Geisinger Gold Classic Advantage Rx (HMO)

H3954-157-23

Geisinger Gold Classic Advantage Rx (HMO)

plan information last updated February 8, 2023

Company: Geisinger Gold
Plan enrollment: 13,783
Total monthly premium: $81
Max annual payment: No Maximum Payment
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: www.GeisingerGold.com
Plan member phone number: 800-498-9731
Plan prospect phone number: 800-514-0138

OTC Hearing Aid Coverage

This plan does not have any OTC supplement benefits

Prescription Hearing Aid Coverage

Does plan cover hearing aids?: Yes
How many hearing aids does the plan allow? 2 per Every three years
What is the max coverage amount? $1,250
Is the benefit per ear or for both ears combined?: Per ear
Is the benefit ONLY available in-network? Can be out of network
What time period does the coverage apply to? Every three years
Is there a maximum out of pocket cost? No out of pocket maximum
Does the member have to pay Coinsurance? No coinsurance required
Is a CoPay required? Yes
Minimum CoPay: $500
Maximum CoPay: $500
Is Prior Authorization Needed? No
Is Physician Referral Needed? No

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