Best Pennsylvania Medicare Advantage Companies & Plans (2024)
There are a lot of Medicare Advantage companies in Pennsylvania to choose from, and each has a different selection of plans available. Pennsylvania Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Pennsylvania without paying anything more than your original Medicare Part B cost.
Read moreUPDATED: Dec 22, 2024Fact Checked
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Daniel Walker graduated with a BS in Administrative Management in 2005 and has run his family’s insurance agency, FCI Agency, for over 15 years (BBB A+). He is licensed as an insurance agent to write property and casualty insurance, including home, life, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like Reviews.com and Safeco. To ensure our content is accura...
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UPDATED: Dec 22, 2024
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UPDATED: Dec 22, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Dec 22, 2024Fact Checked
The Highlights
- There are 115 plans with no additional premium required in PA
- You can choose from Pennsylvania PPO and HMO Medicare Advantage plans
- You’ll still need to pay your Pennsylvania original Medicare premium if you choose Medicare Advantage
If you’re shopping for a Medicare Advantage plan in Pennsylvania, there are a lot of options to choose from. 24 companies offer Medicare Advantage (Part C) coverage in Pennsylvania. Plans vary by county and include HMO, PPO, and POS options.
Finding the best Medicare company can be a challenge. To choose the right PA Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.
Ready to compare Medicare plans from top companies in Pennsylvania? Enter your ZIP code for fast, free Pennsylvania Medicare quotes today.
The Complete List of Medicare Advantage Companies in Pennsylvania
You have a lot of companies to choose from for Part C Medicare Advantage in PA. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in Pennsylvania, which counties the plans are offered in, and how many plans each company offers.
Read More: Health Insurance Coverage
Medicare Advantage Companies in Pennsylvania
| Company | Number of Plans | Counties |
|---|---|---|
| Aetna | 1 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Franklin, Jefferson, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Allegheny, Clearfield, Armstrong, Lebanon, Northampton, Elk, York, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Lackawanna, Lancaster, Blair, Washington, Delaware, Lycoming, Schuylkill, Butler, Adams, Somerset, Berks, Montgomery, Chester, Bucks, Carbon |
| Aetna Medicare | 26 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Clinton, Fulton, Huntingdon, Lebanon, Centre, Columbia, York, Luzerne, Perry, Juniata, Wyoming, Lackawanna, Lancaster, Mifflin, Berks, Potter, Susquehanna, Carbon, Crawford, Union, Franklin, Cameron, Mercer, Northumberland, Northampton, Montour, Warren, Erie, Monroe, Venango, Philadelphia, Blair, Sullivan, Delaware, Lycoming, Schuylkill, McKean, Adams, Montgomery, Chester, Forest, Bucks, Cambria, Clarion, Jefferson, Fayette, Indiana, Lawrence, Westmoreland, Allegheny, Clearfield, Armstrong, Bradford, Pike, Elk, Beaver, Greene, Washington, Bedford, Butler, Somerset, Tioga |
| Allwell | 5 | Snyder, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Elk, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Lehigh, Clinton, Franklin, Northampton, Pike, York, Luzerne, Monroe, Schuylkill, Adams, Carbon |
| AmeriHealth Caritas | 1 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon |
| Capital Advantage Insurance Company | 3 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks |
| Cigna | 9 | Cumberland, Dauphin, Lebanon, York, Philadelphia, Lancaster, Delaware, Berks, Montgomery, Chester, Bucks |
| Clover Health | 2 | Philadelphia, Delaware, Bucks |
| Erickson Advantage | 2 | Delaware, Bucks |
| Gateway Health | 2 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Northampton, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Lancaster, Blair, Mifflin, Washington, Delaware, Schuylkill, Bedford, Butler, Adams, Somerset, Berks, Montgomery, Chester, Forest, Bucks |
| Geisinger Gold | 9 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon |
| Geisinger Health Plan | 1 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon |
| Health Partners | 1 | Lehigh, Dauphin, Lebanon, Northampton, Perry, Philadelphia, Lancaster, Delaware, Berks, Chester, Bucks, Carbon |
| Health Partners Medicare | 2 | Lehigh, Dauphin, Lebanon, Northampton, Perry, Philadelphia, Lancaster, Delaware, Berks, Chester, Bucks, Carbon |
| Highmark Inc | 17 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Tioga, Berks, Susquehanna, Carbon, Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Forest, Potter |
| Humana | 23 | Snyder, Crawford, Wayne, Cumberland, Dauphin, Clinton, Franklin, Jefferson, Cameron, Huntingdon, Lebanon, Centre, Bradford, Montour, York, Luzerne, Perry, Erie, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Adams, Tioga, Berks, Chester, Potter, Susquehanna, Carbon, Lehigh, Cambria, Union, Clarion, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Allegheny, Clearfield, Armstrong, Northampton, Pike, Elk, Columbia, Warren, Beaver, Monroe, Venango, Greene, Philadelphia, Blair, Washington, Delaware, Schuylkill, Bedford, Butler, McKean, Somerset, Montgomery, Forest, Bucks |
| Independence Blue Cross | 9 | Philadelphia, Delaware, Montgomery, Chester, Bucks |
| Keystone First VIP Choice | 1 | Philadelphia, Delaware, Montgomery, Chester, Bucks |
| Keystone Health Plan Central, Inc | 3 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks |
| Lasso Healthcare | 2 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon |
| Provider Partners Health Plans | 2 | Fayette, Mercer, Lawrence, Westmoreland, Allegheny, Armstrong, Beaver, Greene, Philadelphia, Lancaster, Washington, Delaware, Butler, Montgomery, Chester, Bucks |
| UPMC Health Plan | 1 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon |
| UPMC for Life | 8 | Snyder, Crawford, Cambria, Union, Clinton, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Centre, Montour, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Sullivan, Washington, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Potter, Forest, Carbon, Lehigh, Wayne, Cumberland, Dauphin, Fulton, Lebanon, Bradford, Northampton, York, Perry, Juniata, Wyoming, Lancaster, Mifflin, Adams, Berks, Susquehanna |
| UnitedHealthcare | 14 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Bradford, Northampton, Montour, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon |
| Vibra Health Plan | 2 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Huntingdon, Lebanon, Centre, Northampton, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Bedford, Adams, Berks, Susquehanna, Carbon |
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Medicare Advantage Plans by Company in Pennsylvania
To compare Medicare Advantage plans by company in Pennsylvania, we’ve gathered a list of all the plans available from each PA Medicare company.
Take a look at the PA Medicare plans by company here, and bear in mind that plan availability and details vary by county.
Humana Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Humana Gold Choice H8145-052 (PFFS) | H8145-052 | Snyder, Crawford, Wayne, Cumberland, Dauphin, Clinton, Franklin, Jefferson, Cameron, Huntingdon, Lebanon, Centre, Bradford, Montour, York, Luzerne, Perry, Erie, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Adams, Tioga, Berks, Chester, Potter, Susquehanna, Carbon | PFFS | $8.00 |
| HumanaChoice R0923-001 (Regional PPO) | R0923-001 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Regional PPO * | $0.00 |
| HumanaChoice H5216-116 (PPO) | H5216-116 | Snyder, Lehigh, Crawford, Wayne, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local PPO * | $0.00 |
| Humana Value Plus H5216-117 (PPO) | H5216-117 | Snyder, Crawford, Wayne, Clinton, Franklin, Westmoreland, Huntingdon, Allegheny, Armstrong, Lebanon, Centre, Bradford, Montour, Columbia, York, Warren, Erie, Beaver, Monroe, Juniata, Sullivan, Washington, Lycoming, Schuylkill, Butler, McKean, Adams, Tioga, Potter, Susquehanna, Carbon | Local PPO | $26.90 |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) | H5216-227 | Snyder, Wayne, Union, Clinton, Clarion, Fulton, Fayette, Westmoreland, Huntingdon, Allegheny, Armstrong, Warren, Erie, Beaver, Venango, Juniata, Greene, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Somerset, Potter | Local PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
| HumanaChoice R0923-002 (Regional PPO) | R0923-002 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Regional PPO | $63.00 |
| Humana Gold Choice H8145-055 (PFFS) | H8145-055 | Snyder, Crawford, Wayne, Cumberland, Dauphin, Clinton, Franklin, Jefferson, Cameron, Huntingdon, Lebanon, Centre, Bradford, Montour, York, Luzerne, Perry, Erie, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Adams, Tioga, Berks, Chester, Potter, Susquehanna, Carbon | PFFS * | $0.00 |
| HumanaChoice H5525-006 (PPO) | H5525-006 | Snyder, Lehigh, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Lebanon, York, Perry, Juniata, Lancaster, Blair, Mifflin, Adams, Berks | Local PPO | $28.00 |
| Humana Honor (PPO) | H5216-221 | Snyder, Lehigh, Crawford, Wayne, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Bradford, Northampton, Montour, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local PPO * | $0.00 |
| HumanaChoice H5525-038 (PPO) | H5525-038 | Snyder, Lehigh, Crawford, Wayne, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local PPO | $0.00 |
| HumanaChoice H5216-120 (PPO) | H5216-120 | Snyder, Lehigh, Crawford, Wayne, Cumberland, Dauphin, Clinton, Franklin, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Lebanon, Centre, Bradford, Northampton, Montour, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Juniata, Philadelphia, Wyoming, Lackawanna, Lancaster, Sullivan, Washington, Delaware, Lycoming, Schuylkill, Butler, McKean, Adams, Tioga, Berks, Montgomery, Chester, Potter, Susquehanna, Bucks, Carbon | Local PPO | $127.00 |
| Humana Gold Plus H6622-036 (HMO) | H6622-036 | Lehigh, Northampton, Luzerne, Monroe, Wyoming, Lackawanna, Schuylkill, Carbon | Local HMO | $0.00 |
| Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) | H6622-038 | Lehigh, Crawford, Cumberland, Dauphin, Franklin, Mercer, Lawrence, Lebanon, Bradford, Northampton, Luzerne, Perry, Monroe, Philadelphia, Wyoming, Lackawanna, Lancaster, Delaware, Schuylkill, Tioga, Berks, Montgomery, Chester, Susquehanna, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| HumanaChoice H5525-007 (PPO) | H5525-007 | Crawford, Wayne, Union, Clinton, Jefferson, Mercer, Lawrence, Armstrong, Centre, Bradford, Northampton, Montour, Columbia, Warren, Luzerne, Erie, Monroe, Wyoming, Lackawanna, Sullivan, Lycoming, Schuylkill, McKean, Tioga, Potter, Susquehanna, Carbon | Local PPO | $54.00 |
| Humana Gold Plus H6622-052 (HMO) | H6622-052 | Crawford, Bradford, Sullivan, Lycoming, Tioga, Susquehanna | Local HMO | $0.00 |
| Humana Value Plus H5525-039 (PPO) | H5525-039 | Cambria, Union, Clarion, Jefferson, Cameron, Fulton, Fayette, Indiana, Northumberland, Clearfield, Elk, Venango, Greene, Blair, Mifflin, Bedford, Somerset, Forest | Local PPO | $27.20 |
| Humana Gold Plus H6622-035 (HMO) | H6622-035 | Cumberland, Dauphin, Franklin, Mercer, Lawrence, Lebanon, Perry, Lancaster, Berks | Local HMO | $0.00 |
| Humana Gold Plus H6622-054 (HMO) | H6622-054 | Clarion, Westmoreland, Beaver, Greene, Washington, Butler | Local HMO | $0.00 |
| HumanaChoice H5525-017 (PPO) | H5525-017 | Fayette, Westmoreland, Allegheny, Beaver, Greene, Washington, Butler | Local PPO | $15.00 |
| HumanaChoice H5216-051 (PPO) | H5216-051 | Mercer, Lawrence | Local PPO | $43.00 |
| HumanaChoice H5525-047 (PPO) | H5525-047 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local PPO | $0.00 |
| HumanaChoice H5525-005 (PPO) | H5525-005 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local PPO | $62.00 |
| Humana Gold Plus H6622-037 (HMO) | H6622-037 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
Aetna Medicare Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Advantra Silver Plus (PPO) | H5522-013 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Clinton, Fulton, Huntingdon, Lebanon, Centre, Columbia, York, Luzerne, Perry, Juniata, Wyoming, Lackawanna, Lancaster, Mifflin, Berks, Potter, Susquehanna, Carbon | Local PPO | $19.00 |
| Aetna Medicare Advantra Premier (HMO) | H3959-039 | Snyder, Lehigh, Crawford, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Cameron, Fulton, Mercer, Northumberland, Huntingdon, Lebanon, Centre, Northampton, Montour, Columbia, York, Warren, Luzerne, Perry, Erie, Monroe, Venango, Juniata, Philadelphia, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Delaware, Lycoming, Schuylkill, McKean, Adams, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local HMO | $25.00 |
| Aetna Medicare Gold Plan (PPO) | H5521-122 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local PPO | $169.00 |
| Aetna Medicare Advantra Credit Value (PPO) | H5522-017 | Snyder, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Fulton, Fayette, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Centre, Northampton, Montour, Columbia, York, Warren, Perry, Beaver, Monroe, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Berks, Montgomery, Chester, Potter, Susquehanna, Bucks, Carbon | Local PPO | $0.00 |
| Aetna Medicare Value (PPO) | H5521-263 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local PPO | $0.00 |
| Aetna Medicare Advantra Premier Plus (PPO) | H5522-002 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Franklin, Fulton, Northumberland, Huntingdon, Allegheny, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Monroe, Juniata, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Delaware, Schuylkill, Adams, Montgomery, Chester, Potter, Susquehanna, Bucks, Carbon | Local PPO | $47.00 |
| Aetna Medicare Advantra Silver (PPO) | H5522-004 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Clearfield, Armstrong, Lebanon, Centre, Northampton, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Berks, Potter, Forest, Susquehanna, Carbon | Local PPO | $0.00 |
| Aetna Medicare Advantra Gold (HMO) | H3959-037 | Snyder, Crawford, Wayne, Cambria, Union, Clinton, Jefferson, Cameron, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Centre, Montour, Elk, Columbia, Warren, Luzerne, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Blair, Sullivan, Mifflin, Washington, Lycoming, Schuylkill, Bedford, Butler, McKean, Somerset, Potter, Forest, Susquehanna, Carbon | Local HMO | $0.00 |
| Aetna Medicare Advantra Eagle (HMO) | H3959-041 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Northampton, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Berks, Potter, Forest, Susquehanna, Carbon | Local HMO * | $0.00 |
| Aetna Medicare Silver (HMO) | H3931-070 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local HMO | $69.00 |
| Aetna Medicare Premier Plus (PPO) | H5521-012 | Lehigh, Lebanon, Northampton, Monroe, Lancaster, Schuylkill, Berks, Carbon | Local PPO | $100.00 |
| Aetna Medicare Elite (HMO) | H3931-112 | Lehigh, Northampton, Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Aetna Medicare St. Luke’s Prime Plan (PPO) | H5521-294 | Lehigh, Northampton, Monroe, Carbon | Local PPO | $0.00 |
| Aetna Medicare Advantra Silver (HMO) | H3959-011 | Crawford, Cambria, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Washington, Bedford, Butler, McKean, Somerset, Forest | Local HMO | $0.00 |
| Aetna Medicare PinnacleHealth Prime (HMO) | H3931-091 | Cumberland, Dauphin | Local HMO | $0.00 |
| Aetna Medicare PennHighlands Prime (HMO) | H3959-045 | Jefferson, Clearfield, Elk | Local HMO | $0.00 |
| Aetna Medicare Advantra Excela Prime (HMO) | H3959-049 | Westmoreland | Local HMO | $0.00 |
| Aetna Medicare Advantra Premier (PPO) | H5522-018 | Allegheny | Local PPO | $19.00 |
| Aetna Medicare Beaver Valley Prime (HMO) | H3959-051 | Beaver | Local HMO | $0.00 |
| Aetna Medicare Advantra Washington Prime (HMO) | H3959-046 | Greene, Washington | Local HMO | $0.00 |
| Aetna Medicare Premier (HMO) | H3931-064 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $100.00 |
| Aetna Medicare Advantra Philly Prime (HMO) | H3959-053 | Philadelphia | Local HMO | $0.00 |
| Aetna Medicare Advantra Value (HMO) | H3959-052 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Aetna Medicare Premier Plus (HMO) | H3931-004 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $185.00 |
| Aetna Medicare Main Line Health Prime (HMO) | H3931-105 | Delaware, Montgomery, Chester | Local HMO | $0.00 |
| Aetna Medicare Advantra Butler Prime (HMO) | H3959-047 | Butler | Local HMO | $0.00 |
UPMC for Life Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| UPMC for Life PPO High Deductible with Rx (PPO) | H5533-003 | Snyder, Crawford, Cambria, Union, Clinton, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Centre, Montour, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Sullivan, Washington, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Potter, Forest, Carbon | Local PPO | $35.00 |
| UPMC for Life PPO Rx Enhanced (PPO) | H5533-005 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Wyoming, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon | Local PPO | $136.00 |
| UPMC for Life HMO No Rx (HMO) | H3907-002 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Wyoming, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon | Local HMO * | $0.00 |
| UPMC for Life HMO Rx (HMO) | H3907-029 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Wyoming, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon | Local HMO | $81.00 |
| UPMC for Life HMO Deductible with Rx (HMO) | H3907-037 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Wyoming, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Adams, Somerset, Tioga, Potter, Forest, Susquehanna, Carbon | Local HMO | $22.00 |
| UPMC for Life HMO Rx Enhanced (HMO) | H3907-006 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Wyoming, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon | Local HMO | $302.00 |
| UPMC for Life HMO Rx Choice (HMO) | H3907-049 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Montour, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Wyoming, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Bedford, Butler, McKean, Adams, Somerset, Tioga, Potter, Forest, Susquehanna, Carbon | Local HMO | $40.00 |
| UPMC for Life HMO Premier Rx (HMO) | H3907-052 | Cumberland, Dauphin, Mercer, Lawrence, Westmoreland, Allegheny, York, Erie, Beaver, Venango, Lancaster, Blair, Washington, Lycoming, Bedford, Butler, Somerset, Tioga, Berks | Local HMO | $0.00 |
Capital Advantage Insurance Company Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| BlueJourney Select (PPO) | H3923-028 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks | Local PPO | $0.00 |
| BlueJourney Classic (PPO) | H3923-013 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks | Local PPO | $49.00 |
| BlueJourney Prime (PPO) | H3923-017 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks | Local PPO | $171.00 |
Highmark Inc Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Freedom Blue PPO Standard (PPO) | H3916-015 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Tioga, Berks, Susquehanna, Carbon | Local PPO | $175.00 |
| Freedom Blue PPO Basic (PPO) | H3916-012 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Tioga, Berks, Susquehanna, Carbon | Local PPO * | $0.00 |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Bradford, Northampton, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Lancaster, Blair, Washington, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Berks, Forest, Susquehanna, Carbon | Local HMO | $0.00 |
| Freedom Blue PPO Deluxe (PPO) | H3916-005 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Tioga, Berks, Susquehanna, Carbon | Local PPO | $289.00 |
| Community Blue Medicare PPO Signature (PPO) | H3916-037 | Snyder, Lehigh, Crawford, Wayne, Cumberland, Dauphin, Union, Franklin, Fulton, Mercer, Northumberland, Lawrence, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Warren, Luzerne, Perry, Erie, Monroe, Venango, Juniata, Wyoming, Lackawanna, Lancaster, Mifflin, Schuylkill, McKean, Adams, Berks, Potter, Forest, Susquehanna, Carbon | Local PPO | $0.00 |
| Community Blue Medicare PPO Distinct (PPO) | H3916-034 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Mifflin, Schuylkill, Adams, Berks, Susquehanna, Carbon | Local PPO | $35.00 |
| Freedom Blue PPO ValueRx (PPO) | H3916-018 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon | Local PPO | $70.00 |
| Security Blue HMO-POS Basic (HMO-POS) | H3957-043 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local HMO * | $0.00 |
| Security Blue HMO-POS Deluxe (HMO-POS) | H3957-046 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local HMO | $225.00 |
| Security Blue HMO-POS Standard (HMO-POS) | H3957-045 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local HMO | $165.00 |
| Security Blue HMO-POS ValueRx (HMO-POS) | H3957-044 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local HMO | $58.00 |
| Complete Blue PPO Distinct (PPO) | H3916-035 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local PPO | $35.00 |
| Freedom Blue PPO Select (PPO) | H3916-024 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local PPO | $131.00 |
| Freedom Blue PPO Classic (PPO) | H3916-002 | Crawford, Cambria, Clarion, Jefferson, Cameron, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Elk, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, McKean, Somerset, Potter, Forest | Local PPO | $254.00 |
| Community Blue Medicare HMO Prestige (HMO) | H3957-039 | Cambria, Fayette, Indiana, Lawrence, Westmoreland, Allegheny, Armstrong, Beaver, Greene, Washington, Butler | Local HMO | $250.00 |
| Community Blue Medicare Plus PPO Signature (PPO) | H3916-039 | Clinton, Sullivan, Lycoming, Tioga | Local PPO | $0.00 |
| Community Blue Medicare Plus PPO Distinct (PPO) | H3916-036 | Clinton, Sullivan, Lycoming, Tioga | Local PPO | $35.00 |
Allwell Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Allwell Medicare (HMO) | H2915-015 | Snyder, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Elk, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks | Local HMO | $0.00 |
| Allwell Medicare Complement (HMO) | H2915-011 | Snyder, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Elk, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks | Local HMO | $29.50 |
| Allwell Medicare Boost (HMO) | H2915-012 | Snyder, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Elk, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks | Local HMO | $0.00 |
| Allwell Medicare Simple (HMO) | H2915-010 | Snyder, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Elk, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Bedford, Butler, McKean, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks | Local HMO * | $0.00 |
| Allwell Dual Medicare (HMO D-SNP) | H2915-007 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Geisinger Gold Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Geisinger Gold Classic Complete Rx (HMO) | H3954-158 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local HMO | $38.00 |
| Geisinger Gold Preferred Enhanced Rx (PPO) | H3924-062 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local PPO | $45.00 |
| Geisinger Gold Classic Advantage (HMO) | H3954-156 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local HMO * | $0.00 |
| Geisinger Gold Classic Advantage Rx (HMO) | H3954-157 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Susquehanna, Bucks, Carbon | Local HMO | $166.00 |
| Geisinger Gold Preferred Complete Rx (PPO) | H3924-060 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local PPO | $0.00 |
| Geisinger Gold Classic Essential Rx (HMO) | H3954-159 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local HMO | $0.00 |
| Geisinger Gold Preferred Advantage Rx (PPO) | H3924-059 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local PPO | $115.00 |
| Geisinger Gold Preferred 360 Rx (PPO) | H3924-064 | Lehigh, Northampton, York, Adams | Local PPO | $0.00 |
| Geisinger Gold Classic 360 Rx (HMO) | H3954-160 | Lehigh, Clinton, Franklin, Clearfield, Lebanon, Centre, Northampton, Pike, York, Luzerne, Monroe, Wyoming, Lackawanna, Sullivan, Lycoming, Schuylkill, Adams, Bucks, Carbon | Local HMO | $0.00 |
Keystone Health Plan Central, Inc Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| BlueJourney Essential (HMO) | H3962-007 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks | Local HMO | $0.00 |
| BlueJourney Value (HMO) | H3962-004 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks | Local HMO | $51.00 |
| BlueJourney Premier (HMO) | H3962-001 | Snyder, Lehigh, Cumberland, Dauphin, Union, Franklin, Fulton, Northumberland, Lebanon, Centre, Northampton, Montour, Columbia, York, Perry, Juniata, Lancaster, Mifflin, Schuylkill, Adams, Berks | Local HMO | $106.00 |
Vibra Health Plan Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Vibra Health Plan Enhanced Complete (PPO) | H9408-005 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Huntingdon, Lebanon, Centre, Northampton, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Bedford, Adams, Berks, Susquehanna, Carbon | Local PPO | $26.00 |
| Vibra Essential Advocate (PPO) | H9408-006 | Snyder, Lehigh, Wayne, Cumberland, Dauphin, Union, Clinton, Franklin, Fulton, Northumberland, Huntingdon, Lebanon, Centre, Northampton, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Sullivan, Mifflin, Lycoming, Schuylkill, Bedford, Adams, Berks, Susquehanna, Carbon | Local PPO | $0.00 |
Lasso Healthcare Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) | H1924-001 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | MSA * | MSAs do not have a monthly premium. |
| Lasso Healthcare Growth Plus (MSA) | H1924-004 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | MSA * | MSAs do not have a monthly premium. |
Geisinger Health Plan Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Geisinger Gold Secure Rx (HMO D-SNP) | H3954-097 | Snyder, Lehigh, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Franklin, Jefferson, Cameron, Fulton, Northumberland, Huntingdon, Clearfield, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Columbia, York, Luzerne, Perry, Monroe, Juniata, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Lycoming, Schuylkill, Adams, Somerset, Tioga, Berks, Chester, Potter, Susquehanna, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
AmeriHealth Caritas Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| AmeriHealth Caritas VIP Care (HMO D-SNP) | H4227-002 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Northumberland, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, Columbia, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Potter, Forest, Susquehanna, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
UnitedHealthcare Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| UnitedHealthcare Dual Complete (HMO D-SNP) | H3113-009 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Bradford, Northampton, Montour, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) | H0710-017 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Franklin, Fayette, Mercer, Westmoreland, Allegheny, Lebanon, Northampton, York, Luzerne, Erie, Beaver, Philadelphia, Lackawanna, Lancaster, Blair, Washington, Delaware, Schuylkill, Butler, Adams, Somerset, Berks, Montgomery, Chester, Bucks, Carbon | Local PPO | $37.20 |
| AARP Medicare Advantage Patriot (HMO) | H1944-030 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Clarion, Jefferson, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Armstrong, Lebanon, Northampton, York, Warren, Erie, Beaver, Venango, Greene, Philadelphia, Lancaster, Blair, Washington, Bedford, Butler, Somerset, Berks, Montgomery, Chester, Forest, Bucks | Local HMO * | $0.00 |
| AARP Medicare Advantage Choice Plan 1 (PPO) | H2228-035 | Lehigh, Cumberland, Dauphin, Lebanon, Northampton, York, Erie, Philadelphia, Lancaster, Berks, Montgomery, Chester, Bucks | Local PPO | $25.00 |
| AARP Medicare Advantage Choice Plan 3 (PPO) | H2228-086 | Lehigh, Cumberland, Dauphin, Lebanon, Northampton, York, Erie, Lancaster, Berks | Local PPO | $0.00 |
| AARP Medicare Advantage (HMO) | H1944-024 | Lehigh, Cumberland, Dauphin, Lebanon, Northampton, York, Philadelphia, Lancaster, Berks, Montgomery, Chester, Bucks | Local HMO | $23.50 |
| AARP Medicare Advantage Choice Plan 2 (PPO) | H2228-036 | Lehigh, Cumberland, Dauphin, Lebanon, Northampton, York, Erie, Philadelphia, Lancaster, Berks, Montgomery, Chester, Bucks | Local PPO | $58.00 |
| AARP Medicare Advantage Plan 1 (HMO) | H1944-010 | Crawford, Cambria, Clarion, Jefferson, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Armstrong, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, Somerset, Forest | Local HMO | $0.00 |
| AARP Medicare Advantage Plan 2 (HMO) | H1944-011 | Crawford, Cambria, Clarion, Jefferson, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Armstrong, Warren, Erie, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, Somerset, Forest | Local HMO | $35.00 |
| AARP Medicare Advantage Choice (PPO) | H2577-021 | Crawford, Cambria, Clarion, Jefferson, Fayette, Mercer, Lawrence, Westmoreland, Huntingdon, Allegheny, Armstrong, Warren, Beaver, Venango, Greene, Blair, Washington, Bedford, Butler, Somerset, Forest | Local PPO | $35.00 |
| Erickson Advantage Signature with Drugs (HMO-POS) | H5652-001 | Delaware, Bucks | Local HMO | $199.00 |
| Erickson Advantage Liberty without Drugs (HMO-POS) | H5652-002 | Delaware, Bucks | Local HMO * | $0.00 |
| Erickson Advantage Liberty with Drugs (HMO-POS) | H5652-008 | Delaware, Bucks | Local HMO | $0.00 |
| Erickson Advantage Freedom (HMO-POS) | H5652-006 | Delaware, Bucks | Local HMO | $70.00 |
UPMC Health Plan Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| UPMC for Life Complete Care (HMO D-SNP) | H4279-001 | Snyder, Lehigh, Crawford, Wayne, Cambria, Cumberland, Dauphin, Union, Clinton, Clarion, Franklin, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Bradford, Northampton, Pike, Montour, Elk, York, Warren, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Wyoming, Lackawanna, Lancaster, Blair, Sullivan, Mifflin, Washington, Delaware, Lycoming, Schuylkill, Bedford, Butler, McKean, Adams, Somerset, Tioga, Berks, Montgomery, Chester, Potter, Forest, Susquehanna, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Health Partners Medicare Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Health Partners Medicare Prime (HMO-POS) | H9207-002 | Lehigh, Dauphin, Lebanon, Northampton, Perry, Philadelphia, Lancaster, Delaware, Berks, Chester, Bucks, Carbon | Local HMO | $37.50 |
| Health Partners Medicare Complete (HMO-POS) | H9207-012 | Lehigh, Dauphin, Lebanon, Northampton, Perry, Philadelphia, Lancaster, Delaware, Berks, Chester, Bucks, Carbon | Local HMO | $0.00 |
Health Partners Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Health Partners Medicare Special (HMO D-SNP) | H9207-004 | Lehigh, Dauphin, Lebanon, Northampton, Perry, Philadelphia, Lancaster, Delaware, Berks, Chester, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Gateway Health Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Gateway Health Medicare Assured Ruby (HMO D-SNP) | H5932-009 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Northampton, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Lancaster, Blair, Mifflin, Washington, Delaware, Schuylkill, Bedford, Butler, Adams, Somerset, Berks, Montgomery, Chester, Forest, Bucks | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Gateway Health Medicare Assured Diamond (HMO D-SNP) | H5932-001 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Clarion, Jefferson, Cameron, Fulton, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Huntingdon, Allegheny, Clearfield, Armstrong, Lebanon, Centre, Northampton, Elk, York, Warren, Perry, Erie, Beaver, Venango, Juniata, Greene, Philadelphia, Lancaster, Blair, Mifflin, Washington, Delaware, Schuylkill, Bedford, Butler, Adams, Somerset, Berks, Montgomery, Chester, Forest, Bucks | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Aetna Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Advantra Cares (HMO D-SNP) | H3959-036 | Lehigh, Crawford, Cambria, Cumberland, Dauphin, Franklin, Jefferson, Fayette, Mercer, Indiana, Lawrence, Westmoreland, Allegheny, Clearfield, Armstrong, Lebanon, Northampton, Elk, York, Luzerne, Perry, Erie, Beaver, Monroe, Venango, Juniata, Greene, Philadelphia, Lackawanna, Lancaster, Blair, Washington, Delaware, Lycoming, Schuylkill, Butler, Adams, Somerset, Berks, Montgomery, Chester, Bucks, Carbon | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Cigna Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Cigna TotalCare (HMO D-SNP) | H3949-036 | Cumberland, Dauphin, Lebanon, York, Philadelphia, Lancaster, Delaware, Berks, Montgomery, Chester, Bucks | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Cigna True Choice Plus Medicare (PPO) | H7849-032 | Cumberland, Dauphin, Lebanon, York, Philadelphia, Lancaster, Delaware, Berks, Montgomery, Chester, Bucks | Local PPO | $29.00 |
| Cigna Preferred Medicare (HMO) | H3949-035 | Cumberland, Dauphin, Lebanon, York, Philadelphia, Lancaster, Delaware, Berks, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Cigna True Choice Medicare (PPO) | H7849-031 | Cumberland, Dauphin, Lebanon, York, Philadelphia, Lancaster, Delaware, Berks, Montgomery, Chester, Bucks | Local PPO | $0.00 |
| Cigna Traditions Medicare (HMO I-SNP) | H3949-016 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $24.50 |
| Cigna Alliance Medicare (HMO) | H3949-031 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Cigna Preferred Plus Medicare (HMO) | H3949-013 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $139.00 |
| Cigna Achieve Medicare (HMO C-SNP) | H3949-024 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Cigna Fundamental Medicare (HMO) | H3949-026 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO * | $0.00 |
Read more: Cigna Medicare Insurance Review & Complaints: Health Insurance
Provider Partners Health Plans Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | H4093-004 | Fayette, Mercer, Lawrence, Westmoreland, Allegheny, Armstrong, Beaver, Greene, Philadelphia, Lancaster, Washington, Delaware, Butler, Montgomery, Chester, Bucks | Local HMO | $37.50 |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | H4093-001 | Fayette, Mercer, Lawrence, Westmoreland, Allegheny, Armstrong, Beaver, Greene, Philadelphia, Lancaster, Washington, Delaware, Butler, Montgomery, Chester, Bucks | Local HMO | $37.50 |
Independence Blue Cross Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Keystone 65 Select Rx (HMO) | H3952-049 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $56.50 |
| Keystone 65 Preferred Rx (HMO) | H3952-020 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $230.00 |
| Keystone 65 Preferred Medical Only (HMO) | H3952-008 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO * | $0.00 |
| Personal Choice 65 Prime Rx (PPO) | H3909-014 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local PPO | $0.00 |
| Personal Choice 65 Medical Only (PPO) | H3909-007 | Philadelphia, Bucks | Local PPO * | $0.00 |
| Keystone 65 Select Medical Only (HMO) | H3952-048 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO * | $0.00 |
| Keystone 65 Focus Rx (HMO-POS) | H3952-053 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Keystone 65 Basic Rx (HMO) | H3952-055 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 |
| Personal Choice 65 Rx (PPO) | H3909-001 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local PPO | $290.00 |
Clover Health Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Clover Health Choice (PPO) | H5141-038 | Philadelphia, Delaware, Bucks | Local PPO | $0.00 |
| Clover Health Choice Value (PPO) | H5141-039 | Philadelphia, Delaware, Bucks | Local PPO | $37.50 |
Keystone First VIP Choice Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Keystone First VIP Choice (HMO D-SNP) | H4227-001 | Philadelphia, Delaware, Montgomery, Chester, Bucks | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Erickson Advantage Medicare Plans in Pennsylvania
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Erickson Advantage Champion (HMO-POS C-SNP) | H5652-004 | Delaware, Bucks | Local HMO | $199.00 |
| Erickson Advantage Guardian (HMO-POS I-SNP) | H5652-003 | Delaware, Bucks | Local HMO | $28.80 |
Pennsylvania Medicare Advantage Plans With No Additional Cost
If you choose to buy Medicare Advantage in Pennsylvania, you will still have to pay your original Medicare Part B premium. Several PA Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.
Pennsylvania Medicare Advantage Plans With No Additional Cost
| Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|
| Lasso Healthcare Growth (MSA) – H1924-001-0 | Mifflin, Forest, Columbia, Lancaster, Armstrong, York, Blair, Susquehanna, Elk, Erie, Bucks, Perry, Schuylkill, McKean, Clarion, Indiana, Greene, Beaver, Montgomery, Cumberland, Somerset, Chester, Sullivan, Delaware, Potter, Fulton, Fayette, Tioga, Lycoming, Butler, Bradford, Centre, Monroe, Jefferson, Crawford, Northumberland, Clearfield, Union, Luzerne, Mercer, Berks, Huntingdon, Northampton, Warren, Dauphin, Wyoming, Bedford, Pike, Adams, Cambria, Lehigh, Lackawanna, Venango, Westmoreland, Lebanon, Washington, Allegheny, Cameron, Montour, Clinton, Carbon, Lawrence, Wayne, Philadelphia, Snyder, Juniata, Franklin | This Plan does NOT include Prescription Drug coverage. | n/a |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | Mifflin, Forest, Columbia, Lancaster, Armstrong, York, Blair, Susquehanna, Elk, Erie, Bucks, Perry, Schuylkill, McKean, Clarion, Indiana, Greene, Beaver, Montgomery, Cumberland, Somerset, Chester, Sullivan, Delaware, Potter, Fulton, Fayette, Tioga, Lycoming, Butler, Bradford, Centre, Monroe, Jefferson, Crawford, Northumberland, Clearfield, Union, Luzerne, Mercer, Berks, Huntingdon, Northampton, Warren, Dauphin, Wyoming, Bedford, Pike, Adams, Cambria, Lehigh, Lackawanna, Venango, Westmoreland, Lebanon, Washington, Allegheny, Cameron, Montour, Clinton, Carbon, Lawrence, Wayne, Philadelphia, Snyder, Juniata, Franklin | This Plan does NOT include Prescription Drug coverage. | n/a |
| Aetna Medicare Advantra Credit Value (PPO) – H5522-017-0 | Bucks, Montgomery, Chester, Philadelphia | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $7,550 |
| Aetna Medicare Advantra Eagle (HMO) – H3959-041-0 | Forest, Armstrong, Blair, Erie, Clarion, Greene, Beaver, Somerset, Fayette, Butler, Jefferson, Crawford, Mercer, Huntingdon, Warren, Bedford, Cambria, Venango, Westmoreland, Washington, Allegheny, Lawrence | This Plan does NOT include Prescription Drug coverage. | $4,000 |
| Aetna Medicare Advantra Gold (HMO) – H3959-037-0 | Butler | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Advantra Silver (PPO) – H5522-004-0 | Philadelphia | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Allwell Medicare (HMO) – H2915-015-2 | Allegheny | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Allwell Medicare Boost (HMO) – H2915-012-0 | Cumberland, Dauphin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| Allwell Medicare Simple (HMO) – H2915-010-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| BlueJourney Essential (HMO) – H3962-007-0 | Clarion, Greene, Beaver, Butler, Westmoreland, Washington | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| BlueJourney Select (PPO) – H3923-028-0 | Sullivan, Tioga, Lycoming, Clinton | Preferred Generic: $8.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Community Blue Medicare PPO Signature (PPO) – H3916-037-2 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Geisinger Gold Classic Essential Rx (HMO) – H3954-159-13 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-13 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| Geisinger Gold Preferred Enhanced Rx (PPO) – H3924-062-21 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| Humana Honor (PPO) – H5216-221-0 | Schuylkill, Monroe, Luzerne, Northampton, Wyoming, Lehigh, Lackawanna, Carbon | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| HumanaChoice H5216-116 (PPO) – H5216-116-0 | Northampton, Lehigh | This Plan does NOT include Prescription Drug coverage. | $3,900 |
| HumanaChoice H5525-038 (PPO) – H5525-038-0 | Bucks, Delaware | Preferred Generic: $7.00, Generic: $17.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| HumanaChoice R0923-001 (Regional PPO) – R0923-001-0 | Lancaster, Perry, Cumberland, Chester, Berks, Dauphin, Lebanon | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| UPMC for Life HMO No Rx (HMO) – H3907-002-0 | Allegheny | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Vibra Essential Advocate (PPO) – H9408-006-2 | Bucks, Monroe, Northampton, Lehigh, Carbon | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) – H5216-227-0 | Bucks, Philadelphia | Preferred Generic: $2.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H3113-009-0 | Sullivan, Tioga, Lycoming, Clinton | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| Allwell Dual Medicare (HMO D-SNP) – H2915-007-0 | Lancaster, York, Erie, Cumberland, Berks, Northampton, Dauphin, Lehigh, Lebanon | Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% | n/a |
| AmeriHealth Caritas VIP Care (HMO D-SNP) – H4227-002-0 | Bucks, Montgomery, Chester, Philadelphia | Generic: $5.00, Brand: 25% | n/a |
| Gateway Health Medicare Assured Diamond (HMO D-SNP) – H5932-001-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $38.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| Gateway Health Medicare Assured Ruby (HMO D-SNP) – H5932-009-0 | Mifflin, Forest, Lancaster, Armstrong, York, Blair, Elk, Erie, Bucks, Perry, Schuylkill, Clarion, Indiana, Greene, Beaver, Montgomery, Cumberland, Somerset, Chester, Delaware, Fulton, Fayette, Butler, Centre, Jefferson, Crawford, Clearfield, Mercer, Berks, Huntingdon, Northampton, Warren, Dauphin, Bedford, Adams, Cambria, Lehigh, Venango, Westmoreland, Lebanon, Washington, Allegheny, Cameron, Lawrence, Philadelphia, Juniata | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | n/a |
| Geisinger Gold Secure Rx (HMO D-SNP) – H3954-097-0 | Potter | Tier 1: 15% | n/a |
| UPMC for Life Complete Care (HMO D-SNP) – H4279-001-0 | Allegheny | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $18.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| AARP Medicare Advantage Patriot (HMO) – H1944-030-0 | Bucks, Montgomery, Chester, Philadelphia | This Plan does NOT include Prescription Drug coverage. | $5,500 |
| AARP Medicare Advantage Plan 1 (HMO) – H1944-010-0 | Forest, Armstrong, Blair, Erie, Clarion, Greene, Beaver, Somerset, Fayette, Butler, Jefferson, Crawford, Mercer, Huntingdon, Warren, Bedford, Cambria, Venango, Westmoreland, Washington, Allegheny, Lawrence | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Advantra Premier (HMO) – H3959-032-0 | Philadelphia | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
| Aetna Medicare Advantra Silver (HMO) – H3959-011-0 | Allegheny | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Value (PPO) – H5521-261-0 | Cumberland, Dauphin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Allwell Medicare (HMO) – H2915-003-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Community Blue Medicare HMO Signature (HMO) – H3957-047-2 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Community Blue Medicare PPO Signature (PPO) – H3916-038-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,500 |
| Allwell Dual Medicare (HMO D-SNP) – H2915-001-0 | Schuylkill, Monroe, Northampton, Lehigh, Carbon | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $40.00, Non-Preferred Drug: 42%, Specialty Tier: 25% | n/a |
| Aetna Medicare Value (PPO) – H5521-263-0 | Allegheny | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Community Blue Medicare PPO Signature (PPO) – H3916-037-3 | Clarion, Greene, Beaver, Butler, Westmoreland, Washington | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Geisinger Gold Classic Essential Rx (HMO) – H3954-159-14 | Sullivan, Tioga, Lycoming, Clinton | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-14 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| AARP Medicare Advantage Choice Plan 3 (PPO) – H2228-086-0 | Bucks, Montgomery, Chester, Philadelphia | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Cigna Preferred Medicare (HMO) – H3949-035-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,900 |
| Cigna True Choice Medicare (PPO) – H7849-031-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,250 |
| Community Blue Medicare HMO Signature (HMO) – H3957-042-5 | Schuylkill, Monroe, Luzerne, Northampton, Wyoming, Lehigh, Lackawanna, Carbon | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Community Blue Medicare PPO Signature (PPO) – H3916-037-4 | Northampton, Lehigh | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Geisinger Gold Classic Essential Rx (HMO) – H3954-159-17 | Bucks, Delaware | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-17 | Lancaster, Perry, Cumberland, Chester, Berks, Dauphin, Lebanon | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| Health Partners Medicare Complete (HMO-POS) – H9207-012-0 | Allegheny | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Humana Gold Plus H6622-035 (HMO) – H6622-035-0 | Bucks, Monroe, Northampton, Lehigh, Carbon | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| UPMC for Life HMO Premier Rx (HMO) – H3907-052-0 | Berks | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Vibra Essential Advocate (PPO) – H9408-006-1 | Lancaster, York, Perry, Cumberland, Fulton, Berks, Northampton, Dauphin, Adams, Lehigh, Lebanon, Franklin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Cigna TotalCare (HMO D-SNP) – H3949-036-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
| Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) – H6622-038-0 | Potter | Preferred Generic: $1.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| Aetna Medicare Advantra Cares (HMO D-SNP) – H3959-036-0 | Allegheny | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 35%, Specialty Tier: 29% | n/a |
| Health Partners Medicare Special (HMO D-SNP) – H9207-004-0 | Potter | Tier 1: $0.00 | n/a |
| Community Blue Medicare HMO Signature (HMO) – H3957-047-1 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Community Blue Medicare HMO Signature (HMO) – H3957-042-2 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Geisinger Gold Classic 360 Rx (HMO) – H3954-160-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Classic Essential Rx (HMO) – H3954-159-18 | Schuylkill, Monroe, Luzerne, Northampton, Wyoming, Lehigh, Lackawanna, Carbon | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred 360 Rx (PPO) – H3924-064-1 | Northampton, Lehigh | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-18 | Bucks, Delaware | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| Geisinger Gold Classic Essential Rx (HMO) – H3954-159-16 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-16 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| UPMC for Life HMO Premier Rx (HMO) – H3907-046-0 | Bucks, Monroe, Northampton, Lehigh, Carbon | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Community Blue Medicare HMO Signature (HMO) – H3957-042-4 | Sullivan, Tioga, Lycoming, Clinton | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Humana Gold Plus H6622-052 (HMO) – H6622-052-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| UPMC for Life Complete Care (HMO D-SNP) – H4279-004-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $18.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| Aetna Medicare PennHighlands Prime (HMO) – H3959-045-0 | Butler | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
| UPMC for Life HMO Premier Rx (HMO) – H3907-050-0 | Allegheny | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| AARP Medicare Advantage Choice Plan 2 (PPO) – H2228-085-0 | Bucks, Montgomery, Chester, Philadelphia | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Advantra Value (HMO) – H3959-052-0 | Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Elite (HMO) – H3931-112-0 | Allegheny | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $7,550 |
| Allwell Medicare (HMO) – H2915-015-3 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Allwell Medicare Boost (HMO) – H2915-014-0 | Clarion, Greene, Beaver, Butler, Westmoreland, Washington | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| Allwell Medicare Simple (HMO) – H2915-013-0 | Sullivan, Tioga, Lycoming, Clinton | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| Cigna Achieve Medicare (HMO C-SNP) – H3949-024-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Diabetic Drugs: $5.00 | n/a |
| Cigna Alliance Medicare (HMO) – H3949-031-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,900 |
| Cigna Fundamental Medicare (HMO) – H3949-026-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | This Plan does NOT include Prescription Drug coverage. | $6,900 |
| Cigna True Choice Medicare (PPO) – H7849-006-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,200 |
| Clover Health Choice (PPO) – H5141-038-0 | Schuylkill, Monroe, Luzerne, Northampton, Wyoming, Lehigh, Lackawanna, Carbon | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Erickson Advantage Liberty with Drugs (HMO-POS) – H5652-008-0 | Northampton, Lehigh | Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| Erickson Advantage Liberty without Drugs (HMO-POS) – H5652-002-0 | Bucks, Delaware | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Geisinger Gold Classic Essential Rx (HMO) – H3954-159-15 | Allegheny | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-15 | Bucks, Monroe, Northampton, Lehigh, Carbon | Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| Humana Gold Plus H6622-037 (HMO) – H6622-037-0 | Montgomery, Chester, Delaware | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,200 |
| HumanaChoice H5525-047 (PPO) – H5525-047-0 | Berks | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Keystone 65 Basic Rx (HMO) – H3952-055-0 | Schuylkill, Monroe, Northampton, Lehigh, Carbon | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Keystone 65 Focus Rx (HMO-POS) – H3952-053-0 | Bucks, Philadelphia | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,500 |
| Personal Choice 65 Prime Rx (PPO) – H3909-014-0 | Bucks, Philadelphia | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Cigna TotalCare (HMO D-SNP) – H3949-009-0 | Sullivan, Tioga, Lycoming, Clinton | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | n/a |
| Aetna Medicare Advantra Cares (HMO D-SNP) – H3959-035-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | n/a |
| Keystone First VIP Choice (HMO D-SNP) – H4227-001-0 | Montgomery, Chester, Delaware | Generic: $5.00, Brand: 25% | n/a |
| Allwell Dual Medicare (HMO D-SNP) – H2915-002-0 | Bucks, Montgomery, Chester, Delaware, Philadelphia | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | n/a |
| UPMC for Life Complete Care (HMO D-SNP) – H7123-001-0 | Montgomery, Chester, Delaware | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $18.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | n/a |
| Community Blue Medicare HMO Signature (HMO) – H3957-042-1 | Clarion, Greene, Beaver, Butler, Westmoreland, Washington | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Community Blue Medicare PPO Signature (PPO) – H3916-037-1 | Sullivan, Tioga, Lycoming, Clinton | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Humana Gold Plus H6622-036 (HMO) – H6622-036-0 | Schuylkill, Monroe, Luzerne, Northampton, Wyoming, Lehigh, Lackawanna, Carbon | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Humana Gold Plus H6622-054 (HMO) – H6622-054-0 | Clarion, Greene, Beaver, Butler, Westmoreland, Washington | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Advantra Washington Prime (HMO) – H3959-046-0 | Cumberland, Dauphin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Beaver Valley Prime (HMO) – H3959-051-0 | Cumberland, Dauphin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Main Line Health Prime (HMO) – H3931-105-0 | Cumberland, Dauphin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $7,550 |
| Keystone 65 Basic Rx (HMO) – H3952-056-0 | Montgomery, Chester, Delaware | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Personal Choice 65 Prime Rx (PPO) – H3909-015-0 | Allegheny | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare PinnacleHealth Prime (HMO) – H3931-091-0 | Cumberland, Dauphin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Community Blue Medicare Plus PPO Signature (PPO) – H3916-039-0 | Sullivan, Tioga, Lycoming, Clinton | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Advantra Butler Prime (HMO) – H3959-047-0 | Butler | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $6,900 |
| Aetna Medicare St. Luke’s Prime Plan (PPO) – H5521-294-0 | Allegheny | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| UPMC for Life HMO Premier Rx (HMO) – H3907-045-0 | Berks | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Geisinger Gold Preferred 360 Rx (PPO) – H3924-064-2 | Northampton, Lehigh | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $7,550 |
| Aetna Medicare Advantra Excela Prime (HMO) – H3959-049-0 | Allegheny | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
| UPMC for Life HMO Premier Rx (HMO) – H3907-051-0 | Allegheny | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Advantra Silver (HMO) – H3959-010-0 | Allegheny | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Advantra Philly Prime (HMO) – H3959-053-0 | Philadelphia | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $7,550 |
Standalone Medicare Part D Plans in Pennsylvania
If you need to purchase Part D Medicare coverage in Pennsylvania as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your PA Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in Pennsylvania
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 181 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 032 – 0 by Clear Spring Health |
Monthly Premium: $13.60 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 42% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 126 – 0 by Elixir Insurance |
Monthly Premium: $15.60 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 175 – 0 by WellCare |
Monthly Premium: $15.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 185 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 19% Tier 4: 35% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 141 – 0 by WellCare |
Monthly Premium: $17.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 285 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 50% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 075 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 45% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 222 – 0 by Express Scripts Medicare |
Monthly Premium: $25.90 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| WellCare Medicare Rx Select (PDP) S5810 – 280 – 0 by WellCare |
Monthly Premium: $26.40 Annual Deductable: $415 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 003 – 0 by Clear Spring Health |
Monthly Premium: $29.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 215 – 0 by Cigna |
Monthly Premium: $30.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 012 – 0 by Aetna Medicare |
Monthly Premium: $32.90 Annual Deductable: $345 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 40% Tier 5: 26% |
| WellCare Classic (PDP) S4802 – 080 – 0 by WellCare |
Monthly Premium: $33.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $33.00 Tier 4: 34% Tier 5: 25% |
| Indy Health SaverRx (PDP) S3535 – 009 – 0 by Indy Health Insurance Company |
Monthly Premium: $34.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $10.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 351 – 0 by UnitedHealthcare |
Monthly Premium: $34.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $33.00 Tier 4: 40% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 006 – 0 by Elixir Insurance |
Monthly Premium: $35.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 34% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 104 – 0 by Humana |
Monthly Premium: $35.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 388 – 0 by UnitedHealthcare |
Monthly Premium: $35.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 040 – 0 by WellCare |
Monthly Premium: $35.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 108 – 0 by Express Scripts Medicare |
Monthly Premium: $36.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $21.00 Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 251 – 0 by Cigna |
Monthly Premium: $45.60 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Indy Health EliteRx (PDP) S3535 – 005 – 0 by Indy Health Insurance Company |
Monthly Premium: $47.10 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $5.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| SecureRx – Option 3 (PDP) S8067 – 001 – 0 by Avalon Insurance Company |
Monthly Premium: $60.90 Annual Deductable: $265 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $8.00 Tier 2: $12.00 Tier 3: $40.00 Tier 4: 50% Tier 5: 28% |
| Humana Premier Rx Plan (PDP) S5884 – 152 – 0 by Humana |
Monthly Premium: $67.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| SilverScript Plus (PDP) S5601 – 013 – 0 by Aetna Medicare |
Monthly Premium: $72.80 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 005 – 0 by Mutual of Omaha Rx |
Monthly Premium: $74.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 129 – 0 by WellCare |
Monthly Premium: $75.60 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5660 – 176 – 0 by Express Scripts Medicare |
Monthly Premium: $82.40 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| AARP MedicareRx Preferred (PDP) S5820 – 005 – 0 by UnitedHealthcare |
Monthly Premium: $87.20 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Blue Rx PDP Plus (PDP) S5593 – 002 – 0 by Highmark Inc. |
Monthly Premium: $94.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: 20% Tier 4: 40% Tier 5: 25% |
| SecureRx – Option 1 (PDP) S8067 – 003 – 0 by Avalon Insurance Company |
Monthly Premium: $107.50 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $10.00 Tier 3: $38.00 Tier 4: $88.00 Tier 5: 33% |
| Blue Rx PDP Complete (PDP) S5593 – 003 – 0 by Highmark Inc. |
Monthly Premium: $164.40 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 35% Tier 5: 33% |
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Case Studies: Best Pennsylvania Medicare Advantage Companies & Plans
Case Study 1: Sarah’s Comprehensive Medicare Advantage Plan With Humana
Sarah, a resident of Pennsylvania, was searching for a Medicare Advantage plan that provided comprehensive coverage and a broad network of healthcare providers.
After conducting thorough research and comparing different companies and plans, Sarah found that Humana offered a Medicare Advantage plan with extensive coverage, including prescription drugs, dental, vision, and hearing services.
Impressed by the comprehensive benefits and the large network of providers, Sarah decided to enroll in Humana’s Medicare Advantage plan.
Case Study 2: John’s Cost-Effective Medicare Advantage Plan With Aetna
John, a budget-conscious individual in Pennsylvania, was looking for a cost-effective Medicare Advantage plan without compromising essential coverage. After comparing rates and benefits from various companies, John discovered that Aetna offered a Medicare Advantage plan with affordable premiums and reasonable out-of-pocket costs.
The plan included crucial benefits such as hospital stays, preventive care, and prescription drug coverage. Impressed by the affordability and the essential coverage, John decided to enroll in Aetna’s Medicare Advantage plan.
Case Study 3: Elizabeth’s Specialized Medicare Advantage Plan With UPMC Health Plan
Elizabeth, a Pennsylvania resident with specific healthcare needs, was searching for a Medicare Advantage plan that specialized in her condition. After thorough research, Elizabeth found that UPMC Health Plan offered a specialized Medicare Advantage plan tailored to her specific healthcare needs.
The plan included coverage for necessary medications, specialized doctors and hospitals, and comprehensive disease management programs. Excited about the specialized care and the opportunity to receive comprehensive support, Elizabeth chose UPMC Health Plan’s Medicare Advantage plan.
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Now that you’re armed with all of the details of Medicare Advantage and Part D plans in PA, it’s time to compare rates. Enter your ZIP code for fast, free Pennsylvania Medicare quotes right now.
Frequently Asked Questions
Which are the best Medicare Advantage companies in Pennsylvania?
The best Medicare Advantage companies in Pennsylvania can vary depending on individual needs and preferences. Some well-known insurance companies offering Medicare Advantage plans in Pennsylvania include:
- UnitedHealthcare
- Aetna
- Humana
- Highmark
- Cigna
It’s recommended to research and compare the plans and benefits they offer to find the best fit for your healthcare needs.
What factors should I consider when choosing a Medicare Advantage plan?
When choosing a Medicare Advantage plan, consider factors such as the cost of premiums, deductibles, and copayments, the network of doctors and hospitals, prescription drug coverage, additional benefits, and the plan’s overall reputation for customer service and quality of care. It’s essential to review each plan’s specific details to ensure it meets your healthcare needs.
How can I determine the best Medicare Advantage plan for me in Pennsylvania?
To determine the best Medicare Advantage plan for you in Pennsylvania, start by assessing your healthcare needs, including any prescription medications, preferred doctors or hospitals, and desired additional benefits. Then, compare the available plans from different companies, reviewing their costs, coverage, and network. Consider seeking assistance from a licensed insurance agent who can provide personalized guidance.
Can I switch my Medicare Advantage plan during the annual enrollment period?
Yes, the annual enrollment period, which typically runs from October 15th to December 7th each year, allows Medicare beneficiaries to switch Medicare Advantage plans. It’s an opportunity to review your current plan, compare other available options, and make changes if necessary.
Are there any highly rated Medicare Advantage plans in Pennsylvania?
Medicare Advantage plans can receive ratings based on the quality of care and customer satisfaction. The Centers for Medicare & Medicaid Services (CMS) rates plans on a five-star scale. Checking CMS ratings can provide insights into highly rated Medicare Advantage plans in Pennsylvania.
Are there any low-cost or zero-premium Medicare Advantage plans available in Pennsylvania?
Yes, some Medicare Advantage plans in Pennsylvania may have low-cost or zero-premium options. These plans often have different structures and coverage levels, so it’s important to review their benefits, network, and other costs to determine the most suitable plan for your needs.
How can I compare Medicare Advantage plans in Pennsylvania?
You can compare Medicare Advantage plans in Pennsylvania by visiting the official Medicare website (medicare.gov) or using Medicare’s plan finder tool. Additionally, insurance brokers or agents who specialize in Medicare can help you compare and understand the available options.
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Daniel Walker
Licensed Insurance Agent
Daniel Walker graduated with a BS in Administrative Management in 2005 and has run his family’s insurance agency, FCI Agency, for over 15 years (BBB A+). He is licensed as an insurance agent to write property and casualty insurance, including home, life, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like Reviews.com and Safeco. To ensure our content is accura...
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