Plans for Blue Cross and Blue Shield of Minnesota

194,204 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice (PPO)
H5959-014-2 		Local PPO $160 Yes No No Yes No No 85,941
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO)
H5959-013-2 		Local PPO $160 Yes No No Yes No No 18,677
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Complete (PPO)
H5959-010-2 		Local PPO $200 Yes No No Yes No No 17,427
Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan (Cost)
H2461-007-0 		1876 Cost $200 Yes No No Yes No No 16,130
Blue Cross and Blue Shield of Minnesota Platinum Blue Choice Plan (Cost)
H2461-006-0 		1876 Cost $200 Yes No No Yes No No 12,108
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice (PPO)
H5959-009-0 		Local PPO $160 Yes No No Yes No No 10,969
Blue Cross and Blue Shield of Minnesota Platinum Blue Choice Plan with Rx (Cost)
H2461-009-0 		1876 Cost $200 Yes No No Yes No No 8,348
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice MA Only (PPO)
H5959-007-2 		Local PPO $400 Yes No No Yes No No 6,737
Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan with Rx (Cost)
H2461-010-0 		1876 Cost $200 Yes No No Yes No No 5,079
Blue Cross and Blue Shield of Minnesota Platinum Blue Core Plan (Cost)
H2461-005-0 		1876 Cost $100 Yes No No Yes No No 3,315
Blue Cross and Blue Shield of Minnesota Group EGWP Medical Only (PPO)
H5959-807-0 		Local PPO $0 No 2,756
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO)
H5959-012-0 		Local PPO $160 Yes No No Yes No No 2,721
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Complete (PPO)
H5959-011-0 		Local PPO $200 Yes No No Yes No No 2,540
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice MA Only (PPO)
H5959-008-0 		Local PPO $400 Yes No No Yes No No 766
Blue Cross and Blue Shield of Minnesota Platinum Blue Core Plan with Rx (Cost)
H2461-008-0 		1876 Cost $100 Yes No No Yes No No 659
Blue Cross and Blue Shield of Minnesota Group EGWP MAPD (PPO)
H5959-801-0 		Local PPO $0 No 31
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