Medicare Advantage Plans for Pennsylvania
2,464,974 Total Medicare Advantage Enrollees
OTC Supplemental Benefits | Prescription Hearing Aid Coverage | ||||||||||||
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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 Select Rx (HMO) H3952-051-0 |
HMO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 8,320 | |
Independence Blue Cross |
Keystone 65 Focus Rx (HMO-POS) H3952-053-0 |
HMOPOS | $70 per Quarter | No | $280 | Yes | No | No | Yes | No | No | 8,247 | |
Aetna Medicare |
Aetna Medicare Advantra Premier Plus (PPO) H5522-001-0 |
Local PPO | $135 per Quarter | No | $540 | Yes | $2,500 | No | No | Yes | No | No | 8,204 |
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 | 7,815 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 7,764 | |||||||
Aetna Medicare |
Aetna Medicare Value (PPO) H5521-263-0 |
Local PPO | $90 per Quarter | No | $360 | Yes | $2,500 | No | No | Yes | No | No | 7,691 |
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 | 7,054 | |
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 | 6,833 | ||
Capital Blue Cross |
BlueJourney Classic (PPO) H3923-013-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 6,554 |
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 | 6,507 | |
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 | 6,472 |
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 | 6,439 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-847-0 |
Local PPO | No | $0 | No | 6,051 | |||||||
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 | 5,954 | |||||||
Capital Blue Cross |
Capital Blue Cross | WellSpan Health AdvantagePlus (PPO) H3923-030-0 |
Local PPO | $110 per Quarter | No | $440 | Yes | $1,000 | Yes | No | No | No | No | 5,883 |
Humana |
Humana Gold Plus H6622-035 (HMO) H6622-035-0 |
HMO | $25 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 5,848 | |
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 | 5,603 |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 3 (PPO) H2228-086-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | Yes | No | 5,252 | |
UnitedHealthcare |
AARP Medicare Advantage Flex Plan 2 (HMO-POS) H1944-011-0 |
HMOPOS | $60 per Quarter | No | $240 | Yes | Yes | No | Yes | Yes | No | 5,223 | |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 1 (PPO) H2228-035-0 |
Local PPO | $80 per Quarter | No | $320 | Yes | No | No | Yes | Yes | No | 5,218 | |
Aetna Medicare |
Aetna Medicare Value (PPO) H5521-261-0 |
Local PPO | $90 per Quarter | No | $360 | Yes | $2,500 | No | No | Yes | No | No | 5,199 |
Capital Blue Cross |
BlueJourney Essential (HMO) H3962-007-0 |
HMO | $75 per Quarter | No | $300 | Yes | $800 | Yes | No | No | No | No | 5,132 |
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 | 5,127 | ||
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Complete Blue PPO Signature (PPO) H3916-038-0 |
Local PPO | $130 per Quarter | No | $520 | Yes | $500 | No | No | Yes | No | No | 5,096 |
Humana |
Humana Honor (PPO) H5216-221-0 |
Local PPO | $150 per Quarter | Yes | $600 | Yes | No | No | Yes | No | No | 5,051 | |
Humana |
Humana Gold Plus H6622-036 (HMO) H6622-036-0 |
HMO | $20 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 4,985 | |
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 | 4,940 | |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 2 (PPO) H2228-085-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | Yes | No | 4,933 | |
UPMC for Life |
UPMC Employer Group Rx (HMO) H3907-802-0 |
HMO | No | $0 | No | 4,805 | |||||||
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | No | 4,724 | |||||||
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 | 4,550 |
Aetna Medicare |
Aetna Medicare Advantra Eagle (HMO) H3959-041-0 |
HMO | $120 per Quarter | No | $480 | Yes | $1,500 | No | No | Yes | No | No | 4,265 |
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 | 4,122 |
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 | 3,737 |
Humana |
HumanaChoice H5525-060 (PPO) H5525-060-0 |
Local PPO | $25 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 3,615 | |
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 | 3,605 | |
Independence Blue Cross |
Keystone 65 Focus Rx (HMO-POS) H3952-054-0 |
HMOPOS | $70 per Quarter | No | $280 | Yes | No | No | Yes | No | No | 3,590 | |
Independence Blue Cross |
Keystone 65 Preferred Rx (HMO) H3952-020-0 |
HMO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 3,551 | |
Humana |
HumanaChoice H5525-058 (PPO) H5525-058-0 |
Local PPO | $15 per Quarter | Yes | $60 | Yes | No | No | Yes | No | No | 3,467 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 3,374 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H1537-801-0 |
Local PPO | No | $0 | No | 3,340 | |||||||
Geisinger Gold |
Geisinger Gold Classic Essential Rx (HMO) H3954-161-0 |
HMO | No | $0 | No | 3,335 | |||||||
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 3,305 | |||||||
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 | 3,297 | |
Humana |
HumanaChoice H5525-006 (PPO) H5525-006-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 3,268 | ||
Cigna Healthcare |
Cigna True Choice Medicare (PPO) H7849-006-0 |
Local PPO | $100 per Quarter | No | $400 | Yes | No | No | Yes | No | No | 3,194 | |
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 | 3,154 |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 2 (PPO) H2228-036-0 |
Local PPO | $90 per Quarter | No | $360 | Yes | No | No | Yes | Yes | No | 3,151 | |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 1 (PPO) H2577-021-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 3,094 | |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 1 (PPO) H2228-037-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | Yes | No | 3,066 |