Plans for Blue Shield of California

123,152 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-015-0
HMO $0 No Yes No Yes No No 28,161
Blue Shield of California Blue Shield Inspire (HMO)
H0504-043-0
HMO $400 No Yes No Yes No No 18,663
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-004-0
HMO $420 No Yes $1,500 No No No No 10,932
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-005-0
HMO $840 No Yes $2,000 No No No No 8,511
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-039-0
HMO $400 No Yes No Yes No No 7,835
Blue Shield of California Blue Shield 65 Plus Plan 2 (HMO)
H0504-021-0
HMO $0 No No 6,705
Blue Shield of California Blue Shield AdvantageOptimum Plan 1 (HMO)
H5928-010-0
HMO $420 No Yes $600 No No No No 5,745
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-028-0
HMO $400 No Yes No Yes No No 4,654
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0
Local PPO $0 No No 4,502
Blue Shield of California Blue Shield 65 Plus Choice Plan (HMO)
H0504-040-0
HMO $380 No Yes No Yes No No 4,431
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0
HMO $400 No No 3,756
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-029-0
HMO $400 No No 2,874
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-038-0
HMO $360 No No 2,865
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-017-0
HMO $0 No Yes $500 No No No No 2,415
Blue Shield of California Blue Shield Inspire (HMO)
H0504-037-0
HMO $0 No No 2,317
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0
Local PPO $0 No No 1,847
Blue Shield of California Blue Shield Enhanced (HMO)
H0504-049-0
HMO $0 No Yes No Yes No No 1,606
Blue Shield of California Blue Shield Inspire (HMO)
H0504-041-0
HMO $400 No Yes No Yes No No 1,601
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-026-0
HMO $0 No No 1,404
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-803-0
HMO $0 No No 1,292
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-804-0
HMO $0 No No 284
Blue Shield of California Blue Shield Select (PPO)
H4937-002-0
Local PPO $160 No Yes $1,000 No No No No 219
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0
HMO $800 No Yes $2,000 No No No No 216
Blue Shield of California Blue Shield Select (PPO)
H4937-001-0
Local PPO $240 No Yes $1,000 No No No No 180
Blue Shield of California Blue Shield Balance (HMO)
H0504-048-0
HMO $540 No No 124
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-055-0
HMO $800 No Yes $2,000 No No No No 13
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