Medicare Advantage Plans for Clay County, South Dakota
- 13 Total Plans
- 2,208 Seniors Eligible for Medicare
- 614 Seniors on Medicare Advantage (28%)
- 1 plans with 11 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 12 plans with 537 seniors have OTC benefits that partially cover MDHearing hearing aids
- 25% 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 Dakota Enrollees |
UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H1278-007-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 127 | |
Medica |
Medica Prime Solution Core (Cost) H2450-034-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 110 |
Aetna Medicare |
Aetna Medicare Premier (PPO) H1608-001-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 71 |
Medica |
Medica Prime Solution Premier (Cost) H2450-036-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 53 |
Medica |
Medica Prime Solution Standard (Cost) H2450-044-0 |
1876 Cost | $25 per Quarter | No | $100 | No | 48 | ||||||
Humana |
HumanaChoice H5216-273 (PPO) H5216-273-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | No | No | Yes | No | No | 27 | |
UnitedHealthcare |
UnitedHealthcare Dual Complete Choice (PPO D-SNP) H0271-037-0 |
Local PPO | $112 per Month | No | $0 | Yes | $3,600 | Yes | No | Yes | Yes | No | 27 |
Wellmark Advantage Health Plan |
Blue Medicare Advantage Enhanced PPO (PPO) H5900-004-0 |
Local PPO | $100 per Quarter | No | $400 | Yes | $2,500 | No | No | No | No | No | 23 |
Humana |
HumanaChoice H5216-088 (PPO) H5216-088-0 |
Local PPO | $25 per Quarter | No | $100 | Yes | No | No | Yes | No | No | 16 | |
Medica |
Medica Prime Solution Core w/Rx (Cost) H2450-035-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | Yes | No | No | No | No | 13 |
Aetna Medicare |
Aetna Medicare Elite (PPO) H1608-043-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | $2,500 | No | No | Yes | No | No | 11 |
Humana |
HumanaChoice H5216-103 (PPO) H5216-103-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 11 | |
Humana |
Humana Value Plus H5216-171 (PPO) H5216-171-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | $1,000 | Yes | No | Yes | No | No | 11 |