Kaiser Permanente Medicare Plan Hearing Aid Benefits

1,890,330 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
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 238,100
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 207,365
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-805-0 		HMO No $0 No 189,983
Kaiser Permanente Kaiser Permanente Senior Advantage Inland Empire (HMO)
H0524-015-0 		HMO $50 per Quarter No $200 No 91,574
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 66,932
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego (HMO)
H0524-037-0 		HMO $50 per Quarter No $200 No 66,272
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 60,870
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 50,651
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 48,352
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 44,688
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $60 per Quarter No $240 No 37,682
Kaiser Permanente Kaiser Permanente Senior Advantage Core DM (HMO)
H0630-013-0 		HMO $70 per Quarter No $280 Yes $1,000 No No No No Yes 34,554
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 No 34,388
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)
H2172-004-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 30,785
Kaiser Permanente Kaiser Permanente Senior Advantage Standard (HMO-POS)
H9003-006-0 		HMOPOS No $0 No 30,549
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H9003-001-0 		HMOPOS No $0 No 29,835
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 No Yes 29,243
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [AB] (HMO)
H5050-801-0 		HMO No $0 No 27,580
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 26,355
Kaiser Permanente Kaiser Permanente Medicare Advantage Vital (HMO)
H5050-013-0 		HMO $100 per Quarter No $400 Yes $4,000 No No No No No 25,060
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 1 (HMO)
H1170-009-0 		HMO $115 per Quarter No $460 No 21,311
Kaiser Permanente Senior Advantage Group MA-PD (HMO)
H0630-807-0 		HMO No $0 No 20,142
Kaiser Permanente Employer Group Only with Part D (HMO)
H9003-801-0 		HMO No $0 No 19,497
Kaiser Permanente Kaiser Permanente Senior Advantage Ventura (HMO)
H0524-034-0 		HMO $50 per Quarter No $200 No 18,435
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Solano (HMO)
H0524-008-0 		HMO $60 per Quarter No $240 No 16,480
Kaiser Permanente Kaiser Permanente Senior Advantage Value (HMO-POS)
H9003-009-0 		HMOPOS No $0 No 14,718
Kaiser Permanente Kaiser Permanente Employer Group MA-PD (HMO)
H1230-803-0 		HMO No $0 No 14,332
Kaiser Permanente Kaiser Permanente Medicare Advantage for Groups (HMO)
H2172-801-0 		HMO No $0 No 14,294
Kaiser Permanente Kaiser Permanente Medicare Advantage Value MD (HMO)
H2172-011-0 		HMO $30 per Quarter No $120 Yes $2,000 No No No Yes Yes 14,019
Kaiser Permanente Kaiser Permanente Medicare Advantage Essential (HMO)
H5050-009-0 		HMO No $0 Yes $4,000 No No No No No 13,257
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-809-0 		HMO No $0 No 12,688
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed w/Part D (HMO)
H2172-803-0 		HMO No $0 No 12,166
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Alameda (HMO)
H0524-059-0 		HMO $60 per Quarter No $240 No 12,087
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)
H2172-009-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 10,966
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
H0524-043-0 		HMO $60 per Quarter No $240 No 10,952
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 10,925
Kaiser Permanente Kaiser Permanente Sr Advantage LA, Orange Value (HMO)
H0524-078-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 10,553
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
H0524-038-0 		HMO $60 per Quarter No $240 No 10,151
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 10,137
Kaiser Permanente Kaiser Permanente Sr Adv Basic Santa Clara (HMO)
H0524-062-0 		HMO $60 per Quarter No $240 No 10,091
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO)
H0524-046-0 		HMO $60 per Quarter No $240 No 9,944
Kaiser Permanente Kaiser Permanente Sr Adv Basic Contra Costa (HMO)
H0524-061-0 		HMO $60 per Quarter No $240 No 9,627
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
H0524-042-0 		HMO $60 per Quarter No $240 No 9,189
Kaiser Permanente Kaiser Permanente Medicare Advantage Value VA (HMO-POS)
H2172-010-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 8,706
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Kern (HMO)
H0524-035-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 8,277
Kaiser Permanente Kaiser Permanente Medicare Advantage Key (HMO)
H5050-022-0 		HMO $75 per Quarter No $300 Yes $4,000 No No No No No 8,037
Kaiser Permanente Kaiser Permanente Medicare Advantage Value Balt (HMO)
H2172-006-0 		HMO $30 per Quarter No $120 Yes $2,000 No No No Yes Yes 7,435
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 1 (HMO)
H1170-002-0 		HMO $125 per Quarter No $500 No 7,217
Kaiser Permanente Kaiser Permanente Senior Advantage Core South (HMO)
H0630-017-0 		HMO $70 per Quarter No $280 Yes $1,000 No No No No Yes 6,997
Kaiser Permanente Kaiser Permanente Sr Advantage Inland Empire Value (HMO)
H0524-081-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 6,727
Kaiser Permanente Kaiser Permanente Medicare Advantage Harbor (HMO)
H5050-017-0 		HMO $100 per Quarter No $400 Yes $4,000 No No No No No 6,626
Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO)
H1230-003-0 		HMO No $0 No 5,892
Kaiser Permanente Kaiser Permanente Medicare Advantage High MD (HMO-POS)
H2172-002-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 5,865
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
H0524-040-0 		HMO $60 per Quarter No $240 No 5,547
Kaiser Permanente Kaiser Permanente Medicare Advantage Centennial (HMO)
H5050-021-0 		HMO $125 per Quarter No $500 Yes $4,000 No No No No No 5,182
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Stanis (HMO)
H0524-041-0 		HMO $60 per Quarter No $240 No 5,179
Kaiser Permanente Senior Advantage Medicare Medi-Cal Inland Empire (HMO D-SNP)
H0524-073-0 		HMO $100 per Quarter No $400 No 4,913
Kaiser Permanente Kaiser Employer Group With Part D (HMO)
H1170-802-0 		HMO No $0 No 4,855
Kaiser Permanente FEHB AB with D (HMO)
H9003-805-0 		HMO No $0 No 4,786
Kaiser Permanente Senior Advantage Medicare Medi-Cal San Diego (HMO D-SNP)
H0524-071-0 		HMO $100 per Quarter No $400 No 4,713
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Kern (HMO)
H0524-036-0 		HMO $50 per Quarter No $200 No 4,457
Kaiser Permanente Kaiser Permanente Medicare Advantage Optimal (HMO)
H5050-004-0 		HMO No $0 Yes $4,000 No No No No No 4,351
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO)
H1230-001-0 		HMO No $0 No 4,285
Kaiser Permanente Kaiser Permanente Senior Advantage Hawaii Island (HMO)
H1230-014-0 		HMO No $0 No 4,186
Kaiser Permanente Kaiser Permanente Senior Advantage Basic San Mateo (HMO)
H0524-065-0 		HMO $60 per Quarter No $240 No 4,002
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SF (HMO)
H0524-060-0 		HMO $60 per Quarter No $240 No 3,801
Kaiser Permanente Senior Advantage Medicare Medi-Cal Santa Clara (HMO D-SNP)
H0524-074-0 		HMO $100 per Quarter No $400 No 3,787
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Solano (HMO)
H0524-063-0 		HMO $60 per Quarter No $240 No 3,744
Kaiser Permanente Kaiser Permanente Senior Advantage Maui (HMO)
H1230-013-0 		HMO No $0 No 3,726
Kaiser Permanente Kaiser Permanente Senior Advantage Core North (HMO)
H0630-020-0 		HMO $80 per Quarter No $320 Yes $1,500 No No No No Yes 3,607
Kaiser Permanente Employer Group Only without Part D (HMO)
H9003-802-0 		HMO No $0 No 3,535
Kaiser Permanente FEHB AB with D (HMO)
H0630-810-0 		HMO No $0 No 3,306
Kaiser Permanente Kaiser Permanente Medicare Advantage Basic (HMO)
H5050-001-0 		HMO No $0 Yes $1,500 No No No No No 3,300
Kaiser Permanente Kaiser Permanente Senior Advantage San Diego Value (HMO)
H0524-082-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 3,263
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [ABD] (HMO)
H5050-802-0 		HMO No $0 No 2,982
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H0630-014-0 		HMO $100 per Quarter No $400 Yes $3,000 No No No No Yes 2,902
Kaiser Permanente Kaiser Permanente Senior Advantage Gold (HMO-POS)
H0630-016-0 		HMOPOS $90 per Quarter No $360 Yes $1,000 No No No No Yes 2,870
Kaiser Permanente Kaiser Permanente Senior Advantage Santa Cruz (HMO)
H0524-054-0 		HMO $60 per Quarter No $240 No 2,769
Kaiser Permanente Kaiser Permanente Senior Advantage Silver North (HMO-POS)
H0630-021-0 		HMOPOS $100 per Quarter No $400 Yes $1,500 No No No No Yes 2,729
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-807-0 		HMO No $0 No 2,456
Kaiser Permanente FEHB Part AB with D (HMO)
H1170-805-0 		HMO No $0 No 2,354
Kaiser Permanente Kaiser Permanente Medicare Advantage Standard DC (HMO-POS)
H2172-003-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 2,297
Kaiser Permanente Senior Advantage Medicare Medi-Cal Orange (HMO D-SNP)
H0524-072-0 		HMO $100 per Quarter No $400 No 2,171
Kaiser Permanente Senior Advantage Group MA-PD (HMO)
H0630-813-0 		HMO No $0 No 2,072
Kaiser Permanente FEHB AB with D (HMO)
H1230-805-0 		HMO No $0 No 2,030
Kaiser Permanente Kaiser Permanente Medicare Advantage High VA (HMO-POS)
H2172-008-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 1,970
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Marin (HMO)
H0524-064-0 		HMO $60 per Quarter No $240 No 1,950
Kaiser Permanente Kaiser Permanente Medicare Advantage Columbia (HMO)
H5050-019-0 		HMO $75 per Quarter No $300 Yes $4,000 No No No No No 1,888
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-801-0 		HMO No $0 No 1,844
Kaiser Permanente Kaiser Permanente Medicare Advantage Value DC (HMO-POS)
H2172-012-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 1,574
Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP)
H1230-008-0 		HMO No $0 No 1,550
Kaiser Permanente Senior Advantage Medicare Medi-Cal San Mateo (HMO D-SNP)
H0524-075-0 		HMO $100 per Quarter No $400 No 1,436
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 1 (HMO D-SNP)
H1170-008-0 		HMO $255 per Quarter No $1,020 No 1,294
Kaiser Permanente Kaiser Permanente Medicare Advantage Liberty (HMO)
H2172-005-0 		HMO $30 per Quarter No $120 Yes $2,000 No No No Yes Yes 1,202
Kaiser Permanente Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)
H0630-025-0 		HMOPOS $120 per Quarter No $480 Yes $1,000 No No No No Yes 1,159
Kaiser Permanente Senior Advantage Group MAPD (HMO)
H0630-819-0 		HMO No $0 No 1,024
Kaiser Permanente Kaiser Permanente Medicare Advantage Anchor (HMO)
H5050-023-0 		HMO $75 per Quarter No $300 Yes $4,000 No No No No No 907
Kaiser Permanente Kaiser Permanente Senior Advantage Ventura Value (HMO)
H0524-083-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 907
Kaiser Permanente Kaiser Permanente Medicare Advantage High DC (HMO-POS)
H2172-001-0 		HMOPOS $60 per Quarter No $240 Yes $2,000 No No No Yes Yes 874
Kaiser Permanente Senior Advantage Group MA-PD_Part B only (HMO)
H0630-805-0 		HMO No $0 No 759
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO-POS)
H0630-023-0 		HMOPOS $80 per Quarter No $320 Yes $1,500 No No No No Yes 715
Kaiser Permanente Kaiser Permanente Senior Advantage Value Lane (HMO-POS)
H9003-008-0 		HMOPOS No $0 No 656
Kaiser Permanente Kaiser Permanente Senior Advantage Care Plus (HMO-POS)
H1170-013-0 		HMOPOS $115 per Quarter No $460 No 650
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 541
Kaiser Permanente FEHB AB with D (HMO)
H0630-816-0 		HMO No $0 No 530
Kaiser Permanente Kaiser Permanente Senior Advantage Basic 2 (HMO)
H1170-012-0 		HMO $100 per Quarter No $400 No 471
Kaiser Permanente Kaiser Permanente Senior Advantage Standard Lane (HMO-POS)
H9003-007-0 		HMOPOS No $0 Yes $1,000 No No No No No 335
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced 2 (HMO)
H1170-010-0 		HMO $165 per Quarter No $660 No 305
Kaiser Permanente Kaiser Permanente Medicare Advantage Care Plus (HMO-POS)
H2172-013-0 		HMOPOS $50 per Quarter No $200 Yes $2,000 No No No Yes Yes 207
Kaiser Permanente FEHB AB with D (HMO)
H0630-822-0 		HMO No $0 No 183
Kaiser Permanente Kaiser Permanente Senior Advantage Bronze North (HMO-POS)
H0630-026-0 		HMOPOS $120 per Quarter No $480 Yes $1,000 No No No No Yes 161
Kaiser Permanente Senior Advantage Group MA-PD_Part B only (HMO)
H0630-811-0 		HMO No $0 No 128
Kaiser Permanente Kaiser Permanente Employer Group MA only (HMO)
H1230-801-0 		HMO No $0 No 82
Kaiser Permanente Kaiser Permanente Senior Advantage Liberty (HMO)
H1170-014-0 		HMO $125 per Quarter No $500 No 74
Kaiser Permanente Kaiser Permanente Medicare Advantage Fed B/D (HMO)
H2172-804-0 		HMO No $0 No 66
Kaiser Permanente Senior Advantage Group MAPD Part B Only (HMO)
H0630-817-0 		HMO No $0 No 38
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 No Yes 33
Kaiser Permanente Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP)
H1170-011-0 		HMO $260 per Quarter No $1,040 No 31
Kaiser Permanente Kaiser Permanente Employer Group MA-PD Part B (HMO)
H1230-804-0 		HMO No $0 No 25
Kaiser Permanente FEHB Part B Only with D (HMO)
H0524-812-0 		HMO No $0 No 20
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-804-0 		HMO No $0 No 14
Kaiser Permanente FEHB Part B Only with D (HMO)
H0524-811-0 		HMO No $0 No 12

Plan Claims Contact Information

Organization Name: Kaiser Permanente
Contact Name: Lonnie Galloway
Title: Dir Customer Engagement Mgmt
Phone: 1-909-477-2466
Email: Lonnie.L.Galloway@kp.org
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