Medicare Advantage Plans for Butler County, Pennsylvania

  • 77 Total Plans
  • 46,569 Seniors Eligible for Medicare
  • 30,394 Seniors on Medicare Advantage (65%)
  • 5 plans with 1,281 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 37 plans with 19,432 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 44% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
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 Advantra Gold (HMO)
H3959-002-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 2,402
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 2,055
Aetna Medicare Aetna Medicare Advantra Butler Prime (HMO)
H3959-047-0 		HMO $150 per Quarter No $600 Yes $2,500 No No Yes No No 1,963
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 1,675
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 1,631
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,502
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 1,387
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 1,351
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 1,344
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 1,127
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 1,056
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 932
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 873
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 872
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 796
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 758
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 454
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 446
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 360
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO ValueRx (PPO)
H3916-032-0 		Local PPO No $0 Yes $500 No No Yes No No 359
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 352
Highmark Blue Cross Blue Shield or Highmark Blue Shield Complete Blue PPO Signature (PPO)
H3916-041-2 		Local PPO $105 per Quarter No $420 Yes $500 No No Yes No No 349
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS Deluxe (HMO-POS)
H3957-046-2 		HMOPOS No $0 Yes No No Yes No No 346
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H1944-011-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 304
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS Standard (HMO-POS)
H3957-045-2 		HMOPOS No $0 Yes No No Yes No No 290
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 273
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Select (PPO)
H3916-022-0 		Local PPO No $0 Yes $500 No No Yes No No 271
Aetna Medicare Aetna Medicare Value (PPO)
H5521-261-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 259
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA-PD Calendar (HMO-POS)
H3957-814-0 		HMOPOS No $0 No 259
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 254
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 252
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0 		Local PPO No $0 Yes No No Yes No No 200
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 197
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 172
Humana Humana Gold Plus H6622-054 (HMO)
H6622-054-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 166
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0 		HMO No $0 No 162
LIFE Butler County VieCare Butler, LLC dba LIFE Butler County (PACE)
H3060-001-0 		National PACE No $0 No 155
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 153
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 148
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 147
Highmark Wholecare Medicare Assured Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
H5932-009-0 		HMO $140 per Quarter No $560 Yes No No No No No 145
UPMC for Life UPMC for Life PPO Rx Choice (PPO)
H5533-014-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 139
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0 		Local PPO No $0 Yes No No Yes No No 138
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Classic (PPO)
H3916-001-0 		Local PPO No $0 Yes $500 No No Yes No No 137
UnitedHealthcare UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
H0710-017-0 		Local PPO $220 per Quarter Yes $880 Yes $2,000 Yes No Yes Yes No 120
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2915-002-0 		HMO $148 per Month Yes $0 Yes $2,000 No No Yes Yes No 105
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 91
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0 		HMO No $0 Yes No No Yes No No 83
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO MA-PD Calendar (HMO)
H3957-811-0 		HMO No $0 No 82
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 78
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 77
Humana HumanaChoice SNP-DE H5216-227 (PPO D-SNP)
H5216-227-0 		Local PPO $2,040 per Month No $0 Yes No No Yes No No 71
Provider Partners Health Plans Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)
H4093-001-0 		HMO $95 per Quarter No $380 Yes $1,000 No No No No No 58
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare PPO PA MAPD Calendar (PPO)
H3916-806-0 		Local PPO No $0 No 53
Humana Humana Medicare Employer (PPO)
H7617-801-0 		Local PPO No $0 No 53
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 50
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 50
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-029-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 46
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 39
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 39
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 38
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS Basic (HMO-POS)
H3957-043-2 		HMOPOS No $0 Yes No No Yes No No 35
Humana Humana Medicare Employer (PPO)
H5525-809-0 		Local PPO No $0 No 35
Highmark Blue Cross Blue Shield or Highmark Blue Shield Together Blue Medicare HMO Signature (HMO)
H3957-048-0 		HMO $80 per Quarter No $320 Yes No No Yes No No 34
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 33
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 32
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA Calendar (HMO-POS)
H3957-813-0 		HMOPOS No $0 No 30
Aetna Medicare Aetna Medicare Gold Plan (PPO)
H5521-122-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 28
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 28
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Prestige (HMO)
H3957-039-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 24
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-007-0 		Local PPO $157 per Month No $0 Yes $3,600 Yes No Yes Yes No 20
VISTA Health Plan Inc. AmeriHealth Caritas VIP Care (HMO D-SNP)
H4227-002-0 		HMO $200 per Month No $0 Yes $1,500 No No No No No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 19
UPMC for Life UPMC for Life PPO Salute (PPO)
H5533-012-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 15
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-001-0 		HMO $135 per Quarter No $540 Yes $2,500 No No Yes No No 14
UPMC for Life UPMC Employer Group Rx (PPO)
H5533-802-0 		Local PPO No $0 No 14
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 12
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