Saint Alphonsus Health Plan Medicare Plan Hearing Aid Benefits

1,912 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
Saint Alphonsus Health Plan Saint Alphonsus Health Plan No Premium (HMO)
H6910-001-0
HMO $105 per Quarter No $420 Yes No No Yes No No 1,188
Saint Alphonsus Health Plan Saint Alphonsus Health Plan Plus (HMO)
H6910-003-0
HMO $105 per Quarter No $420 Yes No No Yes No No 431
Saint Alphonsus Health Plan Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO)
H6910-005-0
HMO $110 per Quarter No $440 Yes No No Yes No No 155
Saint Alphonsus Health Plan Saint Alphonsus Health Plan Cash Back No Premium 2 (HMO)
H6910-004-0
HMO $80 per Quarter No $320 Yes No No Yes No No 115
Saint Alphonsus Health Plan Saint Alphonsus Health Plan No Premium Choice (PPO)
H3828-001-0
Local PPO $100 per Quarter No $400 Yes No No Yes No No 23

Plan Claims Contact Information

Organization Name: Saint Alphonsus Health Plan
Contact Name: Jason Conner
Title: Director, Claims Operations & System Configuration
Phone: 1-740-972-1492
Email: jconner@mchs.com
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