Medicare Advantage Plans for Poquoson City County, Virginia

  • 16 Total Plans
  • 2,711 Seniors Eligible for Medicare
  • 593 Seniors on Medicare Advantage (22%)
  • 3 plans with 79 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 8 plans with 298 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 14% 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
Humana Humana Gold Plus H5619-140 (HMO)
H5619-140-2 		HMO $15 per Quarter Yes $60 Yes No No Yes No No 105
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H5253-087-0 		HMOPOS $75 per Quarter No $300 Yes Yes No Yes Yes No 47
Anthem HealthKeepers Anthem MediBlue Plus (HMO)
H3447-013-0 		HMO $170 per Quarter Yes $680 Yes $3,000 Yes No Yes Yes No 40
Sentara Medicare Optima Medicare Value (HMO)
H2563-017-2 		HMO $100 per Quarter No $400 Yes $2,000 No No Yes No No 40
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 39
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-011-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 29
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 27
Humana HumanaChoice H5216-144 (PPO)
H5216-144-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 25
Anthem HealthKeepers Anthem MediBlue + Kroger (HMO)
H3447-039-0 		HMO $175 per Quarter Yes $700 Yes $2,000 Yes No Yes Yes No 20
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 19
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 19
Mary Washington Medicare Advantage Riverside Medicare Advantage Complete (HMO)
H2825-003-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 17
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H5253-088-0 		HMOPOS $120 per Quarter No $480 Yes Yes No Yes Yes No 16
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 11
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 11
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