Blue Cross and Blue Shield of Minnesota Medicare Plan Hearing Aid Benefits

211,818 Total Members

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? 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 No Yes No No 95,890
Blue Cross and Blue Shield of Minnesota Blue Cross Medicare Advantage Core (PPO)
H5959-013-2 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 19,605
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 No Yes No No 15,996
Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan (Cost)
H2461-007-0 		1876 Cost $50 per Quarter No $200 Yes No No Yes No No 15,652
Blue Cross and Blue Shield of Minnesota Platinum Blue Choice Plan (Cost)
H2461-006-0 		1876 Cost $50 per Quarter No $200 Yes No No Yes No No 13,602
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 No Yes No No 10,713
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 No Yes No No 8,275
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 No Yes No No 7,475
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 No Yes No No 4,799
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 No Yes No No 4,088
Blue Cross and Blue Shield of Minnesota Platinum Blue Core Plan (Cost)
H2461-005-0 		1876 Cost $25 per Quarter No $100 Yes No No Yes No No 3,344
Blue Cross and Blue Shield of Minnesota Group EGWP Medical Only (PPO)
H5959-807-0 		Local PPO No $0 No 2,990
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 No Yes No No 2,375
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 No Yes No No 2,291
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 No Yes No No 1,883
Blue Cross and Blue Shield of Minnesota Group EGWP MAPD (PPO)
H5959-801-0 		Local PPO No $0 No 1,469
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 No Yes No No 714
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 No Yes No No 630
Blue Cross and Blue Shield of Minnesota Group EGWP MAPD (PPO)
H5959-808-0 		Local PPO No $0 No 27

Plan Claims Contact Information

Organization Name: Blue Cross And Blue Shield Of Minnesota
Contact Name: Cassandra Daniels
Title: Manager, Business Services
Phone: 1-651-662-3468
Email: cassandra.daniels@bluecrossmn.com
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