ConnectiCare Medicare Plan Hearing Aid Benefits
36,247 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 |
| ConnectiCare |
ConnectiCare Choice Plan 3 (HMO) H3528-014-0 |
HMO | $70 per Month | No | $0 | No | 13,335 | ||||||
| ConnectiCare |
ConnectiCare Flex Plan 3 (HMO-POS) H3528-011-2 |
HMOPOS | $50 per Quarter | No | $200 | No | 10,724 | ||||||
| ConnectiCare |
ConnectiCare Passage Plan 1 (HMO) H3528-010-0 |
HMO | $50 per Month | No | $0 | Yes | $400 | No | No | No | No | No | 5,478 |
| ConnectiCare |
ConnectiCare Choice Dual Basic (HMO D-SNP) H3276-002-0 |
HMO | $125 per Quarter | No | $500 | No | 1,401 | ||||||
| ConnectiCare |
ConnectiCare Flex Plan 2 (HMO-POS) H3528-015-0 |
HMOPOS | No | $0 | No | 1,169 | |||||||
| ConnectiCare |
ConnectiCare Choice Plan 2 (HMO) H3528-003-0 |
HMO | $50 per Month | No | $0 | Yes | $3,000 | No | No | No | No | No | 1,149 |
| ConnectiCare |
ConnectiCare Choice Plan 1 (HMO) H3528-016-0 |
HMO | No | $0 | No | 1,141 | |||||||
| ConnectiCare |
ConnectiCare Choice Dual (HMO D-SNP) H3276-001-0 |
HMO | $60 per Month | No | $0 | Yes | $2,500 | No | No | No | No | No | 986 |
| ConnectiCare |
ConnectiCare Flex Plan 1 (HMO-POS) H3528-006-0 |
HMOPOS | No | $0 | No | 291 | |||||||
| ConnectiCare |
ConnectiCare Employer Group Plan (HMO-POS) H3528-806-0 |
HMOPOS | No | $0 | No | 267 | |||||||
| ConnectiCare |
ConnectiCare Employer Group Plan (HMO) H3528-801-0 |
HMO | No | $0 | No | 266 | |||||||
| ConnectiCare |
ConnectiCare Choice Dual Vista (HMO D-SNP) H3276-003-0 |
HMO | $150 per Month | No | $0 | Yes | $2,500 | No | No | No | No | No | 40 |
