Medicare Advantage Plans for Somerset County, Pennsylvania

  • 68 Total Plans
  • 20,030 Seniors Eligible for Medicare
  • 13,108 Seniors on Medicare Advantage (65%)
  • 5 plans with 542 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 30 plans with 8,401 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 45% 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
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 3,047
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 1,278
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 992
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 790
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 689
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 518
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 402
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 396
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-002-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 319
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 309
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS ValueRx (HMO-POS)
H3957-044-4 		HMOPOS No $0 Yes No No Yes No No 304
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 262
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 254
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 252
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 213
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 204
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 165
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 158
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 157
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 131
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 126
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Select (PPO)
H3916-024-0 		Local PPO No $0 Yes $500 No No Yes No No 118
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 105
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 104
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 102
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 87
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 81
Aetna Medicare Aetna Medicare Value (PPO)
H5521-261-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 79
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 79
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 78
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO ValueRx (PPO)
H3916-033-0 		Local PPO No $0 Yes $500 No No Yes No No 60
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0 		HMO No $0 No 54
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Classic (PPO)
H3916-002-0 		Local PPO No $0 Yes $500 No No Yes No No 48
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 47
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 46
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 45
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 41
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 40
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 40
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 38
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 37
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H1944-011-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 36
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 35
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA Calendar (HMO-POS)
H3957-813-0 		HMOPOS No $0 No 34
Community LIFE Community LIFE (PACE)
H3917-001-0 		National PACE No $0 No 32
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0 		Local PPO No $0 Yes No No Yes No No 30
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 26
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 26
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 24
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0 		Local PPO No $0 Yes No No Yes No No 22
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 19
Senior LIFE Johnstown Senior LIFE Johnstown Dual Eligible (PACE)
H3925-001-0 		National PACE No $0 No 17
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0 		HMO No $0 Yes No No Yes No No 17
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 16
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 16
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 16
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 15
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 15
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 14
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 14
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-029-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 12
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 12
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0 		Local PPO No $0 No 12
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 11
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