Plans for Blue Shield of California

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 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 $0 Yes No No Yes No No 23,606
Blue Shield of California Blue Shield Coordinated Choice Plan (HMO)
H5928-037-0 		HMO $0 Yes $2,000 No No No No No 17,127
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-004-0 		HMO $0 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 $0 Yes No No Yes No No 6,593
Blue Shield of California Blue Shield AdvantageOptimum Plan 1 (HMO)
H5928-010-0 		HMO $0 Yes $600 No No No No No 6,189
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-028-0 		HMO $0 Yes No No Yes No No 4,599
Blue Shield of California Blue Shield 65 Plus Choice Plan (HMO)
H0504-040-0 		HMO $0 Yes No No Yes No No 4,203
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No 3,232
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-029-0 		HMO $0 No 3,148
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-038-0 		HMO $0 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 $40 No 2,574
Blue Shield of California Blue Shield TotalDual Plan (HMO D-SNP)
H5928-005-0 		HMO $0 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 $0 No 1,496
Blue Shield of California Blue Shield Inspire (HMO)
H0504-041-0 		HMO $0 Yes No No Yes No No 1,435
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-803-0 		HMO No 1,323
Blue Shield of California Blue Shield Inspire (HMO)
H0504-031-0 		HMO $0 No 964
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-050-0 		HMO $0 Yes $350 No No No No No 926
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-044-0 		HMO $0 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 $48 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 No 282
Blue Shield of California Blue Shield Inspire (HMO)
H0504-046-0 		HMO $0 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 $35 Yes No No Yes No No 178
Blue Shield of California Blue Shield Inspire (PPO)
H4937-001-0 		Local PPO $39 No 140
Blue Shield of California Blue Shield Balance (HMO)
H0504-048-0 		HMO $0 No 138
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0 		HMO $0 Yes $2,000 No No No No No 138
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-052-0 		HMO $0 Yes $350 No No No No No 99
Blue Shield of California Blue Shield AdvantageOptimum Plan (HMO)
H5928-051-0 		HMO $0 Yes $350 No No No No No 90
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