MediGold Medicare Plan Hearing Aid Benefits

39,199 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
MediGold MediGold Mount Carmel No Premium (HMO)
H3668-019-2 		HMO $110 per Quarter No $440 Yes No No Yes No No 18,517
MediGold MediGold Mount Carmel Premier (HMO)
H3668-018-2 		HMO $125 per Quarter No $500 Yes No No Yes No No 15,864
MediGold MediGold Mount Carmel Plus (HMO)
H3668-022-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 743
MediGold MediGold Mount Carmel Cash Back No Premium (HMO)
H3668-030-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 611
MediGold MediGold MercyOne Medicare Plan No Premium (HMO)
H3668-025-0 		HMO $105 per Quarter No $420 Yes No No Yes No No 607
MediGold MediGold Mount Carmel Trinity EGWP (HMO)
H3668-802-0 		HMO No $0 No 474
MediGold MediGold Mount Carmel Choice (PPO)
H1846-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 463
MediGold MediGold Mount Carmel No Premium Choice (PPO)
H1846-005-0 		Local PPO $105 per Quarter No $420 Yes No No Yes No No 463
MediGold MediGold Mount Carmel Cash Back No Premium MA Only (HMO)
H3668-013-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 411
MediGold MediGold Mount Carmel No Premium (HMO)
H3668-020-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 268
MediGold MediGold No Premium (HMO)
H9827-001-0 		HMO $105 per Quarter No $420 Yes No No Yes No No 163
MediGold MediGold MercyOne Medicare Plan No Premium Choice (PPO)
H1846-007-0 		Local PPO $110 per Quarter No $440 Yes No No Yes No No 158
MediGold MediGold Mount Carmel Plus (HMO)
H3668-023-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 133
MediGold MediGold MercyOne Medicare Plan Plus (HMO)
H3668-026-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 109
MediGold MediGold MercyOne Medicare Plan Cash Back MAPD (HMO)
H3668-031-0 		HMO $115 per Quarter No $460 Yes No No Yes No No 72
MediGold MediGold Plus (HMO)
H9827-002-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 52
MediGold MediGold Mount Carmel No Premium Choice (PPO)
H1846-006-0 		Local PPO $105 per Quarter No $420 Yes No No Yes No No 36
MediGold MediGold MercyOne Medicare Plan Cash Back (HMO)
H3668-029-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 36
MediGold MediGold Cash Back No Premium (HMO)
H9827-004-0 		HMO $110 per Quarter No $440 Yes No No Yes No No 19

Plan Claims Contact Information

Organization Name: Medi Gold
Contact Name: Jason Conner
Title: Director, Claims Operations & System Configuration
Phone: 1-740-972-1492
Email: jconner@mchs.com
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