Capital Blue Cross Medicare Plan Hearing Aid Benefits

34,452 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
Capital Blue Cross Capital Blue Cross | WellSpan Health AdvantagePlus (PPO)
H3923-030-0
Local PPO $110 per Quarter No $440 Yes $1,000 Yes No No No No 7,080
Capital Blue Cross BlueJourney Classic (PPO)
H3923-013-0
Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 6,121
Capital Blue Cross BlueJourney Essential (HMO)
H3962-007-0
HMO $75 per Quarter No $300 Yes $800 Yes No No No No 4,723
Capital Blue Cross BlueJourney Prime (PPO)
H3923-017-0
Local PPO $75 per Quarter No $300 Yes $1,000 Yes No No No No 2,801
Capital Blue Cross Capital Blue Cross Select (PPO)
H3923-028-0
Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 2,587
Capital Blue Cross BlueJourney Premier (HMO)
H3962-001-0
HMO $100 per Quarter No $400 Yes $1,000 Yes No No No No 2,263
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0
Local PPO No $0 No 1,866
Capital Blue Cross Capital Blue Cross | WellSpan Health Advantage (PPO)
H3923-029-0
Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 1,494
Capital Blue Cross BlueJourney Value (HMO)
H3962-004-0
HMO $75 per Quarter No $300 Yes $800 Yes No No No No 1,346
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-034-0
Local PPO $110 per Quarter No $440 Yes $1,200 Yes No No No No 1,183
Capital Blue Cross Capital Blue Cross | WellSpan Health Inspire (HMO)
H3962-021-0
HMO $75 per Quarter No $300 Yes $800 Yes No No No No 823
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-035-0
Local PPO $110 per Quarter No $440 Yes $1,200 Yes No No No No 797
Capital Blue Cross Capital Blue Cross Group Rx (CY) (HMO)
H3962-801-0
HMO No $0 No 412
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-037-0
Local PPO $125 per Quarter No $500 Yes $1,200 No No No No No 384
Capital Blue Cross Capital Blue Cross Group Rx Complete (CY) (PPO)
H3923-818-0
Local PPO No $0 No 323
Capital Blue Cross Capital Blue Cross | WellSpan Health Value (PPO)
H3923-031-0
Local PPO $75 per Quarter No $300 Yes $400 Yes No No No No 105
Capital Blue Cross Capital Blue Cross Value (PPO)
H3923-036-0
Local PPO $75 per Quarter No $300 Yes $400 No No No No No 39
Capital Blue Cross Capital Blue Cross Value (PPO)
H3923-032-0
Local PPO $75 per Quarter No $300 Yes $400 Yes No No No No 36
Capital Blue Cross Capital Blue Cross Value (PPO)
H3923-033-0
Local PPO $75 per Quarter No $300 Yes $400 Yes No No No No 35
Capital Blue Cross BlueJourney Group PPO Without Rx (PPO)
H3923-802-0
Local PPO No $0 No 34

Plan Claims Contact Information

Organization Name: Capital Blue Cross
Contact Name: Jonathan Koch
Title: Director Medicare Operations
Phone: 1-866-688-2242
Email: Jonathan.Koch@capbluecross.com
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