UPMC for Life Medicare Plan Hearing Aid Benefits
168,231 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 |
| UPMC for Life |
UPMC for Life HMO Rx Choice (HMO) H3907-049-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 55,980 | |
| UPMC for Life |
UPMC for Life HMO Rx (HMO) H3907-029-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 35,488 | |
| UPMC for Life |
UPMC for Life HMO Deductible Rx (HMO) H3907-037-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 24,492 | |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-046-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 12,393 | |
| UPMC for Life |
UPMC for Life HMO No Rx (HMO) H3907-002-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 9,109 | |
| UPMC for Life |
UPMC for Life PPO Rx Choice (PPO) H5533-014-0 |
Local PPO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 8,028 | |
| UPMC for Life |
UPMC Employer Group Rx (HMO) H3907-802-0 |
HMO | No | $0 | No | 5,075 | |||||||
| UPMC for Life |
UPMC for Life PPO Premier Rx (PPO) H5533-011-0 |
Local PPO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 3,465 | |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-050-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 2,772 | |
| UPMC for Life |
UPMC for Life PPO High Deductible Rx (PPO) H5533-003-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 2,475 | ||
| UPMC for Life |
UPMC for Life PPO Rx Enhanced (PPO) H5533-005-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 2,232 | ||
| UPMC for Life |
UPMC for Life HMO Rx Enhanced (HMO) H3907-006-0 |
HMO | No | $0 | Yes | No | No | Yes | No | No | 1,577 | ||
| UPMC for Life |
UPMC for Life PPO Premier Rx (PPO) H5533-013-0 |
Local PPO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 1,376 | |
| UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-052-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 1,039 | |
| UPMC for Life |
UPMC for Life PPO Rx Choice (PPO) H5533-009-0 |
Local PPO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 929 | |
| UPMC for Life |
UPMC for Life PPO Salute (PPO) H5533-012-0 |
Local PPO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 702 | |
| UPMC for Life |
UPMC for Life PPO Rx Enhanced (PPO) H5533-008-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 597 | ||
| UPMC for Life |
UPMC Employer Group Rx (PPO) H5533-802-0 |
Local PPO | No | $0 | No | 502 | |||||||
