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
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