Medicare Advantage Plans for King County, Washington

  • 96 Total Plans
  • 339,303 Seniors Eligible for Medicare
  • 165,793 Seniors on Medicare Advantage (49%)
  • 4 plans with 5,081 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 105,355 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 33% 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? Washington Enrollees
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5008-002-0 		HMOPOS $159 per Month No $0 Yes $2,000 Yes No Yes Yes No 17,601
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H1821-002-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 15,296
Kaiser Permanente Kaiser Permanente Medicare Advantage Vital (HMO)
H5050-013-0 		HMO $100 per Quarter No $400 Yes $4,000 No No No No No 10,291
Humana Humana Gold Plus H5619-057 (HMO)
H5619-057-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 8,515
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [AB] (HMO)
H5050-801-0 		HMO No $0 No 7,371
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3805-017-0 		HMOPOS No $0 Yes Yes No Yes Yes No 6,452
UnitedHealthcare AARP Medicare Advantage Walgreens (HMO-POS)
H3805-032-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 6,445
Kaiser Permanente Kaiser Permanente Medicare Advantage Essential (HMO)
H5050-009-0 		HMO No $0 Yes $4,000 No No No No No 6,135
Aetna Medicare Aetna Medicare Value Plus Plan (HMO-POS)
H3748-003-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 5,950
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-037-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 5,215
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H3805-015-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 5,004
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 4,317
Aetna Medicare Aetna Medicare Elite Plan (HMO-POS)
H3748-009-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 3,911
Humana Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP)
H5619-136-4 		HMO $1,500 per Month No $0 Yes No No Yes No No 3,708
Regence BlueShield Regence MedAdvantage + Rx Enhanced (PPO)
H5009-002-0 		Local PPO No $0 Yes No No Yes No No 3,600
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H1821-005-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 3,333
Kaiser Permanente Kaiser Permanente Medicare Advantage Key (HMO)
H5050-022-0 		HMO $75 per Quarter No $300 Yes $4,000 No No No No No 3,196
Molina Healthcare of Washington, Inc. Molina Medicare Complete Care (HMO D-SNP)
H5823-006-0 		HMO $0 per Month No $0 Yes Yes No No No No 3,131
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Classic (HMO)
H7245-002-0 		HMO $65 per Quarter No $260 Yes $2,000 No No No No No 3,005
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage (HMO)
H7245-001-0 		HMO $50 per Quarter No $200 Yes $2,000 No No No No No 2,740
Aetna Medicare Aetna Medicare Preferred Plan (PPO)
H5521-380-0 		Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 2,545
Kaiser Permanente Kaiser Permanente Medicare Advantage Optimal (HMO)
H5050-004-0 		HMO No $0 Yes $4,000 No No No No No 2,433
Aetna Medicare Aetna Medicare Select Plan (PPO)
H5521-128-0 		Local PPO No $0 Yes $2,500 No No Yes No No 2,189
Community Health Plan of WA Medicare Advantage Community Health Plan of WA Dual Plan (HMO D-SNP)
H5826-014-0 		HMO $100 per Month No $0 Yes $2,250 Yes No No No No 2,165
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,908
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Peak + Rx (HMO)
H9302-011-0 		HMO $25 per Quarter No $100 Yes $2,000 No No No No No 1,723
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [ABD] (HMO)
H5050-802-0 		HMO No $0 No 1,444
Kaiser Permanente Kaiser Permanente Medicare Advantage Basic (HMO)
H5050-001-0 		HMO No $0 Yes $1,500 No No No No No 1,427
Aetna Medicare Aetna Medicare Platinum Plus Plan (HMO-POS)
H3748-004-0 		HMOPOS No $0 Yes $2,500 No No Yes No No 1,410
Wellcare Wellcare No Premium (HMO)
H1353-005-0 		HMO $41 per Month Yes $0 Yes $2,000 No No Yes Yes No 1,248
Regence BlueShield Regence MedAdvantage + Rx Primary (PPO)
H5009-009-0 		Local PPO $15 per Quarter No $60 Yes No No Yes No No 1,245
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,024
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-127-0 		Local PPO No $0 Yes $2,500 No No Yes No No 929
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 918
Regence BlueShield Regence MedAdvantage + Rx Classic (PPO)
H5009-008-0 		Local PPO No $0 Yes No No Yes No No 854
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 829
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H1894-002-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 822
Humana HumanaChoice H5216-047 (PPO)
H5216-047-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 811
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 750
Regence BlueShield Regence BlueAdvantage HMO (HMO)
H1997-009-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 745
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1821-004-0 		Local PPO $100 per Quarter No $400 Yes No No Yes Yes No 735
Providence Health System Providence ElderPlace - Seattle (PACE)
H5007-001-0 		National PACE No $0 No 713
Humana Humana Gold Plus H5619-059 (HMO)
H5619-059-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 707
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-031-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 665
Wellcare Wellcare Giveback (HMO)
H1353-006-0 		HMO No $0 Yes $1,000 No No Yes Yes No 645
Wellpoint Amerivantage Classic (HMO)
H1894-001-0 		HMO $100 per Quarter Yes $400 Yes $500 No No Yes Yes No 625
Regence BlueShield Regence BlueAdvantage HMO Plus (HMO)
H1997-002-0 		HMO No $0 Yes No No Yes No No 559
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 543
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3931-126-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 513
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-044-0 		Local PPO $159 per Month No $0 Yes $1,100 Yes No Yes Yes No 485
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Sound + Rx (HMO)
H9302-007-0 		HMO $50 per Quarter No $200 Yes $2,000 No No No No No 475
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 442
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H5008-015-0 		HMOPOS $64 per Month No $0 Yes $1,100 Yes No Yes Yes No 387
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 1 (HMO)
H5826-016-0 		HMO No $0 No 363
Regence BlueShield Regence MedAdvantage + Rx Core (PPO)
H5009-010-0 		Local PPO No $0 Yes No No Yes No No 357
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 2 (HMO)
H5826-010-0 		HMO $0 per Month No $0 No 325
Molina Healthcare of Washington, Inc. Molina Medicare Choice Care (HMO)
H5823-011-0 		HMO $0 per Month No $0 Yes No No No Yes No 321
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1353-004-0 		HMO $90 per Month Yes $0 Yes $2,000 No No Yes Yes No 309
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 3 (HMO)
H5826-008-0 		HMO No $0 No 298
Molina Healthcare of Washington, Inc. Molina Medicare Complete Care Select (HMO D-SNP)
H5823-010-0 		HMO $0 per Month No $0 Yes No No No No No 291
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-330-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 243
Regence BlueShield Regence MedAdvantage + Rx (PPO)
H5009-802-0 		Local PPO No $0 No 234
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 224
Humana Humana Value Plus H5619-134 (HMO)
H5619-134-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 176
Regence BlueShield Regence Valiance (PPO)
H5009-001-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 175
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H5965-004-0 		Local PPO $70 per Month Yes $0 Yes $2,000 No No Yes Yes No 155
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 134
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 120
Wellcare Wellcare Dual Access (HMO D-SNP)
H1353-002-0 		HMO $80 per Month Yes $0 Yes $2,000 No No Yes Yes No 96
International Community Health Services ICHS PACE - Dual Eligible (PACE)
H3084-001-0 		National PACE No $0 No 91
Wellcare Wellcare No Premium Open (PPO)
H5965-002-0 		Local PPO $114 per Quarter No $456 Yes $1,000 No No Yes Yes No 86
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 84
UnitedHealthcare UnitedHealthcare Assisted Living Plan (PPO I-SNP)
H0710-030-0 		Local PPO $400 per Quarter Yes $1,600 Yes $2,000 Yes No Yes Yes No 83
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Freedom Plan (HMO)
H5826-006-0 		HMO No $0 No 77
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 67
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 66
Wellcare Wellcare Assist (HMO)
H1353-007-0 		HMO $28 per Month Yes $0 Yes $1,500 No No Yes Yes No 66
Wellcare Wellcare Patriot Giveback Open (PPO)
H5965-003-0 		Local PPO No $0 Yes $700 No No Yes Yes No 64
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 63
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H3805-806-0 		HMO No $0 No 55
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 47
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 39
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 37
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 32
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Alpine (HMO)
H9302-004-0 		HMO $50 per Quarter No $200 Yes $2,000 No No No No No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 31
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 25
Humana Humana Gold Plus H2486-006 (HMO)
H2486-006-0 		HMO $45 per Quarter No $180 Yes No No Yes No No 21
Regence BlueCross BlueShield of Oregon Regence MedAdvantage (PPO)
H3817-801-0 		Local PPO No $0 No 20
Regence BlueShield Regence Valiance (HMO)
H1997-008-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 19
Humana Humana Gold Plus H5619-100 (HMO)
H5619-100-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 13
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 12
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1821-003-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 11
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