Medicare Advantage Plans for Montgomery County, Texas

  • 98 Total Plans
  • 104,271 Seniors Eligible for Medicare
  • 53,053 Seniors on Medicare Advantage (51%)
  • 8 plans with 1,932 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 57 plans with 33,992 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 34% 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 5,769
Humana Humana Gold Plus H0028-042 (HMO)
H0028-042-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 4,513
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H4527-037-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 4,284
Humana HumanaChoice H5216-043 (PPO)
H5216-043-6 		Local PPO No $0 Yes No No Yes No No 3,136
Cigna Healthcare Cigna Preferred Medicare (HMO)
H4513-061-5 		HMO $105 per Quarter No $420 Yes No No Yes No No 2,410
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,407
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 2,109
Wellcare Wellcare TexanPlus Classic No Premium (HMO)
H4506-003-0 		HMO $33 per Month Yes $0 Yes $1,500 No No Yes Yes No 1,892
KelseyCare Advantage KelseyCare Advantage Gold (HMO)
H0332-002-0 		HMO $40 per Quarter No $160 Yes $1,500 Yes No No No No 1,659
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1278-014-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,577
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 1,534
Devoted Health Devoted PRIME Greater Houston (HMO)
H7993-002-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 1,529
KelseyCare Advantage KelseyCare Advantage Platinum (HMO)
H0332-009-0 		HMO $125 per Quarter No $500 Yes $1,500 Yes No No No No 1,504
Devoted Health Devoted CORE Greater Houston (HMO)
H7993-001-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 1,350
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,039
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 948
Wellcare Wellcare No Premium (HMO)
H0174-010-0 		HMO $55 per Month Yes $0 Yes $1,500 No No Yes Yes No 934
Aetna Medicare Aetna Medicare Premier Plan (HMO)
H4523-015-0 		HMO $90 per Quarter No $360 Yes $1,000 No No Yes No No 789
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 755
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 686
KelseyCare Advantage KelseyCare Advantage Rx Retiree (HMO)
H0332-811-0 		HMO No $0 No 652
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 613
Wellpoint Amerivantage Select Plus (HMO)
H8849-009-0 		HMO $200 per Quarter Yes $800 Yes $3,000 Yes No Yes Yes No 585
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H4513-066-0 		HMO $35 per Quarter No $140 Yes $1,500 No No No No No 528
UnitedHealthcare UnitedHealthcare Medicare Advantage Choice (Regional PPO)
R6801-012-0 		Regional PPO No $0 Yes Yes No Yes Yes No 495
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H4513-060-5 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 451
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 419
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 417
Wellcare Wellcare Giveback (HMO)
H0174-019-0 		HMO No $0 Yes $700 No No Yes Yes No 401
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 395
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 370
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 356
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-038-0 		Local PPO $90 per Quarter No $360 Yes No No Yes No No 342
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 284
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 284
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 263
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 259
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 252
UnitedHealthcare UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
R6801-009-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 247
Humana HumanaChoice H5216-042 (PPO)
H5216-042-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 231
Aetna Medicare Aetna Medicare Select Plan (HMO)
H8332-003-0 		HMO $165 per Quarter No $660 Yes $2,500 No No Yes No No 230
Cigna Healthcare Cigna Courage Medicare (HMO)
H4513-009-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 203
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H4514-007-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 203
Cigna Healthcare Cigna Alliance Medicare (HMO)
H4513-064-0 		HMO $170 per Quarter No $680 Yes No No Yes No No 182
Humana Humana Honor (PPO)
H5216-128-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 168
Wellcare Wellcare Dual Access (HMO D-SNP)
H0174-004-0 		HMO $119 per Month Yes $0 Yes $2,000 No No Yes Yes No 167
Wellcare Wellcare Assist (HMO)
H0174-009-0 		HMO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 145
Devoted Health Devoted GIVEBACK Greater Houston (HMO)
H7993-006-0 		HMO $55 per Quarter No $220 Yes No No Yes No No 144
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 125
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 124
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0174-006-0 		HMO $144 per Month Yes $0 Yes $3,000 No No Yes Yes No 116
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-032-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes Yes No 113
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 108
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 99
Wellcare Wellcare TexanPlus Patriot Giveback (HMO)
H4506-010-0 		HMO No $0 Yes $1,500 No No Yes Yes No 98
Wellcare Wellcare No Premium Open (PPO)
H7323-003-0 		Local PPO $90 per Quarter No $360 Yes $1,000 No No Yes Yes No 96
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-001-0 		Local PPO $90 per Quarter Yes $360 Yes $3,000 No No Yes Yes No 78
Humana HumanaChoice R4182-003 (Regional PPO)
R4182-003-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 78
KelseyCare Advantage KelseyCare Advantage Silver (HMO)
H0332-001-0 		HMO $50 per Quarter No $200 Yes $1,500 Yes No No No No 76
Humana Humana Honor (PPO)
H5216-348-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 72
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-820-0 		Local PPO No $0 No 72
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 67
Humana HumanaChoice R4182-004 (Regional PPO)
R4182-004-0 		Regional PPO $30 per Quarter No $120 Yes No No Yes No No 66
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 66
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 61
Wellpoint Amerivantage Classic (HMO)
H2593-029-0 		HMO No $0 No 58
Wellcare Wellcare TexanPlus No Premium (HMO-POS)
H4506-029-0 		HMOPOS $71 per Quarter No $284 No 53
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 52
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 51
KelseyCare Advantage KelseyCare Advantage Rx Retiree (HMO)
H0332-812-0 		HMO No $0 No 51
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H4527-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 51
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 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 46
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 45
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 45
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 44
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 43
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 41
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 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 33
Humana HumanaChoice R4182-001 (Regional PPO)
R4182-001-0 		Regional PPO $100 per Quarter No $400 Yes No No Yes No No 32
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 31
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 30
UnitedHealthcare UnitedHealthcare Connected (Medicare-Medicaid Plan)
H7833-001-0 		Medicare-Medicaid Plan HMO No $0 Yes No No No Yes No 27
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 26
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 24
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-802-0 		Local PPO No $0 No 23
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 21
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 21
Aetna Medicare Aetna Medicare Eagle II (PPO)
H2293-015-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 19
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 17
Wellcare Wellcare No Premium Rx Plus Open (PPO)
H7323-006-0 		Local PPO No $0 Yes $2,000 No No Yes Yes No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 13
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 12
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 11
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 11
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