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 |