Plans for Presbyterian Health Plan

56,104 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
Presbyterian Health Plan Presbyterian Senior Care Plan 2 with Rx (HMO)
H3204-001-0
HMO No $0 Yes No Yes No No 23,866
Presbyterian Health Plan Presbyterian Dual Plus (HMO D-SNP)
H3204-013-5
HMO No $0 Yes $2,000 No No No No 15,820
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 4 (HMO-POS)
H3204-808-0
HMOPOS No $0 No 10,228
Presbyterian Health Plan Presbyterian Senior Care Plan 3 with Rx (HMO)
H3204-007-0
HMO No $0 Yes No Yes No No 2,515
Presbyterian Health Plan Presbyterian Senior Care Plan 1 (HMO)
H3204-008-0
HMO No $0 Yes No Yes No No 1,835
Presbyterian Health Plan Presbyterian UltraFlex (HMO-POS)
H3204-015-0
HMOPOS $215 per Quarter Yes $860 Yes No Yes No No 1,682
Presbyterian Health Plan Presbyterian Senior Care Emp Group Plan 1 with Rx (HMO)
H3204-801-0
HMO No $0 No 158
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