Plans for Medica
146,306 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 |
| Medica |
Medica Prime Solution Core (Cost) H2450-034-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 25,570 |
| Medica |
Medica Prime Solution Standard (Cost) H2450-044-0 |
1876 Cost | $25 per Quarter | No | $100 | Yes | $0 | No | No | No | No | 14,541 |
| Medica |
Medica Prime Solution Focus (Cost) H2450-038-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 13,436 |
| Medica |
Medica Advantage Solution H8889-001 (PPO) H8889-001-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | Yes | No | No | 12,971 | |
| Medica |
Medica Prime Solution Premier (Cost) H2450-036-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 11,073 |
| Medica |
Medica DUAL Solution (HMO D-SNP) H2458-002-0 |
HMO | $300 per Quarter | No | $1,200 | No | 9,796 | |||||
| Medica |
Medica Prime Solution Premier (Cost) H2450-043-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 7,153 |
| Medica |
Medica Prime Solution Focus w/Rx (Cost) H2450-039-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 6,143 |
| Medica |
Medica Group Advantage Solution (PPO) H8889-801-0 |
Local PPO | No | $0 | No | 5,374 | ||||||
| Medica |
Medica Advantage Solution H8889-002 (PPO) H8889-002-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | Yes | No | No | 4,898 | |
| Medica |
Medica Prime Solution Basic (Cost) H2450-032-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 4,458 |
| Medica |
Medica Prime Solution Basic w/Rx (Cost) H2450-016-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 3,251 |
| Medica |
Medica Prime Solution Core w/Rx (Cost) H2450-035-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 2,767 |
| Medica |
Medica Group Prime Solution w/Rx (Cost) H2450-801-0 |
1876 Cost | No | $0 | No | 2,575 | ||||||
| Medica |
Medica Advantage Solution H8889-003 (PPO) H8889-003-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | Yes | No | No | 2,523 | |
| Medica |
Medica AccessAbility Solution Enhanced (HMO D-SNP) H9952-001-0 |
HMO | $0 per Month | No | $0 | No | 1,856 | |||||
| Medica |
Medica Prime Solution Standard (Cost) H2450-050-0 |
1876 Cost | $25 per Quarter | No | $100 | Yes | $0 | No | No | No | No | 1,741 |
| Medica |
Medica Advantage Solution H8889-005 (PPO) H8889-005-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | Yes | No | No | 1,600 | |
| Medica |
Medica Prime Solution Total (Cost) H2450-040-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 1,541 |
| Medica |
Medica Prime Solution Basic w/Rx 2 (Cost) H2450-001-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 1,471 |
| Medica |
Medica Prime Solution Enhanced w/Rx 2 (Cost) H2450-002-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 1,407 |
| Medica |
Medica Advantage Solution H8889-004 (PPO) H8889-004-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | Yes | No | No | 1,386 | |
| Medica |
Medica Advantage Solution H6154-001 (HMO-POS) H6154-001-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | No | Yes | No | No | 1,321 | |
| Medica |
Medica Prime Solution Total w/Rx (Cost) H2450-041-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 1,233 |
| Medica |
Medica Prime Solution Enhanced (Cost) H2450-033-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 1,210 |
| Medica |
Medica Prime Solution Premier w/Rx (Cost) H2450-037-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 815 |
| Medica |
Medica Prime Solution Standard w/Rx (Cost) H2450-049-0 |
1876 Cost | $25 per Quarter | No | $100 | Yes | $0 | No | No | No | No | 814 |
| Medica |
Medica Prime Solution Core (Cost) H2450-046-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 699 |
| Medica |
Medica Advantage Solution H3632-001 (PPO) H3632-001-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | Yes | No | No | 449 | |
| Medica |
Medica Advantage Solution H8889-008 (PPO) H8889-008-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | Yes | No | No | 403 | |
| Medica |
Medica Advantage Solution H6154-002 (HMO-POS) H6154-002-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | No | Yes | No | No | 378 | |
| Medica |
Medica Prime Solution Thrift (Cost) H2450-030-0 |
1876 Cost | No | $0 | No | 299 | ||||||
| Medica |
Medica Prime Solution Premier (Cost) H2450-042-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 286 |
| Medica |
Medica Prime Solution Thrift w/Rx (Cost) H2450-007-0 |
1876 Cost | No | $0 | No | 226 | ||||||
| Medica |
Medica Advantage Solution H8889-009 (PPO) H8889-009-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | Yes | No | No | 226 | |
| Medica |
Medica Prime Solution Premier (Cost) H2450-048-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 167 |
| Medica |
Medica Advantage Solution with CHI Health (HMO) H0798-001-0 |
HMO | $50 per Quarter | No | $200 | Yes | No | Yes | No | No | 148 | |
| Medica |
Medica Prime Solution Core (Cost) H2450-045-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 90 |
| Medica |
Medica Prime Solution Core (Cost) H2450-047-0 |
1876 Cost | $50 per Quarter | No | $200 | Yes | $0 | No | No | No | No | 11 |
