Plans for Empire BlueCross BlueShield

76,569 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
Empire BlueCross BlueShield Empire MediBlue HealthPlus Dual Connect (HMO D-SNP)
H1732-003-0 		HMO $1,200 Yes Yes $3,000 No Yes Yes No 15,324
Empire BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-008-7 		HMO $0 No No 11,437
Empire BlueCross BlueShield Empire MediBlue HealthPlus (HMO)
H1732-004-0 		HMO $140 Yes Yes $1,500 No Yes Yes No 9,087
Empire BlueCross BlueShield Empire MediBlue HealthPlus Select (HMO)
H1732-007-0 		HMO $140 Yes Yes $1,500 No Yes Yes No 6,320
Empire BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-011-0 		HMO $0 No Yes $2,000 No Yes Yes No 5,494
Empire BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-010-0 		HMO $0 No Yes $2,000 No Yes Yes No 4,150
Empire BlueCross BlueShield Empire MediBlue Dual Advantage Select (HMO D-SNP)
H8432-028-0 		HMO $840 Yes Yes $1,500 No Yes Yes No 4,112
Empire BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-009-0 		HMO $140 Yes Yes $2,500 No Yes Yes No 3,758
Empire BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-027-0 		HMO $108 Yes No 3,292
Empire BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-007-0 		HMO $272 Yes No 3,001
Empire BlueCross BlueShield Empire MediBlue HealthPlus (HMO)
H1732-006-0 		HMO $160 Yes Yes $2,000 No Yes Yes No 2,729
Empire BlueCross BlueShield Empire MediBlue Extra Select (HMO)
H8432-035-0 		HMO $360 Yes Yes $2,000 No Yes Yes No 2,183
Empire BlueCross BlueShield Empire MediBlue Select (HMO)
H8432-016-0 		HMO $140 Yes Yes $2,000 No Yes Yes No 1,956
Empire BlueCross BlueShield Empire MediBlue HealthPlus (HMO)
H1732-005-0 		HMO $140 Yes Yes $2,000 No Yes Yes No 1,037
Empire BlueCross BlueShield Empire MediBlue Plus (HMO)
H8432-038-2 		HMO $288 Yes Yes $500 No No No No 713
Empire BlueCross BlueShield Empire MediBlue Dual Advantage (HMO D-SNP)
H8432-039-2 		HMO $1,300 Yes Yes $1,500 No Yes Yes Yes 658
Empire BlueCross BlueShield Empire MediBlue Access (PPO)
H3342-023-2 		Local PPO $140 Yes No 484
Empire BlueCross BlueShield Empire MediBlue Dual Advantage Select (HMO D-SNP)
H8432-034-0 		HMO $1,020 Yes Yes $2,000 No Yes Yes No 276
Empire BlueCross BlueShield Empire MediBlue Service (HMO)
H8432-037-2 		HMO $0 No No 205
Empire BlueCross BlueShield Empire MediBlue HealthPlus Dual Plus (HMO D-SNP)
H1732-001-0 		HMO $1,700 Yes No 178
Empire BlueCross BlueShield Empire MediBlue Choice (HMO-POS)
H8432-015-0 		HMOPOS $0 No No 129
Empire BlueCross BlueShield Empire MediBlue Service Select (HMO)
H8432-036-0 		HMO $256 Yes No 46
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