Medicare Advantage Plans for Fort Bend County, Texas

  • 99 Total Plans
  • 114,977 Seniors Eligible for Medicare
  • 60,833 Seniors on Medicare Advantage (53%)
  • 8 plans with 3,026 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 61 plans with 39,992 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 37% 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? Texas Enrollees
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 6,132
Humana Humana Gold Plus H0028-042 (HMO)
H0028-042-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 4,437
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H4527-037-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 4,138
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H4514-013-3 		HMOPOS $135 per Month No $0 Yes $2,000 Yes No Yes Yes No 3,006
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 2,846
Wellcare Wellcare TexanPlus Classic No Premium (HMO)
H4506-003-0 		HMO $33 per Month Yes $0 Yes $1,500 No No Yes Yes No 2,554
KelseyCare Advantage KelseyCare Advantage Gold (HMO)
H0332-002-0 		HMO $40 per Quarter No $160 Yes $1,500 Yes No No No No 2,495
Devoted Health Devoted CORE Greater Houston (HMO)
H7993-001-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 1,852
Wellpoint Amerivantage Select Plus (HMO)
H8849-009-0 		HMO $200 per Quarter Yes $800 Yes $3,000 Yes No Yes Yes No 1,744
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-061-5 		HMO $105 per Quarter No $420 Yes No No Yes No No 1,615
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,597
Devoted Health Devoted PRIME Greater Houston (HMO)
H7993-002-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 1,571
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-014-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,537
Aetna Medicare Aetna Medicare Freedom Plan (PPO)
H2293-016-0 		Local PPO $165 per Quarter No $660 Yes $2,000 No No Yes No No 1,528
Wellpoint Amerivantage Dual Coordination Plus (HMO D-SNP)
H8849-010-5 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 1,523
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 1,365
KelseyCare Advantage KelseyCare Advantage Platinum (HMO)
H0332-009-0 		HMO $125 per Quarter No $500 Yes $1,500 Yes No No No No 1,341
Wellcare Wellcare No Premium (HMO)
H0174-010-0 		HMO $55 per Month Yes $0 Yes $1,500 No No Yes Yes No 1,319
Memorial Hermann Health Plan Memorial Hermann Advantage (HMO)
H7115-001-0 		HMO $150 per Quarter No $600 Yes $1,500 Yes No No No No 1,274
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 994
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 920
KelseyCare Advantage KelseyCare Advantage Gold Freedom (HMO-POS)
H0332-004-0 		HMOPOS $95 per Quarter No $380 Yes $1,500 Yes No No No No 831
Wellcare Wellcare Giveback (HMO)
H0174-019-0 		HMO No $0 Yes $700 No No Yes Yes No 769
UnitedHealthcare AARP Medicare Advantage Ally (HMO-POS)
H4514-014-0 		HMOPOS $45 per Quarter No $180 Yes Yes No Yes Yes No 699
Aetna Medicare Aetna Medicare Choice II Plan (PPO)
H3288-018-0 		Local PPO $120 per Quarter No $480 Yes $1,000 No No Yes No No 620
Aetna Medicare Aetna Medicare Premier Plan (HMO)
H4523-015-0 		HMO $90 per Quarter No $360 Yes $1,000 No No Yes No No 607
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-066-0 		HMO $35 per Quarter No $140 Yes $1,500 No No No No No 604
KelseyCare Advantage KelseyCare Advantage Rx Retiree (HMO)
H0332-811-0 		HMO No $0 No 512
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-038-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 440
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 430
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H3288-006-0 		Local PPO $165 per Quarter No $660 Yes $1,000 No No Yes No No 425
Devoted Health Devoted GIVEBACK Greater Houston (HMO)
H7993-006-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 412
Blue Cross and Blue Shield of Texas Blue Cross Medicare Advantage Basic (HMO)
H8133-001-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 363
UnitedHealthcare UnitedHealthcare Dual Complete Ally (HMO-POS D-SNP)
H4514-016-0 		HMOPOS $152 per Month No $0 Yes $2,000 Yes No Yes Yes No 349
UnitedHealthcare UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP)
R6801-011-0 		Regional PPO $60 per Month No $0 Yes $2,000 Yes No Yes Yes No 349
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H4513-060-5 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 338
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-006-0 		Local PPO No $0 Yes No No Yes No No 329
Humana Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)
H0028-033-0 		HMO $900 per Month No $0 Yes $2,500 Yes No Yes No No 317
Aetna Medicare Aetna Medicare Select Plan (HMO)
H8332-003-0 		HMO $165 per Quarter No $660 Yes $2,500 No No Yes No No 298
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 297
Aetna Medicare Aetna Medicare Dual Complete Plan (HMO D-SNP)
H8597-003-0 		HMO $150 per Month No $0 Yes $5,000 No No Yes No No 285
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 282
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 271
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-032-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes Yes No 268
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H4514-007-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 264
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Premier (PPO)
H1666-003-0 		Local PPO No $0 Yes No No Yes No No 257
Wellcare Wellcare Dual Access (HMO D-SNP)
H0174-004-0 		HMO $119 per Month Yes $0 Yes $2,000 No No Yes Yes No 245
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-009-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 202
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0174-006-0 		HMO $144 per Month Yes $0 Yes $3,000 No No Yes Yes No 197
KelseyCare Advantage KelseyCare Advantage Silver (HMO)
H0332-001-0 		HMO $50 per Quarter No $200 Yes $1,500 Yes No No No No 164
Humana HumanaChoice H5216-042 (PPO)
H5216-042-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 162
Wellcare Wellcare Assist (HMO)
H0174-009-0 		HMO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 148
Cigna Healthcare Cigna Alliance Medicare (HMO)
H4513-064-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 147
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-001-0 		Local PPO $90 per Quarter Yes $360 Yes $3,000 No No Yes Yes No 134
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Classic (PPO)
H4801-002-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 125
Wellpoint Amerivantage Classic (HMO)
H2593-029-0 		HMO No $0 No 124
UnitedHealthcare UnitedHealthcare Chronic Complete Ally (HMO-POS C-SNP)
H4514-015-0 		HMOPOS $47 per Month No $0 Yes Yes No Yes Yes No 123
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 121
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 119
Wellcare Wellcare No Premium Open (PPO)
H7323-003-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes Yes No 118
KelseyCare Advantage KelseyCare Advantage Silver Freedom (HMO-POS)
H0332-003-0 		HMOPOS $50 per Quarter No $200 Yes $1,500 No No No Yes No 107
KelseyCare Advantage KelseyCare Advantage Rx Retiree (HMO)
H0332-812-0 		HMO No $0 No 101
Wellpoint Amerivantage Dual Secure Plus (HMO D-SNP)
H8849-011-5 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 101
Memorial Hermann Health Plan Memorial Hermann Advantage Plus (HMO)
H7115-003-0 		HMO $55 per Quarter No $220 Yes $400 No No No No No 90
Wellcare Wellcare TexanPlus Patriot Giveback (HMO)
H4506-010-0 		HMO No $0 Yes $1,500 No No Yes Yes No 90
Molina Healthcare of Texas, Inc. Molina Medicare Complete Care (HMO D-SNP)
H7678-001-0 		HMO $75 per Quarter No $300 Yes Yes No No No No 89
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 79
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 76
Humana Humana Gold Choice H8145-084 (PFFS)
H8145-084-0 		PFFS No $0 Yes No No Yes No No 70
Wellcare Wellcare TexanPlus No Premium (HMO-POS)
H4506-029-0 		HMOPOS $71 per Quarter No $284 No 65
Wellpoint STAR+PLUS MMP Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan)
H8786-001-0 		Medicare-Medicaid Plan HMO $51 per Quarter Yes $204 Yes $2,000 No No No Yes Yes 64
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Flex (PPO)
H4801-014-0 		Local PPO No $0 Yes No No Yes No No 62
UnitedHealthcare UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
R6801-008-0 		Regional PPO $220 per Quarter Yes $880 Yes $2,000 Yes No Yes Yes No 62
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 61
UnitedHealthcare UnitedHealthcare Connected (Medicare-Medicaid Plan)
H7833-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 57
Humana Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)
H0028-031-0 		HMO $600 per Month No $0 Yes No No Yes No No 56
Cigna Healthcare Cigna True Choice Plus Medicare (PPO)
H7849-062-0 		Local PPO $100 per Quarter No $400 Yes $2,000 No No No No No 51
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 46
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 44
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4527-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 42
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 42
Aetna Medicare Aetna Medicare Value Plan (PPO)
H3288-047-0 		Local PPO $60 per Quarter No $240 Yes $1,000 No No Yes No No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 40
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 33
Blue Cross and Blue Shield of OK, TX Blue Cross Medicare Advantage Dental Premier (PPO)
H4801-016-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 33
Molina Healthcare of Texas Molina Dual Options (Medicare-Medicaid Plan)
H8197-002-2 		Medicare-Medicaid Plan HMO $120 per Quarter No $480 Yes Yes No No No No 32
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H7323-005-0 		Local PPO $71 per Month Yes $0 Yes $2,000 No No Yes Yes No 31
Texas Independence Health Plan Texas Independence Health Plan, Inc. (HMO I-SNP)
H5015-001-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 30
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 26
KelseyCare Advantage KelseyCare Advantage Rx Retiree (HMO)
H0332-810-0 		HMO No $0 No 26
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 22
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 20
Wellcare Wellcare Specialty No Premium (HMO C-SNP)
H0174-008-0 		HMO $65 per Quarter No $260 Yes $1,500 No No Yes Yes Yes 19
Molina Healthcare of Texas, Inc. Molina Medicare Choice Care (HMO)
H7678-004-0 		HMO $110 per Quarter No $440 Yes Yes No No No No 17
ProCare Advantage ProCare Advantage (HMO-POS I-SNP)
H3467-001-0 		HMOPOS $20 per Month No $0 No 16
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-020-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 12
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