Plans for MetroPlus Health Plan

Company Plan name Total monthly premium Maximum Annual Payment Hearing Exam Coverage Hearing Aid Coverage
MetroPlus Health Plan MetroPlus Platinum Plan (HMO) $148 $7,550 In-network $20 copay Plan limits - There may be limits on how much the plan will provide. Advanced Plan Approval Required - A process through which the physician or other health care provider is required to obtain advance approval from the plan that payment will be made for a service or item furnished to an enrollee. Unless specified otherwise with respect to a particular item or service, the enrollee is not responsible for obtaining (prior) authorization. Physician Referral Required - A process through which the enrolleeā€™s primary care physician or other network physician (depending on the plan policy) permits or instructs the enrollee to obtain an item or service from another physician or other provider type.