Wellpoint Medicare Plan Hearing Aid Benefits

171,120 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
Wellpoint Amerivantage Dual Coordination Plus (HMO D-SNP)
H8849-010-5 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 27,799
Wellpoint Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No No Yes Yes No 24,806
Wellpoint Amerivantage Dual Premier (HMO D-SNP)
H5828-002-0 		HMO $180 per Month No $0 Yes $3,000 Yes No Yes Yes No 24,265
Wellpoint Amerivantage Select Plus (HMO)
H8849-009-0 		HMO $200 per Quarter Yes $800 Yes $3,000 Yes No Yes Yes No 15,082
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 14,979
Wellpoint Amerivantage Classic Plus (HMO-POS)
H5828-005-0 		HMOPOS $168 per Quarter Yes $672 Yes $3,000 No No Yes Yes No 14,668
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H0907-001-0 		HMO $175 per Month No $0 Yes $3,000 Yes No Yes Yes No 7,834
Wellpoint Amerivantage Balance Plus (HMO)
H5828-008-0 		HMO $230 per Quarter Yes $920 Yes $3,000 Yes No Yes Yes No 6,516
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 4,658
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-032-0 		HMO $0 per Month No $0 Yes $1,500 Yes No Yes Yes No 3,717
Wellpoint Amerivantage Select Plus (HMO)
H8849-006-0 		HMO $144 per Quarter Yes $576 Yes $3,000 Yes No Yes Yes No 3,338
Wellpoint Amerivantage Classic (HMO)
H2593-029-0 		HMO No $0 No 2,488
Wellpoint Amerivantage Dual Secure Plus (HMO D-SNP)
H8849-011-5 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 2,345
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 2,191
Wellpoint Amerivantage Classic Plus (HMO)
H1423-004-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 1,988
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H1894-002-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 1,982
Wellpoint Amerivantage Classic (HMO)
H1894-001-0 		HMO $100 per Quarter Yes $400 Yes $500 No No Yes Yes No 1,416
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H2593-021-0 		HMO $255 per Quarter Yes $1,020 Yes $2,000 No No Yes Yes No 1,403
Wellpoint Amerivantage Diabetes Care Plus (HMO C-SNP)
H1423-002-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 1,147
Wellpoint Amerivantage Smart Value Plus (HMO)
H1423-005-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 986
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 925
Wellpoint Amerivantage Classic (HMO)
H2593-001-0 		HMO $25 per Quarter Yes $100 Yes $1,000 Yes No Yes Yes No 876
Wellpoint Amerivantage Classic (HMO)
H2593-022-0 		HMO $45 per Quarter Yes $180 Yes $2,000 No No Yes Yes No 728
Wellpoint Amerivantage Plus (HMO)
H1423-009-0 		HMO $55 per Quarter Yes $220 Yes $1,500 Yes No Yes Yes No 634
Wellpoint Amerivantage Comfort Plus (HMO I-SNP)
H1423-007-0 		HMO $200 per Quarter Yes $800 Yes $3,000 Yes No Yes Yes No 529
Wellpoint Amerivantage Diabetes Care Plus (HMO C-SNP)
H8849-001-0 		HMO $75 per Month No $0 Yes $3,000 Yes No Yes Yes No 460
Wellpoint Amerivantage Diabetes Care Plus (HMO C-SNP)
H8849-003-0 		HMO $75 per Month No $0 Yes $3,000 Yes No Yes Yes No 387
Wellpoint Amerivantage Full Dual Coordination (HMO D-SNP)
H5828-001-0 		HMO $235 per Month No $0 Yes $3,000 Yes No Yes Yes No 354
Wellpoint Amerivantage ESRD Care (HMO-POS C-SNP)
H3240-017-0 		HMOPOS $150 per Quarter Yes $600 Yes $2,000 Yes No Yes Yes No 332
Wellpoint Amerivantage Diabetes Care (HMO C-SNP)
H2593-006-0 		HMO $25 per Quarter Yes $100 Yes $1,500 Yes No Yes Yes No 323
Wellpoint Amerivantage Heart Care Plus (HMO C-SNP)
H1423-003-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No No Yes Yes No 282
Wellpoint Amerivantage Lung Care Plus (HMO C-SNP)
H1423-001-0 		HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 264
Wellpoint Amerivantage ESRD Care (HMO-POS C-SNP)
H2593-031-0 		HMOPOS $100 per Quarter Yes $400 Yes $2,000 Yes No Yes Yes No 241
Wellpoint Amerivantage ESRD Care Plus (HMO C-SNP)
H2593-043-0 		HMO $90 per Quarter Yes $360 Yes $3,000 Yes No Yes Yes No 237
Wellpoint Amerivantage Comfort Plus (HMO I-SNP)
H1423-008-0 		HMO $200 per Quarter Yes $800 Yes $3,000 Yes No Yes Yes No 235
Wellpoint Amerivantage Heart Care Plus (HMO C-SNP)
H8849-012-0 		HMO $195 per Quarter Yes $780 Yes $3,000 No No Yes Yes No 123
Wellpoint Amerivantage Heart Care Plus (HMO C-SNP)
H8849-004-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No No Yes Yes No 94
Wellpoint Amerivantage Comfort Plus (HMO I-SNP)
H8849-002-0 		HMO $200 per Quarter Yes $800 Yes $3,000 Yes No Yes Yes No 89
Wellpoint Amerivantage Heart Care (HMO C-SNP)
H2593-013-0 		HMO $25 per Quarter Yes $100 Yes $1,500 No No Yes Yes No 77
Wellpoint Amerivantage Lung Care (HMO C-SNP)
H2593-005-0 		HMO $25 per Quarter Yes $100 Yes $1,500 Yes No Yes Yes No 67
Wellpoint Amerivantage Lung Care Plus (HMO C-SNP)
H8849-013-0 		HMO $75 per Month No $0 Yes $3,000 Yes No Yes Yes No 58
Wellpoint Amerivantage ESRD Care (HMO C-SNP)
H2593-040-0 		HMO $85 per Quarter Yes $340 Yes $1,500 Yes No Yes Yes No 53
Wellpoint Amerivantage Comfort (HMO I-SNP)
H2593-003-0 		HMO $75 per Quarter Yes $300 Yes $3,000 Yes No Yes Yes No 50
Wellpoint Amerivantage Lung Care Plus (HMO C-SNP)
H8849-005-0 		HMO $75 per Month No $0 Yes $3,000 Yes No Yes Yes No 42
Wellpoint Amerivantage Comfort (HMO I-SNP)
H2593-019-0 		HMO $75 per Quarter Yes $300 Yes $3,000 No No Yes Yes No 30
Wellpoint Amerivantage Diabetes Care (HMO C-SNP)
H2593-037-0 		HMO No $0 No 22

Plan Claims Contact Information

Organization Name: Amerigroup
Contact Name: Customer Service
Title:
Phone: 1-888-230-7338
Email: MedicareAdvantageAssistance@anthem.com
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