Medicare Advantage Plans for Northampton County, Pennsylvania

  • 90 Total Plans
  • 72,786 Seniors Eligible for Medicare
  • 28,938 Seniors on Medicare Advantage (40%)
  • 6 plans with 2,829 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 52 plans with 16,253 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 26% 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 2,389
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 2,070
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 1,530
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 1,395
Humana Humana Gold Plus H6622-036 (HMO)
H6622-036-0
HMO $20 per Month Yes $0 Yes No No Yes No No 1,050
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H2228-035-0
Local PPO $80 per Quarter No $320 Yes No No Yes Yes No 1,009
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 992
UnitedHealthcare AARP Medicare Advantage Choice Plan 3 (PPO)
H2228-086-0
Local PPO $50 per Quarter No $200 Yes No No Yes Yes No 990
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 903
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H2228-036-0
Local PPO $90 per Quarter No $360 Yes No No Yes Yes No 831
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 780
Capital Blue Cross BlueJourney Classic (PPO)
H3923-013-0
Local PPO $75 per Quarter No $300 Yes $800 Yes No No No No 736
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 695
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0
Local PPO No $0 No 679
Capital Blue Cross BlueJourney Essential (HMO)
H3962-007-0
HMO $75 per Quarter No $300 Yes $800 Yes No No No No 630
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 622
UnitedHealthcare AARP Medicare Advantage Flex (HMO-POS)
H1944-024-0
HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 586
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0
Local PPO No $0 No 504
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 445
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0
Local PPO No $0 No 414
Capital Blue Cross BlueJourney Premier (HMO)
H3962-001-0
HMO $100 per Quarter No $400 Yes $1,000 Yes No No No No 404
Capital Blue Cross Capital Blue Cross Group Rx (CY) (HMO)
H3962-801-0
HMO No $0 No 392
Capital Blue Cross BlueJourney Prime (PPO)
H3923-017-0
Local PPO $75 per Quarter No $300 Yes $1,000 Yes No No No No 386
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2
Local PPO No $0 Yes No No Yes No No 354
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0
Local PPO No $0 No 339
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 334
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 327
Geisinger Gold Geisinger Gold Preferred 360 Rx (PPO)
H3924-066-0
Local PPO $20 per Month No $240 No 326
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 318
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 286
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 272
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14
HMO No $0 Yes $2,500 Yes No Yes No No 271
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0
HMO $35 per Month No $0 No 268
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 267
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 265
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 242
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 235
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 207
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 200
Aetna Medicare Aetna Medicare Plan (HMO)
H3931-801-0
HMO No $0 No 190
Capital Blue Cross BlueJourney Value (HMO)
H3962-004-0
HMO $75 per Quarter No $300 Yes $800 Yes No No No No 190
Aetna Medicare Aetna Medicare Value (PPO)
H5521-263-0
Local PPO $90 per Quarter No $360 Yes $2,500 No No Yes No No 183
Geisinger Gold Geisinger Gold Preferred Advantage Rx (PPO)
H3924-059-22
Local PPO No $0 No 181
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0
Local PPO $50 per Quarter No $200 Yes No No Yes No No 179
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25
Local PPO $35 per Month No $0 Yes Yes No No No No 166
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 165
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0
Local PPO No $0 No 160
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 158
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 157
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 144
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23
HMO No $0 Yes $2,500 Yes No Yes No No 126
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0
Local PPO $45 per Quarter No $180 Yes No No Yes No No 122
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0
Local PPO No $0 No 114
Senior LIFE Lehigh Valley / Reading Senior LIFE Lehigh Valley Dual Eligible (PACE)
H5978-001-0
National PACE No $0 No 111
Humana HumanaChoice H5525-058 (PPO)
H5525-058-0
Local PPO $15 per Quarter Yes $60 Yes No No Yes No No 92
Humana HumanaChoice H5525-060 (PPO)
H5525-060-0
Local PPO $25 per Month Yes $0 Yes No No Yes No No 92
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 89
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 85
Humana Humana Medicare Employer (PPO)
H5216-805-0
Local PPO No $0 No 83
Humana Humana Honor (PPO)
H5216-221-0
Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 81
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 73
Aetna Medicare Aetna Medicare Advantra Eagle (HMO)
H3959-041-0
HMO $120 per Quarter No $480 Yes $1,500 No No Yes No No 64
Capital Blue Cross Capital Blue Cross Group Rx (CY) (PPO)
H3923-801-0
Local PPO No $0 No 64
Geisinger Gold Geisinger Gold Classic Essential Rx (HMO)
H3954-161-0
HMO No $0 No 60
Wellcare by Allwell Wellcare No Premium (HMO)
H2915-003-0
HMO $75 per Quarter No $300 Yes $1,000 No No Yes Yes No 45
Aetna Medicare Aetna Medicare Silver (HMO)
H3931-070-0
HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 38
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H1944-030-0
HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 36
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0
Local PPO No $0 No 31
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 31
Wellcare Wellcare Giveback Open (PPO)
H2128-004-0
Local PPO No $0 Yes $700 No No Yes Yes No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0
Local PPO No $0 No 28
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 25
Geisinger Gold Geisinger Gold Heritage (HMO)
H3954-162-0
HMO $40 per Month No $0 Yes $2,500 Yes No Yes No No 25
Humana HumanaChoice H5216-120 (PPO)
H5216-120-0
Local PPO $75 per Quarter No $300 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
UnitedHealthcare AARP Medicare Advantage Choice Rebate (PPO)
H2228-130-0
Local PPO No $0 Yes No No Yes Yes No 22
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 21
Humana Humana Honor (PPO)
H5216-116-0
Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 20
Humana Humana USAA Honor with Rx (PPO)
H5525-059-0
Local PPO $30 per Quarter No $120 Yes No No Yes No No 20
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-104-0
Local PPO $105 per Quarter No $420 Yes No No Yes No No 19
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 19
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3931-804-0
HMO No $0 No 17
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 16
Wellcare Wellcare Assist Open (PPO)
H2128-001-0
Local PPO $120 per Quarter No $480 Yes $1,500 No No Yes Yes No 15
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 14
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0
Local PPO No $0 No 14
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0
Local PPO No $0 No 12
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 12
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 12
Humana HumanaChoice R0923-002 (Regional PPO)
R0923-002-0
Regional PPO No $0 Yes No No Yes No No 11
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