Health Net Sapphire Premier II (HMO)
plan information last updated November 29, 2021
Company: Wellcare by Health Net
Plan enrollment: 1,060
Total monthly premium: $0
Max annual payment: No Maximum Payment
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: ca.healthnetadvantage.com
Plan member phone number: 800-431-9007
Plan prospect phone number: 800-977-6738
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 year
What is the max coverage amount?
No maximum
Is the benefit ONLY available in-network? Can be out of network
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: $0
Maximum CoPay: $1,350
Is Prior Authorization Needed? Yes
Is Physician Referral Needed? No
