Plans for Kaiser Permanente

Hearing Aid Coverage
Company Plan name Plan type Total monthly premium Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $0 Yes $700 No No No No No 242,947
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No 203,075
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No 188,002
Kaiser Permanente Kaiser Permanente Senior Advantage Inland Empire (HMO)
H0524-015-0 		HMO $0 Yes $700 No No No No No 88,275
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $0 No 76,073
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $47 Yes $700 No No No No No 69,520
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego (HMO)
H0524-037-0 		HMO $0 Yes $700 No No No No No 67,313
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $0 Yes $700 No No No No No 55,620
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $35 Yes $700 No No No No No 47,594
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $42 Yes $700 No No No No No 46,884
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $44 Yes $700 No No No No No 39,174
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $47 Yes $700 No No No No No 36,702
Kaiser Permanente Kaiser Permanente Senior Advantage Core (HMO)
H0630-013-0 		HMO $0 Yes $1,000 No No No No Yes 34,532
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO)
H9003-001-0 		HMO $54 Yes $1,000 No No No No No 31,889
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO)
H9003-006-0 		HMO $0 Yes $1,000 No No No No No 31,342
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard MD (HMO)
H2172-004-0 		HMO $0 Yes $1,000 No No No Yes Yes 31,112
Kaiser Permanente Kaiser Permanente Senior Advantage Silver (HMO)
H0630-015-0 		HMO $2 Yes $1,000 No No No No Yes 29,420
Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP)
H0524-029-0 		HMO $0 No 28,465
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [AB] (HMO)
H5050-801-0 		HMO No 27,480
Kaiser Permanente Kaiser Permanente Medicare Advantage Vital (HMO)
H5050-013-0 		HMO $7 Yes $750 No No No No No 25,229
Kaiser Permanente Senior Advantage Group MA-PD (HMO)
H0630-807-0 		HMO No 20,797
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No 20,087
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $0 Yes $1,000 No No No Yes No 19,881
Kaiser Permanente Kaiser Permanente Senior Advantage Ventura (HMO)
H0524-034-0 		HMO $0 Yes $700 No No No No No 18,501
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Solano (HMO)
H0524-008-0 		HMO $45 Yes $700 No No No No No 17,527
Kaiser Permanente Kaiser Permanente Medicare Advantage for Groups (HMO)
H2172-801-0 		HMO No 14,267
Kaiser Permanente Kaiser Permanente Employer Group MA-PD (HMO)
H1230-803-0 		HMO No 14,092
Kaiser Permanente Kaiser Permanente Medicare Advantage Essential (HMO)
H5050-009-0 		HMO $17 Yes $950 No No No No No 13,595
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-809-0 		HMO No 11,977
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed w/Part D (HMO)
H2172-803-0 		HMO No 11,885
Kaiser Permanente Kaiser Permanente Medicare Advantage Value MD (HMO)
H2172-011-0 		HMO $0 Yes $1,000 No No No Yes Yes 11,185
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No 10,963
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard VA (HMO)
H2172-009-0 		HMO $0 Yes $1,000 No No No Yes Yes 10,609
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
H0524-038-0 		HMO $27 Yes $700 No No No No No 10,374
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO)
H9003-009-0 		HMO $0 Yes $1,000 No No No No No 9,929
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No 9,803
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
H0524-043-0 		HMO $0 Yes $700 No No No No No 9,579
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
H0524-042-0 		HMO $30 Yes $700 No No No No No 9,096
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO)
H0524-046-0 		HMO $0 Yes $700 No No No No No 8,809
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Kern (HMO)
H0524-035-0 		HMO $0 Yes $700 No No No No No 8,208
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $0 Yes $1,000 No No No Yes No 7,454
Kaiser Permanente Kaiser Permanente Medicare Advantage Harbor (HMO)
H5050-017-0 		HMO $7 Yes $1,000 No No No No No 7,333
Kaiser Permanente Kaiser Permanente Medicare Advantage Value VA (HMO)
H2172-010-0 		HMO $0 Yes $1,000 No No No Yes Yes 7,285
Kaiser Permanente Kaiser Permanente Senior Advantage Core (HMO)
H0630-017-0 		HMO $0 Yes $1,000 No No No No Yes 7,165
Kaiser Permanente Kaiser Permanente Medicare Advantage Value Balt (HMO)
H2172-006-0 		HMO $0 Yes $1,000 No No No Yes Yes 6,965
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Alameda (HMO)
H0524-059-0 		HMO $0 Yes $700 No No No No No 6,666
Kaiser Permanente Kaiser Permanente Medicare Advantage High MD (HMO)
H2172-002-0 		HMO $61 Yes $1,000 No No No Yes Yes 6,630
Kaiser Permanente Kaiser Permanente Sr Adv Basic Santa Clara (HMO)
H0524-062-0 		HMO $0 Yes $700 No No No No No 5,683
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
H0524-040-0 		HMO $31 Yes $700 No No No No No 5,473
Kaiser Permanente Kaiser Permanente Medicare Advantage Key (HMO)
H5050-022-0 		HMO $0 No 5,388
Kaiser Permanente Kaiser Permanente Sr Adv Basic Contra Costa (HMO)
H0524-061-0 		HMO $0 Yes $700 No No No No No 5,354
Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO)
H1230-003-0 		HMO $14 Yes $1,500 No No No Yes Yes 5,301
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No 4,890
Kaiser Permanente Kaiser Permanente Medicare Advantage Optimal (HMO)
H5050-004-0 		HMO $193 Yes $1,500 No No No No No 4,888
Kaiser Permanente Kaiser Permanente Medicare Advantage Centennial (HMO)
H5050-021-0 		HMO $0 Yes $1,750 No No No No No 4,781
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No 4,686
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO)
H1230-001-0 		HMO $85 Yes $1,500 No No No Yes Yes 4,417
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Stanis (HMO)
H0524-041-0 		HMO $0 Yes $700 No No No No No 4,392
Kaiser Permanente Kaiser Permanente Senior Advantage Hawaii Island (HMO)
H1230-014-0 		HMO $132 Yes $1,500 No No No Yes Yes 4,157
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Kern (HMO)
H0524-036-0 		HMO $0 Yes $700 No No No No No 4,058
Kaiser Permanente Kaiser Permanente Medicare Advantage Basic (HMO)
H5050-001-0 		HMO $40 Yes $1,500 No No No No No 3,908
Kaiser Permanente Kaiser Permanente Senior Advantage Maui (HMO)
H1230-013-0 		HMO $125 Yes $1,500 No No No Yes Yes 3,600
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No 3,593
Kaiser Permanente Kaiser Permanente Senior Advantage Core (HMO)
H0630-020-0 		HMO $0 Yes $1,000 No No No No Yes 3,560
Kaiser Permanente FEHB AB with D (HMO)
H0630-810-0 		HMO No 3,190
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [ABD] (HMO)
H5050-802-0 		HMO No 3,133
Kaiser Permanente Kaiser Permanente Senior Advantage Gold (HMO)
H0630-016-0 		HMO $126 Yes $1,000 No No No No Yes 3,082
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H0630-014-0 		HMO $0 Yes $3,000 No No No No Yes 2,849
Kaiser Permanente Kaiser Permanente Senior Advantage Silver (HMO)
H0630-021-0 		HMO $0 Yes $1,000 No No No No Yes 2,634
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-807-0 		HMO No 2,474
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard DC (HMO)
H2172-003-0 		HMO $0 Yes $1,000 No No No Yes Yes 2,390
Kaiser Permanente Kaiser Permanente Senior Advantage Santa Cruz (HMO)
H0524-054-0 		HMO $41 Yes $700 No No No No No 2,232
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SF (HMO)
H0524-060-0 		HMO $0 Yes $700 No No No No No 2,206
Kaiser Permanente Senior Advantage Group MA-PD (HMO)
H0630-813-0 		HMO No 2,166
Kaiser Permanente Kaiser Permanente Medicare Advantage High VA (HMO)
H2172-008-0 		HMO $81 Yes $1,000 No No No Yes Yes 2,145
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No 2,116
Kaiser Permanente FEHB AB with D (HMO)
H1230-805-0 		HMO No 1,980
Kaiser Permanente Kaiser Permanente Medicare Advantage Columbia (HMO)
H5050-019-0 		HMO $17 Yes $2,000 No No No No No 1,943
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-801-0 		HMO No 1,908
Kaiser Permanente Kaiser Permanente Senior Advantage Basic San Mateo (HMO)
H0524-065-0 		HMO $0 Yes $700 No No No No No 1,370
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Solano (HMO)
H0524-063-0 		HMO $0 Yes $700 No No No No No 1,311
Kaiser Permanente Kaiser Permanente Medicare Advantage Value DC (HMO)
H2172-012-0 		HMO $0 Yes $1,000 No No No Yes Yes 1,212
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $0 Yes $1,000 No No No Yes No 1,191
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H1230-008-0 		HMO $0 No 1,136
Kaiser Permanente Kaiser Permanente Medicare Advantage Liberty (HMO)
H2172-005-0 		HMO $0 Yes $1,000 No No No Yes Yes 1,065
Kaiser Permanente Senior Advantage Group MAPD (HMO)
H0630-819-0 		HMO No 1,037
Kaiser Permanente Kaiser Permanente Medicare Advantage High DC (HMO)
H2172-001-0 		HMO $69 Yes $1,000 No No No Yes Yes 976
Kaiser Permanente Senior Advantage Group MA-PD_Part B only (HMO)
H0630-805-0 		HMO No 772
Kaiser Permanente Kaiser Permanente Medicare Advantage Anchor (HMO)
H5050-023-0 		HMO $0 No 648
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Marin (HMO)
H0524-064-0 		HMO $0 Yes $700 No No No No No 643
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No 539
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO)
H0630-023-0 		HMO $6 Yes $1,000 No No No No Yes 528
Kaiser Permanente Kaiser Permanente Senior Advantage Value Lane (HMO)
H9003-008-0 		HMO $0 Yes $1,000 No No No No No 517
Kaiser Permanente FEHB AB with D (HMO)
H0630-816-0 		HMO No 467
Kaiser Permanente Kaiser Permanente Senior Advantage Standard Lane (HMO)
H9003-007-0 		HMO $0 Yes $1,000 No No No No No 232
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 2 (HMO)
H1170-012-0 		HMO $0 Yes $1,000 No No No Yes No 228
Kaiser Permanente FEHB AB with D (HMO)
H0630-822-0 		HMO No 161
Kaiser Permanente Senior Advantage Group MA-PD_Part B only (HMO)
H0630-811-0 		HMO No 135
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 2 (HMO)
H1170-010-0 		HMO $0 Yes $1,000 No No No Yes No 119
Kaiser Permanente Kaiser Permanente Employer Group MA only (HMO)
H1230-801-0 		HMO No 82
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed B/D (HMO)
H2172-804-0 		HMO No 71
Kaiser Permanente Kaiser Permanente Senior Advantage B Only North (HMO)
H0524-010-0 		HMO Yes $700 No No No No No 38
Kaiser Permanente Senior Advantage Group MAPD Part B Only (HMO)
H0630-817-0 		HMO No 34
Kaiser Permanente Kaiser Permanente Employer Group MA-PD Part B (HMO)
H1230-804-0 		HMO No 28
Kaiser Permanente FEHB Part B Only with D (HMO)
H0524-812-0 		HMO No 26
Kaiser Permanente Senior Advantage Medicare Medicaid Pueblo (HMO D-SNP)
H0630-024-0 		HMO $0 Yes $3,000 No No No No Yes 21
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP)
H1170-011-0 		HMO $0 Yes $1,000 No No No Yes No 16
Kaiser Permanente FEHB Part B Only with D (HMO)
H0524-811-0 		HMO No 15
Kaiser Permanente Kaiser Permanente Senior Advantage B Only South (HMO)
H0524-002-0 		HMO Yes $700 No No No No No 14
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-804-0 		HMO No 11
Kaiser Permanente Kaiser Permanente Medicare Advantage GRP w/o D (HMO)
H2172-805-0 		HMO No 11
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