Medicare Advantage Plans for Sumner County, Tennessee

  • 66 Total Plans
  • 38,576 Seniors Eligible for Medicare
  • 20,060 Seniors on Medicare Advantage (52%)
  • 6 plans with 651 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 36 plans with 16,196 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 44% 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
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-049-5 		HMO $75 per Quarter No $300 Yes No No Yes No No 6,230
BlueCross BlueShield of Tennessee BlueAdvantage Garnet (PPO)
H7917-032-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 3,155
Humana Humana Gold Plus H4461-029 (HMO)
H4461-029-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 1,234
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 1,051
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H2577-007-0 		Local PPO No $0 Yes Yes No Yes Yes No 764
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-010-0 		Local PPO $105 per Quarter No $420 Yes $2,000 No No No No No 735
Cigna Healthcare Cigna Premier Medicare (HMO-POS)
H4513-036-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 614
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-083-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 565
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 396
Wellpoint Amerivantage Classic Plus (HMO-POS)
H5828-005-0 		HMOPOS $168 per Quarter Yes $672 Yes $3,000 No No Yes Yes No 348
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H4513-034-0 		HMO $225 per Quarter No $900 Yes No No Yes No No 325
BlueCare Plus Tennessee BlueCare Plus (HMO D-SNP)
H3259-001-0 		HMO No $0 Yes No No No No No 312
Wellpoint Amerivantage Dual Premier (HMO D-SNP)
H5828-002-0 		HMO $180 per Month No $0 Yes $3,000 Yes No Yes Yes No 312
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-254-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 268
Humana HumanaChoice H5216-274 (PPO)
H5216-274-0 		Local PPO No $0 Yes No No Yes No No 253
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-033-0 		HMO $125 per Quarter No $500 Yes No No Yes No No 225
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-084-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 218
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 213
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-013-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 174
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 156
Wellcare Wellcare No Premium (HMO-POS)
H1416-077-0 		HMOPOS $59 per Month Yes $0 Yes $2,000 No No Yes Yes No 156
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 144
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 136
Humana HumanaChoice H5216-097 (PPO)
H5216-097-0 		Local PPO No $0 Yes No No Yes No No 115
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 99
Wellpoint Amerivantage Balance Plus (HMO)
H5828-008-0 		HMO $230 per Quarter Yes $920 Yes $3,000 Yes No Yes Yes No 97
Wellcare Wellcare Assist (HMO)
H1416-042-0 		HMO $50 per Month Yes $0 Yes $3,000 No No Yes Yes No 85
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 84
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-009-0 		Local PPO $165 per Quarter No $660 Yes No No Yes No No 82
Humana Humana Honor (HMO)
H4461-004-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 81
Ascension Complete Ascension Complete Saint Thomas Secure (HMO)
H2853-002-0 		HMO $102 per Quarter No $408 Yes $1,500 No No Yes Yes Yes 79
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H5253-113-0 		HMOPOS $125 per Quarter No $500 Yes Yes No Yes Yes No 75
Wellcare Wellcare Dual Access (HMO D-SNP)
H1416-035-0 		HMO $141 per Month Yes $0 Yes $3,000 No No Yes Yes No 67
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 66
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 62
Humana Humana Honor (PPO)
H5216-235-0 		Local PPO No $0 Yes No No Yes No No 60
Wellcare Wellcare Giveback (HMO)
H1416-080-0 		HMO $57 per Quarter No $228 Yes $1,000 No No Yes Yes Yes 56
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 51
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 42
Cigna Healthcare Cigna Primary Medicare (HMO)
H4513-070-0 		HMO $200 per Quarter No $800 Yes $1,400 No No No No No 41
Aetna Medicare Aetna Medicare Value Plus Plan (HMO)
H3146-012-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 40
Ascension Complete Ascension Complete Saint Thomas Reward (HMO)
H2853-001-0 		HMO $93 per Quarter No $372 Yes $700 No No Yes Yes Yes 40
Humana Humana Gold Plus H4461-039 (HMO)
H4461-039-0 		HMO No $0 Yes No No Yes No No 40
Wellcare Wellcare No Premium Open (PPO)
H9428-001-0 		Local PPO $43 per Month Yes $0 Yes $1,000 No No Yes Yes No 35
Ascension Complete Ascension Complete Saint Thomas Access (PPO)
H8121-002-0 		Local PPO $78 per Quarter No $312 Yes $700 No No Yes Yes No 34
Humana HumanaChoice R7315-001 (Regional PPO)
R7315-001-0 		Regional PPO $100 per Month No $0 Yes No No Yes No No 34
Cigna Cigna True Choice Medicare (PPO)
H7849-801-0 		Local PPO No $0 No 33
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-035-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 32
Ascension Complete Ascension Complete Saint Thomas Access Plus (PPO)
H8121-001-0 		Local PPO $93 per Quarter No $372 Yes $1,000 No No Yes Yes No 31
Wellpoint Amerivantage Classic (HMO)
H2593-022-0 		HMO $45 per Quarter Yes $180 Yes $2,000 No No Yes Yes No 27
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 25
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-815-0 		HMO No $0 No 25
Humana HumanaChoice R7315-002 (Regional PPO)
R7315-002-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes Yes No 24
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-068-3 		HMO $35 per Quarter No $140 Yes No No Yes No No 21
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 21
BlueCross BlueShield of Tennessee BlueAdvantage Freedom (PPO)
H7917-039-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 20
NHC Advantage NHC Advantage (HMO I-SNP)
H4172-001-0 		HMO $90 per Quarter No $360 Yes $1,000 No No No No No 19
Wellcare Wellcare Giveback Open (PPO)
H9428-002-0 		Local PPO No $0 Yes $700 No No Yes Yes No 17
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 16
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 15
Humana HumanaChoice H5216-180 (PPO)
H5216-180-0 		Local PPO No $0 Yes No No Yes No No 15
BlueCross BlueShield of Tennessee BlueAdvantage Plus (PPO)
H7917-801-0 		Local PPO No $0 No 14
Farm Bureau Health Plans Farm Bureau Advantage (HMO)
H4863-001-0 		HMO $150 per Quarter No $600 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 13
Devoted Health Devoted GIVEBACK Tennessee (HMO)
H7605-008-0 		HMO $65 per Quarter No $260 Yes No No Yes No No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
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