Medicare Advantage Plans for Lehigh County, Pennsylvania

  • 96 Total Plans
  • 78,045 Seniors Eligible for Medicare
  • 33,844 Seniors on Medicare Advantage (43%)
  • 6 plans with 4,944 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 55 plans with 19,459 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 31% 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
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 3,092
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 2,357
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 1,519
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 1,452
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 1,278
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,205
Humana Humana Gold Plus H6622-036 (HMO)
H6622-036-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 1,205
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 1,048
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-086-0 		Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 1,031
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-035-0 		Local PPO $80 per Quarter No $320 Yes No No Yes Yes No 993
Capital Blue Cross BlueJourney Classic (PPO)
H3923-013-0 		Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 972
Capital Blue Cross BlueJourney Essential (HMO)
H3962-007-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 909
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 896
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 862
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 844
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-036-0 		Local PPO $90 per Quarter No $360 Yes No No Yes Yes No 744
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-024-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 675
Capital Blue Cross BlueJourney Premier (HMO)
H3962-001-0 		HMO $100 per Quarter No $400 Yes $1,000 Yes No No No No 674
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 647
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 534
Capital Blue Cross BlueJourney Prime (PPO)
H3923-017-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No No No No 527
Aetna Medicare Aetna Medicare The Valley Plan (PPO)
H5521-294-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 507
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 485
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 471
Capital Blue Cross Capital Blue Cross Enhanced (PPO)
H3923-034-0 		Local PPO $110 per Quarter No $440 Yes $1,200 Yes No No No No 441
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 384
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 371
Geisinger Gold Geisinger Gold Preferred 360 Rx (PPO)
H3924-066-0 		Local PPO $20 per Month No $240 No 367
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0 		HMO $35 per Month No $0 No 354
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 324
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 322
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 316
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 309
Capital Blue Cross BlueJourney Value (HMO)
H3962-004-0 		HMO $75 per Quarter No $300 Yes $800 Yes No No No No 304
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 280
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 280
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 268
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 256
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 226
Humana HumanaChoice H5525-006 (PPO)
H5525-006-0 		Local PPO No $0 Yes No No Yes No No 208
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 208
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 181
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 181
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22 		Local PPO No $0 No 174
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 161
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 160
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 147
Senior LIFE Lehigh Valley / Reading Senior LIFE Lehigh Valley Dual Eligible (PACE)
H5978-001-0 		National PACE No $0 No 140
Capital Blue Cross Capital Blue Cross Group Rx (CY) (HMO)
H3962-801-0 		HMO No $0 No 133
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 130
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 129
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 127
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 123
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 119
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 110
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 102
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
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 88
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 78
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0 		Local PPO No $0 No 76
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 61
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 59
Geisinger Gold Geisinger Gold Classic Essential Rx (HMO)
H3954-161-0 		HMO No $0 No 57
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 56
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 54
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 43
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 41
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 38
Geisinger Gold Geisinger Gold Heritage (HMO)
H3954-162-0 		HMO $40 per Month No $0 Yes $2,500 Yes No Yes No No 31
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H3113-014-0 		HMOPOS $50 per Month No $0 Yes $1,100 Yes No Yes Yes No 31
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 29
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 29
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 26
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 26
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-130-0 		Local PPO No $0 Yes No No Yes Yes No 25
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-045-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 24
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 24
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 24
Capital Blue Cross Capital Blue Cross Group Rx Complete (CY) (PPO)
H3923-818-0 		Local PPO No $0 No 22
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 20
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 PPO Rx Enhanced (PPO)
H5533-008-0 		Local PPO No $0 Yes No No Yes No No 20
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 19
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 19
Humana HumanaChoice R0923-001 (Regional PPO)
R0923-001-0 		Regional PPO $35 per Month Yes $0 Yes No No Yes No No 17
Jefferson Health Plans Health Partners Medicare Prime (HMO-POS)
H9207-002-0 		HMOPOS $165 per Quarter No $660 Yes $1,500 Yes No No No No 15
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-104-0 		Local PPO $105 per Quarter No $420 Yes No No Yes No No 14
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 14
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 13
Jefferson Health Plans Health Partners Medicare Complete (HMO-POS)
H9207-012-0 		HMOPOS $150 per Quarter No $600 Yes $1,000 Yes No No No No 13
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 13
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 12
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 12
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0 		HMO No $0 No 11
Capital Blue Cross Capital Blue Cross Value (PPO)
H3923-032-0 		Local PPO $75 per Quarter No $300 Yes $400 Yes No No No No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 11
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