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
Aetna Medicare Aetna Medicare Beaver Valley Prime (HMO)
H3959-051-0 		HMO $150 per Quarter No $600 Yes $2,500 No No Yes No No 1,314
Humana Humana Gold Plus H6622-054 (HMO)
H6622-054-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 1,289
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 1,282
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 1,234
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 1,215
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
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 1,157
Capital Blue Cross Capital Blue Cross | WellSpan Health Advantage (PPO)
H3923-029-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 1,127
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 1,109
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-131-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 1,102
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare Plus PPO Signature (PPO)
H3916-039-0 		Local PPO $110 per Quarter No $440 Yes $500 No No Yes No No 1,064
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-052-0 		HMO $0 per Month No $0 Yes No No Yes No No 1,054
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-048-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 1,034
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 1,019
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-016-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 1,009
Aetna Medicare Aetna Medicare PinnacleHealth Prime (HMO)
H3931-091-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 1,003
Humana Humana Gold Plus H6622-052 (HMO)
H6622-052-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 996
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 946
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 943
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 934
Independence Blue Cross Keystone 65 Group Medical Only (HMO)
H3952-802-0 		HMO No $0 No 933
Clover Health Clover Health Choice (PPO)
H5141-038-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 929
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-029-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 927
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 903
Independence Blue Cross Keystone 65 Select Medical Only (HMO)
H3952-050-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 898
Independence Blue Cross Personal Choice 65 Group Rx (PPO)
H3909-802-0 		Local PPO No $0 No 895
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 892
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-035-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 881
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-034-0 		Local PPO $110 per Quarter No $440 Yes $1,200 Yes No No No No 845
Capital Blue Cross Capital Blue Cross | WellSpan Health Inspire (HMO)
H3962-021-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 833
Humana Humana Value Plus H5216-117 (PPO)
H5216-117-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 816
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA Calendar (HMO-POS)
H3957-813-0 		HMOPOS No $0 No 800
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 796
Capital Blue Cross Capital Blue Cross Group Rx (CY) (HMO)
H3962-801-0 		HMO No $0 No 766
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 753
Humana Humana Gold Choice H8145-055 (PFFS)
H8145-055-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 747
Mercy LIFE Mercy LIFE SEPA (PACE)
H3919-001-0 		National PACE No $0 No 740
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 728
Community LIFE Community LIFE (PACE)
H3917-001-0 		National PACE No $0 No 719
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 710
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 708
Aetna Medicare Aetna Medicare PennHighlands Prime (HMO)
H3959-045-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 707
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 662
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 644
InnovAge Pennsylvania LIFE InnovAge Pennsylvania LIFE, LLC - Dual (PACE)
H9830-001-0 		National PACE No $0 No 634
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-008-0 		Local PPO No $0 Yes No No Yes No No 615
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 607
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 603
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 551
Cigna Healthcare Cigna Courage Medicare (HMO)
H3949-026-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 543

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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