Medicare Advantage Plans for McLennan County, Texas
- 48 Total Plans
- 47,186 Seniors Eligible for Medicare
- 23,869 Seniors on Medicare Advantage (51%)
- 3 plans with 285 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 26 plans with 17,915 seniors have OTC benefits that partially cover MDHearing hearing aids
- 39% 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 (HMO-POS) H4527-002-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 3,793 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 3,261 | |||||||
Humana |
HumanaChoice H0473-001 (PPO) H0473-001-0 |
Local PPO | $30 per Quarter | Yes | $120 | Yes | No | No | Yes | No | No | 3,140 | |
UnitedHealthcare |
UnitedHealthcare Dual Complete (HMO-POS D-SNP) H5322-025-0 |
HMOPOS | $134 per Month | No | $0 | Yes | $2,000 | Yes | No | Yes | Yes | No | 2,970 |
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Select Rx (HMO) H8142-001-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,500 | Yes | No | No | No | No | 1,486 |
UnitedHealthcare |
AARP Medicare Advantage Walgreens (PPO) H1278-004-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 1,200 | |
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Preferred Rx (HMO) H8142-002-0 |
HMO | $30 per Quarter | No | $120 | Yes | $1,000 | Yes | No | No | No | No | 1,197 |
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Premium Rx (HMO) H8142-003-0 |
HMO | $30 per Quarter | No | $120 | Yes | $1,000 | Yes | No | No | No | No | 852 |
Wellcare by Allwell |
Ascension Complete Providence Secure (HMO) H6678-004-0 |
HMO | $50 per Month | Yes | $0 | Yes | $1,500 | No | No | Yes | Yes | No | 470 |
Humana |
HumanaChoice H5216-358 (PPO) H5216-358-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | No | No | Yes | No | No | 435 | |
Humana |
HumanaChoice H5216-043 (PPO) H5216-043-6 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 412 | ||
UnitedHealthcare |
UnitedHealthcare Medicare Advantage Choice (Regional PPO) R6801-012-0 |
Regional PPO | No | $0 | Yes | Yes | No | Yes | Yes | No | 335 | ||
UnitedHealthcare |
UnitedHealthcare Medicare Gold (Regional PPO C-SNP) R6801-009-0 |
Regional PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 313 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 302 | |||||||
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 | 283 |
Humana |
Humana Honor (PPO) H5216-128-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 271 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 237 | |||||||
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Select (HMO) H8142-004-0 |
HMO | $30 per Quarter | No | $120 | Yes | $1,000 | Yes | No | No | No | No | 220 |
Wellcare by Allwell |
Ascension Complete Providence Reward (HMO) H6678-003-0 |
HMO | No | $0 | Yes | $700 | No | No | Yes | Yes | No | 215 | |
Aetna Medicare |
Aetna Medicare Choice Plan (PPO) H3288-008-0 |
Local PPO | $90 per Quarter | No | $360 | Yes | $1,000 | No | No | Yes | No | No | 181 |
Wellcare by Allwell |
Ascension Complete Providence Access Plus (PPO) H9357-003-0 |
Local PPO | $105 per Quarter | No | $420 | Yes | $1,000 | No | No | Yes | Yes | No | 173 |
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 | 158 |
Humana |
Humana Honor (PPO) H5216-348-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 152 | |
Wellcare by Allwell |
Ascension Complete Providence Access (PPO) H9357-004-0 |
Local PPO | $80 per Quarter | No | $320 | Yes | $700 | No | No | Yes | Yes | No | 141 |
Humana |
HumanaChoice R4182-004 (Regional PPO) R4182-004-0 |
Regional PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 128 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 124 | |||||||
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 122 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Patriot (HMO-POS) H4527-024-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 113 | |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Freedom Blue PPO MAPD PA CALENDAR (PPO) H3916-802-0 |
Local PPO | No | $0 | No | 109 | |||||||
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Preferred (HMO) H8142-005-0 |
HMO | $30 per Quarter | No | $120 | Yes | $1,000 | Yes | No | No | No | No | 99 |
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Basic (PPO) H2032-002-0 |
Local PPO | $30 per Quarter | No | $120 | Yes | $1,000 | Yes | No | No | No | No | 89 |
Humana |
HumanaChoice SNP-DE H0473-006 (PPO D-SNP) H0473-006-0 |
Local PPO | $600 per Month | No | $0 | Yes | No | No | Yes | No | No | 87 | |
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Platinum (PPO) H2032-003-0 |
Local PPO | No | $0 | Yes | $1,500 | Yes | No | No | No | No | 74 | |
Humana |
HumanaChoice R4182-003 (Regional PPO) R4182-003-0 |
Regional PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 70 | |
Blue Cross and Blue Shield of Montana |
Blue Cross Group Medicare Advantage (PPO) H0107-803-0 |
Local PPO | No | $0 | No | 57 | |||||||
Blue Cross and Blue Shield of NM, TX |
Blue Cross Group Medicare Advantage Plan (PPO) H1666-801-0 |
Local PPO | No | $0 | No | 54 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-820-0 |
Local PPO | No | $0 | No | 54 | |||||||
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 47 | |||||||
Aetna Medicare |
Aetna Medicare Freedom Preferred Plan (PPO) H2293-014-0 |
Local PPO | $90 per Quarter | No | $360 | Yes | $2,000 | No | No | Yes | No | No | 46 |
Baylor Scott & White Health Plan |
BSW SeniorCare Advantage Premium (HMO) H8142-006-0 |
HMO | $30 per Quarter | No | $120 | Yes | $1,000 | Yes | No | No | No | No | 41 |
Blue Cross and Blue Shield of OK, TX |
Blue Cross Medicare Advantage Classic (PPO) H4801-011-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | No | No | Yes | No | No | 40 | |
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 | 38 | ||
Humana |
HumanaChoice R4182-001 (Regional PPO) R4182-001-0 |
Regional PPO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 34 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 30 | |||||||
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 | 18 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 12 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-802-0 |
Local PPO | No | $0 | No | 11 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0 |
Local PPO | No | $0 | No | 11 |