Plans for EmblemHealth Medicare HMO

72,032 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
EmblemHealth Medicare HMO EmblemHealth VIP Dual (HMO D-SNP)
H3330-042-3
HMO $1,320 No Yes $1,500 No No No No 20,860
EmblemHealth Medicare HMO EmblemHealth VIP Rx Carveout (HMO)
H3330-815-0
HMO $0 No No 15,563
EmblemHealth Medicare HMO EmblemHealth VIP Premier (HMO)
H3330-814-0
HMO $0 No No 15,339
EmblemHealth Medicare HMO EmblemHealth VIP Reserve Classic (HMO)
H3330-046-0
HMO $300 No Yes $750 No No No No 6,915
EmblemHealth Medicare HMO EmblemHealth VIP Gold (HMO)
H3330-021-4
HMO $0 No Yes $2,400 No No No No 6,317
EmblemHealth Medicare HMO EmblemHealth VIP Essential (HMO)
H3330-032-4
HMO $0 No Yes $900 No No No No 4,925
EmblemHealth Medicare HMO EmblemHealth VIP Dual Reserve (HMO D-SNP)
H5991-010-0
HMO $1,800 No No 1,045
EmblemHealth Medicare HMO EmblemHealth VIP Gold Plus (HMO)
H3330-038-0
HMO $0 No Yes $3,000 No No No No 768
EmblemHealth Medicare HMO EmblemHealth VIP Rx Saver (HMO)
H3330-045-0
HMO $300 No Yes $600 No No No No 300
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