BSW SeniorCare Advantage Basic (PPO) Hearing Aid Benefits

H2032-002-0

BSW SeniorCare Advantage Basic (PPO)

plan information last updated December 22, 2023

Company: Baylor Scott & White Health Plan
Plan enrollment: 493
Total monthly premium: $0
Max annual payment: $10,000
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: BSWHealthPlan.com/Medicare
Plan member phone number: 866-334-3141
Plan prospect phone number: 866-334-3141

OTC Supplemental Benefits (OTC Catalog May Include OTC Hearing Aids)

Supplemental OTC Benefit Amount Per Period: $30.00
Benefit Amount is Every: Every three months
Can The Benefit Rollover Periods? No
Total Annual OTC Supplmental Benefit: $120.00

IMPORTANT NOTE:

Plans may not include hearing aids in their eligible OTC supplemental items. Please call the plan to verify if they include hearing aids in their OTC supplement catalog.

Prescription Hearing Aid Coverage

Does plan cover hearing aids?: Yes
Can benefits be used for OTC Hearing Aids?: Yes
How many hearing aids does the plan allow? 1 per Every three years
What is the max coverage amount? $1,000
Is the benefit per ear or for both ears combined?: Both ears combined
Is the benefit ONLY available in-network? Only in network
What time period does the coverage apply to? Every three years
Is there a maximum out of pocket cost? No out of pocket maximum
Does the member have to pay Coinsurance? No coinsurance required
Is a CoPay required? No
Is Prior Authorization Needed? No
Is Physician Referral Needed? No

See If Your Hearing Loss Qualifies For No-Cost Hearing Aids

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