Medicare Advantage Plans for Clay County, Tennessee
- 14 Total Plans
- 2,125 Seniors Eligible for Medicare
- 894 Seniors on Medicare Advantage (42%)
- 3 plans with 158 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 8 plans with 484 seniors have OTC benefits that partially cover MDHearing hearing aids
- 30% 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? | Tennessee Enrollees |
| BlueCross BlueShield of Tennessee |
BlueAdvantage Sapphire (PPO) H7917-030-0 |
Local PPO | $115 per Quarter | No | $460 | Yes | No | No | Yes | No | No | 189 | |
| UnitedHealthcare |
UnitedHealthcare Dual Complete (HMO-POS D-SNP) H0251-002-0 |
HMOPOS | $248 per Month | No | $0 | Yes | $3,600 | Yes | No | Yes | Yes | No | 142 |
| Humana |
Humana Gold Plus H4461-037 (HMO) H4461-037-0 |
HMO | $150 per Quarter | Yes | $600 | Yes | No | No | Yes | No | No | 90 | |
| Cigna Healthcare |
Cigna Preferred Medicare (HMO) H4513-049-5 |
HMO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 58 | |
| Wellpoint |
Amerivantage Classic Plus (HMO-POS) H5828-005-0 |
HMOPOS | $168 per Quarter | Yes | $672 | Yes | $3,000 | No | No | Yes | Yes | No | 52 |
| BlueCare Plus Tennessee |
BlueCare Plus (HMO D-SNP) H3259-001-0 |
HMO | No | $0 | Yes | No | No | No | No | No | 49 | ||
| Wellpoint |
Amerivantage Dual Premier (HMO D-SNP) H5828-002-0 |
HMO | $180 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 43 |
| Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0 |
Local PPO | No | $0 | No | 26 | |||||||
| Humana |
HumanaChoice H5216-274 (PPO) H5216-274-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 26 | ||
| Wellpoint |
Amerivantage Balance Plus (HMO) H5828-008-0 |
HMO | $230 per Quarter | Yes | $920 | Yes | $3,000 | Yes | No | Yes | Yes | No | 16 |
| Wellcare |
Wellcare Assist (HMO) H1416-042-0 |
HMO | $50 per Month | Yes | $0 | Yes | $3,000 | No | No | Yes | Yes | No | 14 |
| Humana |
HumanaChoice R7315-002 (Regional PPO) R7315-002-0 |
Regional PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | Yes | No | 13 | |
| Wellcare |
Wellcare No Premium (HMO-POS) H1416-077-0 |
HMOPOS | $59 per Month | Yes | $0 | Yes | $2,000 | No | No | Yes | Yes | No | 13 |
| BlueCross BlueShield of Tennessee |
BlueAdvantage Ruby (PPO) H7917-014-0 |
Local PPO | $115 per Quarter | No | $460 | Yes | No | No | Yes | No | No | 12 | |
