Plans for Blue Shield of California

123,152 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 Shield of California Blue Shield 65 Plus (HMO)
H0504-015-0
HMO No $0 Yes No Yes No No 28,161
Blue Shield of California Blue Shield Inspire (HMO)
H0504-043-0
HMO $100 per Quarter No $400 Yes No Yes No No 18,663
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-004-0
HMO $105 per Quarter No $420 Yes $1,500 No No No No 10,932
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-005-0
HMO $210 per Quarter No $840 Yes $2,000 No No No No 8,511
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-039-0
HMO $100 per Quarter No $400 Yes No Yes No No 7,835
Blue Shield of California Blue Shield 65 Plus Plan 2 (HMO)
H0504-021-0
HMO No $0 No 6,705
Blue Shield of California Blue Shield AdvantageOptimum Plan 1 (HMO)
H5928-010-0
HMO $105 per Quarter No $420 Yes $600 No No No No 5,745
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-028-0
HMO $100 per Quarter No $400 Yes No Yes No No 4,654
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0
Local PPO No $0 No 4,502
Blue Shield of California Blue Shield 65 Plus Choice Plan (HMO)
H0504-040-0
HMO $95 per Quarter No $380 Yes No Yes No No 4,431
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0
HMO $100 per Quarter No $400 No 3,756
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-029-0
HMO $100 per Quarter No $400 No 2,874
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-038-0
HMO $90 per Quarter No $360 No 2,865
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-017-0
HMO No $0 Yes $500 No No No No 2,415
Blue Shield of California Blue Shield Inspire (HMO)
H0504-037-0
HMO No $0 No 2,317
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0
Local PPO No $0 No 1,847
Blue Shield of California Blue Shield Enhanced (HMO)
H0504-049-0
HMO No $0 Yes No Yes No No 1,606
Blue Shield of California Blue Shield Inspire (HMO)
H0504-041-0
HMO $100 per Quarter No $400 Yes No Yes No No 1,601
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-026-0
HMO No $0 No 1,404
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-803-0
HMO No $0 No 1,292
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-804-0
HMO No $0 No 284
Blue Shield of California Blue Shield Select (PPO)
H4937-002-0
Local PPO $40 per Quarter No $160 Yes $1,000 No No No No 219
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0
HMO $200 per Quarter No $800 Yes $2,000 No No No No 216
Blue Shield of California Blue Shield Select (PPO)
H4937-001-0
Local PPO $60 per Quarter No $240 Yes $1,000 No No No No 180
Blue Shield of California Blue Shield Balance (HMO)
H0504-048-0
HMO $45 per Month No $540 No 124
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-055-0
HMO $200 per Quarter No $800 Yes $2,000 No No No No 13
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