Plans for Blue Cross and Blue Shield of Minnesota 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 and Blue Shield of Minnesota Blue Cross Medicare Advantage Choice (PPO) H5959-014-2 Local PPO $49 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 $0 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 $115 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 $169 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 $99 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 $88 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 $99 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 $0 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 $169 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 $25 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 No 2,756 Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO) H5959-012-0 Local PPO $38 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 $130 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 $10 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 $25 Yes No No Yes No No 659 Blue Cross and Blue Shield of Minnesota Group EGWP MAPD (PPO) H5959-801-0 Local PPO No 31