Plans for EmblemHealth Medicare HMO

72,032 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
EmblemHealth Medicare HMO EmblemHealth VIP Dual (HMO D-SNP)
H3330-042-3
HMO $110 per Month No $1,320 Yes $1,500 No No No No 20,860
EmblemHealth Medicare HMO EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0
HMO No $0 No 15,563
EmblemHealth Medicare HMO EmblemHealth VIP Premier (HMO)
H3330-814-0
HMO No $0 No 15,339
EmblemHealth Medicare HMO EmblemHealth VIP Reserve Classic (HMO)
H3330-046-0
HMO $25 per Month No $300 Yes $750 No No No No 6,915
EmblemHealth Medicare HMO EmblemHealth VIP Gold (HMO)
H3330-021-4
HMO No $0 Yes $2,400 No No No No 6,317
EmblemHealth Medicare HMO EmblemHealth VIP Essential (HMO)
H3330-032-4
HMO No $0 Yes $900 No No No No 4,925
EmblemHealth Medicare HMO EmblemHealth VIP Dual Reserve (HMO D-SNP)
H5991-010-0
HMO $150 per Month No $1,800 No 1,045
EmblemHealth Medicare HMO EmblemHealth VIP Gold Plus (HMO)
H3330-038-0
HMO No $0 Yes $3,000 No No No No 768
EmblemHealth Medicare HMO EmblemHealth VIP Rx Saver (HMO)
H3330-045-0
HMO $25 per Month No $300 Yes $600 No No No No 300
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