Amerivantage Dual Coordination (HMO D-SNP)

H2593-030-6

Amerivantage Dual Coordination (HMO D-SNP)

plan information last updated November 29, 2021

Company: Amerigroup
Plan enrollment: 5,624
Total monthly premium: $0
Max annual payment: No Maximum Payment
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: https://shop.amerigroup.com/medicare
Plan member phone number: 844-765-5165
Plan prospect phone number: 844-326-8142

OTC Hearing Aid Coverage

This plan does not have any OTC supplement benefits

Prescription Hearing Aid Coverage

Does plan cover hearing aids?: Yes
How many hearing aids does the plan allow? No limit defined
What is the max coverage amount? $1,500
Is the benefit per ear or for both ears combined?: Both ears combined
Is the benefit ONLY available in-network? Can be out of network
What time period does the coverage apply to? Every year
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? Yes
Minimum CoPay: $0
Maximum CoPay: $0
Is Prior Authorization Needed? Yes
Is Physician Referral Needed? No

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