Medicare Advantage Plans for Fayette County, Pennsylvania

  • 65 Total Plans
  • 34,648 Seniors Eligible for Medicare
  • 21,896 Seniors on Medicare Advantage (63%)
  • 4 plans with 1,386 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 32 plans with 12,478 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 40% 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
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 2,340
Aetna Medicare Aetna Medicare Advantra Gold (HMO)
H3959-002-0 		HMO $120 per Quarter No $480 Yes $2,500 No No Yes No No 2,254
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 1,579
UPMC for Life UPMC for Life HMO Rx (HMO)
H3907-029-0 		HMO $0 per Month No $0 Yes No No Yes No No 1,327
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 1,167
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,167
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 723
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 709
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 679
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 643
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 637
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 603
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 602
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 515
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 480
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 414
UnitedHealthcare AARP Medicare Advantage Flex Plan 1 (HMO-POS)
H1944-010-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 309
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 257
Senior LIFE Washington / Uniontown / Greene Senior LIFE Uniontown Dual Eligible (PACE)
H2992-003-0 		National PACE No $0 No 237
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 229
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 179
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 177
Aetna Medicare Aetna Medicare Value (PPO)
H5521-261-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 176
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 164
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 146
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 146
UnitedHealthcare AARP Medicare Advantage Flex Plan 2 (HMO-POS)
H1944-011-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 141
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 140
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 140
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 135
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 133
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 130
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2577-021-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 127
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 121
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 120
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 120
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 103
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 103
Humana Humana Gold Plus H6622-054 (HMO)
H6622-054-0 		HMO $25 per Month Yes $0 Yes No No Yes No No 101
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 94
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 88
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 87
UPMC for Life UPMC for Life PPO Rx Enhanced (PPO)
H5533-005-0 		Local PPO No $0 Yes No No Yes No No 78
UPMC for Life UPMC for Life PPO High Deductible Rx (PPO)
H5533-003-0 		Local PPO No $0 Yes No No Yes No No 74
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 60
UPMC for Life UPMC Employer Group Rx (HMO)
H3907-802-0 		HMO No $0 No 59
UPMC for Life UPMC for Life HMO Rx Enhanced (HMO)
H3907-006-0 		HMO No $0 Yes No No Yes No No 57
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 49
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 46
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 44
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 44
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 38
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 38
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2577-029-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 30
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 29
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 28
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 25
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 23
Highmark Blue Cross Blue Shield or Highmark Blue Shield Security Blue HMO-POS MA Calendar (HMO-POS)
H3957-813-0 		HMOPOS No $0 No 21
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 17
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H1537-801-0 		Local PPO No $0 No 17
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 16
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 13
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 12
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