Medicare Advantage Plans for Lawrence County, Pennsylvania
- 64 Total Plans
- 22,988 Seniors Eligible for Medicare
- 15,475 Seniors on Medicare Advantage (67%)
- 4 plans with 1,005 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 34 plans with 10,500 seniors have OTC benefits that partially cover MDHearing hearing aids
- 50% 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 | 1,770 |
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 | 1,493 |
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 | 1,230 | |
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 | 1,062 |
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 | 852 | ||
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 774 | |||||||
UPMC for Life |
UPMC for Life HMO Rx (HMO) H3907-029-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 723 | |
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 | 649 | |
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 | 520 | |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Complete Blue PPO Signature (PPO) H3916-038-0 |
Local PPO | $130 per Quarter | No | $520 | Yes | $500 | No | No | Yes | No | No | 415 |
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 | 396 |
UPMC for Life |
UPMC for Life HMO Premier Rx (HMO) H3907-050-0 |
HMO | $0 per Month | No | $0 | Yes | No | No | Yes | No | No | 369 | |
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 | 332 | ||
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 | 324 |
UnitedHealthcare |
AARP Medicare Advantage Flex Plan 1 (HMO-POS) H1944-010-0 |
HMOPOS | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 296 | |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Freedom Blue PPO MAPD PA CALENDAR (PPO) H3916-802-0 |
Local PPO | No | $0 | No | 293 | |||||||
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 | 268 |
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 | 234 | |
UnitedHealthcare |
AARP Medicare Advantage Flex Plan 2 (HMO-POS) H1944-011-0 |
HMOPOS | $60 per Quarter | No | $240 | Yes | Yes | No | Yes | Yes | No | 218 | |
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 |
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 | 168 | |
LIFE Beaver and Lawrence Counties |
VieCare Beaver, LLC dba LIFE Beaver and Lawrence C (PACE) H7660-001-0 |
National PACE | No | $0 | No | 164 | |||||||
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 157 | |||||||
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 | 152 | ||
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 | 141 | ||
Humana |
Humana Gold Plus H6622-035 (HMO) H6622-035-0 |
HMO | $25 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 134 | |
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 | 126 | |
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 1 (PPO) H2577-021-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 114 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 113 | |||||||
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 | 110 |
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 | 108 | |
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 | 107 |
Aetna Medicare |
Aetna Medicare Advantra Eagle (HMO) H3959-041-0 |
HMO | $120 per Quarter | No | $480 | Yes | $1,500 | No | No | Yes | No | No | 78 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-870-0 |
Local PPO | No | $0 | No | 73 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H1537-801-0 |
Local PPO | No | $0 | No | 72 | |||||||
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 | 69 | |||||||
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 | 67 | |
Humana |
Humana Gold Plus H6622-054 (HMO) H6622-054-0 |
HMO | $25 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 63 | |
UPMC for Life |
UPMC for Life PPO High Deductible Rx (PPO) H5533-003-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 63 | ||
Humana |
HumanaChoice H5525-051 (PPO) H5525-051-2 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 56 | ||
Humana |
HumanaChoice H5525-017 (PPO) H5525-017-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 55 | |
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 | 51 |
UPMC for Life |
UPMC for Life PPO Rx Enhanced (PPO) H5533-005-0 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 50 | ||
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 | 48 | |
Humana |
Humana Honor (PPO) H5216-221-0 |
Local PPO | $150 per Quarter | Yes | $600 | Yes | No | No | Yes | No | No | 40 | |
Anthem Blue Cross and Blue Shield |
Anthem Medicare Preferred (PPO) H4036-801-0 |
Local PPO | No | $0 | 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 | 37 |
Humana |
HumanaChoice H5216-051 (PPO) H5216-051-0 |
Local PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 36 | |
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 | 35 | |
Humana |
HumanaChoice H5525-058 (PPO) H5525-058-0 |
Local PPO | $15 per Quarter | Yes | $60 | Yes | No | No | Yes | No | No | 30 | |
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 | 28 | |
UPMC for Life |
UPMC for Life HMO Rx Enhanced (HMO) H3907-006-0 |
HMO | No | $0 | Yes | No | No | Yes | No | No | 28 | ||
UnitedHealthcare |
AARP Medicare Advantage Choice Plan 2 (PPO) H2577-029-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | No | No | Yes | Yes | No | 27 | |
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 | 27 |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Security Blue HMO-POS MA Calendar (HMO-POS) H3957-813-0 |
HMOPOS | No | $0 | No | 26 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 26 | |||||||
UPMC for Life |
UPMC Employer Group Rx (HMO) H3907-802-0 |
HMO | No | $0 | No | 26 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Patriot (HMO-POS) H1944-030-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 25 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx (HMO) H3959-804-0 |
HMO | No | $0 | No | 22 | |||||||
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 | 22 |
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 | 18 |
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 16 | |||||||
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 13 | |||||||
Humana |
HumanaChoice H5525-060 (PPO) H5525-060-0 |
Local PPO | $25 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 11 |