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Plans for Highmark BCBS of WNY and Highmark BS of NENY

71,764 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
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield BlueSaver (HMO) H3384-062-0	HMO	$100	Yes	Yes		No	Yes	No	No	24,274
Highmark BCBS of WNY and Highmark BS of NENY	PPO Group (MA-PD) CY (PPO) H5526-808-0	Local PPO	$0	No	No							8,460
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Senior Blue Select (HMO) H3384-058-0	HMO	$140	Yes	Yes		No	Yes	No	No	7,092
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Freedom Nation (PPO) H5526-020-0	Local PPO	$100	Yes	Yes		No	Yes	No	No	6,217
Highmark BCBS of WNY and Highmark BS of NENY	HMO Group (MA-PD) Calendar Year (HMO) H3384-806-0	HMO	$0	No	No							4,349
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Senior Blue 651 (HMO) H3384-019-0	HMO	$140	Yes	Yes		No	Yes	No	No	4,247
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Freedom Nation (PPO) H5526-021-0	Local PPO	$100	Yes	Yes		No	Yes	No	No	3,653
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Forever Blue 751 (PPO) H5526-004-0	Local PPO	$140	Yes	Yes		No	Yes	No	No	2,439
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Senior Blue Basic (HMO) H3384-067-0	HMO	$0	No	No							2,029
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Freedom Plus (HMO) H3384-059-0	HMO	$140	Yes	Yes		No	Yes	No	No	1,696
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Senior Blue 652 (HMO) H3384-013-0	HMO	$140	Yes	Yes		No	Yes	No	No	1,546
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Forever Blue Value (PPO) H5526-016-0	Local PPO	$140	Yes	Yes		No	Yes	No	No	1,404
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Freedom Value (HMO) H3384-063-0	HMO	$100	Yes	Yes		No	Yes	No	No	1,268
Highmark BCBS of WNY and Highmark BS of NENY	PPO Group (MA Only) CY (PPO) H5526-806-0	Local PPO	$0	No	No							1,268
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Senior Blue 601 (HMO) H3384-022-0	HMO	$100	Yes	Yes		No	Yes	No	No	740
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Forever Blue 770 (PPO) H5526-018-0	Local PPO	$140	Yes	Yes		No	Yes	No	No	657
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Freedom Basic (PPO) H5526-022-0	Local PPO	$0	No	No							325
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Cross Blue Shield Freedom Valor (PPO) H5526-023-0	Local PPO	$100	Yes	Yes		No	Yes	No	No	83
Highmark BCBS of WNY and Highmark BS of NENY	Highmark Blue Shield Freedom Valor (PPO) H5526-024-0	Local PPO	$100	Yes	Yes		No	Yes	No	No	17

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