Best Medicare Advantage Plans for Upper Limb Prostheses Coverage
Galax 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 → |
|
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 → |
|
Aetna Medicare Enhanced Plus (PPO)
CVS Health Corporation · PPO · H5521/084
|
⚠️ Prior Auth | See plan docs | $26/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0006 (PPO)
UnitedHealthcare · PPO · H2001/098
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0018 (PPO)
UnitedHealthcare · PPO · H2406/125
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 3 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/052
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Signature (HMO-POS)
CVS Health Corporation · HMO-POS · H3931/101
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Value Choice H5216-266 (PPO)
Humana · PPO · H5216/266
|
⚠️ 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 → |
|
HumanaChoice H5216-408 (PPO)
Humana · PPO · H5216/408
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Signature (PPO)
CVS Health Corporation · PPO · H5521/484
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Gold Plus H6622-083 (HMO)
Humana · HMO · H6622/083
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Total Complete H6622-091 (HMO)
Humana · HMO · H6622/091
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
DEVOTED CORE 001 VA (HMO)
Devoted Health, Inc. · HMO · H6994/001
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
DEVOTED GIVEBACK 002 VA (HMO)
Devoted Health, Inc. · HMO · H6994/002
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Value Choice H7617-098 (PPO)
Humana · PPO · H7617/098
|
⚠️ 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 → |
|
Anthem Veteran (PPO)
Elevance Health, Inc. · PPO · H4909/020
|
⚠️ 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 → |
|
Humana Gold Choice H8145-042 (PFFS)
Humana · PFFS · H8145/042
|
⚠️ Prior Auth | See plan docs | $0/mo | No rating | Plan Profile → |
Plans sorted by: no prior auth first, then star rating, then monthly premium.
Ready to get your Upper Limb Prostheses?
Find accredited DME suppliers in Galax City that accept your Medicare Advantage plan.
Medicare Advantage Coverage for Upper Limb Prostheses in Galax City
What is covered?
Medicare Advantage plans must cover the same upper limb prostheses 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 Galax 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 upper limb prostheses. 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 upper limb prostheses. 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 Galax City
Use DMEHelper to find accredited upper limb prostheses suppliers in Galax 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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