Blue Cross Medicare Advantage Classic (PPO) Hearing Aid Benefits

H4801-006-0

Blue Cross Medicare Advantage Classic (PPO)

plan information last updated December 22, 2023

Company: Blue Cross and Blue Shield of OK, TX
Plan enrollment: 165
Total monthly premium: $0
Max annual payment: $11,300
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: getbluetx.com/mapd
Plan member phone number: 877-774-8592
Plan prospect phone number: 877-583-8129

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

This plan does not have any OTC supplement benefits

Prescription Hearing Aid Coverage

Does plan cover hearing aids?: Yes
Can benefits be used for OTC Hearing Aids?: No
How many hearing aids does the plan allow? 2 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? Can be out of 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

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