Independence Blue Cross Medicare Plan Hearing Aid Benefits

109,358 Total Members

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-055-0
HMO $70 per Quarter No $280 Yes No No Yes No No 22,857
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-056-0
HMO $70 per Quarter No $280 Yes No No Yes No No 17,945
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-015-0
Local PPO $70 per Quarter No $280 Yes No No Yes No No 10,819
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-049-0
HMO $30 per Quarter No $120 Yes No No Yes No No 10,664
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-014-0
Local PPO $70 per Quarter No $280 Yes No No Yes No No 8,067
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-053-0
HMOPOS $70 per Quarter No $280 Yes No No Yes No No 7,985
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-051-0
HMO $30 per Quarter No $120 Yes No No Yes No No 7,727
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-054-0
HMOPOS $70 per Quarter No $280 Yes No No Yes No No 3,381
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-020-0
HMO $30 per Quarter No $120 Yes No No Yes No No 3,119
Independence Blue Cross Personal Choice 65 Elite Rx (PPO)
H3909-017-0
Local PPO $125 per Quarter No $500 Yes No No Yes No No 2,779
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-009-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 2,582
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-045-0
HMO $30 per Quarter No $120 Yes No No Yes No No 1,843
Independence Blue Cross Personal Choice 65 Saver Rx (PPO)
H3909-016-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,512
Independence Blue Cross Keystone 65 Group Rx (HMO)
H3952-804-0
HMO No $0 No 1,470
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-001-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,362
Independence Blue Cross Personal Choice 65 Group Rx (PPO)
H3909-802-0
Local PPO No $0 No 1,140
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-048-0
HMO $30 per Quarter No $120 Yes No No Yes No No 930
Independence Blue Cross Keystone 65 Group Medical Only (HMO)
H3952-802-0
HMO No $0 No 811
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-050-0
HMO $30 per Quarter No $120 Yes No No Yes No No 789
Independence Blue Cross Personal Choice 65 Group Medical Only (PPO)
H3909-801-0
Local PPO No $0 No 603
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-008-0
HMO $30 per Quarter No $120 Yes No No Yes No No 362
Independence Blue Cross Keystone 65 Liberty Medical Only (HMO)
H3952-059-0
HMO $30 per Quarter No $120 Yes No No Yes No No 279
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-044-0
HMO $30 per Quarter No $120 Yes No No Yes No No 205
Independence Blue Cross Personal Choice 65 Medical Only (PPO)
H3909-007-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 127

Plan Claims Contact Information

Organization Name: Independence Blue Cross
Contact Name: Lisa Perfetto
Title: Director Claims Operations
Phone: 1-215-241-4126
Email: lisa.perfetto@ibx.com
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