Medicare Advantage Plans for Fairfax County, Virginia

  • 69 Total Plans
  • 167,889 Seniors Eligible for Medicare
  • 46,546 Seniors on Medicare Advantage (28%)
  • 11 plans with 4,115 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 25 plans with 24,359 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 17% 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? Virginia Enrollees
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)
H2172-009-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 5,660
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-089-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 4,550
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 4,077
Kaiser Permanente Kaiser Permanente Medicare Advantage Value VA (HMO-POS)
H2172-010-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 3,923
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-009-0 		Local PPO No $0 Yes Yes No Yes Yes No 2,871
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-344-0 		Local PPO $90 per Quarter No $360 Yes $3,000 No No Yes No No 2,749
Kaiser Permanente Kaiser Permanente Medicare Advantage for Groups (HMO)
H2172-801-0 		HMO No $0 No 2,543
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed w/Part D (HMO)
H2172-803-0 		HMO No $0 No 1,816
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,529
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-143-0 		HMOPOS $135 per Quarter No $540 Yes $3,000 No No Yes No No 1,491
Humana Humana Gold Plus H5619-047 (HMO)
H5619-047-0 		HMO No $0 Yes No No Yes No No 1,433
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-014-0 		HMO $120 per Quarter Yes $480 Yes $2,000 No No Yes Yes No 1,346
Anthem HealthKeepers Anthem MediBlue Full Dual Advantage (HMO D-SNP)
H3447-011-0 		HMO $400 per Quarter Yes $1,600 Yes $3,000 Yes No Yes Yes No 1,240
Kaiser Permanente Kaiser Permanente Medicare Advantage High VA (HMO-POS)
H2172-008-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 1,072
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H7464-001-0 		HMOPOS $264 per Month No $0 Yes $3,600 Yes No Yes Yes No 820
UnitedHealthcare UnitedHealthcare Dual Complete ONE Plus (HMO-POS D-SNP)
H7464-007-0 		HMOPOS $309 per Month No $0 Yes $3,600 Yes No Yes Yes No 639
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 614
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-027-0 		Local PPO No $0 Yes $1,000 No No Yes No No 599
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 553
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 533
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 482
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 422
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 420
Aetna Better Health of Virginia Aetna Better Health of Virginia (HMO D-SNP)
H1610-001-0 		HMO $375 per Month No $0 Yes $5,000 No No Yes No No 381
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-120-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 368
Aetna Medicare Aetna Medicare Prime Plan (HMO-POS)
H3931-096-0 		HMOPOS $105 per Quarter No $420 Yes $1,000 No No Yes No No 331
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-858-0 		Local PPO No $0 No 279
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 217
Humana HumanaChoice H5216-308 (PPO)
H5216-308-0 		Local PPO No $0 Yes No No Yes No No 215
Anthem HealthKeepers Anthem MediBlue Dual Advantage (HMO D-SNP)
H3447-030-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 207
Cigna Cigna True Choice Core Medicare (PPO)
H7849-804-0 		Local PPO No $0 No 185
UnitedHealthcare UnitedHealthcare Dual Complete Balance (HMO-POS D-SNP)
H7464-006-0 		HMOPOS $120 per Month No $0 Yes $3,600 Yes No Yes Yes No 175
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2577-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 153
Kaiser Permanente Kaiser Permanente Medicare Advantage Liberty (HMO)
H2172-005-0 		HMO $30 per Quarter No $120 Yes $2,000 No No No Yes Yes 148
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 142
Sentara Medicare Optima Medicare Value (HMO)
H2563-008-0 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 142
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-006-0 		Local PPO $244 per Month No $0 Yes $3,600 Yes No Yes Yes No 130
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 127
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 123
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 123
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 111
Aetna Better Health of Virginia Aetna Medicare Assure Premier (HMO D-SNP)
H1610-002-0 		HMO $300 per Month No $0 Yes $5,000 No No Yes No No 108
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 107
Virginia Premier Virginia Premier Advantage Elite (HMO D-SNP)
H9877-001-0 		HMO $350 per Quarter No $1,400 Yes $2,000 No No Yes No No 107
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-032-0 		Local PPO $380 per Quarter Yes $1,520 Yes $3,600 Yes No Yes Yes No 80
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 78
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 72
Humana Humana Gold Plus H6622-074 (HMO)
H6622-074-2 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 64
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
H7464-005-0 		HMOPOS $359 per Month No $0 Yes $3,600 Yes No Yes Yes No 64
Sentara Medicare Optima Community Complete (HMO D-SNP)
H2563-004-0 		HMO $500 per Quarter No $2,000 Yes $2,000 No No Yes No No 62
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 56
Aetna Better Health of Virginia Aetna Medicare Assure Value (HMO D-SNP)
H1610-003-0 		HMO $240 per Month No $0 Yes $5,000 No No Yes No No 50
UnitedHealthcare Erickson Advantage Liberty without Drugs (HMO-POS)
H5652-002-0 		HMOPOS No $0 Yes Yes No Yes Yes No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 38
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 33
UnitedHealthcare Erickson Advantage Freedom (HMO-POS)
H5652-006-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 31
Kaiser Permanente Kaiser Permanente Medicare Advantage Care Plus (HMO-POS)
H2172-013-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 25
Molina Healthcare of Virginia Molina Medicare Complete Care (HMO D-SNP)
H7559-001-0 		HMO $355 per Quarter Yes $1,420 Yes Yes No No No No 24
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 21
UnitedHealthcare Erickson Advantage Champion (HMO-POS C-SNP)
H5652-004-0 		HMOPOS $80 per Quarter No $320 Yes Yes No Yes Yes No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 19
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-861-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 16
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 13
Sentara Medicare Optima Medicare Salute (HMO)
H2563-014-0 		HMO $125 per Quarter No $500 Yes $2,000 No No Yes No No 11
UnitedHealthcare Erickson Advantage Liberty with Drugs (HMO-POS)
H5652-008-0 		HMOPOS No $0 Yes Yes No Yes Yes No 11
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