Medicare Advantage Plans for Pendleton County, West Virginia

  • 18 Total Plans
  • 2,264 Seniors Eligible for Medicare
  • 948 Seniors on Medicare Advantage (42%)
  • 1 plans with 54 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 9 plans with 315 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 16% 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? West Virginia Enrollees
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 305
Humana HumanaChoice H5216-182 (PPO)
H5216-182-0 		Local PPO No $0 Yes No No Yes No No 112
Humana Humana Gold Choice H8145-052 (PFFS)
H8145-052-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 59
Humana HumanaChoice H5216-327 (PPO)
H5216-327-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 54
Humana HumanaChoice SNP-DE H5216-220 (PPO D-SNP)
H5216-220-0 		Local PPO $840 per Month No $0 Yes No No Yes No No 54
Humana HumanaChoice H5216-021 (PPO)
H5216-021-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 49
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-013-0 		Local PPO $135 per Month No $0 Yes $2,000 Yes No Yes Yes No 49
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H8211-001-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 29
Aetna Medicare Aetna Medicare Advantra Silver (HMO-POS)
H1692-002-0 		HMOPOS $135 per Quarter No $540 Yes $2,500 No No Yes No No 26
Aetna Medicare Aetna Medicare Advantra Value (PPO)
H1608-040-0 		Local PPO $105 per Quarter No $420 Yes $1,000 No No Yes No No 25
Humana HumanaChoice H5216-328 (PPO)
H5216-328-0 		Local PPO No $0 Yes No No Yes Yes No 20
Highmark Blue Cross Blue Shield Freedom Blue PPO Standard (PPO)
H5106-013-0 		Local PPO No $0 Yes $500 No No Yes No No 15
UnitedHealthcare AARP Medicare Advantage Choice Flex (PPO)
H8211-006-0 		Local PPO No $0 Yes Yes No Yes Yes No 15
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H1692-005-0 		HMO $200 per Month No $0 Yes $4,000 No No Yes No No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 13
Humana HumanaChoice H5216-124 (PPO)
H5216-124-0 		Local PPO No $0 Yes No No Yes No No 11
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H8211-002-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 11
West Virginia Senior Advantage WV Senior Advantage (HMO I-SNP)
H9153-001-0 		HMO No $0 Yes $1,900 No No No Yes No 11
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