Medicare Advantage Plans for Philadelphia County, Pennsylvania

  • 110 Total Plans
  • 259,764 Seniors Eligible for Medicare
  • 142,395 Seniors on Medicare Advantage (55%)
  • 9 plans with 43,970 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 66 plans with 84,236 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 49% 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)
H3952-055-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 12,807
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H3949-009-0 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 12,691
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 10,541
Cigna Healthcare Cigna Alliance Medicare (HMO)
H3949-031-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 8,987
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 8,743
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 6,814
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-049-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 6,804
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-030-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 5,995
Humana Humana Gold Plus H6622-037 (HMO)
H6622-037-0 		HMO $25 per Month Yes $0 Yes Yes No Yes No No 4,942
Independence Blue Cross Keystone 65 Focus Rx (HMO-POS)
H3952-053-0 		HMOPOS $70 per Quarter No $280 Yes No No Yes No No 4,572
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-014-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 3,643
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 3,565
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 3,498
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 3,296
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 2,827
Aetna Medicare Aetna Medicare Advantra Philly Prime (HMO)
H3959-053-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 2,539
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 2,498
Aetna Medicare Aetna Medicare Advantra Value (HMO)
H3959-052-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 2,491
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-020-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 2,031
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-085-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 1,733
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 1,643
Cigna Healthcare Cigna Achieve Medicare (HMO C-SNP)
H3949-024-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 1,627
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 1,492
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-006-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 1,405
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,181
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-037-0 		Local PPO $75 per Quarter No $300 Yes No No Yes Yes No 1,167
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 1,086
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,083
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 973
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 810
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 795
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-048-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 669
InnovAge Pennsylvania LIFE InnovAge Pennsylvania LIFE, LLC - Dual (PACE)
H9830-001-0 		National PACE No $0 No 634
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 630
Aetna Medicare Aetna Medicare Advantra Premier (HMO)
H3959-033-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 619
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 610
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 590
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 586
Independence Blue Cross Keystone 65 Group Rx (HMO)
H3952-804-0 		HMO No $0 No 569
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H3931-064-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 563
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-009-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 549
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 533
Clover Health Clover Health Choice (PPO)
H5141-038-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 520
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 512
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 471
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 453
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 442
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 440
Cigna Healthcare Cigna Courage Medicare (HMO)
H3949-026-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 401
Independence Blue Cross Keystone 65 Group Medical Only (HMO)
H3952-802-0 		HMO No $0 No 385
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-016-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 331
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 330
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 324
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 314
Mercy LIFE - West Philadelphia Trinity Health LIFE Pennsylvania (PACE)
H3908-001-0 		National PACE No $0 No 312
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 302
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H3949-013-0 		HMO $75 per Quarter No $300 Yes $1,400 No No No No No 286
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-131-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 286
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-008-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 272
Independence Blue Cross Personal Choice 65 Group Rx (PPO)
H3909-802-0 		Local PPO No $0 No 268
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 236
Mercy LIFE Mercy LIFE SEPA (PACE)
H3919-001-0 		National PACE No $0 No 218
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 215
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 187
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 171
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 167
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 164
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 164
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-057-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 149
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 142
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 139
Wellcare by Allwell Wellcare Assist (HMO)
H2915-011-0 		HMO $67 per Month Yes $0 Yes $700 No No Yes Yes No 134
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 132
Independence Blue Cross Personal Choice 65 Group Medical Only (PPO)
H3909-801-0 		Local PPO No $0 No 123
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 108
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 106
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 106
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 100
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 98
Independence Blue Cross Personal Choice 65 Medical Only (PPO)
H3909-007-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 98
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 95
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 91
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 90
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 87
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 86
Devoted Health Devoted CORE Pennsylvania (HMO)
H6852-001-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 85
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 75
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 71
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 71
Devoted Health Devoted GIVEBACK Pennsylvania (HMO)
H6852-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 65
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-130-0 		Local PPO No $0 Yes No No Yes Yes No 62
Independence Blue Cross Keystone 65 Liberty Medical Only (HMO)
H3952-059-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 59
Cigna Healthcare Cigna True Choice Core Medicare (PPO)
H7787-802-0 		Local PPO No $0 No 56
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 51
Wellcare by Allwell Wellcare Giveback (HMO)
H2915-012-0 		HMO $60 per Quarter No $240 Yes $700 No No Yes Yes Yes 50
Humana HumanaChoice R0923-001 (Regional PPO)
R0923-001-0 		Regional PPO $35 per Month Yes $0 Yes No No Yes No No 44
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 44
Wellcare by Allwell Wellcare Patriot Giveback (HMO)
H2915-013-0 		HMO $65 per Quarter No $260 Yes $1,000 No No Yes Yes No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 41
Devoted Health Devoted CHOICE Pennsylvania (PPO)
H6018-001-0 		Local PPO $65 per Quarter No $260 Yes No No Yes No No 35
Wellcare Wellcare Low Premium Open (PPO)
H2128-003-0 		Local PPO $126 per Quarter No $504 Yes $1,500 No No Yes Yes No 35
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 29
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 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 25
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 24
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 18
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 14
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 14
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-056-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 14
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 13
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