Medicare Advantage Plans for Luzerne County, Pennsylvania
- 73 Total Plans
- 75,713 Seniors Eligible for Medicare
- 29,668 Seniors on Medicare Advantage (39%)
- 5 plans with 1,537 seniors have enough OTC benefit to fully cover MDHearing hearing aids
- 37 plans with 16,310 seniors have OTC benefits that partially cover MDHearing hearing aids
- 24% 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 | 4,018 | |
Aetna Medicare |
Aetna Medicare Plan (PPO) H5521-801-0 |
Local PPO | No | $0 | No | 3,051 | |||||||
Geisinger Gold |
Geisinger Gold Classic 360 Rx (HMO) H3954-160-0 |
HMO | $35 per Month | No | $0 | No | 2,583 | ||||||
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 | 2,144 |
Geisinger Gold |
Geisinger Gold Classic Complete Rx (HMO) H3954-158-14 |
HMO | No | $0 | Yes | $2,500 | Yes | No | Yes | No | No | 2,069 | |
Geisinger Gold |
Geisinger Gold Classic Advantage Rx (HMO) H3954-157-23 |
HMO | No | $0 | Yes | $2,500 | Yes | No | Yes | No | No | 1,931 | |
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 | 1,173 |
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 | 1,019 |
Humana |
Humana Gold Plus H6622-036 (HMO) H6622-036-0 |
HMO | $20 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 928 | |
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 | 834 |
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 | 820 | |
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 | 791 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-817-0 |
Local PPO | No | $0 | No | 780 | |||||||
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 | 640 |
Highmark Blue Cross Blue Shield or Highmark Blue Shield |
Freedom Blue PPO MAPD PA CALENDAR (PPO) H3916-802-0 |
Local PPO | No | $0 | No | 525 | |||||||
Geisinger Gold |
Geisinger Gold Preferred Complete Rx (PPO) H3924-065-0 |
Local PPO | No | $0 | No | 451 | |||||||
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 | 436 |
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 | 373 | |
Humana |
HumanaChoice H5525-051 (PPO) H5525-051-2 |
Local PPO | No | $0 | Yes | No | No | Yes | No | No | 322 | ||
UnitedHealthcare |
AARP Medicare Advantage Choice (PPO) H2577-028-0 |
Local PPO | $40 per Quarter | No | $160 | Yes | Yes | No | Yes | Yes | No | 290 | |
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 | 273 | |
Geisinger Gold |
Geisinger Gold Classic Essential Rx (HMO) H3954-161-0 |
HMO | No | $0 | No | 265 | |||||||
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 | 235 |
Geisinger Gold |
Geisinger Gold Heritage (HMO) H3954-162-0 |
HMO | $40 per Month | No | $0 | Yes | $2,500 | Yes | No | Yes | No | No | 212 |
Aetna Medicare |
Aetna Medicare Plan w/Rx (PPO) H5521-802-0 |
Local PPO | No | $0 | No | 198 | |||||||
Humana |
Humana Gold Choice H8145-052 (PFFS) H8145-052-0 |
PFFS | $45 per Quarter | No | $180 | Yes | No | No | Yes | No | No | 196 | |
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 | 194 | |
Humana |
HumanaChoice H5525-005 (PPO) H5525-005-0 |
Local PPO | $45 per Quarter | No | $180 | Yes | No | No | Yes | No | No | 173 | |
Humana |
Humana Honor (PPO) H5216-221-0 |
Local PPO | $150 per Quarter | Yes | $600 | Yes | No | No | Yes | No | No | 173 | |
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 | 173 |
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 | 143 |
Geisinger Gold |
Geisinger Gold Preferred Advantage Rx (PPO) H3924-059-22 |
Local PPO | No | $0 | No | 134 | |||||||
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 | 131 |
Humana |
HumanaChoice H5525-017 (PPO) H5525-017-0 |
Local PPO | $50 per Quarter | No | $200 | Yes | No | No | Yes | No | No | 112 | |
Humana |
HumanaChoice H5525-060 (PPO) H5525-060-0 |
Local PPO | $25 per Month | Yes | $0 | Yes | No | No | Yes | No | No | 109 | |
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 | 102 |
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 | 100 | |
Humana |
HumanaChoice H5525-058 (PPO) H5525-058-0 |
Local PPO | $15 per Quarter | Yes | $60 | Yes | No | No | Yes | No | No | 92 | |
Geisinger Gold |
Geisinger Gold Classic Rx (Employer Group) (HMO) H3954-802-0 |
HMO | No | $0 | No | 87 | |||||||
UnitedHealthcare |
AARP Medicare Advantage Flex (HMO-POS) H1944-035-0 |
HMOPOS | $50 per Quarter | No | $200 | Yes | Yes | No | Yes | Yes | No | 81 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-816-0 |
Local PPO | No | $0 | No | 79 | |||||||
Wellcare by Allwell |
Wellcare No Premium (HMO) H2915-003-0 |
HMO | $75 per Quarter | No | $300 | Yes | $1,000 | No | No | Yes | Yes | No | 68 |
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 | 66 |
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 | 61 |
LIFE Geisinger |
LIFE Geisinger (PACE) H2064-001-0 |
National PACE | No | $0 | No | 61 | |||||||
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 |
Humana |
Humana Gold Choice H8145-055 (PFFS) H8145-055-0 |
PFFS | $45 per Quarter | No | $180 | Yes | No | No | Yes | No | No | 55 | |
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 |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-837-0 |
Local PPO | No | $0 | No | 43 | |||||||
Wellcare |
Wellcare Giveback Open (PPO) H2128-004-0 |
Local PPO | No | $0 | Yes | $700 | No | No | Yes | Yes | No | 43 | |
Wellcare |
Wellcare Assist Open (PPO) H2128-001-0 |
Local PPO | $120 per Quarter | No | $480 | Yes | $1,500 | No | No | Yes | Yes | 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 | 38 | ||
Humana |
Humana Medicare Employer (PPO) H5216-805-0 |
Local PPO | No | $0 | No | 34 | |||||||
Wellcare |
Wellcare No Premium Open (PPO) H2128-002-0 |
Local PPO | $84 per Quarter | No | $336 | Yes | $1,500 | No | No | Yes | Yes | No | 32 |
Humana |
HumanaChoice H5216-120 (PPO) H5216-120-0 |
Local PPO | $75 per Quarter | No | $300 | Yes | No | No | Yes | No | No | 31 | |
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 | 30 | |||||||
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 | 29 | |
Humana |
Humana Honor (PPO) H5216-116-0 |
Local PPO | $100 per Quarter | Yes | $400 | Yes | No | No | Yes | No | No | 27 | |
Aetna Medicare |
Aetna Medicare Plan w/Rx (HMO) H3959-804-0 |
HMO | No | $0 | No | 25 | |||||||
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-869-0 |
Local PPO | No | $0 | No | 23 | |||||||
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 by Allwell |
Wellcare Assist (HMO) H2915-011-0 |
HMO | $67 per Month | Yes | $0 | Yes | $700 | No | No | Yes | Yes | No | 21 |
Blue Cross Blue Shield of Michigan |
Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0 |
Local PPO | No | $0 | No | 20 | |||||||
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 | 19 |
Aetna Medicare |
Aetna Medicare Plan w/Rx $75 Buy-Down (PPO) H5521-812-0 |
Local PPO | No | $0 | No | 18 | |||||||
Aetna Medicare |
Aetna Medicare Plan w/Rx (HMO) H3931-804-0 |
HMO | No | $0 | No | 17 | |||||||
Aetna Medicare |
Aetna Medicare Plan (HMO) H3931-801-0 |
HMO | No | $0 | No | 16 | |||||||
Humana |
Humana USAA Honor with Rx (PPO) H5525-059-0 |
Local PPO | $30 per Quarter | No | $120 | Yes | No | No | Yes | No | No | 16 | |
UnitedHealthcare |
UnitedHealthcare Group Medicare Advantage (PPO) H2001-847-0 |
Local PPO | No | $0 | No | 15 | |||||||
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 | 14 | |||||||
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 | 14 |
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 | 13 |