Medicare Advantage Plans for Westmoreland County, Pennsylvania

  • 92 Total Plans
  • 97,772 Seniors Eligible for Medicare
  • 66,916 Seniors on Medicare Advantage (68%)
  • 5 plans with 2,849 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 49 plans with 43,882 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 48% 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)
H3959-002-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 6,959
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 5,254
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 4,140
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 4,030
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 3,523
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 3,499
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 3,342
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 3,262
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 2,703
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,282
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 1,993
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 1,974
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 1,911
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 1,643
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,350
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 1,216
Aetna Medicare Aetna Medicare Advantra Excela Prime (HMO-POS)
H3959-049-0 		HMOPOS $120 per Quarter No $480 Yes $2,500 No No Yes No No 1,184
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 905
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 903
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 846
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 805
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 796
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 703
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 696
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 641
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 636
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 535
Aetna Medicare Aetna Medicare Value (PPO)
H5521-261-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 514
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 468
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0 		HMO No $0 No 464
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 411
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H1944-011-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 410
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 340
Humana Humana Gold Plus H6622-054 (HMO)
H6622-054-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 340
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 332
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0 		Local PPO No $0 Yes No No Yes No No 315
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 305
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 287
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 275
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 268
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0 		Local PPO No $0 Yes No No Yes No No 266
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 234
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 230
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 211
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 210
Senior LIFE Greensburg Senior LIFE Greensburg Dual Eligible (PACE)
H2937-001-0 		National PACE No $0 No 202
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0 		HMO No $0 Yes No No Yes No No 174
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 155
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 147
Community LIFE Community LIFE (PACE)
H3917-001-0 		National PACE No $0 No 122
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 114
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA Calendar (HMO-POS)
H3957-813-0 		HMOPOS No $0 No 104
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 99
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 87
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 85
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 84
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 81
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 80
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-029-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 76
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 72
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 62
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 61
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
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 57
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 56
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 54
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 52
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 48
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 42
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 40
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 39
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 38
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 37
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 36
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 35
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0 		Local PPO No $0 No 31
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-001-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 29
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 25
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO MA-PD Calendar (HMO)
H3957-811-0 		HMO No $0 No 23
Humana Humana Value Plus H5216-117 (PPO)
H5216-117-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 21
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 21
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-047-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 18
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 17
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 17
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 17
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 17
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 16
Wellcare by Allwell Wellcare Assist (HMO)
H2915-011-0 		HMO $67 per Month Yes $0 Yes $700 No No Yes Yes No 15
Aetna Medicare Aetna Medicare Advantra Central Value (PPO)
H5522-020-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 14
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 14
Wellcare by Allwell Wellcare Giveback (HMO)
H2915-012-0 		HMO $60 per Quarter No $240 Yes $700 No No Yes Yes Yes 13
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 12
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