Plans for SelectHealth

45,394 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
SelectHealth SelectHealth Medicare Essential (HMO)
H1994-001-0 		HMO $75 per Quarter No $300 Yes No Yes No No 26,117
SelectHealth SelectHealth Medicare Classic (HMO)
H1994-002-0 		HMO $50 per Quarter No $200 Yes No Yes No No 5,177
SelectHealth SelectHealth Medicare Essential (HMO)
H1994-003-0 		HMO $0 per Month No $0 Yes No Yes No No 4,788
SelectHealth SelectHealth Medicare Essential (HMO)
H1994-012-0 		HMO $75 per Quarter No $300 Yes No Yes No No 2,295
SelectHealth SelectHealth Medicare Enhanced (HMO)
H1994-007-0 		HMO $75 per Quarter No $300 Yes No Yes No No 1,668
SelectHealth SelectHealth Medicare Essential (HMO)
H1994-017-0 		HMO $50 per Quarter No $200 Yes No Yes No No 1,349
SelectHealth SelectHealth Medicare Enhanced (HMO)
H1994-008-0 		HMO $0 per Month No $0 Yes No Yes No No 1,169
SelectHealth SelectHealth Medicare Choice (PPO)
H2246-018-0 		Local PPO $50 per Quarter No $200 Yes No Yes No No 1,044
SelectHealth SelectHealth Medicare Dual (HMO D-SNP)
H1994-015-0 		HMO $340 per Quarter No $1,360 Yes No No No No 758
SelectHealth SelectHealth Medicare Classic (HMO)
H1994-004-0 		HMO $0 per Month No $0 Yes No Yes No No 336
SelectHealth SelectHealth Medicare Classic (HMO)
H1994-013-0 		HMO $0 per Month No $0 Yes No Yes No No 296
SelectHealth SelectHealth Medicare Classic (HMO)
H1994-014-0 		HMO $0 per Month No $0 Yes No Yes No No 200
SelectHealth SelectHealth Medicare NoRx (HMO)
H1994-016-0 		HMO $75 per Quarter No $300 Yes No Yes No No 136
SelectHealth SelectHealth Medicare Choice (PPO)
H2246-019-0 		Local PPO $75 per Quarter No $300 Yes No Yes No No 49
SelectHealth SelectHealth Medicare NoRx (PPO)
H2246-020-0 		Local PPO $75 per Quarter No $300 Yes No Yes No No 12
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