Molina Medicare Complete Care Select (HMO D-SNP) Hearing Aid Benefits

H2879-005-0

Molina Medicare Complete Care Select (HMO D-SNP)

plan information last updated December 22, 2023

Company: Molina Healthcare of Wisconsin and Massachusetts
Plan enrollment: 22
Total monthly premium: $0
Max annual payment: No Maximum Payment
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: www.molinahealthcare.com/medicare
Plan member phone number: 855-315-5663
Plan prospect phone number: 844-246-2857

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

Supplemental OTC Benefit Amount Per Period: $115.00
Benefit Amount is Every: Every three months
Can The Benefit Rollover Periods? No
Total Annual OTC Supplmental Benefit: $460.00

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? 2 per Every two years
What is the max coverage amount? No maximum
Is the benefit ONLY available in-network? Can be out of network
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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