Medicare Advantage Plans for Guadalupe County, Texas

  • 62 Total Plans
  • 30,380 Seniors Eligible for Medicare
  • 13,227 Seniors on Medicare Advantage (44%)
  • 3 plans with 228 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 9,437 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 32% 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 AARP Medicare Advantage SecureHorizons (HMO-POS)
H4590-010-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 1,818
Humana Humana Gold Plus H0028-030 (HMO)
H0028-030-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,643
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,599
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 770
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H4590-045-0 		HMOPOS $80 per Quarter No $320 Yes No No Yes Yes No 767
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-005-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 741
UnitedHealthcare UnitedHealthcare Chronic Complete (HMO-POS C-SNP)
H4590-037-0 		HMOPOS $35 per Month No $420 Yes No No Yes Yes No 716
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H4590-022-0 		HMOPOS $150 per Month No $1,800 Yes $2,000 No No Yes Yes No 615
Humana HumanaChoice H5216-360 (PPO)
H5216-360-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 321
Aetna Medicare Aetna Medicare Value Plan (HMO)
H8332-001-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 230
Aetna Medicare Aetna Medicare Freedom Plan (PPO)
H2293-019-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 172
Humana Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)
H0028-036-0 		HMO $1,200 per Month No $0 Yes $2,500 No No Yes No No 167
Aetna Medicare Aetna Medicare Choice II Plan (PPO)
H3288-048-0 		Local PPO $105 per Quarter No $420 Yes $1,000 No No Yes No No 154
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 154
Humana Humana USAA Honor with Rx (PPO)
H5216-351-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 152
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 151
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4590-029-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes Yes No 151
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 125
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 121
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 117
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 116
Wellcare Wellcare Giveback (HMO)
H0174-020-0 		HMO No $0 Yes $700 No No Yes Yes No 113
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-066-0 		HMO $35 per Quarter No $140 Yes $1,500 No No No No No 108
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 108
Aetna Medicare Aetna Medicare Dual Complete Plan (HMO D-SNP)
H8597-001-0 		HMO $150 per Month No $0 Yes $2,500 No No Yes No No 102
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 98
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H3288-046-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes No No 95
Wellcare Wellcare No Premium (HMO)
H0174-015-0 		HMO $40 per Month Yes $0 Yes $1,500 No No Yes Yes No 95
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-061-5 		HMO $105 per Quarter No $420 Yes No No Yes No No 91
Blue Cross and Blue Shield of NM, TX Blue Cross Medicare Advantage Choice Plus (PPO)
H1666-008-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 86
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 83
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 80
Devoted Health Devoted CORE San Antonio (HMO)
H7993-003-0 		HMO $215 per Quarter No $860 Yes No No Yes No No 75
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0174-006-0 		HMO $144 per Month Yes $0 Yes $3,000 No No Yes Yes No 75
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 74
Aetna Medicare Aetna Medicare Premier Plan (HMO)
H4523-001-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes No No 69
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 65
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 58
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 58
Humana HumanaChoice H5216-042 (PPO)
H5216-042-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 50
Devoted Health Devoted BEWELL San Antonio - D (HMO C-SNP)
H7993-005-0 		HMO $270 per Quarter No $1,080 Yes No No Yes No No 46
Wellcare Wellcare Assist (HMO)
H0174-009-0 		HMO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 46
Devoted Health Devoted PRIME San Antonio (HMO)
H7993-004-0 		HMO $195 per Quarter No $780 Yes No No Yes No No 41
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 37
Wellcare by Allwell Wellcare Dual Liberty Nurture (HMO D-SNP)
H5294-010-0 		HMO $165 per Month Yes $0 Yes $3,000 No No Yes Yes No 36
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 35
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 33
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 29
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H4513-060-5 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 26
Provider Partners Health Plans Provider Partners Texas Advantage Plan (HMO I-SNP)
H4054-001-0 		HMO $110 per Quarter No $440 Yes $1,000 No No No No No 23
Wellcare by Allwell Wellcare No Premium (HMO)
H5294-017-0 		HMO $68 per Quarter No $272 Yes $1,000 No No Yes Yes No 23
Wellcare Wellcare No Premium Rx Plus Open (PPO)
H7323-006-0 		Local PPO No $0 Yes $2,000 No No Yes Yes No 20
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 18
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 18
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 17
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 17
Humana Humana Gold Plus H0028-037 (HMO)
H0028-037-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 15
Wellcare Wellcare Dual Access (HMO D-SNP)
H0174-004-0 		HMO $119 per Month Yes $0 Yes $2,000 No No Yes Yes No 15
Clover Health Clover Health Choice (PPO)
H5141-025-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 14
Superior HealthPlan Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan)
H6870-001-0 		Medicare-Medicaid Plan HMO $35 per Month No $0 Yes No No No No No 13
Wellcare by Allwell Wellcare Complement Assist (HMO)
H5294-016-0 		HMO $48 per Month Yes $0 Yes $1,500 No No Yes Yes No 12
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