Medicare Advantage Plans for Madison County, Virginia

  • 19 Total Plans
  • 3,296 Seniors Eligible for Medicare
  • 978 Seniors on Medicare Advantage (30%)
  • 5 plans with 136 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 8 plans with 441 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 18% 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
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4909-014-0 		Local PPO No $0 Yes $1,000 Yes No Yes Yes No 163
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 151
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 83
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-014-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 61
Aetna Medicare Aetna Medicare UVA Health System Prime (HMO-POS)
H3931-124-0 		HMOPOS $105 per Quarter No $420 Yes $2,000 No No Yes No No 59
Humana Humana Gold Plus H6622-074 (HMO)
H6622-074-2 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 56
Sentara Medicare Optima Medicare Value (HMO)
H2563-016-0 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 42
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 40
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 31
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 30
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 20
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 20
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 18
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 17
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 15
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 14
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 11
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 11
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