Saint Alphonsus Health Plan Medicare Plan Hearing Aid Benefits
1,912 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 |
Saint Alphonsus Health Plan |
Saint Alphonsus Health Plan No Premium (HMO) H6910-001-0 |
HMO | $105 per Quarter | No | $420 | Yes | No | No | Yes | No | No | 1,188 | |
Saint Alphonsus Health Plan |
Saint Alphonsus Health Plan Plus (HMO) H6910-003-0 |
HMO | $105 per Quarter | No | $420 | Yes | No | No | Yes | No | No | 431 | |
Saint Alphonsus Health Plan |
Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO) H6910-005-0 |
HMO | $110 per Quarter | No | $440 | Yes | No | No | Yes | No | No | 155 | |
Saint Alphonsus Health Plan |
Saint Alphonsus Health Plan Cash Back No Premium 2 (HMO) H6910-004-0 |
HMO | $80 per Quarter | No | $320 | Yes | No | No | Yes | No | No | 115 | |
Saint Alphonsus Health Plan |
Saint Alphonsus Health Plan No Premium Choice (PPO) H3828-001-0 |
Local PPO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 23 |