Plans for Amerigroup

97,948 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Amerigroup Amerivantage Dual Coordination Plus (HMO D-SNP)
H8849-010-6 		HMO $265 per Quarter Yes $1,060 Yes $3,000 No Yes Yes No 27,038
Amerigroup Amerivantage Classic Plus (HMO)
H8849-008-6 		HMO $45 per Quarter Yes $180 Yes $3,000 No Yes Yes No 24,830
Amerigroup Amerivantage Select Plus (HMO)
H8849-009-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 13,362
Amerigroup Amerivantage Dual Coordination (HMO D-SNP)
H2593-032-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No Yes Yes No 4,875
Amerigroup Amerivantage Select Plus (HMO)
H8849-006-0 		HMO $144 per Quarter Yes $576 Yes $3,000 No Yes Yes No 3,610
Amerigroup Amerivantage Classic (HMO)
H2593-029-0 		HMO No $0 No 3,454
Amerigroup Amerivantage Dual Coordination (HMO D-SNP)
H2593-021-0 		HMO $255 per Quarter Yes $1,020 Yes $2,000 No Yes Yes No 2,804
Amerigroup Amerivantage Dual Secure Plus (HMO D-SNP)
H8849-011-6 		HMO $225 per Quarter Yes $900 Yes $1,500 No Yes Yes No 2,755
Amerigroup Amerivantage Classic Plus (HMO)
H1423-004-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No Yes Yes No 2,281
AMERIGROUP Amerivantage Dual Coordination (HMO D-SNP)
H1894-002-0 		HMO $300 per Quarter Yes $1,200 Yes $3,000 No Yes Yes No 2,071
AMERIGROUP Amerivantage Classic (HMO)
H1894-001-0 		HMO $100 per Quarter Yes $400 Yes $500 No Yes Yes No 1,526
Amerigroup Amerivantage Diabetes Care Plus (HMO C-SNP)
H1423-002-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No Yes Yes No 1,253
Amerigroup Amerivantage Smart Value Plus (HMO)
H1423-005-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No Yes Yes No 1,193
Amerigroup Amerivantage Classic (HMO)
H2593-022-0 		HMO $45 per Quarter Yes $180 Yes $2,000 No Yes Yes No 1,122
Amerigroup Amerivantage Classic (HMO)
H2593-001-0 		HMO $25 per Quarter Yes $100 Yes $1,000 No Yes Yes No 1,106
Amerigroup Amerivantage Comfort Plus (HMO I-SNP)
H1423-007-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 667
Amerigroup Amerivantage Diabetes Care Plus (HMO C-SNP)
H8849-001-0 		HMO $195 per Quarter Yes $780 Yes $3,000 No Yes Yes No 527
Amerigroup Amerivantage Diabetes Care (HMO C-SNP)
H2593-006-0 		HMO $25 per Quarter Yes $100 Yes $1,500 No Yes Yes No 419
Amerigroup Amerivantage Comfort Plus (HMO I-SNP)
H1423-008-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 409
Amerigroup Amerivantage Plus (HMO)
H1423-009-0 		HMO $55 per Quarter Yes $220 Yes $1,500 No Yes Yes No 409
Amerigroup Amerivantage Diabetes Care Plus (HMO C-SNP)
H8849-003-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 363
Amerigroup Amerivantage Heart Care Plus (HMO C-SNP)
H1423-003-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No Yes Yes No 316
Amerigroup Amerivantage ESRD Care (HMO-POS C-SNP)
H2593-031-0 		HMOPOS $100 per Quarter Yes $400 Yes $2,000 No Yes Yes No 283
Amerigroup Amerivantage Lung Care Plus (HMO C-SNP)
H1423-001-0 		HMO $100 per Quarter Yes $400 Yes $1,500 No Yes Yes No 277
Amerigroup Amerivantage ESRD Care Plus (HMO C-SNP)
H2593-043-0 		HMO $90 per Quarter Yes $360 Yes $3,000 No Yes Yes No 200
Amerigroup Amerivantage Heart Care (HMO C-SNP)
H2593-013-0 		HMO $25 per Quarter Yes $100 Yes $1,500 No Yes Yes No 108
Amerigroup Amerivantage Heart Care Plus (HMO C-SNP)
H8849-012-0 		HMO $195 per Quarter Yes $780 Yes $3,000 No Yes Yes No 104
Amerigroup Amerivantage Comfort (HMO I-SNP)
H2593-003-0 		HMO $75 per Quarter Yes $300 Yes $3,000 No Yes Yes No 89
Amerigroup Amerivantage Heart Care Plus (HMO C-SNP)
H8849-004-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 86
Amerigroup Amerivantage Lung Care (HMO C-SNP)
H2593-005-0 		HMO $25 per Quarter Yes $100 Yes $1,500 No Yes Yes No 86
Amerigroup Amerivantage Comfort Plus (HMO I-SNP)
H8849-002-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 86
Amerigroup Amerivantage Lung Care Plus (HMO C-SNP)
H8849-013-0 		HMO $195 per Quarter Yes $780 Yes $3,000 No Yes Yes No 66
Amerigroup Amerivantage ESRD Care (HMO C-SNP)
H2593-040-0 		HMO $85 per Quarter Yes $340 Yes $1,500 No Yes Yes No 56
Amerigroup Amerivantage Comfort (HMO I-SNP)
H2593-019-0 		HMO $75 per Quarter Yes $300 Yes $3,000 No Yes Yes No 53
Amerigroup Amerivantage Lung Care Plus (HMO C-SNP)
H8849-005-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No Yes Yes No 37
Amerigroup Amerivantage Diabetes Care (HMO C-SNP)
H2593-037-0 		HMO No $0 No 27
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