Medicare Advantage Plans for Hamilton County, Tennessee

  • 63 Total Plans
  • 77,802 Seniors Eligible for Medicare
  • 40,032 Seniors on Medicare Advantage (51%)
  • 10 plans with 6,276 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 28,399 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 45% 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 13,244
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-047-0 		HMOPOS $100 per Quarter No $400 Yes Yes No Yes Yes No 3,321
Humana Humana Gold Plus H4461-036 (HMO)
H4461-036-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 2,779
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 2,657
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-049-5 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,930
BlueCare Plus Tennessee BlueCare Plus (HMO D-SNP)
H3259-001-0 		HMO No $0 Yes No No No No No 1,549
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-014-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 1,378
BlueCross BlueShield of Tennessee BlueAdvantage Plus (PPO)
H7917-801-0 		Local PPO No $0 No 1,339
Humana Humana Gold Plus H4461-031 (HMO)
H4461-031-3 		HMO $150 per Quarter Yes $600 Yes No No Yes No No 1,097
Humana Humana Gold Plus H4461-030 (HMO)
H4461-030-3 		HMO $200 per Quarter Yes $800 Yes No No Yes No No 785
Cigna Healthcare Cigna Primary Medicare (HMO)
H4513-035-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 727
Wellpoint Amerivantage Dual Premier (HMO D-SNP)
H5828-002-0 		HMO $180 per Month No $0 Yes $3,000 Yes No Yes Yes No 587
Wellpoint Amerivantage Classic Plus (HMO-POS)
H5828-005-0 		HMOPOS $168 per Quarter Yes $672 Yes $3,000 No No Yes Yes No 555
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-048-0 		HMOPOS $110 per Quarter No $440 Yes Yes No Yes Yes No 526
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 525
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-036-0 		Local PPO $60 per Quarter No $240 Yes $2,000 No No No No No 430
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (PPO)
H2577-020-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 413
Humana Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)
H4461-022-0 		HMO $60 per Month Yes $0 Yes No No Yes No No 400
Humana Humana Honor (HMO)
H4461-004-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 380
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-281-0 		Local PPO $150 per Quarter No $600 No 348
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-036-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 342
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-010-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 307
Ascension Living Alexian PACE Alexian Brothers Community Services (PACE)
H4402-001-0 		National PACE No $0 No 265
Humana Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)
H4461-038-0 		HMO $2,340 per Month No $0 Yes No No Yes No No 201
Wellcare Wellcare No Premium (HMO-POS)
H1416-077-0 		HMOPOS $59 per Month Yes $0 Yes $2,000 No No Yes Yes No 193
Cigna Healthcare Cigna Premier Medicare (HMO-POS)
H4513-036-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 191
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H4513-040-0 		HMO $500 per Quarter No $2,000 Yes $4,000 No No No No No 184
Humana HumanaChoice H5216-098 (PPO)
H5216-098-0 		Local PPO $20 per Month No $240 Yes $1,000 No No Yes No No 176
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 172
Wellpoint Amerivantage Balance Plus (HMO)
H5828-008-0 		HMO $230 per Quarter Yes $920 Yes $3,000 Yes No Yes Yes No 169
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-113-0 		HMOPOS $125 per Quarter No $500 Yes Yes No Yes Yes No 164
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 163
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 157
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-035-0 		HMO $141 per Month Yes $0 Yes $3,000 No No Yes Yes No 154
Wellcare Wellcare Giveback (HMO)
H1416-080-0 		HMO $57 per Quarter No $228 Yes $1,000 No No Yes Yes Yes 153
Wellcare Wellcare Assist (HMO)
H1416-042-0 		HMO $50 per Month Yes $0 Yes $3,000 No No Yes Yes No 130
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-033-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 121
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-280-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 116
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 116
Humana HumanaChoice H5216-180 (PPO)
H5216-180-0 		Local PPO No $0 Yes No No Yes No No 114
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 112
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 109
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-021-0 		HMO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes Yes No 89
Humana Humana Honor (PPO)
H5216-235-0 		Local PPO No $0 Yes No No Yes No No 85
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-121-0 		HMOPOS No $0 Yes Yes No Yes Yes No 85
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 77
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-068-3 		HMO $35 per Quarter No $140 Yes No No Yes No No 67
Humana HumanaChoice R7315-001 (Regional PPO)
R7315-001-0 		Regional PPO $100 per Month No $0 Yes No No Yes No No 67
NHC Advantage NHC Advantage (HMO I-SNP)
H4172-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 63
Humana HumanaChoice R7315-002 (Regional PPO)
R7315-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes Yes No 56
BlueCross BlueShield of Tennessee BlueAdvantage Freedom (PPO)
H7917-039-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 52
Wellpoint Amerivantage Classic (HMO)
H2593-022-0 		HMO $45 per Quarter Yes $180 Yes $2,000 No No Yes Yes No 46
BlueCare Plus Tennessee BlueCare Plus Choice (HMO D-SNP)
H3259-002-0 		HMO No $0 Yes No No No No No 43
Wellcare Wellcare No Premium Open (PPO)
H9428-001-0 		Local PPO $43 per Month Yes $0 Yes $1,000 No No Yes Yes No 40
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
H0251-004-0 		HMOPOS $309 per Month No $0 Yes $3,600 Yes No Yes Yes No 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 33
Wellcare Wellcare Giveback Open (PPO)
H9428-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 33
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 19
BlueCare Plus Tennessee BlueCare Plus Select (HMO D-SNP)
H3259-003-0 		HMO No $0 Yes No No No No No 18
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 13
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