Medicare Advantage Plans for Waukesha County, Wisconsin

  • 68 Total Plans
  • 94,872 Seniors Eligible for Medicare
  • 53,417 Seniors on Medicare Advantage (56%)
  • 9 plans with 3,246 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 34 plans with 40,912 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 47% 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 21,771
UnitedHealthcare AARP Medicare Advantage Premier Value (HMO-POS)
H5253-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 5,737
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 3,314
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 2,190
Humana Humana Gold Plus H6622-034 (HMO)
H6622-034-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No No Yes No No 2,168
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 1,307
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 1,216
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 1,098
Aetna Medicare Aetna Medicare Value (PPO)
H5521-195-0 		Local PPO $105 per Quarter No $420 Yes $1,500 No No Yes No No 899
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 898
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 834
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-150-0 		Local PPO $90 per Quarter No $360 Yes $2,000 No No Yes No No 806
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 758
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 700
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 660
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 610
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 603
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 595
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 403
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-826-0 		Local PPO No $0 No 377
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 360
Network Health Medicare Advantage Plans Network PlatinumPremier Pharmacy EGP (PPO)
H5215-808-0 		Local PPO No $0 No 332
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 330
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 327
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 325
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 308
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 293
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 268
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 258
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 Yes No No Yes No No 228
UnitedHealthcare AARP Medicare Advantage Open Plan 3 (PPO)
H0294-026-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 219
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 218
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 213
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 209
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 186
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 166
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 164
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 139
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 137
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 128
Community Care Community Care's PACE Program (PACE)
H5212-001-0 		National PACE No $0 No 125
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-848-0 		Local PPO No $0 No 116
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 114
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 105
Aetna Medicare Aetna Medicare Eagle (PPO)
H5521-286-0 		Local PPO $120 per Quarter No $480 Yes $3,000 No No Yes No No 93
Humana Humana Honor (Regional PPO)
R5361-001-0 		Regional PPO $50 per Quarter Yes $200 Yes No No Yes No No 92
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 91
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 89
Community Care Community Care's Partnership Program (HMO D-SNP)
H2034-001-0 		HMO $15 per Month No $0 No 67
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 64
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 62
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 50
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 50
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 43
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 34
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 31
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 29
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 28
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 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 22
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 19
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 18
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 17
My Choice Wisconsin Health Plan My Choice Wisconsin Partnership Plan (HMO D-SNP)
H5209-002-0 		HMO No $0 No 16
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 16
iCare iCare Family Care Partnership (HMO D-SNP)
H2237-007-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 11
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