Medicare Advantage Plans for Pennsylvania

Prescription Hearing Aid Coverage
Company Plan name Plan type Annual OTC Supplement OTC Rolls Over? Coverage? Covered Amount Coinsurance? Copay? Prior Authorization? Need Referral? Pennsylvania Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO $0 No No 90,338
UPMC for Life UPMC for Life HMO Rx Choice (HMO)
H3907-049-0 		HMO $0 No Yes No Yes No No 55,950
Aetna Medicare Aetna Medicare Advantra Silver (PPO)
H5522-004-0 		Local PPO $480 No Yes $2,500 No Yes No No 43,293
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H4279-001-0 		HMO $0 No Yes $5,000 No No No No 38,764
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 No Yes No Yes No No 37,293
Highmark Inc. Community Blue Medicare PPO Signature (PPO)
H3916-037-4 		Local PPO $400 No Yes $500 No Yes No No 34,813
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
H5932-001-0 		HMO $1,280 No Yes No No No No 32,980
Highmark Inc. Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO $0 No No 30,989
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H3113-009-0 		HMOPOS $2,400 No Yes $1,100 No Yes Yes No 28,055
UPMC for Life UPMC for Life HMO Deductible Rx (HMO)
H3907-037-0 		HMO $0 No Yes No Yes No No 26,665
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-23 		Local PPO $300 No Yes $100 No No No No 25,325
Highmark Inc. Community Blue Medicare HMO Signature (HMO)
H3957-047-3 		HMO $300 No Yes No Yes No No 24,587
Highmark Inc. Complete Blue PPO Distinct (PPO)
H3916-035-4 		Local PPO $580 No Yes $500 No Yes No No 24,376
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-002-0 		HMO $480 No Yes $2,500 No Yes No No 22,665
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO $0 No No 22,428
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO $0 No No 21,977
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-055-0 		HMO $280 No Yes No Yes No No 21,577
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-036-0 		HMO $1,440 No Yes $5,000 No Yes No No 20,533
Aetna Medicare Aetna Medicare Advantra Premier (HMO-POS)
H3959-032-0 		HMOPOS $600 No Yes $2,500 No Yes No No 19,956
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO $0 No Yes $2,500 No Yes No No 18,581
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-001-0 		HMO $480 No Yes $2,500 No Yes No No 17,434
Highmark Inc. Freedom Blue PPO ValueRx (PPO)
H3916-018-0 		Local PPO $0 No Yes $500 No Yes No No 16,907
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-056-0 		HMO $280 No Yes No Yes No No 16,889
Cigna Cigna TotalCare Plus (HMO D-SNP)
H3949-009-0 		HMO $1,200 No Yes $1,400 No No No No 16,212
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO $180 Yes Yes No Yes No No 15,358
Aetna Medicare Aetna Medicare Advantra Silver (HMO-POS)
H3959-011-0 		HMOPOS $420 No Yes $2,500 No Yes No No 15,310
VISTA Health Plan Inc. Keystone First VIP Choice (HMO D-SNP)
H4227-001-0 		HMO $1,260 No Yes $1,500 No No No No 14,006
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO $0 No Yes $2,500 No Yes No No 13,745
Cigna Cigna Alliance Medicare (HMO)
H3949-031-0 		HMO $420 No Yes $1,400 No No No No 13,088
Highmark Inc. Community Blue Medicare PPO Distinct (PPO)
H3916-034-5 		Local PPO $680 No Yes $500 No Yes No No 12,854
Humana Humana Gold Plus H6622-037 (HMO)
H6622-037-0 		HMO $300 Yes Yes No Yes No No 12,769
Highmark Inc. Security Blue HMO-POS ValueRx (HMO-POS)
H3957-031-0 		HMOPOS $0 No Yes No Yes No No 12,246
Aetna Medicare Aetna Medicare Advantra Gold (HMO-POS)
H3959-037-0 		HMOPOS $600 No Yes $2,500 No Yes No No 11,802
Aetna Medicare Aetna Medicare Advantra Silver Plus (PPO)
H5522-013-0 		Local PPO $540 No Yes $2,500 No Yes No No 11,798
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-049-0 		HMO $120 No Yes No Yes No No 11,497
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-046-0 		HMO $0 No Yes No Yes No No 11,439
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0 		HMO $300 No No 11,329
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-035-0 		HMO $1,440 No Yes $5,000 No Yes No No 10,663
Aetna Medicare Aetna Medicare Advantra Value (HMO)
H3959-052-0 		HMO $420 No Yes $2,500 No Yes No No 10,502
Aetna Medicare Aetna Medicare Advantra Silver (PPO)
H5522-005-0 		Local PPO $480 No Yes $2,500 No Yes No No 10,473
Geisinger Gold Geisinger Gold Secure Rx (HMO D-SNP)
H3954-097-0 		HMO $1,560 No Yes $5,900 No No No No 10,201
UPMC for Life UPMC for Life HMO No Rx (HMO)
H3907-002-0 		HMO $0 No Yes No Yes No No 10,019
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-015-0 		Local PPO $280 No Yes No Yes No No 9,394
Aetna Medicare Aetna Medicare Advantra Credit Value (PPO)
H5522-017-0 		Local PPO $180 No No 9,342
Health Partners Medicare Health Partners Medicare Special (HMO D-SNP)
H9207-004-0 		HMO $1,220 No Yes $1,500 No No No No 9,307
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO $0 No Yes $500 No No No No 9,049
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $200 No Yes No Yes No No 8,657
Cigna Cigna Preferred Medicare (HMO)
H3949-030-0 		HMO $180 No Yes $1,400 No No No No 8,597
Humana Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)
H6622-078-2 		HMO $0 No Yes No Yes No No 8,575
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $200 No Yes No Yes Yes No 8,456

Counties in Pennsylvania

County Medicare Advantage Enrolless
Adams 20,875
Allegheny 236,800
Armstrong 15,876
Beaver 38,309
Bedford 11,532
Berks 76,916
Blair 28,646
Bradford 13,339
Bucks 126,837
Butler 39,697
Cambria 34,378
Cameron 1,134
Carbon 14,209
Centre 23,132
Chester 87,828
Clarion 8,358
Clearfield 17,955
Clinton 8,265
Columbia 13,684
Crawford 19,485
Cumberland 48,166
Dauphin 55,224
Delaware 92,906
Elk 7,263
Erie 55,169
Fayette 30,235
Forest 1,402
Franklin 28,546
Fulton 2,867
Greene 6,708
Huntingdon 10,010
Indiana 18,248
Jefferson 9,820
Juniata 5,165
Lackawanna 45,182
Lancaster 103,258
Lawrence 20,775
Lebanon 27,580
Lehigh 67,588
Luzerne 63,512
Lycoming 24,820
McKean 8,471
Mercer 26,346
Mifflin 10,227
Monroe 29,416
Montgomery 149,537
Montour 4,035
Northampton 62,879
Northumberland 21,488
Perry 9,847
Philadelphia 222,033
Pike 12,320
Potter 3,911
Schuylkill 31,405
Snyder 8,403
Somerset 18,208
Sullivan 1,645
Susquehanna 9,078
Tioga 9,363
Union 7,594
Venango 13,843
Warren 9,620
Washington 45,992
Wayne 11,918
Westmoreland 86,709
Wyoming 6,019
York 82,968
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