Plans for UPMC for Life

Hearing Aid Coverage
Company Plan name Plan type Total monthly premium 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 $0 Yes $500 No No No No No 54,000
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0
HMO $27 No 39,200
UPMC for Life UPMC for Life HMO Deductible Rx (HMO)
H3907-037-0
HMO $0 Yes $100 No No No No No 28,190
UPMC for Life UPMC for Life HMO No Rx (HMO)
H3907-002-0
HMO $0 Yes $500 No No No No No 10,532
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-046-0
HMO $0 Yes $500 No No No No No 8,567
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0
HMO 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 $71 Yes $1,500 No No No No No 2,736
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0
HMO $230 Yes $1,500 No No No No No 2,007
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-051-0
HMO $0 Yes $500 No No No No No 1,902
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-050-0
HMO $0 Yes $500 No No No No No 1,363
UPMC for Life UPMC for Life HMO Access Rx (HMO)
H3907-056-0
HMO $0 Yes $500 No No No No No 726
UPMC for Life UPMC for Life HMO Access Rx (HMO)
H3907-055-0
HMO $0 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 $19 Yes $1,500 No No No No No 504
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0
Local PPO No 501
UPMC for Life UPMC for Life HMO Salute (HMO)
H3907-053-0
HMO $0 Yes $1,000 No No No No No 465
UPMC for Life UPMC for Life PPO Flex Rx (PPO)
H5533-011-0
Local PPO $0 Yes $500 No No No No No 316
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-007-0
Local PPO $24 Yes $1,500 No No No No No 213
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-054-0
HMO $0 Yes $500 No No No No No 211
UPMC for Life UPMC for Life PPO Rx Choice (PPO)
H5533-009-0
Local PPO $0 Yes $500 No No No No No 200
UPMC for Life UPMC for Life PPO Flex Rx (PPO)
H5533-010-0
Local PPO $0 Yes $500 No No No No No 122
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-047-0
HMO $33 No 77
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