Plans for Independence Blue Cross

103,978 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
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-055-0
HMO $240 Yes No No Yes No No 20,249
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-056-0
HMO $240 Yes No No Yes No No 15,875
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-049-0
HMO $120 Yes No No Yes No No 12,286
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-051-0
HMO $120 Yes No No Yes No No 8,879
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-053-0
HMOPOS $240 Yes No No Yes No No 8,441
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-015-0
Local PPO $240 Yes No No Yes No No 7,897
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-014-0
Local PPO $240 Yes No No Yes No No 6,069
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-020-0
HMO $120 Yes No No Yes No No 3,917
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-054-0
HMOPOS $240 Yes No No Yes No No 3,791
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-009-0
Local PPO $120 Yes No No Yes No No 2,866
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-045-0
HMO $120 Yes No No Yes No No 2,304
Independence Blue Cross Keystone 65 Group Rx (HMO)
H3952-804-0
HMO $0 No 1,747
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-001-0
Local PPO $120 Yes No No Yes No No 1,583
Independence Blue Cross Personal Choice 65 Elite Rx (PPO)
H3909-017-0
Local PPO $400 Yes No No Yes No No 1,261
Independence Blue Cross Personal Choice 65 Group Rx (PPO)
H3909-802-0
Local PPO $0 No 1,186
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-048-0
HMO $120 Yes No No Yes No No 1,138
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-050-0
HMO $120 Yes No No Yes No No 1,003
Independence Blue Cross Keystone 65 Group Medical Only (HMO)
H3952-802-0
HMO $0 No 994
Independence Blue Cross Personal Choice 65 Saver Rx (PPO)
H3909-016-0
Local PPO $120 Yes No No Yes No No 954
Independence Blue Cross Personal Choice 65 Group Medical Only (PPO)
H3909-801-0
Local PPO $0 No 616
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-008-0
HMO $120 Yes No No Yes No No 505
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-044-0
HMO $120 Yes No No Yes No No 279
Independence Blue Cross Personal Choice 65 Medical Only (PPO)
H3909-007-0
Local PPO $120 Yes No No Yes No No 138
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