Plans for ConnectiCare
38,466 Total Members
| Prescription Hearing Aid Coverage | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Company | Plan name | Plan type | OTC Supplement | OTC Rolls Over? | Annual OTC Supplement | Coverage? | Covered Amount | Coinsurance? | Copay? | Prior Authorization? | Need Referral? | Enrollees |
| ConnectiCare |
ConnectiCare Choice Plan 3 (HMO) H3528-014-0 |
HMO | $75 per Quarter | No | $300 | No | 13,006 | |||||
| ConnectiCare |
ConnectiCare Flex Plan 3 (HMO-POS) H3528-011-2 |
HMOPOS | $50 per Quarter | No | $200 | No | 11,623 | |||||
| ConnectiCare |
ConnectiCare Passage Plan 1 (HMO) H3528-010-0 |
HMO | $45 per Quarter | No | $180 | Yes | $400 | No | No | No | No | 6,050 |
| ConnectiCare |
ConnectiCare Choice Dual Basic (HMO D-SNP) H3276-002-0 |
HMO | $125 per Quarter | No | $500 | No | 1,633 | |||||
| ConnectiCare |
ConnectiCare Choice Dual (HMO D-SNP) H3276-001-0 |
HMO | $60 per Month | No | $720 | Yes | $2,500 | No | No | No | No | 1,432 |
| ConnectiCare |
ConnectiCare Flex Plan 2 (HMO-POS) H3528-015-0 |
HMOPOS | No | $0 | No | 1,292 | ||||||
| ConnectiCare |
ConnectiCare Choice Plan 1 (HMO) H3528-016-0 |
HMO | No | $0 | No | 1,271 | ||||||
| ConnectiCare |
ConnectiCare Choice Plan 2 (HMO) H3528-003-0 |
HMO | $50 per Month | No | $600 | No | 1,205 | |||||
| ConnectiCare |
ConnectiCare Employer Group Plan (HMO-POS) H3528-806-0 |
HMOPOS | No | $0 | No | 318 | ||||||
| ConnectiCare |
ConnectiCare Flex Plan 1 (HMO-POS) H3528-006-0 |
HMOPOS | No | $0 | No | 315 | ||||||
| ConnectiCare |
ConnectiCare Employer Group Plan (HMO) H3528-801-0 |
HMO | No | $0 | No | 270 | ||||||
| ConnectiCare |
ConnectiCare Choice Dual Vista (HMO D-SNP) H3276-003-0 |
HMO | $150 per Month | No | $1,800 | Yes | $2,500 | No | No | No | No | 51 |
