Plans for Devoted Health

115,109 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
Devoted Health Devoted CORE Greater Houston (HMO)
H7993-001-0 		HMO $170 per Quarter No $680 Yes No Yes No No 14,483
Devoted Health Devoted PRIME Greater Houston (HMO)
H7993-002-0 		HMO $195 per Quarter No $780 Yes No Yes No No 13,602
Devoted Health Devoted ESSENTIALS Tampa (HMO)
H1290-051-2 		HMO $125 per Quarter No $500 Yes No Yes No No 6,045
Devoted Health Devoted CORE Ohio (HMO)
H2697-001-0 		HMO $140 per Quarter No $560 Yes No Yes No No 5,951
Devoted Health Devoted CORE Illinois (HMO)
H7151-001-0 		HMO $200 per Quarter No $800 Yes No Yes No No 5,558
Devoted Health Devoted CORE Arizona (HMO)
H8173-001-0 		HMO $110 per Quarter No $440 Yes No Yes No No 4,396
Devoted Health Devoted DUAL Tampa (HMO D-SNP)
H1290-024-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 4,169
Devoted Health Devoted CORE Tampa (HMO)
H1290-036-2 		HMO $255 per Quarter No $1,020 Yes No Yes No No 3,790
Devoted Health Devoted PRIME Ohio (HMO)
H2697-002-0 		HMO $170 per Quarter No $680 Yes No Yes No No 3,523
Devoted Health Devoted GIVEBACK Ohio (HMO)
H2697-003-0 		HMO $110 per Quarter No $440 Yes No Yes No No 2,923
Devoted Health Devoted GIVEBACK Greater Houston (HMO)
H7993-006-0 		HMO $75 per Quarter No $300 Yes No Yes No No 2,684
Devoted Health Devoted SELECT Arizona (HMO)
H8173-002-0 		HMO $135 per Quarter No $540 Yes No Yes No No 2,432
Devoted Health Devoted CORE Broward (HMO)
H1290-002-0 		HMO $270 per Quarter No $1,080 Yes No Yes No No 1,836
Devoted Health Devoted PRIME (HMO)
H1290-037-5 		HMO $330 per Quarter No $1,320 Yes No Yes No No 1,634
Devoted Health Devoted DUAL Orlando (HMO D-SNP)
H1290-022-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 1,611
Devoted Health Devoted BEWELL Arizona (HMO C-SNP)
H8173-011-0 		HMO $125 per Quarter No $500 Yes No Yes No No 1,599
Devoted Health Devoted CORE San Antonio (HMO)
H7993-003-0 		HMO $195 per Quarter No $780 Yes No Yes No No 1,595
Devoted Health Devoted CORE Arizona (HMO)
H8173-007-0 		HMO $125 per Quarter No $500 Yes No Yes No No 1,375
Devoted Health Devoted BEWELL San Antonio - D (HMO C-SNP)
H7993-005-0 		HMO $265 per Quarter No $1,060 Yes No Yes No No 1,321
Devoted Health Devoted GIVEBACK Illinois (HMO)
H7151-003-0 		HMO $75 per Quarter No $300 Yes No Yes No No 1,245
Devoted Health Devoted ESSENTIALS Jacksonville (HMO)
H1290-031-0 		HMO $180 per Quarter No $720 Yes No Yes No No 1,214
Devoted Health Devoted CORE Orlando (HMO)
H1290-005-0 		HMO $195 per Quarter No $780 Yes No Yes No No 1,140
Devoted Health Devoted DUAL Jacksonville (HMO D-SNP)
H1290-023-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 1,102
Devoted Health Devoted CORE Miami-Dade (HMO)
H1290-001-0 		HMO $275 per Quarter No $1,100 Yes No Yes No No 1,070
Devoted Health Devoted DUAL Miami-Dade (HMO D-SNP)
H1290-019-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 1,052
Devoted Health Devoted ESSENTIALS Orlando (HMO)
H1290-018-0 		HMO $180 per Quarter No $720 Yes No Yes No No 1,013
Devoted Health Devoted DUAL Broward (HMO D-SNP)
H1290-020-0 		HMO $345 per Quarter No $1,380 Yes No Yes No No 1,009
Devoted Health Devoted CORE Jacksonville (HMO)
H1290-029-0 		HMO $195 per Quarter No $780 Yes No Yes No No 944
Devoted Health Devoted CHOICE Hawaii (PPO)
H2686-001-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 935
Devoted Health Devoted CORE North Florida (HMO)
H1290-027-0 		HMO $195 per Quarter No $780 Yes No Yes No No 902
Devoted Health Devoted CORE Palm Beach (HMO)
H1290-003-0 		HMO $270 per Quarter No $1,080 Yes No Yes No No 869
Devoted Health Devoted ESSENTIALS Palm Beach (HMO)
H1290-015-0 		HMO $120 per Quarter No $480 Yes No Yes No No 866
Devoted Health Devoted ESSENTIALS Broward (HMO)
H1290-014-0 		HMO $120 per Quarter No $480 Yes No Yes No No 839
Devoted Health Devoted PREMIUM (HMO)
H1290-044-3 		HMO $280 per Quarter No $1,120 Yes No Yes No No 819
Devoted Health Devoted CHOICE GIVEBACK Upstate (PPO)
H7028-002-0 		Local PPO $75 per Quarter No $300 Yes No Yes No No 738
Devoted Health Devoted ESSENTIALS North Florida (HMO)
H1290-035-0 		HMO $180 per Quarter No $720 Yes No Yes No No 711
Devoted Health Devoted CORE Colorado (HMO)
H7147-004-0 		HMO $95 per Quarter No $380 Yes No Yes No No 702
Devoted Health Devoted DUAL Ohio - 1 (HMO D-SNP)
H2697-010-0 		HMO $195 per Quarter No $780 Yes No Yes No No 695
Devoted Health Devoted PRIME San Antonio (HMO)
H7993-004-0 		HMO $240 per Quarter No $960 Yes No Yes No No 682
Devoted Health Devoted CHOICE GIVEBACK Tampa (PPO)
H9884-005-0 		Local PPO $90 per Quarter No $360 Yes No Yes No No 674
Devoted Health Devoted DUAL Palm Beach (HMO D-SNP)
H1290-021-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 665
Devoted Health Devoted CHOICE Illinois (PPO)
H6545-001-0 		Local PPO $125 per Quarter No $500 Yes No Yes No No 664
Devoted Health Devoted CORE North Carolina (HMO)
H5299-001-0 		HMO $125 per Quarter No $500 Yes No Yes No No 648
Devoted Health Devoted SELECT Arizona (HMO)
H8173-008-0 		HMO $125 per Quarter No $500 Yes No Yes No No 557
Devoted Health Devoted LIBERTY Arizona (HMO)
H8173-005-0 		HMO $50 per Quarter No $200 Yes No Yes No No 526
Devoted Health Devoted CHOICE Ohio (PPO)
H2526-001-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 494
Devoted Health Devoted DUAL Ohio - 2 (HMO D-SNP)
H2697-011-0 		HMO $160 per Quarter No $640 Yes No Yes No No 479
Devoted Health Devoted ESSENTIALS Miami-Dade (HMO)
H1290-013-0 		HMO $125 per Quarter No $500 Yes No Yes No No 474
Devoted Health Devoted CHOICE PLUS Hawaii (PPO)
H2686-002-0 		Local PPO $85 per Quarter No $340 Yes No Yes No No 442
Devoted Health Devoted CORE Alabama (HMO)
H3080-001-0 		HMO $130 per Quarter No $520 Yes No Yes No No 432
Devoted Health Devoted CHOICE GIVEBACK Austin (PPO)
H6813-001-0 		Local PPO $70 per Quarter No $280 Yes No Yes No No 367
Devoted Health Devoted DUAL North Florida (HMO D-SNP)
H1290-033-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 364
Devoted Health Devoted CHOICE GIVEBACK Polk (PPO)
H9884-006-0 		Local PPO $85 per Quarter No $340 Yes No Yes No No 363
Devoted Health Devoted CHOICE Upstate (PPO)
H7028-001-0 		Local PPO $120 per Quarter No $480 Yes No Yes No No 357
Devoted Health Devoted CORE Colorado (HMO)
H7147-001-0 		HMO $75 per Quarter No $300 Yes No Yes No No 356
Devoted Health Devoted GIVEBACK Alabama (HMO)
H3080-002-0 		HMO $75 per Quarter No $300 Yes No Yes No No 332
Devoted Health Devoted CHOICE Oregon (PPO)
H7199-001-0 		Local PPO $60 per Quarter No $240 Yes No Yes No No 317
Devoted Health Devoted GIVEBACK El Paso (HMO)
H7993-008-0 		HMO $65 per Quarter No $260 Yes No Yes No No 310
Devoted Health Devoted CORE Oregon (HMO)
H2923-001-0 		HMO $80 per Quarter No $320 Yes No Yes No No 308
Devoted Health Devoted GIVEBACK Colorado (HMO)
H7147-005-0 		HMO $0 per Month No $0 Yes No Yes No No 292
Devoted Health Devoted CHOICE PLUS Oregon (PPO)
H7199-002-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 285
Devoted Health Devoted CORE Upstate (HMO)
H3041-001-0 		HMO $120 per Quarter No $480 Yes No Yes No No 276
Devoted Health Devoted CHOICE Alabama (PPO)
H9888-001-0 		Local PPO $95 per Quarter No $380 Yes No Yes No No 268
Devoted Health Devoted GIVEBACK Ohio (HMO)
H2697-006-0 		HMO $100 per Quarter No $400 Yes No Yes No No 268
Devoted Health Devoted DUAL Alabama - 1 (HMO D-SNP)
H3080-003-0 		HMO $65 per Quarter No $260 Yes No Yes No No 241
Devoted Health Devoted GIVEBACK North Carolina (HMO)
H5299-002-0 		HMO $0 per Month No $0 Yes No Yes No No 231
Devoted Health Devoted CHOICE South Florida (PPO)
H9884-001-0 		Local PPO $110 per Quarter No $440 Yes No Yes No No 214
Devoted Health Devoted CHOICE Arizona (PPO)
H6586-001-0 		Local PPO $85 per Quarter No $340 Yes No Yes No No 214
Devoted Health Devoted CORE Ohio (HMO)
H2697-004-0 		HMO $145 per Quarter No $580 Yes No Yes No No 207
Devoted Health Devoted CHOICE (PPO)
H9884-004-0 		Local PPO $95 per Quarter No $380 Yes No Yes No No 197
Devoted Health Devoted CORE Pennsylvania (HMO)
H6852-001-0 		HMO $125 per Quarter No $500 Yes No Yes No No 197
Devoted Health Devoted ESSENTIALS Manatee (HMO)
H1290-032-0 		HMO $175 per Quarter No $700 Yes No Yes No No 195
Devoted Health Devoted GIVEBACK Arizona (HMO)
H8173-013-0 		HMO $80 per Quarter No $320 Yes No Yes No No 182
Devoted Health Devoted GIVEBACK Pennsylvania (HMO)
H6852-002-0 		HMO $75 per Quarter No $300 Yes No Yes No No 162
Devoted Health Devoted GIVEBACK Tennessee (HMO)
H7605-005-0 		HMO $60 per Quarter No $240 Yes No Yes No No 159
Devoted Health Devoted CORE Tennessee (HMO)
H7605-004-0 		HMO $200 per Quarter No $800 Yes No Yes No No 158
Devoted Health Devoted GIVEBACK Tennessee (HMO)
H7605-008-0 		HMO $65 per Quarter No $260 Yes No Yes No No 153
Devoted Health Devoted DUAL Colorado - 1 (HMO D-SNP)
H7147-003-0 		HMO $100 per Quarter No $400 Yes No Yes No No 151
Devoted Health Devoted CHOICE Colorado (PPO)
H4808-002-0 		Local PPO $115 per Quarter No $460 Yes No Yes No No 151
Devoted Health Devoted CORE East Coast Florida (HMO)
H1290-046-0 		HMO $195 per Quarter No $780 Yes No Yes No No 151
Devoted Health Devoted CORE Daytona (HMO)
H1290-050-0 		HMO $195 per Quarter No $780 Yes No Yes No No 148
Devoted Health Devoted ESSENTIALS Daytona (HMO)
H1290-049-0 		HMO $100 per Quarter No $400 Yes No Yes No No 144
Devoted Health Devoted ESSENTIALS East Coast Florida (HMO)
H1290-045-0 		HMO $120 per Quarter No $480 Yes No Yes No No 142
Devoted Health Devoted CORE Tennessee (HMO)
H7605-007-0 		HMO $120 per Quarter No $480 Yes No Yes No No 140
Devoted Health Devoted DUAL East Coast Florida (HMO D-SNP)
H1290-039-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 136
Devoted Health Devoted CHOICE Pennsylvania (PPO)
H6018-001-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 123
Devoted Health Devoted CHOICE Austin (PPO)
H6813-002-0 		Local PPO $120 per Quarter No $480 Yes No Yes No No 122
Devoted Health Devoted CHOICE Orlando (PPO)
H9884-003-0 		Local PPO $85 per Quarter No $340 Yes No Yes No No 121
Devoted Health Devoted CHOICE Colorado (PPO)
H4808-001-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 118
Devoted Health Devoted DUAL Alabama - 2 (HMO D-SNP)
H3080-004-0 		HMO $65 per Quarter No $260 Yes No Yes No No 109
Devoted Health Devoted PRIME Ohio (HMO)
H2697-005-0 		HMO $175 per Quarter No $700 Yes No Yes No No 101
Devoted Health Devoted CHOICE North Florida (PPO)
H9884-012-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 75
Devoted Health Devoted CHOICE Arizona (PPO)
H6586-003-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 74
Devoted Health Devoted BEWELL PLUS Arizona (HMO C-SNP)
H8173-014-0 		HMO $100 per Quarter No $400 Yes No Yes No No 73
Devoted Health Devoted CORE Manatee (HMO)
H1290-025-0 		HMO $215 per Quarter No $860 Yes No Yes No No 72
Devoted Health Devoted GIVEBACK Tennessee (HMO)
H7605-002-0 		HMO $60 per Quarter No $240 Yes No Yes No No 69
Devoted Health Devoted CHOICE Arizona (PPO)
H6586-002-0 		Local PPO $85 per Quarter No $340 Yes No Yes No No 69
Devoted Health Devoted PRIME North Carolina (HMO)
H5299-003-0 		HMO $180 per Quarter No $720 Yes No Yes No No 64
Devoted Health Devoted CHOICE East Coast Florida (PPO)
H9884-008-0 		Local PPO $65 per Quarter No $260 Yes No Yes No No 63
Devoted Health Devoted CHOICE Tennessee (PPO)
H9231-001-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 62
Devoted Health Devoted DUAL Daytona (HMO D-SNP)
H1290-041-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 56
Devoted Health Devoted DUAL Manatee (HMO D-SNP)
H1290-034-0 		HMO $330 per Quarter No $1,320 Yes No Yes No No 56
Devoted Health Devoted CHOICE Northwest Florida (PPO)
H9884-011-0 		Local PPO $125 per Quarter No $500 Yes No Yes No No 53
Devoted Health Devoted BEWELL PLUS Arizona (HMO C-SNP)
H8173-015-0 		HMO $120 per Quarter No $480 Yes No Yes No No 48
Devoted Health Devoted CORE Tennessee (HMO)
H7605-001-0 		HMO $120 per Quarter No $480 Yes No Yes No No 41
Devoted Health Devoted CHOICE Manatee (PPO)
H9884-007-0 		Local PPO $85 per Quarter No $340 Yes No Yes No No 37
Devoted Health Devoted CORE Ohio (HMO)
H2697-007-0 		HMO $145 per Quarter No $580 Yes No Yes No No 30
Devoted Health Devoted CORE Alabama (HMO)
H3080-005-0 		HMO $130 per Quarter No $520 Yes No Yes No No 29
Devoted Health Devoted CORE El Paso (HMO)
H7993-007-0 		HMO $100 per Quarter No $400 Yes No Yes No No 26
Devoted Health Devoted DUAL Northwest Florida - 2 (HMO D-SNP)
H1290-043-0 		HMO $200 per Quarter No $800 Yes No Yes No No 26
Devoted Health Devoted GIVEBACK Ohio (HMO)
H2697-009-0 		HMO $100 per Quarter No $400 Yes No Yes No No 25
Devoted Health Devoted PRIME Tennessee (HMO)
H7605-003-0 		HMO $175 per Quarter No $700 Yes No Yes No No 25
Devoted Health Devoted RESTORE PLUS Tennessee - D (HMO C-SNP)
H7605-006-0 		HMO $225 per Quarter No $900 Yes No Yes No No 24
Devoted Health Devoted CHOICE Alabama (PPO)
H9888-002-0 		Local PPO $95 per Quarter No $380 Yes No Yes No No 21
Devoted Health Devoted PRIME Ohio (HMO)
H2697-008-0 		HMO $170 per Quarter No $680 Yes No Yes No No 17
Devoted Health Devoted DUAL Northwest Florida - 1 (HMO D-SNP)
H1290-042-0 		HMO $300 per Quarter No $1,200 Yes No Yes No No 15
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