Medicare Advantage Plans for Cumberland County, Pennsylvania

  • 92 Total Plans
  • 57,111 Seniors Eligible for Medicare
  • 27,789 Seniors on Medicare Advantage (49%)
  • 6 plans with 1,702 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 52 plans with 14,796 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 29% 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 Plan (PPO)
H5521-801-0 		Local PPO No $0 No 4,811
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 3,001
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 2,301
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 1,226
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 1,042
Capital Blue Cross Capital Blue Cross | WellSpan Health AdvantagePlus (PPO)
H3923-030-0 		Local PPO $110 per Quarter No $440 Yes $1,000 Yes No No No No 913
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 766
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 670
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 579
Capital Blue Cross BlueJourney Classic (PPO)
H3923-013-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 566
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 564
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 543
Humana Humana Gold Plus H6622-035 (HMO)
H6622-035-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 484
Aetna Medicare Aetna Medicare Advantra Premier Plus (PPO)
H5522-002-0 		Local PPO $150 per Quarter No $600 Yes $2,500 No No Yes No No 477
Capital Blue Cross BlueJourney Essential (HMO)
H3962-007-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 437
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 425
Humana HumanaChoice H5525-006 (PPO)
H5525-006-0 		Local PPO No $0 Yes No No Yes No No 393
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Deluxe (PPO)
H3916-005-0 		Local PPO No $0 Yes $500 No No Yes No No 353
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 349
Aetna Medicare Aetna Medicare PinnacleHealth Prime (HMO)
H3931-091-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 305
Aetna Medicare Aetna Medicare Advantra Premier (HMO-POS)
H3959-039-0 		HMOPOS $120 per Quarter No $480 Yes $2,500 No No Yes No No 290
UPMC for Life UPMC for Life PPO Premier Rx (PPO)
H5533-011-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 284
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 282
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 266
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 264
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 251
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 247
Capital Blue Cross BlueJourney Prime (PPO)
H3923-017-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No No No No 242
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 235
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Standard (PPO)
H3916-015-0 		Local PPO No $0 Yes $500 No No Yes No No 220
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 218
Capital Blue Cross Capital Blue Cross | WellSpan Health Inspire (HMO)
H3962-021-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 216
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 203
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 199
Capital Blue Cross Capital Blue Cross Select (PPO)
H3923-028-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 198
Capital Blue Cross Capital Blue Cross | WellSpan Health Advantage (PPO)
H3923-029-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 159
UPMC for Life UPMC for Life HMO Premier Rx (HMO)
H3907-052-0 		HMO $0 per Month No $0 Yes No No Yes No No 151
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-086-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 149
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 143
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 143
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 143
Capital Blue Cross BlueJourney Premier (HMO)
H3962-001-0 		HMO $100 per Quarter No $400 Yes $1,000 Yes No No No No 142
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22 		Local PPO No $0 No 135
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 133
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 130
Wellcare by Allwell Wellcare Dual Access (HMO D-SNP)
H2915-007-0 		HMO $172 per Month Yes $0 Yes $3,000 No No Yes Yes No 127
Capital Blue Cross BlueJourney Value (HMO)
H3962-004-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 115
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 108
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-035-0 		Local PPO $80 per Quarter No $320 Yes No No Yes Yes No 102
UPMC for Life UPMC for Life PPO Rx Choice (PPO)
H5533-009-0 		Local PPO $0 per Month No $0 Yes No No Yes No No 96
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 95
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-008-0 		Local PPO No $0 Yes No No Yes No No 94
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 93
Humana Humana Gold Choice H8145-052 (PFFS)
H8145-052-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 84
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 84
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 79
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 76
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 70
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 64
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare HMO Signature (HMO)
H3957-042-5 		HMO $60 per Quarter No $240 Yes No No Yes No No 62
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 61
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 57
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 56
Geisinger Gold Geisinger Gold Classic Essential Rx (HMO)
H3954-161-0 		HMO No $0 No 49
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 48
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 46
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-035-0 		HMO $95 per Quarter No $380 Yes No No Yes No No 41
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 40
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-036-0 		Local PPO $90 per Quarter No $360 Yes No No Yes Yes No 40
Albright LIFE SpiriTrust Lutheran LIFE - Dual (PACE)
H2537-001-0 		National PACE No $0 No 37
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 35
Aetna Medicare Aetna Medicare Silver Back (PPO)
H5522-022-0 		Local PPO $90 per Quarter No $360 Yes $1,500 No No Yes No No 34
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 34
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-031-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 25
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3959-804-0 		HMO No $0 No 22
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 22
Capital Blue Cross Capital Blue Cross Group Rx (CY) (HMO)
H3962-801-0 		HMO No $0 No 21
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Valor (PPO)
H3916-043-0 		Local PPO $100 per Quarter No $400 Yes $500 No No Yes No No 21
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 20
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 20
Humana Humana Gold Choice H8145-055 (PFFS)
H8145-055-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 19
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 19
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO Basic (PPO)
H3916-012-0 		Local PPO No $0 Yes $500 No No Yes No No 18
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-016-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 15
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 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 14
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 14
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 13
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 13
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 11
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