UPMC for Life PPO Rx Choice (PPO) Hearing Aid Benefits

H5533-009-0

UPMC for Life PPO Rx Choice (PPO)

plan information last updated December 22, 2023

Company: UPMC for Life
Plan enrollment: 929
Total monthly premium: $0
Max annual payment: $8,950
Plan link on Medicare.gov: Plan on Medicare.gov
Plan website: https://www.upmchealthplan.com/medicare/
Plan member phone number: 877-539-3080
Plan prospect phone number: 877-381-3765

OTC Supplemental Benefits (OTC Catalog May Include OTC Hearing Aids)

This plan does not have any OTC supplement benefits

Prescription Hearing Aid Coverage

Does plan cover hearing aids?: Yes
Can benefits be used for OTC Hearing Aids?: No
How many hearing aids does the plan allow? 2 per Every year
What is the max coverage amount? No maximum
Is the benefit ONLY available in-network? Can be out of network
Is there a maximum out of pocket cost? No out of pocket maximum
Does the member have to pay Coinsurance? No coinsurance required
Is a CoPay required? Yes
Minimum CoPay: $690
Maximum CoPay: $1,890
Is Prior Authorization Needed? No
Is Physician Referral Needed? No

See If Your Hearing Loss Qualifies For No-Cost Hearing Aids

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