Medicare Advantage Plans for Spartanburg County, South Carolina

  • 72 Total Plans
  • 69,376 Seniors Eligible for Medicare
  • 35,297 Seniors on Medicare Advantage (51%)
  • 5 plans with 2,959 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 41 plans with 24,454 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 40% 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 8,397
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 2,300
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 2,257
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 1,687
Cigna Healthcare Cigna Preferred Medicare (HMO)
H7020-004-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 1,609
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 1,482
Humana HumanaChoice H5216-347 (PPO)
H5216-347-0 		Local PPO No $0 Yes No No Yes No No 1,428
Wellcare Wellcare Giveback Open (PPO)
H7326-003-0 		Local PPO No $0 Yes $700 No No Yes Yes No 1,309
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H8748-002-0 		HMOPOS $60 per Quarter No $240 Yes No No Yes Yes No 1,095
Humana HumanaChoice H5216-280 (PPO)
H5216-280-2 		Local PPO No $0 Yes No No Yes No No 932
Humana HumanaChoice H5216-279 (PPO)
H5216-279-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 893
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2577-005-0 		Local PPO No $0 Yes Yes No Yes Yes No 852
Wellcare Wellcare No Premium Open (PPO)
H7326-001-0 		Local PPO $29 per Month Yes $0 Yes $1,500 No No Yes Yes No 673
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-006-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 618
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 542
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-036-0 		HMO $100 per Month Yes $0 Yes $5,000 No No Yes Yes No 537
Wellcare Wellcare No Premium (HMO)
H4847-001-0 		HMO No $0 Yes $1,500 No No Yes Yes No 534
Humana HumanaChoice H5216-345 (PPO)
H5216-345-0 		Local PPO No $0 Yes No No Yes No No 488
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 464
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 382
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H8748-025-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 342
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 328
Humana HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216-244-0 		Local PPO $600 per Month No $0 Yes No No Yes No No 322
Wellcare Wellcare No Premium Value (HMO)
H1416-056-0 		HMO $69 per Quarter No $276 Yes $700 No No Yes Yes No 308
Devoted Health Devoted CHOICE GIVEBACK Upstate (PPO)
H7028-002-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 290
Humana HumanaChoice H5216-346 (PPO)
H5216-346-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 276
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 252
Humana Humana Honor (PPO)
H5216-286-0 		Local PPO No $0 Yes No No Yes No No 251
Wellcare Wellcare Assist (HMO)
H4847-005-0 		HMO $30 per Month Yes $0 Yes $1,500 No No Yes Yes No 249
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R2604-003-0 		Regional PPO No $0 Yes Yes No Yes Yes No 245
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 244
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 240
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 203
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R2604-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 201
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 198
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 194
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 188
Devoted Health Devoted CORE Upstate (HMO)
H3041-001-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 164
Humana Humana Gold Choice H8145-069 (PFFS)
H8145-069-0 		PFFS $25 per Quarter No $100 Yes No No Yes No No 159
Humana HumanaChoice H5216-154 (PPO)
H5216-154-0 		Local PPO No $0 Yes No No Yes No No 155
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 138
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 137
Humana Humana Honor (PPO)
H5216-217-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 123
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 109
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H7020-006-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 103
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 93
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 87
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 85
Devoted Health Devoted CHOICE Upstate (PPO)
H7028-001-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 83
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H8748-019-0 		HMOPOS $100 per Quarter No $400 Yes No No Yes Yes No 79
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 74
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-026-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 66
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 63
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H4847-004-0 		HMO $150 per Month Yes $0 Yes $3,000 No No Yes Yes No 60
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 50
Humana HumanaChoice R3392-002 (Regional PPO)
R3392-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 47
Wellcare Wellcare Patriot No Premium (HMO-POS)
H1416-059-0 		HMOPOS $75 per Month Yes $0 Yes $2,000 No No Yes Yes No 43
Humana HumanaChoice R3392-001 (Regional PPO)
R3392-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 40
Wellcare Wellcare Assist Open (PPO)
H7326-007-0 		Local PPO $55 per Month Yes $0 Yes $700 No No Yes Yes No 37
Humana HumanaChoice H5216-157 (PPO)
H5216-157-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 36
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 30
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 28
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 27
Wellcare Wellcare Patriot Giveback (HMO-POS)
H4847-006-0 		HMOPOS No $0 Yes $2,000 No No Yes Yes No 26
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-018-0 		Local PPO No $0 Yes No No Yes No No 24
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
Wellcare Wellcare Dual Liberty Open (PPO D-SNP)
H7326-006-0 		Local PPO $150 per Month Yes $0 Yes $3,000 No No Yes Yes No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 12
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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