Medicare Advantage Plans for Marathon County, Wisconsin

  • 46 Total Plans
  • 29,686 Seniors Eligible for Medicare
  • 18,095 Seniors on Medicare Advantage (61%)
  • 3 plans with 211 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 29 plans with 16,027 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 55% 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? Wisconsin Enrollees
Security Health Plan of Wisconsin, Inc. Essence (HMO-POS)
H5211-003-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 3,838
Security Health Plan of Wisconsin, Inc. Essence Rx (HMO-POS)
H5211-002-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 3,344
Security Health Plan of Wisconsin, Inc. Esteem Rx (HMO-POS)
H5211-012-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 1,369
Security Health Plan of Wisconsin, Inc. Spirit Rx (HMO-POS)
H5211-004-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 1,289
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 1,240
UnitedHealthcare UnitedHealthcare Dual Complete LP1 (HMO-POS D-SNP)
H3794-002-0 		HMOPOS $189 per Month No $0 Yes $2,500 Yes No Yes Yes No 736
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-073-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 532
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 466
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 414
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-072-0 		HMOPOS No $0 Yes Yes No Yes Yes No 405
Security Health Plan of Wisconsin, Inc. Spirit (HMO-POS)
H5211-001-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 388
UnitedHealthcare AARP Medicare Advantage Open (PPO)
H0294-011-0 		Local PPO No $0 Yes Yes No Yes Yes No 333
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 326
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-004-0 		HMO $65 per Quarter Yes $260 Yes $3,000 Yes No Yes Yes No 284
Security Health Plan of Wisconsin, Inc. Ascend Rx (HMO-POS)
H5211-013-0 		HMOPOS $30 per Quarter No $120 Yes No No Yes No No 232
Security Health Plan of Wisconsin, Inc. Ally Rx (HMO D-SNP)
H5211-010-0 		HMO $60 per Quarter No $240 No 230
Anthem Blue Cross and Blue Shield Anthem MediBlue Access Plus (PPO)
H4036-020-0 		Local PPO $35 per Quarter Yes $140 Yes $1,500 Yes No Yes Yes No 224
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 206
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Advantage (HMO D-SNP)
H9525-003-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 202
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 188
UnitedHealthcare AARP Medicare Advantage Open Premier (PPO)
H0294-012-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 172
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 140
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H8189-001-0 		HMO $220 per Month Yes $0 Yes $5,000 No No Yes Yes No 127
UnitedHealthcare AARP Medicare Advantage Patriot Plan 1 (PPO)
H0294-014-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes Yes No 121
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 111
Aspirus Health Plan Essential Rx (PPO)
H6874-001-0 		Local PPO $125 per Month No $0 Yes No No Yes No No 109
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 109
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0294-027-0 		Local PPO $164 per Month No $0 Yes $2,500 Yes No Yes Yes No 89
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 84
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 82
Aspirus Health Plan Elite (PPO)
H6874-003-0 		Local PPO $75 per Month No $0 Yes No No Yes No No 74
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 73
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-010-0 		Local PPO No $0 Yes Yes No Yes Yes No 71
Aspirus Health Plan Elite Rx (PPO)
H6874-002-0 		Local PPO $75 per Month No $0 Yes No No Yes No No 70
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4036-008-0 		Local PPO $44 per Quarter Yes $176 Yes $3,000 Yes No Yes Yes No 53
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 48
Anthem Blue Cross and Blue Shield Anthem MediBlue Service (PPO)
H4036-024-0 		Local PPO $75 per Quarter Yes $300 Yes $2,000 Yes No Yes Yes No 45
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 45
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 27
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 25
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 24
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 15
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H3794-004-0 		HMOPOS $74 per Month No $0 Yes $1,100 Yes No Yes Yes No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 11
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