Medicare Advantage Plans for Milwaukee County, Wisconsin

  • 66 Total Plans
  • 159,912 Seniors Eligible for Medicare
  • 101,780 Seniors on Medicare Advantage (64%)
  • 9 plans with 10,792 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 73,156 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 52% 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
UnitedHealthcare AARP Medicare Advantage Plus (HMO-POS)
H5253-004-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 24,912
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 10,178
UnitedHealthcare AARP Medicare Advantage Premier Value (HMO-POS)
H5253-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 8,924
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 8,811
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H5253-024-0 		HMOPOS $174 per Month No $0 Yes $2,500 Yes No Yes Yes No 6,256
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No No Yes No No 4,421
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 3,873
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 3,501
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 3,348
Network Health Medicare Advantage Plans Network Health Medicare Go (PPO)
H5215-009-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 3,072
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 2,014
Aetna Medicare Aetna Medicare Value (PPO)
H5521-195-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 1,892
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 1,483
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,395
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-150-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 1,347
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 1,306
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 1,111
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 1,050
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 973
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 820
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 809
Molina Healthcare of Wisconsin and Massachusetts Molina Medicare Complete Care (HMO D-SNP)
H2879-001-0 		HMO $410 per Quarter No $1,640 Yes Yes No No No No 697
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 685
iCare iCare Family Care Partnership (HMO D-SNP)
H2237-007-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 540
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 537
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 489
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-848-0 		Local PPO No $0 No 483
Network Health Medicare Advantage Plans Network Health Medicare Anywhere (PPO)
H5215-010-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 455
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 442
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 436
Quartz Medicare Advantage Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)
H5262-012-0 		HMO $75 per Quarter No $300 Yes $1,500 Yes No No No No 390
UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
H5253-007-0 		HMOPOS $300 per Quarter Yes $1,200 Yes $2,000 Yes No Yes Yes No 390
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 330
Community Care Community Care's PACE Program (PACE)
H5212-001-0 		National PACE No $0 No 289
UnitedHealthcare AARP Medicare Advantage Open Plan 3 (PPO)
H0294-026-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 280
Quartz Medicare Advantage Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)
H5262-024-0 		HMO $75 per Quarter No $300 Yes $2,500 Yes No No No No 271
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 249
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 231
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 223
UnitedHealthcare UnitedHealthcare Assisted Living Plan (HMO-POS I-SNP)
H5253-064-0 		HMOPOS $375 per Quarter Yes $1,500 Yes $2,000 Yes No Yes Yes No 223
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 210
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 189
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 171
Quartz Medicare Advantage Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)
H5262-011-0 		HMO $75 per Quarter No $300 Yes $2,000 Yes No No No No 158
Community Care Community Care's Partnership Program (HMO D-SNP)
H2034-001-0 		HMO $15 per Month No $0 No 154
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 140
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 140
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 139
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 113
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 105
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 100
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 92
Molina Healthcare of Wisconsin and Massachusetts Molina Medicare Choice Care (HMO)
H2879-003-0 		HMO $0 per Month No $0 Yes Yes No No No No 88
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 85
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 81
Anthem Blue Cross and Blue Shield Anthem MediBlue Dual Connect (HMO D-SNP)
H9525-012-0 		HMO $55 per Month No $0 Yes $3,000 Yes No Yes Yes No 69
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 66
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 51
Quartz Medicare Advantage Aurora Health Quartz Med Advantage Value (HMO)
H5262-013-0 		HMO $75 per Quarter No $300 Yes $2,000 Yes No No No No 49
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 37
Network Health Medicare Advantage Plans Network PlatinumPremier Pharmacy EGP (PPO)
H5215-808-0 		Local PPO No $0 No 26
Humana HumanaChoice R5361-002 (Regional PPO)
R5361-002-0 		Regional PPO $15 per Quarter No $60 Yes No No Yes No No 21
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 19
Molina Healthcare of Wisconsin and Massachusetts Molina Medicare Complete Care Select (HMO D-SNP)
H2879-005-0 		HMO $115 per Quarter No $460 Yes Yes No No No No 16
Quartz Medicare Advantage Aurora Health Quartz Med Advantage Elite (HMO)
H5262-025-0 		HMO $75 per Quarter No $300 Yes $2,500 Yes No No No No 13
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