Plans for AMERIGROUP Community Care
59,263 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 Community Care |
Amerivantage Dual Premier (HMO D-SNP) H5828-002-0 |
HMO | $150 per Month | No | $1,800 | Yes | $3,000 | No | Yes | Yes | No | 15,155 |
| Amerigroup Community Care |
Amerivantage Dual Coordination (HMO D-SNP) H3240-013-0 |
HMO | $450 per Quarter | No | $1,800 | No | 15,126 | |||||
| AMERIGROUP Community Care |
Amerivantage Classic Plus (HMO-POS) H5828-005-0 |
HMOPOS | $168 per Quarter | Yes | $672 | Yes | $3,000 | No | Yes | Yes | No | 14,699 |
| Amerigroup Community Care |
Amerivantage Classic (HMO) H3240-022-0 |
HMO | $45 per Quarter | Yes | $180 | Yes | $2,000 | No | Yes | Yes | No | 5,463 |
| AMERIGROUP Community Care |
Amerivantage Balance Plus (HMO) H5828-008-0 |
HMO | $230 per Quarter | Yes | $920 | Yes | $3,000 | No | Yes | Yes | No | 4,772 |
| Amerigroup Community Care |
Amerivantage Balance (HMO) H3240-021-0 |
HMO | $60 per Quarter | No | $240 | Yes | $2,000 | No | Yes | Yes | No | 2,663 |
| Amerigroup Community Care |
Amerivantage Dual Secure (HMO-POS D-SNP) H3240-024-0 |
HMOPOS | $450 per Quarter | No | $1,800 | No | 857 | |||||
| Amerigroup Community Care |
Amerivantage ESRD Care (HMO-POS C-SNP) H3240-017-0 |
HMOPOS | $100 per Quarter | Yes | $400 | Yes | $2,000 | No | Yes | Yes | No | 335 |
| AMERIGROUP Community Care |
Amerivantage Full Dual Coordination (HMO D-SNP) H5828-001-0 |
HMO | $215 per Month | No | $2,580 | Yes | $3,000 | No | Yes | Yes | No | 193 |
