Plans for Blue Shield of California

140,369 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-015-0 		HMO $0 Yes No No Yes No No 30,619
Blue Shield of California Blue Shield Inspire (HMO)
H0504-043-0 		HMO $400 Yes No No Yes No No 23,606
Blue Shield of California Blue Shield Coordinated Choice Plan (HMO)
H5928-037-0 		HMO $800 Yes $2,000 No No No No No 17,127
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-004-0 		HMO $420 Yes $1,500 No No No No No 12,340
Blue Shield of California Blue Shield 65 Plus Plan 2 (HMO)
H0504-021-0 		HMO $0 No 7,295
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-039-0 		HMO $320 Yes No No Yes No No 6,593
Blue Shield of California Blue Shield AdvantageOptimum Plan 1 (HMO)
H5928-010-0 		HMO $420 Yes $600 No No No No No 6,189
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-028-0 		HMO $400 Yes No No Yes No No 4,599
Blue Shield of California Blue Shield 65 Plus Choice Plan (HMO)
H0504-040-0 		HMO $360 Yes No No Yes No No 4,203
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO $0 No 3,232
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-029-0 		HMO $360 No 3,148
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-038-0 		HMO $340 No 2,983
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-017-0 		HMO $0 Yes $500 No No No No No 2,635
Blue Shield of California Blue Shield Inspire (HMO)
H0504-037-0 		HMO $0 No 2,574
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-005-0 		HMO $800 Yes $2,000 No No No No No 2,403
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-026-0 		HMO $0 No 1,525
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0 		HMO $360 No 1,496
Blue Shield of California Blue Shield Inspire (HMO)
H0504-041-0 		HMO $360 Yes No No Yes No No 1,435
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-803-0 		HMO $0 No 1,323
Blue Shield of California Blue Shield Inspire (HMO)
H0504-031-0 		HMO $340 No 964
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-050-0 		HMO $200 Yes $350 No No No No No 926
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-044-0 		HMO $420 Yes $600 No No No No No 622
Blue Shield of California Blue Shield AdvantageOptimum Plan 2 (HMO)
H5928-053-0 		HMO $0 No 326
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-016-0 		HMO $0 Yes $350 No No No No No 321
Blue Shield of California Blue Shield Vital (HMO)
H0504-045-0 		HMO $0 No 316
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-804-0 		HMO $0 No 282
Blue Shield of California Blue Shield Inspire (HMO)
H0504-046-0 		HMO $360 No 262
Blue Shield of California Blue Shield Vital (HMO)
H0504-044-0 		HMO $0 Yes No No No No No 242
Blue Shield of California Blue Shield Inspire (HMO)
H0504-042-0 		HMO $0 Yes No No Yes No No 178
Blue Shield of California Blue Shield Inspire (PPO)
H4937-001-0 		Local PPO $320 No 140
Blue Shield of California Blue Shield Balance (HMO)
H0504-048-0 		HMO $540 No 138
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0 		HMO $800 Yes $2,000 No No No No No 138
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-052-0 		HMO $160 Yes $350 No No No No No 99
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-051-0 		HMO $200 Yes $350 No No No No No 90
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