Best Medicare Advantage Plans for Wound Therapy Coverage
Fredericksburg City, Virginia
| Plan Name | Coverage | Cost Sharing | Premium | Star Rating | Details |
|---|---|---|---|---|---|
|
Humana Gold Choice H8145-004 (PFFS)
Humana · PFFS · H8145/004
|
✅ Covered | See plan docs | $7/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/009
|
✅ Covered | See plan docs | $15/mo | No rating | Plan Profile → |
|
Humana Gold Plus H6622-085 (HMO)
Humana · HMO · H6622/085
|
✅ Covered | See plan docs | $16/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-363 (PPO)
Humana · PPO · H5216/363
|
✅ Covered | See plan docs | $20/mo | No rating | Plan Profile → |
|
Anthem Medicare Advantage 3 (HMO-POS)
Elevance Health, Inc. · HMO-POS · H3447/051
|
✅ Covered | 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
|
✅ Covered | See plan docs | $25/mo | No rating | Plan Profile → |
|
Aetna Medicare Elite (HMO-POS)
CVS Health Corporation · HMO-POS · H3931/190
|
✅ Covered | See plan docs | $60/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-027 (PPO)
Humana · PPO · H5216/027
|
✅ Covered | See plan docs | $60/mo | No rating | Plan Profile → |
|
Aetna Medicare Elite (PPO)
CVS Health Corporation · PPO · H5521/650
|
✅ Covered | 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
|
✅ Covered | See plan docs | $137/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0006 (PPO)
UnitedHealthcare · PPO · H2001/098
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Value 2 VA (HMO-POS)
Kaiser Foundation Health Plan, Inc. · HMO-POS · H2172/024
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage from UHC VA-0018 (PPO)
UnitedHealthcare · PPO · H2406/125
|
✅ 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 → |
|
Aetna Medicare Elite (HMO-POS)
CVS Health Corporation · HMO-POS · H3931/143
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Essentials Plus Giveback H5216-308 (PPO)
Humana · PPO · H5216/308
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-408 (PPO)
Humana · PPO · H5216/408
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Gold Plus H6622-083 (HMO)
Humana · HMO · H6622/083
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Total Complete H6622-091 (HMO)
Humana · HMO · H6622/091
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana Essentials Plus Giveback H7617-100 (PPO)
Humana · PPO · H7617/100
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO)
UnitedHealthcare · PPO · H2001/099
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Kaiser Permanente Medicare Advantage Liberty (HMO)
Kaiser Foundation Health Plan, Inc. · HMO · H2172/005
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
HumanaChoice H5216-152 (PPO)
Humana · PPO · H5216/152
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (PPO)
Humana · PPO · H5216/310
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Aetna Medicare Eagle Giveback (PPO)
CVS Health Corporation · PPO · H5521/322
|
✅ Covered | See plan docs | $0/mo | No rating | Plan Profile → |
|
Humana USAA Honor Giveback (PPO)
Humana · PPO · H7617/101
|
✅ Covered | 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 Wound Therapy?
Find accredited DME suppliers in Fredericksburg City that accept your Medicare Advantage plan.
Medicare Advantage Coverage for Wound Therapy in Fredericksburg City
What is covered?
Medicare Advantage plans must cover the same wound therapy 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 Fredericksburg 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 therapy. 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 therapy. 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 Fredericksburg City
Use DMEHelper to find accredited wound therapy suppliers in Fredericksburg 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.
Other Counties in Virginia
Find Wound Therapy Suppliers in Fredericksburg City
Browse Medicare-enrolled wound therapy suppliers near you — compare accreditation, NPI status, and contact info.
Search by ZIP code or city