BlueCross BlueShield of Tennessee Medicare Plan Hearing Aid Benefits

145,739 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
BlueCross BlueShield of Tennessee BlueAdvantage Garnet (PPO)
H7917-032-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 38,980
BlueCross BlueShield of Tennessee BlueAdvantage Sapphire (PPO)
H7917-030-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 37,567
BlueCross BlueShield of Tennessee BlueAdvantage Garnet (PPO)
H7917-033-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 19,650
BlueCross BlueShield of Tennessee BlueAdvantage Sapphire (PPO)
H7917-031-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 13,722
BlueCross BlueShield of Tennessee BlueAdvantage Sapphire (PPO)
H7917-038-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 13,426
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-014-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 4,252
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-011-0 		Local PPO $120 per Quarter No $480 Yes No No Yes No No 3,536
BlueCross BlueShield of Tennessee BlueAdvantage Plus (PPO)
H7917-801-0 		Local PPO No $0 No 3,326
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-015-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 1,978
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-013-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 1,895
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-036-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 1,552
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-009-0 		Local PPO $165 per Quarter No $660 Yes No No Yes No No 1,176
BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO)
H7917-010-0 		Local PPO $225 per Quarter No $900 Yes No No Yes No No 1,119
BlueCross BlueShield of Tennessee BlueAdvantage Freedom (PPO)
H7917-039-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 1,091
BlueCross BlueShield of Tennessee BlueAdvantage Sapphire (PPO)
H7917-040-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 970
BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO)
H7917-012-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 880
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-035-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 340
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-034-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 159
BlueCross BlueShield of Tennessee BlueAdvantage Emerald (PPO)
H7917-037-0 		Local PPO $115 per Quarter No $460 Yes No No Yes No No 120

Plan Claims Contact Information

Organization Name: Blue Cross Blue Shield Of Tennessee
Contact Name: Damon Dobbs
Title: Director Medicare Advantage Service Operations
Phone: 1-423-535-5374
Email: Damon_Dobbs@bcbst.com
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