Medicare Advantage Plans for Whatcom County, Washington

  • 53 Total Plans
  • 50,614 Seniors Eligible for Medicare
  • 23,761 Seniors on Medicare Advantage (47%)
  • 3 plans with 650 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 18,811 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 38% 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
Kaiser Permanente Kaiser Permanente Medicare Advantage Harbor (HMO)
H5050-017-0 		HMO $100 per Quarter No $400 Yes $4,000 No No No No No 3,070
Humana Humana Gold Plus H5619-114 (HMO)
H5619-114-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 2,676
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 2,235
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 2,107
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [AB] (HMO)
H5050-801-0 		HMO No $0 No 1,619
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 1,049
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 1,010
Humana Humana Gold Plus H5619-059 (HMO)
H5619-059-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 995
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1821-003-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 928
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 813
Regence BlueShield Regence BlueAdvantage HMO (HMO)
H1997-009-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 758
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 567
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 567
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 553
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 525
Kaiser Permanente Kaiser Permanente Medicare Advantage Anchor (HMO)
H5050-023-0 		HMO $75 per Quarter No $300 Yes $4,000 No No No No No 455
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 451
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3805-017-0 		HMOPOS No $0 Yes Yes No Yes Yes No 404
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 275
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 235
Regence BlueShield Regence BlueAdvantage HMO Plus (HMO)
H1997-002-0 		HMO No $0 Yes No No Yes No No 222
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 179
Kaiser Permanente Kaiser Permanente Medicare Advantage Basic (HMO)
H5050-001-0 		HMO No $0 Yes $1,500 No No No No No 164
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 164
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 160
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 141
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 1 (HMO)
H5826-016-0 		HMO No $0 No 124
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1821-004-0 		Local PPO $100 per Quarter No $400 Yes No No Yes Yes No 113
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [ABD] (HMO)
H5050-802-0 		HMO No $0 No 104
Humana Humana Value Plus H5619-134 (HMO)
H5619-134-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 81
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 68
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 67
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 64
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 62
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 62
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 57
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 55
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 47
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-037-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 43
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H3805-015-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 39
Humana HumanaChoice H5216-047 (PPO)
H5216-047-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 32
Regence BlueShield Regence MedAdvantage + Rx Primary (PPO)
H5009-009-0 		Local PPO $15 per Quarter No $60 Yes No No Yes No No 30
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 27
Regence BlueShield Regence Valiance (HMO)
H1997-008-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 27
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 4 (HMO)
H5826-009-0 		HMO No $0 No 24
Regence BlueShield Regence MedAdvantage + Rx Core (PPO)
H5009-010-0 		Local PPO No $0 Yes No No Yes No No 21
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 19
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 19
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 17
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 15
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 15
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 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 13
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