Capital Blue Cross Medicare Plan Hearing Aid Benefits
34,452 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 |
| Capital Blue Cross |
Capital Blue Cross | WellSpan Health AdvantagePlus (PPO) H3923-030-0 |
Local PPO | $110 per Quarter | No | $440 | Yes | $1,000 | Yes | No | No | No | No | 7,080 |
| Capital Blue Cross |
BlueJourney Classic (PPO) H3923-013-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 6,121 |
| Capital Blue Cross |
BlueJourney Essential (HMO) H3962-007-0 |
HMO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 4,723 |
| Capital Blue Cross |
BlueJourney Prime (PPO) H3923-017-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $1,000 | Yes | No | No | No | No | 2,801 |
| Capital Blue Cross |
Capital Blue Cross Select (PPO) H3923-028-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 2,587 |
| Capital Blue Cross |
BlueJourney Premier (HMO) H3962-001-0 |
HMO | $100 per Quarter | No | $400 | Yes | $1,000 | Yes | No | No | No | No | 2,263 |
| Capital Blue Cross |
Capital Blue Cross Group Rx (CY) (PPO) H3923-801-0 |
Local PPO | No | $0 | No | 1,866 | |||||||
| Capital Blue Cross |
Capital Blue Cross | WellSpan Health Advantage (PPO) H3923-029-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 1,494 |
| Capital Blue Cross |
BlueJourney Value (HMO) H3962-004-0 |
HMO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 1,346 |
| Capital Blue Cross |
Capital Blue Cross Enhanced (PPO) H3923-034-0 |
Local PPO | $110 per Quarter | No | $440 | Yes | $1,200 | Yes | No | No | No | No | 1,183 |
| Capital Blue Cross |
Capital Blue Cross | WellSpan Health Inspire (HMO) H3962-021-0 |
HMO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 823 |
| Capital Blue Cross |
Capital Blue Cross Enhanced (PPO) H3923-035-0 |
Local PPO | $110 per Quarter | No | $440 | Yes | $1,200 | Yes | No | No | No | No | 797 |
| Capital Blue Cross |
Capital Blue Cross Group Rx (CY) (HMO) H3962-801-0 |
HMO | No | $0 | No | 412 | |||||||
| Capital Blue Cross |
Capital Blue Cross Enhanced (PPO) H3923-037-0 |
Local PPO | $125 per Quarter | No | $500 | Yes | $1,200 | No | No | No | No | No | 384 |
| Capital Blue Cross |
Capital Blue Cross Group Rx Complete (CY) (PPO) H3923-818-0 |
Local PPO | No | $0 | No | 323 | |||||||
| Capital Blue Cross |
Capital Blue Cross | WellSpan Health Value (PPO) H3923-031-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $400 | Yes | No | No | No | No | 105 |
| Capital Blue Cross |
Capital Blue Cross Value (PPO) H3923-036-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $400 | No | No | No | No | No | 39 |
| Capital Blue Cross |
Capital Blue Cross Value (PPO) H3923-032-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $400 | Yes | No | No | No | No | 36 |
| Capital Blue Cross |
Capital Blue Cross Value (PPO) H3923-033-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $400 | Yes | No | No | No | No | 35 |
| Capital Blue Cross |
BlueJourney Group PPO Without Rx (PPO) H3923-802-0 |
Local PPO | No | $0 | No | 34 | |||||||
