Plans for Kaiser Permanente

1,842,895 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $50 per Quarter No $200 Yes $1,000 No No No No 242,362
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 204,809
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No $0 No 188,718
Kaiser Permanente Kaiser Permanente Senior Advantage Inland Empire (HMO)
H0524-015-0 		HMO $50 per Quarter No $200 Yes $1,000 No No No No 91,206
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 68,373
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego (HMO)
H0524-037-0 		HMO $50 per Quarter No $200 Yes $1,000 No No No No 67,121
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 57,534
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 47,757
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 47,342
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 45,737
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 38,504
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 35,581
Kaiser Permanente Kaiser Permanente Senior Advantage Core DM (HMO)
H0630-013-0 		HMO $70 per Quarter No $280 Yes $1,000 No No No Yes 34,710
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)
H2172-004-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No Yes Yes 30,909
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO-POS)
H9003-006-0 		HMOPOS No $0 Yes $1,000 No No No No 30,904
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H9003-001-0 		HMOPOS No $0 Yes $1,000 No No No No 30,893
Kaiser Permanente Kaiser Permanente Senior Advantage Silver DM (HMO-POS)
H0630-015-0 		HMOPOS $80 per Quarter No $320 Yes $1,000 No No No Yes 29,307
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [AB] (HMO)
H5050-801-0 		HMO No $0 No 27,559
Kaiser Permanente Kaiser Permanente Medicare Advantage Vital (HMO)
H5050-013-0 		HMO $50 per Quarter No $200 Yes $3,000 No No No No 25,282
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 20,981
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 Yes $1,000 No No Yes No 20,745
Kaiser Permanente Senior Advantage Group MA-PD (HMO)
H0630-807-0 		HMO No $0 No 20,447
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No $0 No 19,791
Kaiser Permanente Kaiser Permanente Senior Advantage Ventura (HMO)
H0524-034-0 		HMO $50 per Quarter No $200 Yes $1,000 No No No No 18,559
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Solano (HMO)
H0524-008-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 17,034
Kaiser Permanente Kaiser Permanente Medicare Advantage for Groups (HMO)
H2172-801-0 		HMO No $0 No 14,203
Kaiser Permanente Kaiser Permanente Employer Group MA-PD (HMO)
H1230-803-0 		HMO No $0 No 14,132
Kaiser Permanente Kaiser Permanente Medicare Advantage Essential (HMO)
H5050-009-0 		HMO No $0 Yes $3,000 No No No No 13,426
Kaiser Permanente Kaiser Permanente Medicare Advantage Value MD (HMO)
H2172-011-0 		HMO $30 per Quarter No $120 Yes $2,000 No No Yes Yes 12,486
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-809-0 		HMO No $0 No 12,318
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO-POS)
H9003-009-0 		HMOPOS No $0 Yes $1,000 No No No No 12,259
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed w/Part D (HMO)
H2172-803-0 		HMO No $0 No 11,945
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 10,978
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)
H2172-009-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No Yes Yes 10,762
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
H0524-038-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 10,285
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
H0524-043-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 10,047
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 9,917
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO)
H0524-046-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 9,218
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
H0524-042-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 9,099
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Alameda (HMO)
H0524-059-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 8,953
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Kern (HMO)
H0524-035-0 		HMO $120 per Quarter No $480 Yes $5,000 No No No No 8,202
Kaiser Permanente Kaiser Permanente Medicare Advantage Value VA (HMO-POS)
H2172-010-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No Yes Yes 7,877
Kaiser Permanente Kaiser Permanente Sr Adv Basic Santa Clara (HMO)
H0524-062-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 7,470
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $150 per Quarter No $600 Yes $1,000 No No Yes No 7,370
Kaiser Permanente Kaiser Permanente Medicare Advantage Value Balt (HMO)
H2172-006-0 		HMO $30 per Quarter No $120 Yes $2,000 No No Yes Yes 7,284
Kaiser Permanente Kaiser Permanente Sr Adv Basic Contra Costa (HMO)
H0524-061-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 7,160
Kaiser Permanente Kaiser Permanente Senior Advantage Core South (HMO)
H0630-017-0 		HMO $70 per Quarter No $280 Yes $1,000 No No No Yes 7,065
Kaiser Permanente Kaiser Permanente Medicare Advantage Harbor (HMO)
H5050-017-0 		HMO $25 per Quarter No $100 Yes $3,000 No No No No 6,995
Kaiser Permanente Kaiser Permanente Medicare Advantage Key (HMO)
H5050-022-0 		HMO $40 per Quarter No $160 Yes $3,000 No No No No 6,678
Kaiser Permanente Kaiser Permanente Medicare Advantage High MD (HMO-POS)
H2172-002-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No Yes Yes 6,270
Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO)
H1230-003-0 		HMO No $0 Yes $1,500 No No Yes Yes 5,611
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
H0524-040-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 5,492
Kaiser Permanente Senior Advantage Medicare Medi-Cal Inland Empire (HMO D-SNP)
H0524-073-0 		HMO $100 per Quarter No $400 No 5,268
Kaiser Permanente Kaiser Permanente Medicare Advantage Centennial (HMO)
H5050-021-0 		HMO $75 per Quarter No $300 Yes $3,000 No No No No 4,993
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 4,844
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Stanis (HMO)
H0524-041-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 4,746
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No $0 No 4,734
Kaiser Permanente Kaiser Permanente Medicare Advantage Optimal (HMO)
H5050-004-0 		HMO No $0 Yes $3,000 No No No No 4,628
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO)
H1230-001-0 		HMO No $0 Yes $1,500 No No Yes Yes 4,333
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Kern (HMO)
H0524-036-0 		HMO $50 per Quarter No $200 Yes $1,000 No No No No 4,243
Kaiser Permanente Kaiser Permanente Senior Advantage Hawaii Island (HMO)
H1230-014-0 		HMO No $0 Yes $1,500 No No Yes Yes 4,134
Kaiser Permanente Kaiser Permanente Senior Advantage Maui (HMO)
H1230-013-0 		HMO No $0 Yes $1,500 No No Yes Yes 3,634
Kaiser Permanente Senior Advantage Medicare Medi-Cal San Diego (HMO D-SNP)
H0524-071-0 		HMO $100 per Quarter No $400 No 3,631
Kaiser Permanente Kaiser Permanente Medicare Advantage Basic (HMO)
H5050-001-0 		HMO No $0 Yes $1,500 No No No No 3,620
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No $0 No 3,617
Kaiser Permanente Kaiser Permanente Senior Advantage Core North (HMO)
H0630-020-0 		HMO $70 per Quarter No $280 Yes $1,000 No No No Yes 3,605
Kaiser Permanente FEHB AB with D (HMO)
H0630-810-0 		HMO No $0 No 3,265
Kaiser Permanente Senior Advantage Medicare Medi-Cal Santa Clara (HMO D-SNP)
H0524-074-0 		HMO $100 per Quarter No $400 No 3,188
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [ABD] (HMO)
H5050-802-0 		HMO No $0 No 3,043
Kaiser Permanente Kaiser Permanente Senior Advantage Gold (HMO-POS)
H0630-016-0 		HMOPOS $90 per Quarter No $360 Yes $1,000 No No No Yes 3,013
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H0630-014-0 		HMO $100 per Quarter No $400 Yes $3,000 No No No Yes 2,885
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SF (HMO)
H0524-060-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 2,879
Kaiser Permanente Kaiser Permanente Senior Advantage Silver North (HMO-POS)
H0630-021-0 		HMOPOS $80 per Quarter No $320 Yes $1,000 No No No Yes 2,702
Kaiser Permanente Kaiser Permanente Senior Advantage Basic San Mateo (HMO)
H0524-065-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 2,492
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-807-0 		HMO No $0 No 2,455
Kaiser Permanente Kaiser Permanente Senior Advantage Santa Cruz (HMO)
H0524-054-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 2,454
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Solano (HMO)
H0524-063-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 2,372
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard DC (HMO-POS)
H2172-003-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No Yes Yes 2,350
Kaiser Permanente Senior Advantage Medicare Medi-Cal Orange (HMO D-SNP)
H0524-072-0 		HMO $100 per Quarter No $400 No 2,339
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 2,203
Kaiser Permanente Senior Advantage Group MA-PD (HMO)
H0630-813-0 		HMO No $0 No 2,079
Kaiser Permanente Kaiser Permanente Medicare Advantage High VA (HMO-POS)
H2172-008-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No Yes Yes 2,067
Kaiser Permanente FEHB AB with D (HMO)
H1230-805-0 		HMO No $0 No 2,002
Kaiser Permanente Kaiser Permanente Sr Advantage LA, Orange Value (HMO)
H0524-078-0 		HMO $120 per Quarter No $480 Yes $5,000 No No No No 1,972
Kaiser Permanente Kaiser Permanente Medicare Advantage Columbia (HMO)
H5050-019-0 		HMO $75 per Quarter No $300 Yes $3,000 No No No No 1,920
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-801-0 		HMO No $0 No 1,882
Kaiser Permanente Kaiser Permanente Medicare Advantage Value DC (HMO-POS)
H2172-012-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No Yes Yes 1,463
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H1230-008-0 		HMO No $0 No 1,305
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $300 per Quarter No $1,200 Yes $1,000 No No Yes No 1,244
Kaiser Permanente Kaiser Permanente Sr Advantage Inland Empire Value (HMO)
H0524-081-0 		HMO $120 per Quarter No $480 Yes $5,000 No No No No 1,213
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Marin (HMO)
H0524-064-0 		HMO $60 per Quarter No $240 Yes $2,500 No No No No 1,203
Kaiser Permanente Kaiser Permanente Medicare Advantage Liberty (HMO)
H2172-005-0 		HMO $30 per Quarter No $120 Yes $2,000 No No Yes Yes 1,172
Kaiser Permanente Senior Advantage Medicare Medi-Cal San Mateo (HMO D-SNP)
H0524-075-0 		HMO $100 per Quarter No $400 No 1,138
Kaiser Permanente Senior Advantage Group MAPD (HMO)
H0630-819-0 		HMO No $0 No 1,031
Kaiser Permanente Kaiser Permanente Medicare Advantage High DC (HMO-POS)
H2172-001-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No Yes Yes 932
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego Value (HMO)
H0524-082-0 		HMO $120 per Quarter No $480 Yes $5,000 No No No No 851
Kaiser Permanente Kaiser Permanente Medicare Advantage Anchor (HMO)
H5050-023-0 		HMO $25 per Quarter No $100 Yes $3,000 No No No No 787
Kaiser Permanente Senior Advantage Group MA-PD_Part B only (HMO)
H0630-805-0 		HMO No $0 No 770
Kaiser Permanente Kaiser Permanente Senior Advantage Value Lane (HMO-POS)
H9003-008-0 		HMOPOS No $0 Yes $1,000 No No No No 615
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H0630-023-0 		HMOPOS $80 per Quarter No $320 Yes $1,000 No No No Yes 605
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 536
Kaiser Permanente FEHB AB with D (HMO)
H0630-816-0 		HMO No $0 No 485
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 2 (HMO)
H1170-012-0 		HMO $115 per Quarter No $460 Yes $1,000 No No Yes No 361
Kaiser Permanente Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)
H0630-025-0 		HMOPOS $100 per Quarter No $400 Yes $1,000 No No No Yes 320
Kaiser Permanente Kaiser Permanente Senior Advantage Standard Lane (HMO-POS)
H9003-007-0 		HMOPOS No $0 Yes $1,000 No No No No 297
Kaiser Permanente Kaiser Permanente Senior Advantage Ventura Value (HMO)
H0524-083-0 		HMO $120 per Quarter No $480 Yes $5,000 No No No No 250
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 2 (HMO)
H1170-010-0 		HMO $150 per Quarter No $600 Yes $1,000 No No Yes No 205
Kaiser Permanente FEHB AB with D (HMO)
H0630-822-0 		HMO No $0 No 174
Kaiser Permanente Kaiser Permanente Senior Advantage Care Plus (HMO-POS)
H1170-013-0 		HMOPOS $115 per Quarter No $460 Yes $1,000 No No Yes No 146
Kaiser Permanente Senior Advantage Group MA-PD_Part B only (HMO)
H0630-811-0 		HMO No $0 No 126
Kaiser Permanente Kaiser Permanente Employer Group MA only (HMO)
H1230-801-0 		HMO No $0 No 82
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed B/D (HMO)
H2172-804-0 		HMO No $0 No 68
Kaiser Permanente Kaiser Permanente Medicare Advantage Care Plus (HMO-POS)
H2172-013-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No Yes Yes 45
Kaiser Permanente Senior Advantage Group MAPD Part B Only (HMO)
H0630-817-0 		HMO No $0 No 35
Kaiser Permanente Kaiser Permanente Senior Advantage Bronze North (HMO-POS)
H0630-026-0 		HMOPOS $100 per Quarter No $400 Yes $1,000 No No No Yes 32
Kaiser Permanente Kaiser Permanente Employer Group MA-PD Part B (HMO)
H1230-804-0 		HMO No $0 No 27
Kaiser Permanente Senior Advantage Medicare Medicaid Pueblo (HMO D-SNP)
H0630-024-0 		HMO $100 per Quarter No $400 Yes $3,000 No No No Yes 26
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP)
H1170-011-0 		HMO $300 per Quarter No $1,200 Yes $1,000 No No Yes No 25
Kaiser Permanente FEHB Part B Only with D (HMO)
H0524-812-0 		HMO No $0 No 21
Kaiser Permanente Kaiser Permanente Senior Advantage Liberty (HMO)
H1170-014-0 		HMO $150 per Quarter No $600 Yes $1,000 No No Yes No 20
Kaiser Permanente FEHB Part B Only with D (HMO)
H0524-811-0 		HMO No $0 No 14
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-804-0 		HMO No $0 No 12
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