Anthem Blue Cross and Blue Shield Medicare Plan Hearing Aid Benefits
872,671 Total Members
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? | Enrollees |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Preferred (HMO) H3655-045-4 |
HMO | $75 per Quarter | Yes | $300 | Yes | $3,000 | Yes | No | Yes | Yes | No | 206,289 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 130,202 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-802-0 |
Local PPO | No | $0 | No | 82,869 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H9525-013-4 |
HMO | $100 per Quarter | Yes | $400 | Yes | $3,000 | Yes | No | Yes | Yes | No | 63,888 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H3655-033-0 |
HMO | $205 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 40,687 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H9525-007-0 |
HMO | $130 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 26,859 |
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus Dual Connect (HMO D-SNP) H1732-003-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 18,260 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage Select (HMO D-SNP) H5854-013-0 |
HMO | $0 per Month | No | $0 | Yes | $2,000 | Yes | No | Yes | Yes | No | 16,433 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4909-014-0 |
Local PPO | No | $0 | Yes | $1,000 | Yes | No | Yes | Yes | No | 15,893 | |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Preferred (PPO) H1607-015-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $3,000 | Yes | No | Yes | Yes | No | 14,138 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Preferred Plus (HMO) H3655-042-0 |
HMO | $90 per Quarter | Yes | $360 | Yes | $3,000 | Yes | No | Yes | Yes | No | 13,979 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Basic (Regional PPO) R4487-001-0 |
Regional PPO | $35 per Quarter | Yes | $140 | Yes | $2,000 | Yes | No | Yes | Yes | No | 12,137 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H9525-004-0 |
HMO | $65 per Quarter | Yes | $260 | Yes | $3,000 | Yes | No | Yes | Yes | No | 10,797 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H7093-002-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $1,500 | Yes | No | Yes | Yes | No | 10,307 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H9525-003-0 |
HMO | $175 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 10,234 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Basic (PPO) H4909-016-0 |
Local PPO | $67 per Quarter | Yes | $268 | Yes | $3,000 | Yes | No | Yes | Yes | No | 9,939 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4036-025-0 |
Local PPO | $107 per Quarter | Yes | $428 | Yes | $3,000 | Yes | No | Yes | Yes | No | 9,336 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Plus (PPO) H4036-020-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $1,500 | Yes | No | Yes | Yes | No | 9,195 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Basic (Regional PPO) R5941-014-0 |
Regional PPO | No | $0 | Yes | $2,000 | Yes | No | Yes | Yes | No | 8,762 | |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Select (PPO) H2836-005-0 |
Local PPO | No | $0 | Yes | $1,000 | Yes | No | Yes | Yes | No | 8,510 | |
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus (HMO) H1732-004-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $1,500 | No | No | Yes | Yes | No | 7,532 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H9525-006-0 |
HMO | $65 per Quarter | Yes | $260 | Yes | $3,000 | Yes | No | Yes | Yes | No | 7,256 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H5422-011-0 |
HMO | No | $0 | Yes | $1,000 | Yes | No | Yes | Yes | No | 6,648 | |
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus Select (HMO) H1732-007-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $1,500 | No | No | Yes | Yes | No | 6,267 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Extra (HMO) H3655-041-0 |
HMO | $125 per Quarter | Yes | $500 | Yes | $3,000 | Yes | No | Yes | Yes | No | 5,707 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Select (HMO) H5854-010-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $2,000 | Yes | No | Yes | Yes | No | 5,649 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Preferred (PPO) H4909-024-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $3,000 | No | No | Yes | Yes | No | 5,112 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Basic (PPO) H7728-006-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $2,000 | No | No | Yes | Yes | No | 4,810 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Prime Select (HMO) H3655-038-0 |
HMO | $150 per Quarter | Yes | $600 | Yes | $3,000 | No | No | Yes | Yes | No | 4,733 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H7728-013-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $3,000 | No | No | Yes | Yes | No | 4,470 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Plus (PPO) H7728-009-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $3,000 | No | No | Yes | Yes | No | 4,166 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H4036-022-0 |
Local PPO | $150 per Quarter | Yes | $600 | Yes | $3,000 | Yes | No | Yes | Yes | No | 3,808 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Access (PPO D-SNP) H2836-006-0 |
Local PPO | $140 per Quarter | Yes | $560 | Yes | $3,000 | Yes | No | Yes | Yes | No | 3,508 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H5422-007-0 |
HMO | $300 per Quarter | Yes | $1,200 | Yes | $3,000 | Yes | No | Yes | Yes | No | 3,355 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H4346-017-0 |
HMO | $30 per Quarter | Yes | $120 | Yes | $3,000 | Yes | No | Yes | Yes | No | 3,111 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4909-022-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $3,000 | No | No | Yes | Yes | No | 3,087 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Plus (PPO) H4036-017-0 |
Local PPO | $100 per Quarter | Yes | $400 | Yes | $2,000 | Yes | No | Yes | Yes | No | 3,050 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Access (PPO) H4036-023-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $3,000 | No | No | Yes | Yes | No | 2,904 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H7093-001-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | $2,000 | Yes | No | Yes | Yes | No | 2,797 |
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus (HMO) H1732-006-0 |
HMO | $40 per Quarter | Yes | $160 | Yes | $2,000 | No | No | Yes | Yes | No | 2,411 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Access (PPO D-SNP) H4909-018-0 |
Local PPO | $330 per Quarter | Yes | $1,320 | Yes | $3,000 | Yes | No | Yes | Yes | No | 2,376 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP) H5422-016-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 2,289 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Access (PPO) H4909-025-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $3,000 | No | No | Yes | Yes | No | 2,213 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H7728-005-0 |
Local PPO | $35 per Quarter | Yes | $140 | Yes | $2,000 | No | No | Yes | Yes | No | 2,192 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H4036-024-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | $2,000 | Yes | No | Yes | Yes | No | 2,167 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Plus (PPO) H1607-012-0 |
Local PPO | $38 per Quarter | Yes | $152 | Yes | $3,000 | Yes | No | Yes | Yes | No | 2,160 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Access (PPO) H7728-012-0 |
Local PPO | $35 per Quarter | Yes | $140 | No | 2,134 | ||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4036-008-0 |
Local PPO | $44 per Quarter | Yes | $176 | Yes | $3,000 | Yes | No | Yes | Yes | No | 2,063 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Extra (HMO) H5422-013-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | $2,000 | Yes | No | Yes | Yes | No | 1,931 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H5854-008-0 |
HMO | $100 per Quarter | Yes | $400 | No | 1,900 | ||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H4346-012-0 |
HMO | $25 per Quarter | Yes | $100 | Yes | $500 | Yes | No | Yes | Yes | No | 1,876 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP) H3655-044-0 |
HMO | $250 per Quarter | Yes | $1,000 | Yes | $3,000 | No | No | Yes | Yes | No | 1,862 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-807-0 |
Local PPO | No | $0 | No | 1,796 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Core (Regional PPO) R5941-013-0 |
Regional PPO | $130 per Quarter | Yes | $520 | Yes | $3,000 | Yes | No | Yes | Yes | No | 1,772 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP) H9525-010-0 |
HMO | $250 per Quarter | Yes | $1,000 | Yes | $3,000 | No | No | Yes | Yes | No | 1,772 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Select Plus (HMO) H3536-006-0 |
HMO | $45 per Quarter | Yes | $180 | Yes | $1,500 | Yes | No | Yes | Yes | No | 1,760 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H3655-034-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | $3,000 | Yes | No | Yes | Yes | No | 1,728 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Access (PPO D-SNP) H7728-011-0 |
Local PPO | $335 per Quarter | Yes | $1,340 | Yes | $3,000 | No | No | Yes | Yes | No | 1,727 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H4909-015-0 |
Local PPO | $62 per Quarter | Yes | $248 | Yes | $3,000 | Yes | No | Yes | Yes | No | 1,593 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Extra (HMO) H5854-011-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $2,000 | Yes | No | Yes | Yes | No | 1,503 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Coordination Plus (HMO) H3536-004-0 |
HMO | $150 per Quarter | Yes | $600 | Yes | $1,500 | Yes | No | Yes | Yes | No | 1,487 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access (PPO) H7728-002-0 |
Local PPO | No | $0 | No | 1,473 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Value Plus (HMO) H4346-001-0 |
HMO | $10 per Quarter | Yes | $40 | Yes | $3,000 | Yes | No | Yes | Yes | No | 1,407 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H4909-023-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | $2,000 | Yes | No | Yes | Yes | No | 1,238 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger Access (PPO) H4909-026-0 |
Local PPO | $75 per Quarter | Yes | $300 | No | 1,230 | ||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Enhanced Care (HMO D-SNP) H5422-018-0 |
HMO | $0 per Month | No | $0 | Yes | $2,000 | Yes | No | Yes | Yes | No | 1,221 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H3536-002-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $1,000 | Yes | No | Yes | Yes | No | 1,151 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Preferred (PPO) H4036-026-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $2,000 | Yes | No | Yes | Yes | No | 1,114 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H4346-014-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 1,053 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H4909-020-0 |
Local PPO | $50 per Quarter | Yes | $200 | Yes | $1,000 | Yes | No | Yes | Yes | No | 1,036 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Diabetes Care (HMO C-SNP) H4346-006-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | $3,000 | Yes | No | Yes | Yes | No | 995 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (PPO) H4909-021-0 |
Local PPO | $75 per Quarter | Yes | $300 | Yes | $2,000 | Yes | No | Yes | Yes | No | 951 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue + Kroger (HMO) H5422-017-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $1,000 | No | No | Yes | Yes | No | 903 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Access Select Plus (PPO) H7728-010-0 |
Local PPO | $60 per Quarter | Yes | $240 | Yes | $1,000 | No | No | Yes | Yes | No | 856 |
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus (HMO) H1732-005-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $2,000 | No | No | Yes | Yes | No | 847 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Advantage (HMO D-SNP) H4346-025-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 832 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Care On Site (HMO I-SNP) H4346-010-0 |
HMO | $200 per Quarter | Yes | $800 | Yes | $3,000 | Yes | No | Yes | Yes | No | 717 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H5854-009-0 |
HMO | No | $0 | No | 666 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Access (PPO D-SNP) H4909-028-0 |
Local PPO | $125 per Month | No | $1,500 | Yes | $3,000 | No | No | Yes | Yes | No | 624 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Service (HMO) H5422-014-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | $1,000 | Yes | No | Yes | Yes | No | 577 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue StartSmart Plus (HMO) H4346-009-0 |
HMO | $30 per Quarter | Yes | $120 | Yes | $3,000 | Yes | No | Yes | Yes | No | 494 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H4346-019-0 |
HMO | $30 per Quarter | Yes | $120 | Yes | $1,500 | Yes | No | Yes | Yes | No | 491 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Essential (HMO) H5422-008-0 |
HMO | $57 per Quarter | Yes | $228 | Yes | $2,000 | No | No | Yes | Yes | No | 477 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Prime (HMO) H5854-015-0 |
HMO | $325 per Quarter | Yes | $1,300 | Yes | $1,500 | No | No | Yes | Yes | No | 378 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Connect (HMO D-SNP) H4346-026-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 314 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-809-0 |
Local PPO | No | $0 | No | 298 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H5854-007-0 |
HMO | No | $0 | No | 285 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Care To You (HMO I-SNP) H5854-014-0 |
HMO | $380 per Quarter | Yes | $1,520 | Yes | $2,000 | Yes | No | Yes | Yes | No | 206 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Lung Care (HMO C-SNP) H4346-005-0 |
HMO | $10 per Quarter | Yes | $40 | Yes | $3,000 | Yes | No | Yes | Yes | No | 182 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H9525-015-0 |
HMO | $60 per Quarter | Yes | $240 | Yes | $3,000 | Yes | No | Yes | Yes | No | 171 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Heart Care (HMO C-SNP) H4346-008-0 |
HMO | $10 per Quarter | Yes | $40 | Yes | $3,000 | No | No | Yes | Yes | No | 167 |
Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage (HMO) H3655-801-0 |
HMO | No | $0 | No | 165 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-806-0 |
Local PPO | No | $0 | No | 138 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Dual Connect (HMO D-SNP) H9525-012-0 |
HMO | $55 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 129 |
ANTHEM BLUE CROSS AND BLUE SHIELD |
Empire MediBlue HealthPlus Dual Plus (HMO D-SNP) H1732-001-0 |
HMO | $0 per Month | No | $0 | Yes | $3,000 | Yes | No | Yes | Yes | No | 121 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue Plus (HMO) H4346-024-0 |
HMO | $30 per Quarter | Yes | $120 | Yes | $3,000 | No | No | Yes | Yes | No | 121 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue ESRD Care (HMO C-SNP) H9525-011-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | $3,000 | Yes | No | Yes | Yes | No | 103 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue ESRD Care (HMO-POS C-SNP) H5854-012-0 |
HMOPOS | $100 per Quarter | Yes | $400 | Yes | $2,000 | Yes | No | Yes | Yes | No | 68 |
Anthem Blue Cross and Blue Shield |
Anthem MediBlue ESRD Care (HMO C-SNP) H5422-015-0 |
HMO | $35 per Quarter | Yes | $140 | Yes | $2,000 | Yes | No | Yes | Yes | No | 32 |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-819-0 |
Local PPO | No | $0 | No | 19 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem Senior Advantage (HMO) H3655-803-0 |
HMO | No | $0 | No | 14 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem MediBlue ESRD Care (HMO C-SNP) H4346-029-0 |
HMO | $25 per Quarter | Yes | $100 | Yes | $500 | Yes | No | Yes | Yes | No | 11 |