2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 4: Medical Benefits Chart (what is covered and what you pay) 92 Services that are covered for you What you must pay when you get these services in-network and out-of-network To access your hearing aid benefits, you must contact UnitedHealthcare Hearing at 1-866-445-2071, TTY 711. Hearing aids purchased outside of UnitedHealthcare Hearing’s nationwide network are not covered. There is no coinsurance, Hepatitis C screening copayment, or deductible for For people that meet one of the following conditions: beneficiaries eligible for · High risk because of current or past history of illicit Medicare-covered Hepatitis C injection drug use screening. · Had a blood transfusion before 1992 · Born between 1945 – 1965 Screening is covered annually only for high risk people with continued illicit drug use since the prior negative screening test. Screening is covered once in a lifetime for people that were born between 1945 and 1965, who are not considered high risk. There is no coinsurance, HIV screening copayment, or deductible for For people who ask for an HIV screening test or who are at members eligible for Medicare- increased risk for HIV infection, we cover: covered preventive HIV · One screening exam every 12 months screening. For women who are pregnant, we cover: · Up to three screening exams during a pregnancy Home health agency care $0 copayment for all home health visits provided by a