Medicare Advantage Plans for Berks County, Pennsylvania

  • 102 Total Plans
  • 88,597 Seniors Eligible for Medicare
  • 38,486 Seniors on Medicare Advantage (43%)
  • 7 plans with 4,562 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 57 plans with 23,449 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 32% 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 Silver (PPO)
H5522-004-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 3,694
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO Signature (PPO)
H3916-037-4 		Local PPO $105 per Quarter No $420 Yes $500 No No Yes No No 2,716
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 2,476
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,073
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO ValueRx (PPO)
H3916-018-0 		Local PPO No $0 Yes $500 No No Yes No No 1,715
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 1,618
Humana Humana Gold Plus H6622-035 (HMO)
H6622-035-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 1,523
Aetna Medicare Aetna Medicare Advantra Silver Plus (PPO)
H5522-013-0 		Local PPO $135 per Quarter No $540 Yes $2,500 No No Yes No No 1,454
Capital Blue Cross BlueJourney Classic (PPO)
H3923-013-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 1,312
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 1,117
Capital Blue Cross BlueJourney Essential (HMO)
H3962-007-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 1,084
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-086-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 873
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO Distinct (PPO)
H3916-034-5 		Local PPO $215 per Quarter No $860 Yes $500 No No Yes No No 815
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 786
Capital Blue Cross BlueJourney Premier (HMO)
H3962-001-0 		HMO $100 per Quarter No $400 Yes $1,000 Yes No No No No 686
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 681
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-035-0 		Local PPO $80 per Quarter No $320 Yes No No Yes Yes No 537
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 536
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 531
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-052-0 		HMO $0 per Month No $0 Yes No No Yes No No 522
Capital Blue Cross BlueJourney Prime (PPO)
H3923-017-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No No No No 521
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 497
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 432
Humana Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)
H6622-078-2 		HMO $1,800 per Month No $0 Yes No No Yes No No 428
Capital Blue Cross Capital Blue Cross Select (PPO)
H3923-028-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 391
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 384
Aetna Medicare Aetna Medicare Advantra Premier (HMO-POS)
H3959-039-0 		HMOPOS $120 per Quarter No $480 Yes $2,500 No No Yes No No 373
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 372
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 370
Capital Blue Cross BlueJourney Value (HMO)
H3962-004-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 368
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Deluxe (PPO)
H3916-005-0 		Local PPO No $0 Yes $500 No No Yes No No 338
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 337
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 329
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-036-0 		Local PPO $90 per Quarter No $360 Yes No No Yes Yes No 323
Humana HumanaChoice H5525-006 (PPO)
H5525-006-0 		Local PPO No $0 Yes No No Yes No No 309
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 252
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 240
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 232
Humana Humana Gold Choice H8145-052 (PFFS)
H8145-052-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 223
Capital Blue Cross Capital Blue Cross Group Rx Complete (CY) (PPO)
H3923-818-0 		Local PPO No $0 No 216
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-037-0 		Local PPO $125 per Quarter No $500 Yes $1,200 No No No No No 213
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Standard (PPO)
H3916-015-0 		Local PPO No $0 Yes $500 No No Yes No No 200
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-008-0 		Local PPO No $0 Yes No No Yes No No 198
Senior LIFE Lehigh Valley / Reading Senior LIFE Lehigh Valley Dual Eligible (PACE)
H5978-001-0 		National PACE No $0 No 192
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 185
Aetna Medicare Aetna Medicare Advantra Premier Plus (PPO)
H5522-002-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 171
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2915-007-0 		HMO $172 per Month Yes $0 Yes $3,000 No No Yes Yes No 171
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 162
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H4279-004-0 		HMO No $0 Yes No No No No No 153
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 147
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 139
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 135
Capital Blue Cross Capital Blue Cross Group Rx (CY) (HMO)
H3962-801-0 		HMO No $0 No 132
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 122
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-035-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 117
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 115
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22 		Local PPO No $0 No 113
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 111
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 108
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 102
Humana Humana Gold Choice H8145-055 (PFFS)
H8145-055-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 86
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 83
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Signature (HMO)
H3957-042-5 		HMO $60 per Quarter No $240 Yes No No Yes No No 82
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 81
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-031-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 74
Aetna Medicare Aetna Medicare Silver Back (PPO)
H5522-022-0 		Local PPO $90 per Quarter No $360 Yes $1,500 No No Yes No No 59
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 59
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 53
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 53
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 51
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 47
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-016-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 47
Geisinger Gold Geisinger Gold Secure Rx (HMO D-SNP)
H3954-097-0 		HMO $0 per Month No $0 Yes $5,900 Yes No No No No 43
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 40
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Valor (PPO)
H3916-043-0 		Local PPO $100 per Quarter No $400 Yes $500 No No Yes No No 38
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 38
Independence Blue Cross Keystone 65 Group Rx (HMO)
H3952-804-0 		HMO No $0 No 35
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 35
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H3949-009-0 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 34
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 34
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 33
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 32
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-130-0 		Local PPO No $0 Yes No No Yes Yes No 32
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 31
Jefferson Health Plans Health Partners Medicare Complete (HMO-POS)
H9207-012-0 		HMOPOS $150 per Quarter No $600 Yes $1,000 Yes No No No No 30
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 27
Geisinger Gold Geisinger Gold Classic Essential Rx (HMO)
H3954-161-0 		HMO No $0 No 23
Humana HumanaChoice R0923-001 (Regional PPO)
R0923-001-0 		Regional PPO $35 per Month Yes $0 Yes No No Yes No No 22
Wellcare by Allwell Wellcare Assist (HMO)
H2915-011-0 		HMO $67 per Month Yes $0 Yes $700 No No Yes Yes No 22
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 19
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 18
Cigna Healthcare Cigna True Choice Plus Medicare (PPO)
H7849-032-0 		Local PPO $100 per Quarter No $400 Yes $1,400 No No No No No 18
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 17
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 17
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Basic (PPO)
H3916-012-0 		Local PPO No $0 Yes $500 No No Yes No No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 16
Capital Blue Cross Capital Blue Cross Value (PPO)
H3923-036-0 		Local PPO $75 per Quarter No $300 Yes $400 No No No No No 14
Humana Humana Gold Plus H6622-037 (HMO)
H6622-037-0 		HMO $25 per Month Yes $0 Yes Yes No Yes No No 13
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 13
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 11
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 11
Wellcare by Allwell Wellcare Patriot Giveback (HMO)
H2915-013-0 		HMO $65 per Quarter No $260 Yes $1,000 No No Yes Yes No 11
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