Plans for MediGold

40,492 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
MediGold MediGold Mount Carmel No Premium (HMO)
H3668-019-2 		HMO $110 per Quarter No $440 Yes No Yes No No 18,958
MediGold MediGold Mount Carmel Premier (HMO)
H3668-018-2 		HMO $125 per Quarter No $500 Yes No Yes No No 17,273
MediGold MediGold Mount Carmel Plus (HMO)
H3668-022-0 		HMO $120 per Quarter No $480 Yes No Yes No No 702
MediGold MediGold Mount Carmel Trinity EGWP (HMO)
H3668-802-0 		HMO No $0 No 507
MediGold MediGold Mount Carmel Choice (PPO)
H1846-004-0 		Local PPO $75 per Quarter No $300 Yes No Yes No No 501
MediGold MediGold MercyOne Medicare Plan No Premium (HMO)
H3668-025-0 		HMO $105 per Quarter No $420 Yes No Yes No No 464
MediGold MediGold Mount Carmel Cash Back No Premium MA Only (HMO)
H3668-013-0 		HMO $75 per Quarter No $300 Yes No Yes No No 405
MediGold MediGold Mount Carmel Cash Back No Premium (HMO)
H3668-030-0 		HMO $100 per Quarter No $400 Yes No Yes No No 404
MediGold MediGold Mount Carmel No Premium Choice (PPO)
H1846-005-0 		Local PPO $105 per Quarter No $420 Yes No Yes No No 370
MediGold MediGold Mount Carmel No Premium (HMO)
H3668-020-0 		HMO $110 per Quarter No $440 Yes No Yes No No 265
MediGold MediGold No Premium (HMO)
H9827-001-0 		HMO $105 per Quarter No $420 Yes No Yes No No 171
MediGold MediGold Mount Carmel Plus (HMO)
H3668-023-0 		HMO $120 per Quarter No $480 Yes No Yes No No 128
MediGold MediGold MercyOne Medicare Plan No Premium Choice (PPO)
H1846-007-0 		Local PPO $100 per Quarter No $400 Yes No Yes No No 109
MediGold MediGold MercyOne Medicare Plan Plus (HMO)
H3668-026-0 		HMO $110 per Quarter No $440 Yes No Yes No No 81
MediGold MediGold Plus (HMO)
H9827-002-0 		HMO $110 per Quarter No $440 Yes No Yes No No 55
MediGold MediGold MercyOne Medicare Plan Cash Back MAPD (HMO)
H3668-031-0 		HMO $100 per Quarter No $400 Yes No Yes No No 41
MediGold MediGold Mount Carmel No Premium Choice (PPO)
H1846-006-0 		Local PPO $105 per Quarter No $420 Yes No Yes No No 30
MediGold MediGold MercyOne Medicare Plan Cash Back (HMO)
H3668-029-0 		HMO $75 per Quarter No $300 Yes No Yes No No 28
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