Medicare Advantage Plans for Pennsylvania

Prescription Hearing Aid Coverage
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

Counties in Pennsylvania

County Medicare Advantage Enrolless
Adams 9,207
Allegheny 172,834
Armstrong 11,919
Beaver 28,829
Bedford 7,255
Berks 34,904
Blair 17,879
Bradford 5,395
Bucks 53,151
Butler 28,137
Cambria 24,627
Cameron 554
Carbon 5,048
Centre 13,592
Chester 28,622
Clarion 4,338
Clearfield 9,677
Clinton 4,654
Columbia 6,426
Crawford 9,726
Cumberland 24,939
Dauphin 31,662
Delaware 36,409
Elk 2,666
Erie 33,692
Fayette 19,702
Forest 804
Franklin 12,425
Fulton 1,130
Greene 4,297
Huntingdon 5,312
Indiana 12,607
Jefferson 5,574
Juniata 2,783
Lackawanna 17,885
Lancaster 52,135
Lawrence 14,553
Lebanon 15,435
Lehigh 30,535
Luzerne 25,487
Lycoming 11,554
McKean 3,781
Mercer 16,881
Mifflin 5,520
Monroe 11,549
Montgomery 55,208
Montour 2,336
Northampton 25,705
Northumberland 10,561
Perry 5,407
Philadelphia 131,666
Pike 3,364
Potter 1,795
Schuylkill 12,981
Snyder 4,125
Somerset 12,087
Sullivan 605
Susquehanna 3,327
Tioga 4,351
Union 3,564
Venango 8,344
Warren 4,374
Washington 32,246
Wayne 3,703
Westmoreland 63,310
Wyoming 2,601
York 42,882
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