Medicare Advantage Plans for Richmond City County, Virginia

  • 66 Total Plans
  • 35,132 Seniors Eligible for Medicare
  • 17,047 Seniors on Medicare Advantage (49%)
  • 19 plans with 4,978 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 25 plans with 9,605 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 42% 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 H6622-004 (HMO)
H6622-004-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 4,649
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H5253-111-2 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,628
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 1,146
Anthem HealthKeepers Anthem MediBlue + Kroger (HMO)
H3447-039-0 		HMO $175 per Quarter Yes $700 Yes $2,000 Yes No Yes Yes No 951
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 835
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H5253-112-2 		HMOPOS $70 per Quarter No $280 Yes Yes No Yes Yes No 675
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 428
Humana Humana Gold Plus H6622-074 (HMO)
H6622-074-2 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 364
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 346
Anthem HealthKeepers Anthem MediBlue Local (HMO)
H3447-001-0 		HMO $100 per Quarter Yes $400 Yes $3,000 Yes No Yes Yes No 341
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 329
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 318
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 275
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 265
Anthem HealthKeepers Anthem MediBlue Diabetes and Heart Care (HMO C-SNP)
H3447-004-0 		HMO $150 per Quarter Yes $600 Yes $3,000 Yes No Yes Yes No 264
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 249
Anthem HealthKeepers Anthem MediBlue Smart Fit (HMO)
H3447-005-0 		HMO No $0 Yes $3,000 Yes No Yes Yes No 240
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 212
Humana HumanaChoice H5216-144 (PPO)
H5216-144-0 		Local PPO $25 per Quarter No $100 Yes No No Yes No No 178
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 173
Anthem HealthKeepers Anthem MediBlue Extra (HMO)
H3447-027-0 		HMO $75 per Quarter Yes $300 Yes $3,000 No No Yes Yes No 168
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 166
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-013-0 		Local PPO No $0 Yes Yes No Yes Yes No 166
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-098-0 		HMOPOS $105 per Quarter No $420 Yes $2,000 No No Yes No No 164
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 146
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 125
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 121
Anthem Blue Cross and Blue Shield Anthem MediBlue + Kroger Access (PPO)
H4909-026-0 		Local PPO $75 per Quarter Yes $300 No 119
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 108
Humana HumanaChoice H5216-308 (PPO)
H5216-308-0 		Local PPO No $0 Yes No No Yes No No 104
Sentara Medicare Optima Medicare Value (HMO)
H2563-009-0 		HMO $110 per Quarter No $440 Yes $2,000 No No Yes No No 101
Humana Humana Gold Choice H8145-004 (PFFS)
H8145-004-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 96
Humana Humana Honor (Regional PPO)
R1390-003-0 		Regional PPO $75 per Quarter No $300 Yes No No Yes No No 91
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 89
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Access (PPO D-SNP)
H4909-018-0 		Local PPO $330 per Quarter Yes $1,320 Yes $3,000 Yes No Yes Yes No 87
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H5619-046-0 		HMO $15 per Month Yes $0 Yes No No Yes No No 87
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 82
Humana Humana Gold Plus H5619-139 (HMO)
H5619-139-2 		HMO No $0 Yes No No Yes No No 78
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 78
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 60
InnovAge Virginia PACE - Richmond and Peninsula InnovAge Virginia PACE II, LLC (PACE)
H8655-004-0 		National PACE No $0 No 60
Anthem HealthKeepers Anthem MediBlue Care on Site (HMO I-SNP)
H3447-010-0 		HMO No $0 Yes $3,000 Yes No Yes Yes No 56
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 53
Anthem HealthKeepers Anthem MediBlue COPD (HMO C-SNP)
H3447-003-0 		HMO $150 per Quarter Yes $600 Yes $3,000 Yes No Yes Yes No 52
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 50
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H2577-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 49
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 46
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 42
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H5619-145-0 		HMO $3,300 per Month No $0 Yes No No Yes No No 37
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 35
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 34
Aetna Medicare Aetna Medicare Essential Plan (PPO)
H5521-082-0 		Local PPO $45 per Quarter No $180 Yes $1,000 No No Yes No No 33
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H4909-020-0 		Local PPO $50 per Quarter Yes $200 Yes $1,000 Yes No Yes Yes No 30
Cigna Healthcare Cigna Preferred Medicare (HMO)
H9725-010-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 30
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 27
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-345-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 26
Humana HumanaChoice H5216-152 (PPO)
H5216-152-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 22
Clear Spring Health Clear Spring Health Essential (HMO)
H8293-001-0 		HMO $87 per Month No $0 Yes $1,000 Yes No No No No 21
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-119-0 		HMOPOS No $0 Yes Yes No Yes Yes No 21
LifeWorks Advantage LifeWorks Advantage I-SNP (HMO I-SNP)
H2185-001-0 		HMO $75 per Quarter Yes $300 Yes $1,000 Yes No No No No 19
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 15
Humana HumanaChoice R1390-001 (Regional PPO)
R1390-001-0 		Regional PPO $45 per Quarter No $180 Yes No No Yes No No 13
Humana Humana Gold Choice H8145-042 (PFFS)
H8145-042-0 		PFFS $75 per Quarter No $300 Yes No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 11
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