Medicare Advantage Plans for Winnebago County, Wisconsin

  • 60 Total Plans
  • 35,800 Seniors Eligible for Medicare
  • 24,251 Seniors on Medicare Advantage (68%)
  • 7 plans with 321 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 38 plans with 22,468 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 64% 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 5,247
UnitedHealthcare AARP Medicare Advantage Walgreens (PPO)
H0294-015-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,064
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-011-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,152
Humana Humana Gold Plus H6622-001 (HMO)
H6622-001-0 		HMO $60 per Quarter Yes $240 Yes No No Yes No No 2,009
Network Health Medicare Advantage Plans Network PlatinumChoice (PPO)
H5215-011-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 1,980
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 959
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 887
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 864
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 685
UnitedHealthcare AARP Medicare Advantage Value (HMO-POS)
H5253-034-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 549
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 527
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 518
Humana HumanaChoice H5216-253 (PPO)
H5216-253-0 		Local PPO $45 per Quarter Yes $180 Yes No No Yes No No 416
UnitedHealthcare AARP Medicare Advantage Patriot Plan 2 (HMO-POS)
H5253-021-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 403
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 401
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 288
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 287
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 257
HealthPartners HealthPartners Robin Birch (PPO)
H4882-004-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 206
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 174
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 173
Aetna Medicare Aetna Medicare Value (PPO)
H5521-283-0 		Local PPO $60 per Quarter No $240 Yes $1,000 No No Yes No No 171
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 168
Humana HumanaChoice H5216-252 (PPO)
H5216-252-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 149
iCare iCare Medicare Plan (HMO D-SNP)
H2237-001-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 112
Humana HumanaChoice H5216-001 (PPO)
H5216-001-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 104
Network Health Medicare Advantage Plans Network PlatinumPlus (PPO)
H5215-001-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 100
UnitedHealthcare UnitedHealthcare Medicare Advantage Assist (PPO C-SNP)
H0294-002-0 		Local PPO $40 per Month No $0 Yes Yes No Yes Yes No 96
Network Health Medicare Advantage Plans NetworkPrime (MSA)
H1181-001-0 		MSA No $0 No 92
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 80
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 79
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 74
Humana Humana Honor (PPO)
H5216-355-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 73
UnitedHealthcare AARP Medicare Advantage Open Plan 1 (PPO)
H0294-004-0 		Local PPO No $0 Yes Yes No Yes Yes No 68
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 60
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 55
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 53
HealthPartners HealthPartners Robin Maple (PPO)
H4882-005-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 51
Humana Humana Gold Choice H8145-006 (PFFS)
H8145-006-0 		PFFS $175 per Quarter Yes $700 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 35
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 34
Humana Humana Value Plus H5216-173 (PPO)
H5216-173-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 31
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 29
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 23
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 23
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 22
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 20
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 20
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 19
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 17
Humana Humana Honor (PPO)
H5216-258-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 16
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 15
Community Care Community Care's Partnership Program (HMO D-SNP)
H2034-001-0 		HMO $15 per Month No $0 No 15
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 14
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 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 12
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 11
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