Triple S Advantage Medicare Plan Hearing Aid Benefits
115,547 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 |
| Triple S Advantage |
Real (HMO) H5774-005-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,500 | No | No | No | No | No | 19,227 |
| Triple S Advantage |
Employer BD 3 (HMO-POS) H5774-814-0 |
HMOPOS | No | $0 | No | 18,921 | |||||||
| Triple S Advantage |
Platino Titan (HMO D-SNP) H5774-036-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,000 | No | No | No | No | No | 18,074 |
| Triple S Advantage |
Platino Plus (HMO D-SNP) H5774-024-0 |
HMO | $95 per Quarter | No | $380 | Yes | $1,000 | No | No | No | No | No | 12,641 |
| Triple S Advantage |
AhorroMax (HMO) H5774-037-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,250 | No | No | No | No | No | 7,826 |
| Triple S Advantage |
Magno (HMO-POS) H5774-027-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | $500 | No | No | No | No | No | 7,254 |
| Triple S Advantage |
Platino Blindao (HMO D-SNP) H5774-028-0 |
HMO | $40 per Quarter | No | $160 | Yes | $1,500 | No | No | No | No | No | 6,274 |
| Triple S Advantage |
Brillante (HMO-POS) H5774-031-0 |
HMOPOS | $60 per Quarter | No | $240 | Yes | $1,750 | No | No | No | No | No | 6,129 |
| Triple S Advantage |
Royal D (HMO-POS) H5774-809-0 |
HMOPOS | No | $0 | No | 5,635 | |||||||
| Triple S Advantage |
Platino Advance (HMO D-SNP) H5774-026-0 |
HMO | $45 per Quarter | No | $180 | Yes | $1,500 | No | No | No | No | No | 3,350 |
| Triple S Advantage |
Platino Ultra (HMO D-SNP) H5774-025-0 |
HMO | $75 per Quarter | No | $300 | Yes | $2,500 | No | No | No | No | No | 3,148 |
| Triple S Advantage |
Contigo Plus (HMO C-SNP) H5774-022-0 |
HMO | $100 per Quarter | No | $400 | Yes | $1,000 | No | No | No | No | No | 2,780 |
| Triple S Advantage |
Employer BD 8 (HMO-POS) H5774-820-0 |
HMOPOS | No | $0 | No | 2,268 | |||||||
| Triple S Advantage |
Platino Alcance (HMO D-SNP) H5774-035-0 |
HMO | $150 per Month | No | $0 | Yes | $1,000 | No | No | No | No | No | 1,020 |
| Triple S Advantage |
Royal C (HMO) H5774-808-0 |
HMO | No | $0 | No | 502 | |||||||
| Triple S Advantage |
Basic (HMO) H5774-003-0 |
HMO | $50 per Quarter | No | $200 | Yes | $1,500 | No | No | No | No | No | 253 |
| Triple S Advantage |
Enlace Plus (HMO) H5774-038-0 |
HMO | $200 per Month | No | $0 | Yes | $1,500 | No | No | No | No | No | 171 |
| Triple S Advantage |
Employer BD 7 (HMO-POS) H5774-818-0 |
HMOPOS | No | $0 | No | 74 | |||||||
