Medicare Advantage Plans for Monroe County, Pennsylvania

  • 70 Total Plans
  • 36,419 Seniors Eligible for Medicare
  • 13,964 Seniors on Medicare Advantage (38%)
  • 6 plans with 675 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 36 plans with 7,945 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
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 1,308
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 1,305
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 797
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 792
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0 		HMO $35 per Month No $0 No 643
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 626
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 531
Humana Humana Gold Plus H6622-036 (HMO)
H6622-036-0 		HMO $20 per Month Yes $0 Yes No No Yes No No 514
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 442
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 424
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-028-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 405
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 393
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 392
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 371
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 367
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 362
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 356
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 356
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 312
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 294
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 178
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 158
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 154
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0 		Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 125
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 108
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 101
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0 		Local PPO $25 per Month Yes $0 Yes No No Yes No No 99
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 96
Geisinger Gold Geisinger Gold Classic Essential Rx (HMO)
H3954-161-0 		HMO No $0 No 88
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0 		Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 87
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-035-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 87
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 87
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 81
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 80
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22 		Local PPO No $0 No 79
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 71
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 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 58
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 58
Humana Humana Value Plus H5216-117 (PPO)
H5216-117-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 58
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 56
Geisinger Gold Geisinger Gold Heritage (HMO)
H3954-162-0 		HMO $40 per Month No $0 Yes $2,500 Yes No Yes No No 52
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0 		HMO No $0 No 51
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 50
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 45
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 44
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 42
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 40
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0 		HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 35
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0 		HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 31
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 28
Wellcare Wellcare No Premium Open (PPO)
H2128-002-0 		Local PPO $84 per Quarter No $336 Yes $1,500 No No Yes Yes No 28
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 25
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0 		Local PPO No $0 Yes $700 No No Yes Yes No 24
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 23
Wellcare Wellcare Assist Open (PPO)
H2128-001-0 		Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes 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
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 21
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 21
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0 		Regional PPO No $0 Yes No No Yes No No 20
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 20
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 17
Geisinger Gold Geisinger Gold Classic Rx (Employer Group) (HMO)
H3954-802-0 		HMO No $0 No 13
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 13
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 13
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 12
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 12
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 11
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 11
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 11
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