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
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