SummaCare Medicare Advantage Plans Medicare Plan Hearing Aid Benefits

23,643 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
SummaCare Medicare Advantage Plans SummaCare Medicare Topaz (HMO)
H3660-050-0
HMO $75 per Quarter No $300 Yes No No Yes No No 11,106
SummaCare Medicare Advantage Plans SummaCare Medicare Sapphire (HMO-POS)
H3660-029-0
HMOPOS $80 per Quarter No $320 Yes No No Yes No No 3,752
SummaCare Medicare Advantage Plans SummaCare Medicare Garnet (HMO)
H3660-053-2
HMO $100 per Quarter No $400 Yes No No Yes No No 3,619
SummaCare Medicare Advantage Plans SummaCare Medicare Ruby (HMO)
H3660-044-0
HMO $45 per Quarter No $180 Yes No No Yes No No 3,223
SummaCare Medicare Advantage Plans SummaCare Medicare Emerald (HMO-POS)
H3660-028-0
HMOPOS $55 per Quarter No $220 Yes No No Yes No No 719
SummaCare Medicare Advantage Plans SummaCare Medicare Jade with Bene-FlexTM (HMO)
H3660-056-2
HMO $65 per Quarter No $260 Yes No No Yes No No 665
SummaCare Medicare Advantage Plans SummaCare Medicare Employer Plan with Part D (HMO-POS)
H3660-805-0
HMOPOS No $0 No 204
SummaCare Medicare Advantage Plans SummaCare Medicare Employer Plan with Part D (HMO)
H3660-801-0
HMO No $0 No 186
SummaCare Medicare Advantage Plans SummaCare Medicare Amber (HMO)
H3660-052-2
HMO $25 per Quarter No $100 Yes No No Yes No No 169

Plan Claims Contact Information

Organization Name: Summa Care Medicare Advantage Plans
Contact Name: Melissa Rusk
Title: Director of Claims
Phone: 1-330-996-8970
Email: ruskm@summacare.com
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