Plans for Medica

146,306 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Medica Medica Prime Solution Core (Cost)
H2450-034-0 		1876 Cost $200 No Yes $0 No No No No 25,570
Medica Medica Prime Solution Standard (Cost)
H2450-044-0 		1876 Cost $100 No Yes $0 No No No No 14,541
Medica Medica Prime Solution Focus (Cost)
H2450-038-0 		1876 Cost $200 No Yes $0 No No No No 13,436
Medica Medica Advantage Solution H8889-001 (PPO)
H8889-001-0 		Local PPO $300 No Yes No Yes No No 12,971
Medica Medica Prime Solution Premier (Cost)
H2450-036-0 		1876 Cost $200 No Yes $0 No No No No 11,073
Medica Medica DUAL Solution (HMO D-SNP)
H2458-002-0 		HMO $1,200 No No 9,796
Medica Medica Prime Solution Premier (Cost)
H2450-043-0 		1876 Cost $200 No Yes $0 No No No No 7,153
Medica Medica Prime Solution Focus w/Rx (Cost)
H2450-039-0 		1876 Cost $200 No Yes $0 No No No No 6,143
Medica Medica Group Advantage Solution (PPO)
H8889-801-0 		Local PPO $0 No No 5,374
Medica Medica Advantage Solution H8889-002 (PPO)
H8889-002-0 		Local PPO $300 No Yes No Yes No No 4,898
Medica Medica Prime Solution Basic (Cost)
H2450-032-0 		1876 Cost $200 No Yes $0 No No No No 4,458
Medica Medica Prime Solution Basic w/Rx (Cost)
H2450-016-0 		1876 Cost $200 No Yes $0 No No No No 3,251
Medica Medica Prime Solution Core w/Rx (Cost)
H2450-035-0 		1876 Cost $200 No Yes $0 No No No No 2,767
Medica Medica Group Prime Solution w/Rx (Cost)
H2450-801-0 		1876 Cost $0 No No 2,575
Medica Medica Advantage Solution H8889-003 (PPO)
H8889-003-0 		Local PPO $300 No Yes No Yes No No 2,523
Medica Medica AccessAbility Solution Enhanced (HMO D-SNP)
H9952-001-0 		HMO $0 No No 1,856
Medica Medica Prime Solution Standard (Cost)
H2450-050-0 		1876 Cost $100 No Yes $0 No No No No 1,741
Medica Medica Advantage Solution H8889-005 (PPO)
H8889-005-0 		Local PPO $300 No Yes No Yes No No 1,600
Medica Medica Prime Solution Total (Cost)
H2450-040-0 		1876 Cost $200 No Yes $0 No No No No 1,541
Medica Medica Prime Solution Basic w/Rx 2 (Cost)
H2450-001-0 		1876 Cost $200 No Yes $0 No No No No 1,471
Medica Medica Prime Solution Enhanced w/Rx 2 (Cost)
H2450-002-0 		1876 Cost $200 No Yes $0 No No No No 1,407
Medica Medica Advantage Solution H8889-004 (PPO)
H8889-004-0 		Local PPO $200 No Yes No Yes No No 1,386
Medica Medica Advantage Solution H6154-001 (HMO-POS)
H6154-001-0 		HMOPOS $200 No Yes No Yes No No 1,321
Medica Medica Prime Solution Total w/Rx (Cost)
H2450-041-0 		1876 Cost $200 No Yes $0 No No No No 1,233
Medica Medica Prime Solution Enhanced (Cost)
H2450-033-0 		1876 Cost $200 No Yes $0 No No No No 1,210
Medica Medica Prime Solution Premier w/Rx (Cost)
H2450-037-0 		1876 Cost $200 No Yes $0 No No No No 815
Medica Medica Prime Solution Standard w/Rx (Cost)
H2450-049-0 		1876 Cost $100 No Yes $0 No No No No 814
Medica Medica Prime Solution Core (Cost)
H2450-046-0 		1876 Cost $200 No Yes $0 No No No No 699
Medica Medica Advantage Solution H3632-001 (PPO)
H3632-001-0 		Local PPO $300 No Yes No Yes No No 449
Medica Medica Advantage Solution H8889-008 (PPO)
H8889-008-0 		Local PPO $200 No Yes No Yes No No 403
Medica Medica Advantage Solution H6154-002 (HMO-POS)
H6154-002-0 		HMOPOS $160 No Yes No Yes No No 378
Medica Medica Prime Solution Thrift (Cost)
H2450-030-0 		1876 Cost $0 No No 299
Medica Medica Prime Solution Premier (Cost)
H2450-042-0 		1876 Cost $200 No Yes $0 No No No No 286
Medica Medica Prime Solution Thrift w/Rx (Cost)
H2450-007-0 		1876 Cost $0 No No 226
Medica Medica Advantage Solution H8889-009 (PPO)
H8889-009-0 		Local PPO $300 No Yes No Yes No No 226
Medica Medica Prime Solution Premier (Cost)
H2450-048-0 		1876 Cost $200 No Yes $0 No No No No 167
Medica Medica Advantage Solution with CHI Health (HMO)
H0798-001-0 		HMO $200 No Yes No Yes No No 148
Medica Medica Prime Solution Core (Cost)
H2450-045-0 		1876 Cost $200 No Yes $0 No No No No 90
Medica Medica Prime Solution Core (Cost)
H2450-047-0 		1876 Cost $200 No Yes $0 No No No No 11
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