Medicare Advantage Plans for Allegheny County, Pennsylvania

  • 110 Total Plans
  • 271,583 Seniors Eligible for Medicare
  • 180,988 Seniors on Medicare Advantage (67%)
  • 7 plans with 10,720 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 54 plans with 115,423 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 46% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Pennsylvania Enrollees
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-001-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 17,343
UPMC for Life UPMC for Life HMO Rx Choice (HMO)
H3907-049-0 		HMO $0 per Month No $0 Yes No No Yes No No 14,174
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 13,401
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H4279-001-0 		HMO No $0 Yes No No No No No 10,520
Highmark Blue Cross Blue Shield or Highmark Blue Shield Complete Blue PPO Distinct (PPO)
H3916-035-4 		Local PPO $200 per Quarter No $800 Yes $500 No No Yes No No 8,370
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Signature (HMO)
H3957-047-3 		HMO $80 per Quarter No $320 Yes No No Yes No No 8,194
Aetna Medicare Aetna Medicare Advantra Premier Plus (PPO)
H5522-001-0 		Local PPO $135 per Quarter No $540 Yes $2,500 No No Yes No No 8,191
UPMC for Life UPMC for Life HMO Deductible Rx (HMO)
H3907-037-0 		HMO $0 per Month No $0 Yes No No Yes No No 8,065
Aetna Medicare Aetna Medicare Advantra Silver (HMO-POS)
H3959-010-0 		HMOPOS $105 per Quarter No $420 Yes $2,500 No No Yes No No 7,790
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
H5932-001-0 		HMO $320 per Quarter No $1,280 Yes No No No No No 7,032
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-046-0 		HMO $0 per Month No $0 Yes No No Yes No No 5,530
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS ValueRx (HMO-POS)
H3957-031-0 		HMOPOS No $0 Yes No No Yes No No 4,678
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 4,266
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 3,415
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 3,280
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 3,260
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H3113-009-0 		HMOPOS $202 per Month No $0 Yes $1,100 Yes No Yes Yes No 2,944
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0 		HMO No $0 No 2,836
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA-PD Calendar (HMO-POS)
H3957-814-0 		HMOPOS No $0 No 2,463
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 2,348
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-036-0 		HMO $300 per Month Yes $0 Yes $5,000 No No Yes No No 2,303
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H1944-011-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 2,297
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO ValueRx (PPO)
H3916-032-0 		Local PPO No $0 Yes $500 No No Yes No No 2,191
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS Deluxe (HMO-POS)
H3957-046-2 		HMOPOS No $0 Yes No No Yes No No 2,171
UPMC for Life UPMC for Life HMO No Rx (HMO)
H3907-002-0 		HMO $0 per Month No $0 Yes No No Yes No No 2,019
Aetna Medicare Aetna Medicare Value (PPO)
H5521-261-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,832
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,713
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS Standard (HMO-POS)
H3957-045-2 		HMOPOS No $0 Yes No No Yes No No 1,539
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 1,437
Highmark Blue Cross Blue Shield or Highmark Blue Shield Complete Blue PPO Signature (PPO)
H3916-041-2 		Local PPO $105 per Quarter No $420 Yes $500 No No Yes No No 1,431
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Select (PPO)
H3916-022-0 		Local PPO No $0 Yes $500 No No Yes No No 1,306
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
H5932-009-0 		HMO $140 per Quarter No $560 Yes No No No No No 1,280
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,181
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0 		Local PPO No $0 Yes No No Yes No No 1,172
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0 		Local PPO No $0 Yes No No Yes No No 1,160
Aetna Medicare Aetna Medicare Advantra Credit Value (PPO)
H5522-017-0 		Local PPO $45 per Quarter No $180 Yes $1,000 No No Yes No No 1,087
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0 		HMO No $0 Yes No No Yes No No 965
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO PA MAPD Calendar (PPO)
H3916-806-0 		Local PPO No $0 No 890
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 871
UPMC for Life UPMC for Life PPO Rx Choice (PPO)
H5533-014-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 792
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 786
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Classic (PPO)
H3916-001-0 		Local PPO No $0 Yes $500 No No Yes No No 753
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 732
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2915-002-0 		HMO $148 per Month Yes $0 Yes $2,000 No No Yes Yes No 614
Humana HumanaChoice SNP-DE H5216-227 (PPO D-SNP)
H5216-227-0 		Local PPO $2,040 per Month No $0 Yes No No Yes No No 609
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 590
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 509
LIFE Pittsburgh LIFE Pittsburgh Dual Eligibles Pharmacy (PACE)
H3918-001-0 		National PACE No $0 No 500
Community LIFE Community LIFE (PACE)
H3917-001-0 		National PACE No $0 No 443
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 428
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 402
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0 		Local PPO No $0 No 329
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA Calendar (HMO-POS)
H3957-813-0 		HMOPOS No $0 No 324
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 319
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-029-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 310
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-017-0 		Local PPO $220 per Quarter Yes $880 Yes $2,000 Yes No Yes Yes No 308
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 292
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 273
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Prestige (HMO)
H3957-039-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 271
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 262
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO MA-PD Calendar (HMO)
H3957-811-0 		HMO No $0 No 260
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 245
Highmark Blue Cross Blue Shield or Highmark Blue Shield Together Blue Medicare HMO Signature (HMO)
H3957-048-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 238
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 238
VISTA Health Plan Inc. AmeriHealth Caritas VIP Care (HMO D-SNP)
H4227-002-0 		HMO $200 per Month No $0 Yes $1,500 No No No No No 213
Aetna Medicare Aetna Medicare Gold Plan (PPO)
H5521-122-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 204
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-007-0 		Local PPO $157 per Month No $0 Yes $3,600 Yes No Yes Yes No 192
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 184
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 166
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS Basic (HMO-POS)
H3957-043-2 		HMOPOS No $0 Yes No No Yes No No 119
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 103
UPMC for Life UPMC for Life PPO Premier Rx (PPO)
H5533-013-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 97
Humana Humana Value Plus H5216-117 (PPO)
H5216-117-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 94
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-047-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 91
Humana Humana Medicare Employer (PPO)
H5525-809-0 		Local PPO No $0 No 76
UPMC for Life UPMC for Life PPO Salute (PPO)
H5533-012-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 62
Wellcare by Allwell Wellcare Assist (HMO)
H2915-011-0 		HMO $67 per Month Yes $0 Yes $700 No No Yes Yes No 62
Wellcare by Allwell Wellcare Giveback (HMO)
H2915-012-0 		HMO $60 per Quarter No $240 Yes $700 No No Yes Yes Yes 62
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 55
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 53
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H3113-014-0 		HMOPOS $50 per Month No $0 Yes $1,100 Yes No Yes Yes No 51
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 50
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-002-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 49
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 48
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 46
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Valor (PPO)
H3916-042-2 		Local PPO $100 per Quarter No $400 Yes $500 No No Yes No No 44
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 43
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 39
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-106-0 		Local PPO $120 per Quarter No $480 Yes No No Yes No No 36
Wellcare by Allwell Wellcare Patriot Giveback (HMO)
H2915-013-0 		HMO $65 per Quarter No $260 Yes $1,000 No No Yes Yes No 36
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-853-0 		Local PPO No $0 No 33
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 31
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H3949-048-0 		HMO $120 per Quarter No $480 Yes No No Yes No No 31
Humana HumanaChoice R0923-001 (Regional PPO)
R0923-001-0 		Regional PPO $35 per Month Yes $0 Yes No No Yes No No 31
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 30
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 27
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-111-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 25
Aetna Medicare Aetna Medicare Advantra Silver (PPO)
H5522-005-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 24
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H3949-009-0 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 23
Aetna Medicare Aetna Medicare Advantra Silver (HMO-POS)
H3959-011-0 		HMOPOS $105 per Quarter No $420 Yes $2,500 No No Yes No No 21
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 20
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 14
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 14
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 14
Aetna Medicare Aetna Medicare Longevity Plan (HMO I-SNP)
H3959-066-0 		HMO $210 per Quarter No $840 Yes $2,000 No No Yes No No 11
Lasso Healthcare Lasso Healthcare Growth (MSA)
H1924-001-0 		MSA No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-825-0 		Local PPO No $0 No 11
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2128-005-0 		Local PPO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 11
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