Best Medicare Advantage Plans for Home Oxygen Equipment Coverage
Falls Church City, Virginia
| Plan Name | Coverage | Cost Sharing | Premium | Star Rating | Details |
|---|---|---|---|---|---|
|
Humana Gold Choice H8145-004 (PFFS)
Humana · PFFS · H8145/004
|
⚠️ Prior Auth | See plan docs | $7/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage (PPO)
Elevance Health, Inc. · PPO · H4909/014
|
⚠️ Prior Auth | See plan docs | $14/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/009
|
⚠️ Prior Auth | See plan docs | $15/mo | No rating | Plan Profile → |
|
Humana Gold Plus H6622-085 (HMO)
Humana · HMO · H6622/085
|
⚠️ Prior Auth | See plan docs | $16/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-363 (PPO)
Humana · PPO · H5216/363
|
⚠️ Prior Auth | See plan docs | $20/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0003 (PPO)
UnitedHealthcare · PPO · H2001/095
|
⚠️ Prior Auth | See plan docs | $21/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 3 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/051
|
⚠️ Prior Auth | See plan docs | $24/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Standard 2 VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/023
|
⚠️ Prior Auth | See plan docs | $25/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/013
|
⚠️ Prior Auth | See plan docs | $26/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0010 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/089
|
⚠️ Prior Auth | See plan docs | $49/mo | No rating | Plan Profile → |
|
Aetna Medicare Elite (HMO-POS)
CVS Health Corporation · HMO-POS · H3931/190
|
⚠️ Prior Auth | See plan docs | $60/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-027 (PPO)
Humana · PPO · H5216/027
|
⚠️ Prior Auth | See plan docs | $60/mo | No rating | Plan Profile → |
|
Aetna Medicare Elite (PPO)
CVS Health Corporation · PPO · H5521/650
|
⚠️ Prior Auth | See plan docs | $90/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage High VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/008
|
⚠️ Prior Auth | See plan docs | $137/mo | No rating | Plan Profile → |
|
Johns Hopkins Advantage MD Select (HMO)
Johns Hopkins HealthCare · HMO · H1339/001
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/010
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Elite (HMO-POS)
CVS Health Corporation · HMO-POS · H3931/143
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Essentials Plus Giveback H5216-308 (PPO)
Humana · PPO · H5216/308
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Direct Choice Giveback (PPO)
Humana · PPO · H5216/406
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0014 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/120
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Gold Plus H5619-047 (HMO)
Humana · HMO · H5619/047
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Essentials Plus Giveback H7617-100 (PPO)
Humana · PPO · H7617/100
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO)
UnitedHealthcare · PPO · H2001/099
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Liberty (HMO)
Kaiser Foundation Health Plan, Inc. · HMO · H2172/005
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-152 (PPO)
Humana · PPO · H5216/152
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (PPO)
Humana · PPO · H5216/310
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Eagle Giveback (PPO)
CVS Health Corporation · PPO · H5521/322
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (PPO)
Humana · PPO · H7617/101
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
Plans sorted by: no prior auth first, then star rating, then monthly premium.
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Medicare Advantage Coverage for Home Oxygen Equipment in Falls Church City
What is covered?
Medicare Advantage plans must cover the same home oxygen equipment benefits as Original Medicare (Part B), but they can impose different rules — including requiring prior authorization, limiting quantity, or requiring you to use preferred suppliers. The comparison table above shows the specific rules for each plan available in Falls Church City, Virginia.
Prior Authorization
Prior authorization (prior auth or PA) means your doctor must submit documentation to the plan for approval before you can receive home oxygen equipment. This is different from Original Medicare, which generally doesn't require prior auth for most DME. If your plan requires prior auth, work with your doctor to submit the required clinical documentation (e.g., sleep study results for CPAP, physician's order for mobility equipment).
Cost Sharing
After meeting your plan deductible (if any), you typically pay a copay or coinsurance for home oxygen equipment. Original Medicare Part B covers 80% of approved costs, leaving you with 20%. Many Medicare Advantage plans offer lower out-of-pocket costs for DME, especially if you use a preferred (in-network) supplier. Always confirm cost sharing with your plan and supplier before ordering.
Choosing a Supplier in Falls Church City
Use DMEHelper to find accredited home oxygen equipment suppliers in Falls Church City that are enrolled in Medicare. Make sure the supplier accepts your specific Medicare Advantage plan — not all suppliers are in-network with all plans.
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