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
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 540
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 533
Aetna Medicare Aetna Medicare Silver Back (PPO)
H5522-022-0 		Local PPO $90 per Quarter No $360 Yes $1,500 No No Yes No No 530
LIFE Northwestern Pennsylvania LIFE Northwestern Pennsylvania (PACE)
H4999-001-0 		National PACE No $0 No 526
Humana HumanaChoice R0923-001 (Regional PPO)
R0923-001-0 		Regional PPO $35 per Month Yes $0 Yes No No Yes No No 507
LIFE Pittsburgh LIFE Pittsburgh Dual Eligibles Pharmacy (PACE)
H3918-001-0 		National PACE No $0 No 500
Aetna Medicare Aetna Medicare Plan (PPO)
H1608-801-0 		Local PPO No $0 No 499
UPMC for Life UPMC for Life PPO Rx Choice (PPO)
H5533-009-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 498
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-035-0 		Local PPO $110 per Quarter No $440 Yes $1,200 Yes No No No No 495
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-031-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 488
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO MA-PD Calendar (HMO)
H3957-811-0 		HMO No $0 No 483
Wellcare by Allwell Wellcare Assist (HMO)
H2915-011-0 		HMO $67 per Month Yes $0 Yes $700 No No Yes Yes No 483
Geisinger Gold Geisinger Gold Classic Rx (Employer Group) (HMO)
H3954-802-0 		HMO No $0 No 465
Senior LIFE Altoona / Ebensburg / Indiana Senior LIFE Altoona Dual Eligible (PACE)
H5902-001-0 		National PACE No $0 No 455
Senior LIFE Lehigh Valley / Reading Senior LIFE Lehigh Valley Dual Eligible (PACE)
H5978-001-0 		National PACE No $0 No 443
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0 		Local PPO No $0 No 439
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-008-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 431
LIFE Beaver and Lawrence Counties VieCare Beaver, LLC dba LIFE Beaver and Lawrence C (PACE)
H7660-001-0 		National PACE No $0 No 427
Cigna Healthcare Cigna Preferred Plus Medicare (HMO)
H3949-013-0 		HMO $75 per Quarter No $300 Yes $1,400 No No No No No 424
Independence Blue Cross Personal Choice 65 Group Medical Only (PPO)
H3909-801-0 		Local PPO No $0 No 419
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 418
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-057-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 414
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-035-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 414
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 412
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 397
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 383
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H4279-004-0 		HMO No $0 Yes No No No No No 360
LIFE Geisinger LIFE Geisinger (PACE)
H2064-001-0 		National PACE No $0 No 344
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare Plus PPO Distinct (PPO)
H3916-036-0 		Local PPO $195 per Quarter No $780 Yes $500 No No Yes No No 341
Cigna Cigna True Choice Medicare (PPO)
H7849-803-0 		Local PPO No $0 No 337
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-130-0 		Local PPO No $0 Yes No No Yes Yes No 336
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2128-005-0 		Local PPO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 331
Mercy LIFE - West Philadelphia Trinity Health LIFE Pennsylvania (PACE)
H3908-001-0 		National PACE No $0 No 324
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
H5932-013-0 		HMO $140 per Quarter No $560 Yes No No No No No 322
Blue Medicare Advantage Secure Preferred (PPO)
H6078-801-0 		Local PPO No $0 No 299
Senior LIFE York Senior LIFE York & Harrisburg Dual Eligibile (PACE)
H0819-001-0 		National PACE No $0 No 291
Senior LIFE Washington / Uniontown / Greene Senior LIFE Washington Dual Eligible (PACE)
H2992-001-0 		National PACE No $0 No 284
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 279
Capital Blue Cross Capital Blue Cross Group Rx Complete (CY) (PPO)
H3923-818-0 		Local PPO No $0 No 249
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Valor (PPO)
H3916-043-0 		Local PPO $100 per Quarter No $400 Yes $500 No No Yes No No 248
Independence Blue Cross Keystone 65 Preferred Medical Only (HMO)
H3952-044-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 246
Senior LIFE Washington / Uniontown / Greene Senior LIFE Uniontown Dual Eligible (PACE)
H2992-003-0 		National PACE No $0 No 237
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 236
LIFE St. Mary LIFE St. Mary (PACE)
H6551-001-0 		National PACE No $0 No 233
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 228
Wellcare by Allwell Wellcare Giveback (HMO)
H2915-012-0 		HMO $60 per Quarter No $240 Yes $700 No No Yes Yes Yes 217
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-037-0 		Local PPO $125 per Quarter No $500 Yes $1,200 No No No No No 213
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 212
Senior LIFE Johnstown Senior LIFE Johnstown Dual Eligible (PACE)
H3925-001-0 		National PACE No $0 No 211
Senior LIFE Greensburg Senior LIFE Greensburg Dual Eligible (PACE)
H2937-001-0 		National PACE No $0 No 202

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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