMO D-SNP)
H3146-016-0 		HMO $185 per Month Yes $0 Yes $4,000 No No Yes No No 14
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
R2604-005-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 12
Wellcare Wellcare Patriot Giveback (HMO-POS)
H4847-006-0 		HMOPOS No $0 Yes $2,000 No No Yes Yes No 12
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