Plans for EmblemHealth Medicare HMO
107,119 Total Members
| Prescription Hearing Aid Coverage | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Company | Plan name | Plan type | Annual OTC Supplement | Coverage? | Covered Amount | In Network Required? | Coinsurance? | Copay? | Prior Authorization? | Need Referral? | Enrollees |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Essential (HMO) H3330-032-4 |
HMO | $0 | Yes | $900 | No | No | No | No | No | 25,824 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Dual (HMO D-SNP) H3330-042-3 |
HMO | $1,200 | Yes | $300 | No | No | No | No | No | 23,396 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Rx Carveout (HMO) H3330-815-0 |
HMO | $0 | Yes | $500 | No | No | No | No | No | 15,628 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Premier (HMO) H3330-814-0 |
HMO | $0 | Yes | $500 | No | No | No | No | No | 15,498 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Value (HMO) H3330-036-0 |
HMO | $0 | No | 6,645 | ||||||
| EmblemHealth Medicare HMO |
EmblemHealth VIP Gold (HMO) H3330-021-4 |
HMO | $0 | Yes | $2,400 | No | No | No | No | No | 6,537 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Reserve (HMO) H5991-009-0 |
HMO | $300 | Yes | $750 | No | No | No | No | No | 5,181 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Passport (HMO) H5991-003-0 |
HMO | $0 | Yes | $350 | No | No | No | No | No | 3,382 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Dual Reserve (HMO D-SNP) H5991-010-0 |
HMO | $1,764 | No | 962 | ||||||
| EmblemHealth Medicare HMO |
EmblemHealth VIP Dual Select (HMO D-SNP) H5991-001-0 |
HMO | $720 | Yes | $750 | No | No | No | No | No | 839 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Gold Plus (HMO) H3330-038-0 |
HMO | $0 | Yes | $3,000 | No | No | No | No | No | 820 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Passport NYC (HMO) H5991-006-0 |
HMO | $0 | Yes | $350 | No | No | No | No | No | 598 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Rx Saver (HMO) H3330-039-2 |
HMO | $300 | Yes | $600 | No | No | No | No | No | 560 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Part B Saver (HMO) H3330-040-0 |
HMO | $0 | Yes | $630 | No | No | No | No | No | 544 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Solutions (HMO D-SNP) H5991-002-0 |
HMO | $0 | Yes | $350 | No | No | No | No | No | 420 |
| EmblemHealth Medicare HMO |
EmblemHealth VIP Go (HMO-POS) H3330-041-2 |
HMOPOS | $0 | Yes | $1,800 | No | No | No | No | No | 285 |
