Plans for Triple S Advantage

117,379 Total Members

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement Coverage? Covered Amount In Network Required? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Triple S Advantage Employer BD 3 (HMO-POS)
H5774-814-0
HMOPOS $0 No 30,263
Triple S Advantage Platino Plus (HMO D-SNP)
H5774-024-0
HMO $300 Yes $2,000 No No No No No 22,410
Triple S Advantage Magno (HMO-POS)
H5774-027-0
HMOPOS $200 Yes $500 No No No No No 13,464
Triple S Advantage Brillante (HMO-POS)
H5774-031-0
HMOPOS $240 Yes $1,500 No No No No No 11,970
Triple S Advantage Platino Blindao (HMO D-SNP)
H5774-028-0
HMO $400 Yes $1,500 No No No No No 11,032
Triple S Advantage Real (HMO)
H5774-005-0
HMO $200 Yes $500 No No No No No 10,105
Triple S Advantage Platino Ultra (HMO D-SNP)
H5774-025-0
HMO $400 Yes $2,000 No No No No No 5,196
Triple S Advantage Platino Advance (HMO D-SNP)
H5774-026-0
HMO $200 Yes $500 No No No No No 3,926
Triple S Advantage Royal D (HMO-POS)
H5774-809-0
HMOPOS $0 No 3,051
Triple S Advantage Contigo Plus (HMO C-SNP)
H5774-022-0
HMO $400 Yes $1,500 No No No No No 1,849
Triple S Advantage Employer BD 7 (HMO-POS)
H5774-818-0
HMOPOS $0 No 1,011
Triple S Advantage Platino Alcance (HMO D-SNP)
H5774-035-0
HMO $200 Yes $1,000 No No No No No 825
Triple S Advantage Employer BD 8 (HMO-POS)
H5774-820-0
HMOPOS $0 No 693
Triple S Advantage Royal C (HMO)
H5774-808-0
HMO $0 No 505
Triple S Advantage Enlace (HMO)
H5774-033-0
HMO $0 Yes $500 No No No No No 401
Triple S Advantage Platino Enlace (HMO D-SNP)
H5774-032-0
HMO $0 Yes $1,000 No No No No No 375
Triple S Advantage Basic (HMO)
H5774-003-0
HMO $200 Yes $500 No No No No No 282
Triple S Advantage Employer BD 5 (HMO-POS)
H5774-816-0
HMOPOS $0 No 21
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