Plans for Triple S Advantage

111,580 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0
HMOPOS $0 No No 26,031
Triple S Advantage Platino Plus (HMO D-SNP)
H5774-024-0
HMO $320 No Yes $2,000 No No No No 18,423
Triple S Advantage Real (HMO)
H5774-005-0
HMO $400 No Yes $1,500 No No No No 13,870
Triple S Advantage Magno (HMO-POS)
H5774-027-0
HMOPOS $200 No Yes $500 No No No No 9,893
Triple S Advantage Platino Blindao (HMO D-SNP)
H5774-028-0
HMO $400 No Yes $1,500 No No No No 9,236
Triple S Advantage Brillante (HMO-POS)
H5774-031-0
HMOPOS $240 No Yes $1,500 No No No No 8,703
Triple S Advantage Platino Titan (HMO D-SNP)
H5774-036-0
HMO $240 No Yes $1,000 No No No No 6,275
Triple S Advantage Platino Ultra (HMO D-SNP)
H5774-025-0
HMO $300 No Yes $2,500 No No No No 4,212
Triple S Advantage Royal D (HMO-POS)
H5774-809-0
HMOPOS $0 No No 3,812
Triple S Advantage Platino Advance (HMO D-SNP)
H5774-026-0
HMO $200 No Yes $500 No No No No 3,199
Triple S Advantage AhorroMax (HMO)
H5774-037-0
HMO $200 No Yes $1,000 No No No No 2,970
Triple S Advantage Contigo Plus (HMO C-SNP)
H5774-022-0
HMO $400 No Yes $1,000 No No No No 1,619
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0
HMOPOS $0 No No 1,445
Triple S Advantage Platino Alcance (HMO D-SNP)
H5774-035-0
HMO $1,800 No Yes $1,000 No No No No 1,039
Triple S Advantage Royal C (HMO)
H5774-808-0
HMO $0 No No 502
Triple S Advantage Basic (HMO)
H5774-003-0
HMO $200 No Yes $1,500 No No No No 264
Triple S Advantage Enlace Plus (HMO)
H5774-038-0
HMO $2,400 No Yes $500 No No No No 74
Triple S Advantage Employer BD 8 (HMO-POS)
H5774-820-0
HMOPOS $0 No No 13
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