Medicare Advantage Plans for Montgomery County, Pennsylvania

  • 116 Total Plans
  • 176,915 Seniors Eligible for Medicare
  • 61,446 Seniors on Medicare Advantage (35%)
  • 9 plans with 4,998 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 69 plans with 42,946 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 27% 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
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-056-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 8,821
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-015-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 4,444
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-051-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 4,345
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 3,499
Humana Humana Gold Plus H6622-037 (HMO)
H6622-037-0 		HMO $25 per Month Yes $0 Yes Yes No Yes No No 2,935
Aetna Medicare Aetna Medicare Advantra Value (HMO)
H3959-052-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 2,435
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-054-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 2,289
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 2,133
Cigna Healthcare Cigna Alliance Medicare (HMO)
H3949-031-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 1,745
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,478
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H3949-009-0 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 1,388
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-009-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,331
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,309
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 1,247
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-035-0 		HMO $300 per Month Yes $0 Yes $5,000 No No Yes No No 1,101
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-045-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 1,023
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-030-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 954
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-085-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 945
Aetna Medicare Aetna Medicare Advantra Premier Plus (PPO)
H5522-014-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 912
VISTA Health Plan Inc. Keystone First VIP Choice (HMO D-SNP)
H4227-001-0 		HMO $350 per Quarter No $1,400 Yes $1,500 No No No No No 811
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 799
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 769
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 663
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 651
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-006-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 623
Aetna Medicare Aetna Medicare Advantra Premier (HMO)
H3959-033-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 606
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 593
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 592
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 519
Independence Blue Cross Personal Choice 65 Elite Rx (PPO)
H3909-017-0 		Local PPO $125 per Quarter No $500 Yes No No Yes No No 496
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 461
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-050-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 434
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 425
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 422
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-037-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 422
Independence Blue Cross Personal Choice 65 Saver Rx (PPO)
H3909-016-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 364
Independence Blue Cross Keystone 65 Group Rx (HMO)
H3952-804-0 		HMO No $0 No 331
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H3931-064-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 293
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-131-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 251
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 251
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 250
Independence Blue Cross Personal Choice 65 Group Rx (PPO)
H3909-802-0 		Local PPO No $0 No 239
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 231
Cigna Healthcare Cigna Achieve Medicare (HMO C-SNP)
H3949-024-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 230
Aetna Medicare Aetna Medicare Philly Suburban Value (HMO-POS)
H3931-105-0 		HMOPOS $60 per Quarter No $240 Yes $2,500 No No Yes No No 227
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 221
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 203
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 202
Aetna Medicare Aetna Medicare Premier Plus (HMO-POS)
H3931-004-0 		HMOPOS $135 per Quarter No $540 Yes $2,500 No No Yes No No 196
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 192
Independence Blue Cross Keystone 65 Group Medical Only (HMO)
H3952-802-0 		HMO No $0 No 189
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 187
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-009-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 184
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 182
Independence Blue Cross Personal Choice 65 Group Medical Only (PPO)
H3909-801-0 		Local PPO No $0 No 161
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 154
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 136
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-044-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 131
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
H5932-012-0 		HMO $320 per Quarter No $1,280 Yes No No No No No 127
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 127
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 113
Mercy LIFE Mercy LIFE SEPA (PACE)
H3919-001-0 		National PACE No $0 No 100
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 93
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-057-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 91
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H7123-001-0 		HMO No $0 Yes No No No No No 85
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 81
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 77
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 77
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-016-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 77
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 75
Cigna Healthcare Cigna Courage Medicare (HMO)
H3949-026-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 72
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 69
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 60
Provider Partners Health Plans Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)
H4093-001-0 		HMO $95 per Quarter No $380 Yes $1,000 No No No No No 59
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H3949-013-0 		HMO $75 per Quarter No $300 Yes $1,400 No No No No No 58
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 58
Humana HumanaChoice R0923-001 (Regional PPO)
R0923-001-0 		Regional PPO $35 per Month Yes $0 Yes No No Yes No No 57
Jefferson Health Plans Health Partners Medicare Special (HMO D-SNP)
H9207-004-0 		HMO $315 per Quarter No $1,260 Yes $1,500 Yes No No No No 57
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-130-0 		Local PPO No $0 Yes No No Yes Yes No 47
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 45
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 44
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 43
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 41
Devoted Health Devoted CORE Pennsylvania (HMO)
H6852-001-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 38
Devoted Health Devoted CHOICE Pennsylvania (PPO)
H6018-001-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 36
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 35
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 35
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
H5932-013-0 		HMO $140 per Quarter No $560 Yes No No No No No 34
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 31
Devoted Health Devoted GIVEBACK Pennsylvania (HMO)
H6852-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 30
Wellcare by Allwell Wellcare Assist (HMO)
H2915-011-0 		HMO $67 per Month Yes $0 Yes $700 No No Yes Yes No 30
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 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 27
Jefferson Health Plans Health Partners Medicare Prime (HMO-POS)
H9207-002-0 		HMOPOS $165 per Quarter No $660 Yes $1,500 Yes No No No No 26
Aetna Medicare Aetna Medicare Value Plus (PPO)
H5522-021-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 22
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-049-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 22
Independence Blue Cross Keystone 65 Liberty Medical Only (HMO)
H3952-059-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 21
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-053-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 19
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 18
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 18
LIFE St. Mary LIFE St. Mary (PACE)
H6551-001-0 		National PACE No $0 No 17
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 16
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-055-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 16
Wellcare Wellcare Low Premium Open (PPO)
H2128-003-0 		Local PPO $126 per Quarter No $504 Yes $1,500 No No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 15
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 13
Blue Cross and Blue Shield of Montana Blue Cross Group Medicare Advantage (PPO)
H0107-803-0 		Local PPO No $0 No 13
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 12
Cigna Healthcare Cigna True Choice Core Medicare (PPO)
H7787-802-0 		Local PPO No $0 No 12
Humana Humana Gold Plus H6622-035 (HMO)
H6622-035-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 12
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-020-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 12
Wellcare by Allwell Wellcare Giveback (HMO)
H2915-012-0 		HMO $60 per Quarter No $240 Yes $700 No No Yes Yes Yes 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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