Clover Health Medicare Plan Hearing Aid Benefits

81,087 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
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 23,766
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 17,296
Clover Health Clover Health Choice (PPO)
H5141-032-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 13,808
Clover Health Clover Health LiveHealthy (PPO)
H5141-026-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 7,122
Clover Health Clover Health Choice (PPO)
H5141-001-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 5,561
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 2,728
Clover Health Clover Health Choice Value (PPO)
H5141-042-0 		Local PPO $35 per Quarter No $140 Yes No No Yes No No 2,560
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 2,282
Clover Health Clover Health Value (HMO)
H8010-003-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,410
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-045-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 1,148
Clover Health Clover Health Choice (PPO)
H5141-038-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 772
Clover Health Clover Health LiveHealthy (PPO)
H5141-058-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 642
Clover Health Clover Health LiveHealthy (PPO)
H5141-036-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 614
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-037-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 406
Clover Health Clover Health Premier Value (PPO)
H5141-055-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 215
Clover Health Clover Health Choice (PPO)
H5141-025-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 208
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-059-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 164
Clover Health Clover Health Valor (PPO)
H5141-056-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 140
Clover Health Clover Health LiveHealthy (PPO)
H5141-050-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 84
Clover Health Clover Health Valor (PPO)
H5141-057-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 76
Clover Health Clover Health LiveHealthy (PPO)
H5141-052-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 28
Clover Health Clover Health Choice (PPO)
H5141-033-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 23
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-051-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 19
Clover Health Clover Health LiveHealthy Value (PPO)
H5141-053-0 		Local PPO $35 per Quarter No $140 Yes No No Yes No No 15

Plan Claims Contact Information

Organization Name: Clover Health
Contact Name: Paul Zumbum
Title: Chief Information Officer
Phone: 1-202-215-6080
Email: paul.zumbum@cloverhealth.com
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