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 | ||||||
