Medicare Advantage Plans for Outagamie County, Wisconsin

  • 57 Total Plans
  • 37,095 Seniors Eligible for Medicare
  • 25,710 Seniors on Medicare Advantage (69%)
  • 6 plans with 347 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 37 plans with 24,069 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 66% 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
Network Health Medicare Advantage Plans Network PlatinumSelect (PPO)
H5215-008-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 6,293
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H0294-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 5,188
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 1,893
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-011-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,670
Network Health Medicare Advantage Plans Network PlatinumChoice (PPO)
H5215-011-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,454
Network Health Medicare Advantage Plans Network Health Medicare Advantage PlatinumZero (PPO)
H5215-012-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 1,109
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 928
Anthem Blue Cross and Blue Shield Anthem MediBlue Plus (HMO)
H9525-006-0 		HMO $65 per Quarter Yes $260 Yes $3,000 Yes No Yes Yes No 678
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 530
Network Health Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO)
H5215-002-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 522
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-034-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 508
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 442
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 385
HealthPartners HealthPartners Robin Birch (PPO)
H4882-004-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 375
Network Health Medicare Advantage Plans NetworkCares (PPO D-SNP)
H5215-007-0 		Local PPO $175 per Quarter No $700 Yes No No Yes No No 372
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 338
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 281
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 228
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 181
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 165
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 141
Network Health Medicare Advantage Plans Network PlatinumPremier Pharmacy (PPO)
H5215-005-0 		Local PPO $225 per Quarter No $900 Yes $75 No No Yes No No 137
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 125
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 105
Aetna Medicare Aetna Medicare Value (PPO)
H5521-283-0 		Local PPO $60 per Quarter No $240 Yes $1,000 No No Yes No No 98
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 95
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 91
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 83
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 75
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 73
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 73
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 69
Network Health Medicare Advantage Plans Network PlatinumPlus (PPO)
H5215-001-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 67
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 66
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 62
Network Health Medicare Advantage Plans Network Health Armor (PPO)
H5215-013-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 58
HealthPartners HealthPartners Robin Maple (PPO)
H4882-005-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 54
Community Care Community Care's Partnership Program (HMO D-SNP)
H2034-001-0 		HMO $15 per Month No $0 No 53
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 46
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
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 37
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 34
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 34
Network Health Medicare Advantage Plans Network PlatinumPremier (PPO)
H5215-006-0 		Local PPO $225 per Quarter No $900 Yes $75 No No Yes No No 31
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 30
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 27
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 25
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 24
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 23
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 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 22
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 18
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 14
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 12
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 11
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