Essence Advantage (HMO)
plan information last updated December 22, 2023
Company: Essence Healthcare
Plan enrollment: 37,934
Total monthly premium: $0
Max annual payment: No Maximum Payment
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: www.essencehealthcare.com
Plan member phone number: 866-597-9560
Plan prospect phone number: 866-509-5399
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 two 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 two 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
We recommend taking MDHearing's free online hearing test. The test takes 5 minutes, and includes a no-cost telemedicine consultation with a licensed hearing professional from MDHearing
Take Free Online Hearing Screening Test