Best Medicare Advantage Plans for Wound Care Coverage
Bristol City, Virginia
| Plan Name | Coverage | Cost Sharing | Premium | Star Rating | Details |
|---|---|---|---|---|---|
|
Humana Gold Plus H5619-091 (HMO)
Humana · HMO · H5619/091
|
✅ Covered | See plan docs | $10/mo | No rating | Plan Profile → |
|
Humana Gold Choice H8145-091 (PFFS)
Humana · PFFS · H8145/091
|
✅ Covered | See plan docs | $15/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-100 (PPO)
Humana · PPO · H5216/100
|
✅ Covered | See plan docs | $33/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC TC-0003 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/048
|
✅ Covered | See plan docs | $42/mo | No rating | Plan Profile → |
|
Humana Gold Plus H5619-090 (HMO)
Humana · HMO · H5619/090
|
✅ Covered | See plan docs | $74/mo | No rating | Plan Profile → |
|
UHC Medicare Advantage TC-0001 (PPO)
UnitedHealthcare · PPO · H2001/104
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 2 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/025
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 3 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/052
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-271 (PPO)
Humana · PPO · H5216/271
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC TC-0002 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/047
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/121
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Gold Plus H5619-095 (HMO)
Humana · HMO · H5619/095
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
DEVOTED CORE 001 VA (HMO)
Devoted Health, Inc. · HMO · H6994/001
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
DEVOTED GIVEBACK 002 VA (HMO)
Devoted Health, Inc. · HMO · H6994/002
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Anthem Veteran (PPO)
Elevance Health, Inc. · PPO · H4909/020
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Patriot No Rx TC-MA01 (HMO-POS)
UnitedHealthcare · HMO-POS · H5253/113
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (HMO)
Humana · HMO · H5619/151
|
✅ Covered | 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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Find accredited DME suppliers in Bristol City that accept your Medicare Advantage plan.
Medicare Advantage Coverage for Wound Care in Bristol City
What is covered?
Medicare Advantage plans must cover the same wound care 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 Bristol 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 wound care. 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 wound care. 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 Bristol City
Use DMEHelper to find accredited wound care suppliers in Bristol 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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