Plans for Blue Cross and Blue Shield of Minnesota

204,108 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
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice (PPO)
H5959-014-2 		Local PPO $50 per Quarter No $200 Yes No Yes No No 91,801
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO)
H5959-013-2 		Local PPO $50 per Quarter No $200 Yes No Yes No No 19,165
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Complete (PPO)
H5959-010-2 		Local PPO $50 per Quarter No $200 Yes No Yes No No 16,728
Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan (Cost)
H2461-007-0 		1876 Cost $50 per Quarter No $200 Yes No Yes No No 15,843
Blue Cross and Blue Shield of Minnesota Platinum Blue Choice Plan (Cost)
H2461-006-0 		1876 Cost $50 per Quarter No $200 Yes No Yes No No 12,828
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice (PPO)
H5959-009-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 10,579
Blue Cross and Blue Shield of Minnesota Platinum Blue Choice Plan with Rx (Cost)
H2461-009-0 		1876 Cost $50 per Quarter No $200 Yes No Yes No No 8,276
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Freedom Blue (PPO)
H5959-007-2 		Local PPO $100 per Quarter No $400 Yes No Yes No No 7,383
Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan with Rx (Cost)
H2461-010-0 		1876 Cost $50 per Quarter No $200 Yes No Yes No No 4,925
Blue Cross and Blue Shield of Minnesota Platinum Blue Core Plan (Cost)
H2461-005-0 		1876 Cost $25 per Quarter No $100 Yes No Yes No No 3,312
Blue Cross and Blue Shield of Minnesota Group EGWP Medical Only (PPO)
H5959-807-0 		Local PPO No $0 No 2,953
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO)
H5959-012-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 2,400
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Complete (PPO)
H5959-011-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 2,382
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Comfort (PPO)
H5959-015-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 1,682
Blue Cross and Blue Shield of Minnesota Group EGWP MAPD (PPO)
H5959-801-0 		Local PPO No $0 No 1,471
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Comfort (PPO)
H5959-016-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 999
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Freedom Blue (PPO)
H5959-008-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 746
Blue Cross and Blue Shield of Minnesota Platinum Blue Core Plan with Rx (Cost)
H2461-008-0 		1876 Cost $25 per Quarter No $100 Yes No Yes No No 621
Blue Cross and Blue Shield of Minnesota Group EGWP MAPD (PPO)
H5959-808-0 		Local PPO No $0 No 14
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