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Plans for Blue Cross Blue Shield of Michigan

				Hearing Aid Coverage
Company	Plan name	Plan type	Total monthly premium	Coverage?	Covered Amount	In Network Required?	Coinsurance?	Copay?	Prior Authorization?	Need Referral?	Enrollees
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0	Local PPO		No							382,080
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Essential (PPO) H9572-004-6	Local PPO	$0	Yes	$1,500	No	No	No	No	No	46,599
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Employer Rx CY (PPO) H9572-801-0	Local PPO		No							35,413
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Signature (PPO) H9572-001-6	Local PPO	$96	Yes	$1,500	No	No	No	No	No	32,242
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Vitality (PPO) H9572-002-6	Local PPO	$52	Yes	$1,500	No	No	No	No	No	16,170
Blue Cross Blue Shield of Michigan	Medicare Plus Blue PPO Assure (PPO) H9572-003-6	Local PPO	$197	Yes	$1,500	No	No	No	No	No	7,317