Plans for UPMC for Life
161,302 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 |
| UPMC for Life |
UPMC for Life HMO Rx Choice (HMO) H3907-049-0 |
HMO | $160 | Yes | $500 | No | No | No | No | No | 54,000 |
| UPMC for Life |
UPMC for Life HMO Rx (HMO) H3907-029-0 |
HMO | $200 | No | 39,200 | ||||||
| UPMC for Life |
UPMC for Life HMO Deductible Rx (HMO) H3907-037-0 |
HMO | $100 | Yes | $100 | No | No | No | No | No | 28,190 |
| UPMC for Life |
UPMC for Life HMO No Rx (HMO) H3907-002-0 |
HMO | $200 | Yes | $500 | No | No | No | No | No | 10,532 |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-046-0 |
HMO | $100 | Yes | $500 | No | No | No | No | No | 8,567 |
| UPMC for Life |
UPMC Employer Group Rx (HMO) H3907-802-0 |
HMO | $0 | No | 4,518 | ||||||
| UPMC for Life |
UPMC for Life PPO High Deductible Rx (PPO) H5533-003-0 |
Local PPO | $0 | No | 3,162 | ||||||
| UPMC for Life |
UPMC for Life PPO Rx Enhanced (PPO) H5533-005-0 |
Local PPO | $0 | Yes | $1,500 | No | No | No | No | No | 2,736 |
| UPMC for Life |
UPMC for Life HMO Rx Enhanced (HMO) H3907-006-0 |
HMO | $0 | Yes | $1,500 | No | No | No | No | No | 2,007 |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-051-0 |
HMO | $100 | Yes | $500 | No | No | No | No | No | 1,902 |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-050-0 |
HMO | $200 | Yes | $500 | No | No | No | No | No | 1,363 |
| UPMC for Life |
UPMC for Life HMO Access Rx (HMO) H3907-056-0 |
HMO | $160 | Yes | $500 | No | No | No | No | No | 726 |
| UPMC for Life |
UPMC for Life HMO Access Rx (HMO) H3907-055-0 |
HMO | $160 | Yes | $500 | No | No | No | No | No | 719 |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-045-0 |
HMO | $0 | Yes | $1,500 | No | No | No | No | No | 536 |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-052-0 |
HMO | $0 | Yes | $1,500 | No | No | No | No | No | 535 |
| UPMC for Life |
UPMC for Life PPO Rx Enhanced (PPO) H5533-008-0 |
Local PPO | $100 | Yes | $1,500 | No | No | No | No | No | 504 |
| UPMC for Life |
UPMC Employer Group Rx (PPO) H5533-802-0 |
Local PPO | $0 | No | 501 | ||||||
| UPMC for Life |
UPMC for Life HMO Salute (HMO) H3907-053-0 |
HMO | $200 | Yes | $1,000 | No | No | No | No | No | 465 |
| UPMC for Life |
UPMC for Life PPO Flex Rx (PPO) H5533-011-0 |
Local PPO | $200 | Yes | $500 | No | No | No | No | No | 316 |
| UPMC for Life |
UPMC for Life PPO Rx Enhanced (PPO) H5533-007-0 |
Local PPO | $60 | Yes | $1,500 | No | No | No | No | No | 213 |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-054-0 |
HMO | $200 | Yes | $500 | No | No | No | No | No | 211 |
| UPMC for Life |
UPMC for Life PPO Rx Choice (PPO) H5533-009-0 |
Local PPO | $160 | Yes | $500 | No | No | No | No | No | 200 |
| UPMC for Life |
UPMC for Life PPO Flex Rx (PPO) H5533-010-0 |
Local PPO | $200 | Yes | $500 | No | No | No | No | No | 122 |
| UPMC for Life |
UPMC for Life HMO Rx (HMO) H3907-047-0 |
HMO | $0 | No | 77 | ||||||
