Blue Advantage Complete (PPO)

H0104-012-0

Blue Advantage Complete (PPO)

plan information last updated September 14, 2022

Company: Blue Cross and Blue Shield of Alabama
Plan enrollment: 58,403
Total monthly premium: $0
Max annual payment: $7,500
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: www.bcbsalmedicare.com
Plan member phone number: 888-234-8266
Plan prospect phone number: 888-873-4707

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? 2 per Every year
What is the max coverage amount? No maximum
Is the benefit ONLY available in-network? Can be out of network
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: $699
Maximum CoPay: $999
Is Prior Authorization Needed? No
Is Physician Referral Needed? No

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