Medicare Advantage Plans for Lackawanna County, Pennsylvania

  • 65 Total Plans
  • 53,635 Seniors Eligible for Medicare
  • 20,843 Seniors on Medicare Advantage (39%)
  • 5 plans with 1,180 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 35 plans with 11,279 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 23% 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
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 2,658
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 2,157
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 1,980
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0 		HMO $35 per Month No $0 No 1,723
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 1,419
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 1,088
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 846
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 772
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 663
Humana Humana Gold Plus H6622-036 (HMO)
H6622-036-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 632
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 586
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 578
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 517
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 502
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 334
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 271
Geisinger Gold Geisinger Gold Heritage (HMO)
H3954-162-0 		HMO $40 per Month No $0 Yes $2,500 Yes No Yes No No 265
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 257
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 250
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-028-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 246
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 243
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 201
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 170
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 151
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22 		Local PPO No $0 No 139
Geisinger Gold Geisinger Gold Classic Essential Rx (HMO)
H3954-161-0 		HMO No $0 No 135
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 120
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 113
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 104
Humana Humana Gold Choice H8145-052 (PFFS)
H8145-052-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 91
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 86
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 81
LIFE Geisinger LIFE Geisinger (PACE)
H2064-001-0 		National PACE No $0 No 79
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 77
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 73
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 73
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 64
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 64
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 64
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 52
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 50
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 46
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 45
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-035-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 43
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 39
UPMC for Life Complete Care UPMC for Life Complete Care (HMO D-SNP)
H4279-004-0 		HMO No $0 Yes No No No No No 35
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-016-0 		HMO $40 per Quarter No $160 Yes $1,000 No No Yes Yes No 35
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 34
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 31
Geisinger Gold Geisinger Gold Classic Rx (Employer Group) (HMO)
H3954-802-0 		HMO No $0 No 31
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 30
Humana Humana Gold Choice H8145-055 (PFFS)
H8145-055-0 		PFFS $45 per Quarter No $180 Yes No No Yes No No 29
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 28
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 24
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 24
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 23
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H2128-005-0 		Local PPO $66 per Month Yes $0 Yes $2,000 No No Yes Yes No 22
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 22
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO 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 15
Wellcare by Allwell Wellcare Giveback (HMO)
H2915-012-0 		HMO $60 per Quarter No $240 Yes $700 No No Yes Yes Yes 15
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 14
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 12
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