Medicare Advantage Plans for Pennsylvania
Prescription Hearing Aid Coverage | |||||||||||
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Company | Plan name | Plan type | Annual OTC Supplement | Coverage? | Covered Amount | In Network Required? | Coinsurance? | Copay? | Prior Authorization? | Need Referral? | Pennsylvania Enrollees |
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | $0 | No | 92,313 | ||||||
UPMC for Life |
UPMC for Life HMO Rx Choice (HMO) H3907-049-0 |
HMO | $160 | Yes | $500 | No | No | No | No | No | 46,481 |
Aetna Medicare |
Aetna Medicare Advantra Silver (PPO) H5522-004-0 |
Local PPO | $360 | Yes | $2,500 | No | No | Yes | No | No | 45,654 |
UPMC for Life |
UPMC for Life HMO Rx (HMO) H3907-029-0 |
HMO | $200 | No | 44,288 | ||||||
Highmark Wholecare Medicare Assured |
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-001-0 |
HMO | $1,500 | Yes | No | No | No | No | No | 38,823 | |
UPMC for Life Complete Care |
UPMC for Life Complete Care (HMO D-SNP) H4279-001-0 |
HMO | $1,400 | Yes | $4,000 | No | No | No | No | No | 37,339 |
Highmark Inc. |
Freedom Blue PPO MAPD PA CALENDAR (PPO) H3916-802-0 |
Local PPO | $0 | No | 34,215 | ||||||
UPMC for Life |
UPMC for Life HMO Deductible Rx (HMO) H3907-037-0 |
HMO | $100 | Yes | $100 | No | No | No | No | No | 32,508 |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | $0 | No | 28,232 | ||||||
Highmark Inc. |
Community Blue Medicare HMO Signature (HMO) H3957-047-2 |
HMO | $300 | Yes | No | No | Yes | No | No | 27,757 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | $0 | No | 24,731 | ||||||
UnitedHealthcare |
UnitedHealthcare Dual Complete (HMO D-SNP) H3113-009-0 |
HMO | $1,500 | Yes | $1,100 | No | No | Yes | Yes | No | 22,446 |
Geisinger Gold |
Geisinger Gold Classic Complete Rx (HMO) H3954-158-14 |
HMO | $0 | Yes | $2,500 | No | No | Yes | No | No | 22,020 |
Highmark Inc. |
Freedom Blue PPO ValueRx (PPO) H3916-018-0 |
Local PPO | $0 | Yes | $500 | No | No | Yes | No | No | 21,189 |
Highmark Inc. |
Community Blue Medicare PPO Signature (PPO) H3916-037-4 |
Local PPO | $400 | Yes | $500 | No | No | Yes | No | No | 20,622 |
Independence Blue Cross |
Keystone 65 Basic Rx (HMO) H3952-055-0 |
HMO | $240 | Yes | No | No | Yes | No | No | 18,535 | |
Cigna |
Cigna TotalCare (HMO D-SNP) H3949-009-0 |
HMO | $500 | Yes | $1,400 | No | No | No | No | No | 17,674 |
Aetna Medicare |
Aetna Medicare Advantra Premier (HMO-POS) H3959-032-0 |
HMOPOS | $600 | Yes | $5,000 | No | No | Yes | No | No | 17,261 |
Highmark Inc. |
Security Blue HMO-POS ValueRx (HMO-POS) H3957-031-0 |
HMOPOS | $0 | Yes | No | No | Yes | No | No | 16,260 | |
Aetna Medicare |
Aetna Medicare Advantra Gold (HMO) H3959-002-0 |
HMO | $480 | Yes | $5,000 | No | No | Yes | No | No | 16,245 |
Geisinger Gold |
Geisinger Gold Classic Advantage Rx (HMO) H3954-157-23 |
HMO | $0 | Yes | $2,500 | No | No | Yes | No | No | 16,160 |
Cigna |
Cigna Alliance Medicare (HMO) H3949-031-0 |
HMO | $300 | Yes | $1,400 | No | No | No | No | No | 14,548 |
Independence Blue Cross |
Keystone 65 Basic Rx (HMO) H3952-056-0 |
HMO | $240 | Yes | No | No | Yes | No | No | 14,430 | |
Geisinger Gold |
Geisinger Gold Classic 360 Rx (HMO) H3954-160-0 |
HMO | $300 | No | 14,148 | ||||||
Aetna Medicare |
Aetna Medicare Advantra Silver (HMO) H3959-011-0 |
HMO | $420 | Yes | $2,500 | No | No | Yes | No | No | 14,089 |
Independence Blue Cross |
Keystone 65 Select Rx (HMO) H3952-049-0 |
HMO | $120 | Yes | No | No | Yes | No | No | 13,364 | |
VISTA Health Plan Inc. |
Keystone First VIP Choice (HMO D-SNP) H4227-001-0 |
HMO | $1,200 | Yes | $1,500 | No | No | No | No | No | 13,216 |
Aetna Medicare |
Aetna Medicare Advantra Gold (HMO) H3959-001-0 |
HMO | $480 | Yes | $5,000 | No | No | Yes | No | No | 12,942 |
Geisinger Gold |
Geisinger Gold Preferred Complete Rx (PPO) H3924-060-18 |
Local PPO | $0 | Yes | $500 | No | No | No | No | No | 12,644 |
Humana |
Humana Gold Plus H6622-037 (HMO) H6622-037-0 |
HMO | $200 | Yes | No | No | Yes | No | No | 12,528 | |
UPMC for Life |
UPMC for Life HMO No Rx (HMO) H3907-002-0 |
HMO | $200 | Yes | $500 | No | No | No | No | No | 12,081 |
Cigna |
Cigna Preferred Medicare (HMO) H3949-030-0 |
HMO | $180 | Yes | $1,400 | No | No | No | No | No | 11,812 |
Humana |
HumanaChoice H5525-038 (PPO) H5525-038-0 |
Local PPO | $0 | No | 11,532 | ||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | $0 | No | 10,826 | ||||||
Aetna Medicare |
Aetna Medicare Advantra Value (HMO) H3959-052-0 |
HMO | $300 | Yes | $5,000 | No | No | Yes | No | No | 10,359 |
Geisinger Gold |
Geisinger Gold Secure Rx (HMO D-SNP) H3954-097-0 |
HMO | $1,140 | Yes | $5,900 | No | No | No | No | No | 10,326 |
UnitedHealthcare |
AARP Medicare Advantage Plan 1 (HMO) H1944-010-0 |
HMO | $200 | Yes | No | No | Yes | Yes | No | 10,263 | |
Aetna Medicare |
Aetna Medicare Advantra Silver Plus (PPO) H5522-013-0 |
Local PPO | $540 | Yes | $4,000 | No | No | Yes | No | No | 9,952 |
Health Partners Medicare |
Health Partners Medicare Special (HMO D-SNP) H9207-004-0 |
HMO | $1,200 | Yes | $1,500 | No | No | No | No | No | 9,612 |
Independence Blue Cross |
Keystone 65 Select Rx (HMO) H3952-051-0 |
HMO | $120 | Yes | No | No | Yes | No | No | 9,587 | |
Highmark Inc. |
Complete Blue PPO Distinct (PPO) H3916-035-4 |
Local PPO | $420 | Yes | $500 | No | No | Yes | No | No | 9,409 |
Aetna Medicare |
Aetna Medicare Value (PPO) H5521-263-0 |
Local PPO | $180 | Yes | $2,500 | No | No | Yes | No | No | 9,253 |
Independence Blue Cross |
Keystone 65 Focus Rx (HMO-POS) H3952-053-0 |
HMOPOS | $240 | Yes | No | No | Yes | No | No | 8,903 | |
Highmark Inc. |
Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-2 |
HMOPOS | $0 | Yes | No | No | Yes | No | No | 8,765 | |
Aetna Medicare |
Aetna Medicare Advantra Silver (PPO) H5522-005-0 |
Local PPO | $480 | Yes | $2,500 | No | No | Yes | No | No | 8,684 |
Aetna Medicare |
Aetna Medicare Advantra Gold (HMO-POS) H3959-037-0 |
HMOPOS | $480 | Yes | $5,000 | No | No | Yes | No | No | 8,259 |
UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-046-0 |
HMO | $100 | Yes | $500 | No | No | No | No | No | 8,150 |
Capital Blue Cross |
BlueJourney Classic (PPO) H3923-013-0 |
Local PPO | $300 | Yes | $800 | No | No | No | No | No | 7,992 |
Aetna Medicare |
Aetna Medicare Advantra Premier Plus (PPO) H5522-001-0 |
Local PPO | $480 | Yes | $2,500 | No | No | Yes | No | No | 7,809 |
Humana |
Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) H6622-038-0 |
HMO | $0 | Yes | No | No | Yes | No | No | 7,641 |