Plans for Prominence Health Plan
27,006 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 |
| Prominence Health Plan |
Prominence Plus (HMO) H5945-002-0 |
HMO | $30 per Month | No | $360 | Yes | $1,200 | No | Yes | No | No | 9,475 |
| Prominence Health Plan |
Prominence Plus (HMO) H5945-001-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,200 | No | Yes | No | No | 8,177 |
| Prominence Health Plan |
Prominence Plus (HMO) H7680-002-0 |
HMO | $40 per Month | No | $480 | Yes | $1,200 | No | Yes | No | No | 4,667 |
| Prominence Health Plan |
Prominence Plus (HMO) H5945-008-0 |
HMO | $35 per Month | No | $420 | Yes | $1,200 | No | Yes | No | No | 2,634 |
| Prominence Health Plan |
Prominence Dual (HMO D-SNP) H7680-007-0 |
HMO | $50 per Month | No | $600 | Yes | $3,000 | No | No | No | No | 951 |
| Prominence Health Plan |
Prominence Plus (HMO) H7680-001-0 |
HMO | $10 per Month | No | $120 | Yes | $1,200 | No | Yes | No | No | 738 |
| Prominence Health Plan |
Prominence Dual (HMO D-SNP) H5945-009-0 |
HMO | $50 per Month | No | $600 | Yes | $3,000 | No | No | No | No | 364 |
