Medicare Advantage Plans for Pennsylvania

2,464,974 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Pennsylvania Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 90,338
UPMC for Life UPMC for Life HMO Rx Choice (HMO)
H3907-049-0 		HMO $0 per Month No $0 Yes No No Yes No No 55,950
Aetna Medicare Aetna Medicare Advantra Silver (PPO)
H5522-004-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 43,293
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H4279-001-0 		HMO No $0 Yes No No No No No 38,764
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 37,293
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO Signature (PPO)
H3916-037-4 		Local PPO $105 per Quarter No $420 Yes $500 No No Yes No No 34,813
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
H5932-001-0 		HMO $320 per Quarter No $1,280 Yes No No No No No 32,980
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 30,989
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H3113-009-0 		HMOPOS $202 per Month No $0 Yes $1,100 Yes No Yes Yes No 28,055
UPMC for Life UPMC for Life HMO Deductible Rx (HMO)
H3907-037-0 		HMO $0 per Month No $0 Yes No No Yes No No 26,665
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 25,325
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Signature (HMO)
H3957-047-3 		HMO $80 per Quarter No $320 Yes No No Yes No No 24,587
Highmark Blue Cross Blue Shield or Highmark Blue Shield Complete Blue PPO Distinct (PPO)
H3916-035-4 		Local PPO $200 per Quarter No $800 Yes $500 No No Yes No No 24,376
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-002-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 22,665
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 22,428
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 21,977
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-055-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 21,577
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-036-0 		HMO $300 per Month Yes $0 Yes $5,000 No No Yes No No 20,533
Aetna Medicare Aetna Medicare Advantra Premier (HMO-POS)
H3959-032-0 		HMOPOS $150 per Quarter No $600 Yes $2,500 No No Yes No No 19,956
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 18,581
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-001-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 17,434
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO ValueRx (PPO)
H3916-018-0 		Local PPO No $0 Yes $500 No No Yes No No 16,907
Independence Blue Cross Keystone 65 Basic Rx (HMO)
H3952-056-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 16,889
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H3949-009-0 		HMO $300 per Quarter No $1,200 Yes No No Yes No No 16,212
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 15,358
Aetna Medicare Aetna Medicare Advantra Silver (HMO-POS)
H3959-011-0 		HMOPOS $105 per Quarter No $420 Yes $2,500 No No Yes No No 15,310
VISTA Health Plan Inc. Keystone First VIP Choice (HMO D-SNP)
H4227-001-0 		HMO $350 per Quarter No $1,400 Yes $1,500 No No No No No 14,006
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 13,745
Cigna Healthcare Cigna Alliance Medicare (HMO)
H3949-031-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 13,088
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO Distinct (PPO)
H3916-034-5 		Local PPO $215 per Quarter No $860 Yes $500 No No Yes No No 12,854
Humana Humana Gold Plus H6622-037 (HMO)
H6622-037-0 		HMO $25 per Month Yes $0 Yes Yes No Yes No No 12,769
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS ValueRx (HMO-POS)
H3957-031-0 		HMOPOS No $0 Yes No No Yes No No 12,246
Aetna Medicare Aetna Medicare Advantra Gold (HMO-POS)
H3959-037-0 		HMOPOS $150 per Quarter No $600 Yes $2,500 No No Yes No No 11,802
Aetna Medicare Aetna Medicare Advantra Silver Plus (PPO)
H5522-013-0 		Local PPO $135 per Quarter No $540 Yes $2,500 No No Yes No No 11,798
Independence Blue Cross Keystone 65 Select Rx (HMO)
H3952-049-0 		HMO $30 per Quarter No $120 Yes No No Yes No No 11,497
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-046-0 		HMO $0 per Month No $0 Yes No No Yes No No 11,439
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0 		HMO $35 per Month No $0 No 11,329
Aetna Medicare Aetna Medicare Advantra Cares (HMO D-SNP)
H3959-035-0 		HMO $300 per Month Yes $0 Yes $5,000 No No Yes No No 10,663
Aetna Medicare Aetna Medicare Advantra Value (HMO)
H3959-052-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 10,502
Aetna Medicare Aetna Medicare Advantra Silver (PPO)
H5522-005-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 10,473
Geisinger Gold Geisinger Gold Secure Rx (HMO D-SNP)
H3954-097-0 		HMO $0 per Month No $0 Yes $5,900 Yes No No No No 10,201
UPMC for Life UPMC for Life HMO No Rx (HMO)
H3907-002-0 		HMO $0 per Month No $0 Yes No No Yes No No 10,019
Independence Blue Cross Personal Choice 65 Prime Rx (PPO)
H3909-015-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 9,394
Aetna Medicare Aetna Medicare Advantra Credit Value (PPO)
H5522-017-0 		Local PPO $45 per Quarter No $180 Yes $1,000 No No Yes No No 9,342
Jefferson Health Plans Health Partners Medicare Special (HMO D-SNP)
H9207-004-0 		HMO $315 per Quarter No $1,260 Yes $1,500 Yes No No No No 9,307
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 9,049
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 8,657
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-030-0 		HMO $70 per Quarter No $280 Yes No No Yes No No 8,597
Humana Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)
H6622-078-2 		HMO $1,800 per Month No $0 Yes No No Yes No No 8,575
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 8,456

Top 20 Medicare Advantage Insurance Companyes for Pennsylvania

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

Counties in Pennsylvania

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