Medicare Advantage Plans for Pennsylvania

2,464,974 Total Medicare Advantage Enrollees

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
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 3,059
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 3,047
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 3,043
Capital Blue Cross BlueJourney Prime (PPO)
H3923-017-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No No No No 3,018
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 2,969
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2915-007-0 		HMO $172 per Month Yes $0 Yes $3,000 No No Yes Yes No 2,889
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 2,850
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 2,795
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0 		Local PPO No $0 Yes No No Yes No No 2,787
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 2,764
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22 		Local PPO No $0 No 2,741
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-009-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 2,702
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 2,622
Aetna Medicare Aetna Medicare Advantra Premier (HMO)
H3959-033-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 2,544
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 2,541
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
Capital Blue Cross BlueJourney Premier (HMO)
H3962-001-0 		HMO $100 per Quarter No $400 Yes $1,000 Yes No No No No 2,501
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0 		Local PPO No $0 Yes No No Yes No No 2,477
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 2,365
Cigna Healthcare Cigna Achieve Medicare (HMO C-SNP)
H3949-024-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 2,326
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Standard (PPO)
H3916-015-0 		Local PPO No $0 Yes $500 No No Yes No No 2,318
Capital Blue Cross Capital Blue Cross Select (PPO)
H3923-028-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 2,154
Independence Blue Cross Keystone 65 Preferred Rx (HMO)
H3952-045-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 2,076
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-050-0 		HMO $0 per Month No $0 Yes No No Yes No No 2,066
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 2,060
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H1944-033-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,053
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 2,042
Aetna Medicare Aetna Medicare Advantra Butler Prime (HMO)
H3959-047-0 		HMO $150 per Quarter No $600 Yes $2,500 No No Yes No No 2,036
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 1,956
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 1,906
Aetna Medicare Aetna Medicare Premier (HMO-POS)
H3931-064-0 		HMOPOS $90 per Quarter No $360 Yes $2,500 No No Yes No No 1,812
Geisinger Gold Geisinger Gold Heritage (HMO)
H3954-162-0 		HMO $40 per Month No $0 Yes $2,500 Yes No Yes No No 1,790
UPMC for Life UPMC for Life PPO Premier Rx (PPO)
H5533-011-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 1,787
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 1,777
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Signature (HMO)
H3957-042-5 		HMO $60 per Quarter No $240 Yes No No Yes No No 1,767
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0 		HMO No $0 Yes No No Yes No No 1,759
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 1,738
Humana Humana Gold Choice H8145-052 (PFFS)
H8145-052-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 1,737
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-028-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 1,598
Independence Blue Cross Keystone 65 Group Rx (HMO)
H3952-804-0 		HMO No $0 No 1,594
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 1,570
Aetna Medicare Aetna Medicare Advantra Washington Prime (HMO)
H3959-046-0 		HMO $150 per Quarter No $600 Yes $2,500 No No Yes No No 1,555
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 1,552
Geisinger Gold Geisinger Gold Preferred 360 Rx (PPO)
H3924-066-0 		Local PPO $20 per Month No $240 No 1,508
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H1944-009-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,488
Independence Blue Cross Personal Choice 65 Rx (PPO)
H3909-001-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 1,477
Capital Blue Cross BlueJourney Value (HMO)
H3962-004-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 1,461
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 1,431
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 1,423
Aetna Medicare Aetna Medicare The Valley Plan (PPO)
H5521-294-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 1,416

Top 20 Medicare Advantage Insurance Companyes for Pennsylvania

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Aetna Medicare 390,676 280,498 280,498
Highmark Blue Cross Blue Shield or Highmark Blue Shield 216,489 129,374 187,819
UPMC for Life 162,883 155,773 162,654
UnitedHealthcare 138,210 101,937 103,717
Independence Blue Cross 106,403 105,334 105,334
Geisinger Gold 98,069 55,916 74,128
Humana 90,424 97,244 113,936
Cigna Healthcare 46,157 42,192 42,192
Highmark Wholecare Medicare Assured 41,232 41,000 41,000
UPMC for Life Complete Care 39,832 0 42,115
Capital Blue Cross 32,455 31,782 31,782
VISTA Health Plan Inc. 16,371 17,611 17,611
Jefferson Health Plans 13,214 13,003 13,003
Wellcare by Allwell 13,117 11,451 11,451
Anthem Blue Cross and Blue Shield 4,960 0 0
Blue Medicare Advantage 3,358 0 0
Wellcare 2,689 2,902 3,690
Clover Health 929 772 772
Mercy LIFE 740 0 0
Community LIFE 719 0 0

Counties in Pennsylvania

County Medicare Advantage Enrolless
Adams 20,875
Allegheny 236,800
Armstrong 15,876
Beaver 38,309
Bedford 11,532
Berks 76,916
Blair 28,646
Bradford 13,339
Bucks 126,837
Butler 39,697
Cambria 34,378
Cameron 1,134
Carbon 14,209
Centre 23,132
Chester 87,828
Clarion 8,358
Clearfield 17,955
Clinton 8,265
Columbia 13,684
Crawford 19,485
Cumberland 48,166
Dauphin 55,224
Delaware 92,906
Elk 7,263
Erie 55,169
Fayette 30,235
Forest 1,402
Franklin 28,546
Fulton 2,867
Greene 6,708
Huntingdon 10,010
Indiana 18,248
Jefferson 9,820
Juniata 5,165
Lackawanna 45,182
Lancaster 103,258
Lawrence 20,775
Lebanon 27,580
Lehigh 67,588
Luzerne 63,512
Lycoming 24,820
McKean 8,471
Mercer 26,346
Mifflin 10,227
Monroe 29,416
Montgomery 149,537
Montour 4,035
Northampton 62,879
Northumberland 21,488
Perry 9,847
Philadelphia 222,033
Pike 12,320
Potter 3,911
Schuylkill 31,405
Snyder 8,403
Somerset 18,208
Sullivan 1,645
Susquehanna 9,078
Tioga 9,363
Union 7,594
Venango 13,843
Warren 9,620
Washington 45,992
Wayne 11,918
Westmoreland 86,709
Wyoming 6,019
York 82,968
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