Medica Advantage Solution H8889-003 (PPO)
plan information last updated February 8, 2023
Company: Medica
Plan enrollment: 2,523
Total monthly premium: $150
Max annual payment: $5,100
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: medica.com
Plan member phone number: 866-269-6804
Plan prospect phone number: 800-906-5432
OTC Hearing Aid Coverage
Supplemental OTC Benefit Amount Per Period: $75.00
Benefit Amount is Every: Every three months
Can The Benefit Rollover Periods? No
Total Annual OTC Supplmental Benefit: $300.00
IMPORTANT NOTE:
Plans may not include hearing aids in their eligible OTC supplemental items. Please call the plan to verify if they include hearing aids in their OTC supplement catalog.
Prescription Hearing Aid Coverage
Does plan cover hearing aids?: Yes
How many hearing aids does the plan allow?
No limit defined
What is the max coverage amount?
No maximum
Is the benefit ONLY available in-network? Can be out of network
Is there a maximum out of pocket cost? No out of pocket maximum
Does the member have to pay Coinsurance? No coinsurance required
Is a CoPay required? Yes
Minimum CoPay: $549
Maximum CoPay: $799
Is Prior Authorization Needed? No
Is Physician Referral Needed? No
