Plans for Anthem Blue Cross Partnership Plan
23,875 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 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Full Dual Advantage (HMO D-SNP) H4161-001-0 |
HMO | $200 per Quarter | Yes | $800 | Yes | $3,000 | No | Yes | Yes | No | 20,700 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Prime (HMO) H4161-002-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | $3,000 | No | Yes | Yes | No | 1,703 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Prime (HMO) H4161-004-0 |
HMO | $50 per Quarter | Yes | $200 | Yes | $1,500 | No | Yes | Yes | No | 485 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Prime (HMO) H4161-003-0 |
HMO | $75 per Quarter | Yes | $300 | Yes | $3,000 | No | Yes | Yes | No | 447 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Prime (HMO) H4161-005-0 |
HMO | $50 per Quarter | Yes | $200 | Yes | $3,000 | No | Yes | Yes | No | 214 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Prime (HMO) H4161-006-0 |
HMO | $100 per Quarter | Yes | $400 | Yes | $1,500 | No | Yes | Yes | No | 171 |
| Anthem Blue Cross Partnership Plan |
Anthem MediBlue Prime (HMO) H4161-007-0 |
HMO | $50 per Quarter | Yes | $200 | Yes | $3,000 | No | Yes | Yes | No | 155 |
