Medicare Advantage Plans for Washington County, Wisconsin

  • 56 Total Plans
  • 30,898 Seniors Eligible for Medicare
  • 18,271 Seniors on Medicare Advantage (59%)
  • 7 plans with 1,198 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 14,641 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 51% 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 7,170
UnitedHealthcare AARP Medicare Advantage Premier Value (HMO-POS)
H5253-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,081
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 1,604
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 838
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No No Yes No No 832
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 505
Aetna Medicare Aetna Medicare Value (PPO)
H5521-195-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 412
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 378
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 311
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 303
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 294
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-150-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 272
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 257
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 196
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 184
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 180
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 175
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 161
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 143
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 142
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 125
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 119
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 113
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 100
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 99
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 80
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 80
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 78
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 72
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 62
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 61
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 55
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 54
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 54
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 49
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 48
UnitedHealthcare AARP Medicare Advantage Open Plan 3 (PPO)
H0294-026-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 48
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 38
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 37
Community Care Community Care's Partnership Program (HMO D-SNP)
H2034-001-0 		HMO $15 per Month No $0 No 33
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 32
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-848-0 		Local PPO No $0 No 28
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 27
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 25
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 25
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 23
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 23
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 18
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 15
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 13
My Choice Wisconsin Health Plan My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)
H5209-004-0 		HMO $155 per Month Yes $0 No 12
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 12
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 11
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 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
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