Medicare Advantage Plans for Sullivan County, Pennsylvania

  • 22 Total Plans
  • 2,008 Seniors Eligible for Medicare
  • 895 Seniors on Medicare Advantage (45%)
  • 1 plans with 15 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 12 plans with 409 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 21% 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 126
Geisinger Gold Geisinger Gold Preferred Enhanced Rx (PPO)
H3924-062-25 		Local PPO $35 per Month No $0 Yes Yes No No No No 106
Geisinger Gold Geisinger Gold Classic 360 Rx (HMO)
H3954-160-0 		HMO $35 per Month No $0 No 68
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 51
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 47
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare Plus PPO Signature (PPO)
H3916-039-0 		Local PPO $110 per Quarter No $440 Yes $500 No No Yes No No 35
Geisinger Gold Geisinger Gold Classic Complete Rx (HMO)
H3954-158-14 		HMO No $0 Yes $2,500 Yes No Yes No No 32
Geisinger Gold Geisinger Gold Classic Advantage Rx (HMO)
H3954-157-23 		HMO No $0 Yes $2,500 Yes No Yes No No 31
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 27
Highmark Blue Cross Blue Shield or Highmark Blue Shield Community Blue Medicare Plus PPO Distinct (PPO)
H3916-036-0 		Local PPO $195 per Quarter No $780 Yes $500 No No Yes No No 25
Humana HumanaChoice H5525-051 (PPO)
H5525-051-2 		Local PPO No $0 Yes No No Yes No No 25
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 24
Geisinger Gold Geisinger Gold Preferred Complete Rx (PPO)
H3924-065-0 		Local PPO No $0 No 21
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
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 20
Humana HumanaChoice H5525-005 (PPO)
H5525-005-0 		Local PPO $45 per Quarter No $180 Yes No No Yes No No 19
Humana Humana Gold Plus H6622-052 (HMO)
H6622-052-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 17
Humana HumanaChoice H5525-017 (PPO)
H5525-017-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 15
Humana HumanaChoice SNP-DE H5216-227 (PPO D-SNP)
H5216-227-0 		Local PPO $2,040 per Month No $0 Yes No No Yes No No 15
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 14
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 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 12
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