Primewell Health Services Medicare Plan Hearing Aid Benefits

1,206 Total Members

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Primewell Health Services Vantage BASIC (HMO-POS)
H2722-002-0
HMOPOS $140 per Quarter No $560 Yes $1,100 Yes No Yes No No 416
Primewell Health Services Vantage DUAL PLUS (HMO-POS D-SNP)
H2722-003-0
HMOPOS $210 per Month No $0 Yes $1,500 Yes No Yes No No 235
Primewell Health Services Vantage BASIC (HMO-POS)
H7163-002-0
HMOPOS $160 per Quarter No $640 Yes $1,100 Yes No Yes No No 180
Primewell Health Services Vantage STANDARD (HMO-POS)
H2722-004-0
HMOPOS $140 per Quarter No $560 Yes $1,100 Yes No Yes No No 148
Primewell Health Services Vantage DUAL PLUS (HMO-POS D-SNP)
H7163-003-0
HMOPOS $225 per Month No $0 Yes $1,500 Yes No Yes No No 107
Primewell Health Services Vantage STANDARD (HMO-POS)
H7163-004-0
HMOPOS $160 per Quarter No $640 Yes $1,100 Yes No Yes No No 99
Primewell Health Services Vantage Giveback (HMO-POS)
H2722-005-0
HMOPOS $140 per Quarter No $560 Yes $1,100 Yes No Yes No No 21

Plan Claims Contact Information

Organization Name: Primewell Health Services
Contact Name: Chelle Cupit
Title: Chief Financial Officer
Phone: 1-318-998-3076
Email: ccupit@vhpla.com
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