Medicare
Medicare Plans 2026
Medicare Advantage (MA, MA-PD) and Part D (PDP) plans by county, from CMS public files. Pick a state, then search for your doctor to see which Medicare Advantage plans list them in their public provider directory.
Drug list (Part D cost estimate)
Find your doctor: which Medicare Advantage plans list them?
In-network status comes from each Medicare Advantage organization's public provider directory (CMS-required Plan-Net). Directories can be out of date and a plan not listed here may still cover the doctor: always confirm with the plan and the doctor's office before enrolling. Directory data is loaded for 858 of 5,595 2026 Medicare Advantage plans nationwide ("Unknown" = no directory loaded for that plan); organizations whose directory needs a developer registration are not loaded yet. "Estimated" means we matched the plan to the directory by name rather than by its CMS plan id. See coverage by organization.
344 plans (showing the first 300; pick a county to narrow). Premiums are monthly.
| Plan | Type | Monthly premium | vs 2025 | Drug deductible | MOOP | Stars | PCP / specialist | Extras | Drug list | Provider network |
|---|---|---|---|---|---|---|---|---|---|---|
| Erickson Advantage Guardian (HMO-POS I-SNP) UnitedHealthcare - H5652_003_0Institutional |
MA-PD HMO-POS I-SNP |
$0.00 | - | $0.00 | $1,000.00 | 5.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Erickson Advantage Liberty no Rx (HMO-POS) UnitedHealthcare - H5652_002_0 |
MA HMO-POS |
$0.00 | - | n/a | $6,750.00 | 5.0 | $0.00 / $0.00 | Dental, Vision, Hearing | None | Not loaded |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plans - H4093_004_0Institutional |
MA-PD HMO I-SNP |
$0.00 | - | $615.00 | $2,600.00 | 5.0 | $10.00 / - | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0015 (PPO) UnitedHealthcare - H2001_110_0 |
MA-PD PPO |
$0.00 | - | $440.00 | $6,700.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature (PPO) Aetna Medicare - H5522_004_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $9,250.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature Giveback (PPO) Aetna Medicare - H5522_017_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $9,250.00 | 4.5 | $0.00 / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare PinnacleHealth Prime (PPO) Aetna Medicare - H5522_029_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,500.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Signature (PPO) Aetna Medicare - H5521_261_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $5,500.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Signature (PPO) Aetna Medicare - H5522_028_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $9,250.00 | 4.5 | $15.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Signature Extra (PPO) Aetna Medicare - H5521_263_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Signature Giveback (PPO) Aetna Medicare - H5522_022_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | $0.00 / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Essential (HMO) Capital Blue Cross - H3962_022_1 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,000.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Essential (HMO) Capital Blue Cross - H3962_022_2 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,000.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Essential (HMO) Capital Blue Cross - H3962_022_3 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,000.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Essential (HMO) Capital Blue Cross - H3962_022_4 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,000.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Essential (HMO) Capital Blue Cross - H3962_022_5 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,000.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Select (PPO) Capital Blue Cross - H3923_044_1 |
MA-PD PPO |
$0.00 | - | $375.00 | $8,100.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Select (PPO) Capital Blue Cross - H3923_044_2 |
MA-PD PPO |
$0.00 | - | $375.00 | $8,100.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Select (PPO) Capital Blue Cross - H3923_044_3 |
MA-PD PPO |
$0.00 | - | $375.00 | $8,100.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Select (PPO) Capital Blue Cross - H3923_044_4 |
MA-PD PPO |
$0.00 | - | $375.00 | $8,100.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Value (PPO) Capital Blue Cross - H3923_045_1 |
MA-PD PPO |
$0.00 | - | $550.00 | $9,000.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Value (PPO) Capital Blue Cross - H3923_045_2 |
MA-PD PPO |
$0.00 | - | $550.00 | $9,000.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Value (PPO) Capital Blue Cross - H3923_045_3 |
MA-PD PPO |
$0.00 | - | $550.00 | $9,000.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Value (PPO) Capital Blue Cross - H3923_045_4 |
MA-PD PPO |
$0.00 | - | $550.00 | $9,000.00 | 4.5 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Value (PPO) Capital Blue Cross - H3923_045_5 |
MA-PD PPO |
$0.00 | - | $550.00 | $9,000.00 | 4.5 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Clover Health Choice (PPO) Clover Health - H5141_038_0 |
MA-PD PPO |
$0.00 | - | $0.00 | $7,499.00 | 4.5 | - / $2.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Clover Health Valor (PPO) Clover Health - H5141_061_0 |
MA PPO |
$0.00 | - | n/a | $9,250.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | None | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_042_1 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_042_2 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_042_4 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_042_5 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_042_6 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,500.00 | 4.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_042_7 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_047_1 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,500.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_047_2 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,500.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_047_3 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,500.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_047_4 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,500.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_047_5 |
MA-PD HMO |
$0.00 | - | $615.00 | $6,500.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare Plus PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_039_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare Plus PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_063_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_037_2 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_037_4 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_037_5 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_037_6 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_037_7 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_037_8 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_065_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,950.00 | 4.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue Plus PPO Merit (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_064_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $8,300.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Merit (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_057_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $8,300.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Merit (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_066_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $8,300.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_038_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_041_1 |
MA-PD PPO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_041_2 |
MA-PD PPO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_041_3 |
MA-PD PPO |
$0.00 | - | $615.00 | $6,750.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_058_0 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,550.00 | 4.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_043_0 |
MA PPO |
$0.00 | - | n/a | $6,000.00 | 4.5 | - / $10.00 | Dental, Vision, Hearing | None | Not loaded |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_056_0 |
MA PPO |
$0.00 | - | n/a | $6,000.00 | 4.5 | - / $10.00 | Dental, Vision, Hearing | None | Not loaded |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_067_0 |
MA PPO |
$0.00 | - | n/a | $6,000.00 | 4.5 | - / $10.00 | Dental, Vision, Hearing | None | Not loaded |
| Geisinger Gold Classic 360 Rx (HMO) Geisinger Gold - H3954_160_0 |
MA-PD HMO |
$0.00 | - | $0.00 | $7,100.00 | 4.5 | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Geisinger Gold Classic Essential Rx (HMO) Geisinger Gold - H3954_161_0 |
MA-PD HMO |
$0.00 | - | $0.00 | $6,750.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Geisinger Gold Heritage (HMO) Geisinger Gold - H3954_162_0 |
MA HMO |
$0.00 | - | n/a | $6,700.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | None | Not loaded |
| Geisinger Gold Preferred Complete Rx (PPO) Geisinger Gold - H3924_065_0 |
MA-PD PPO |
$0.00 | - | $0.00 | $7,200.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Peak Advantage Vista (PPO) Peak Health - H8947_001_3 |
MA-PD PPO |
$0.00 | - | $0.00 | $5,900.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Together Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_048_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $4,900.00 | 4.5 | - / $10.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO No Rx (HMO) UPMC for Life - H3907_002_0 |
MA HMO |
$0.00 | - | n/a | $6,000.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | None | Not loaded |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life - H3907_059_1 |
MA-PD HMO |
$0.00 | - | $350.00 | $6,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life - H3907_059_2 |
MA-PD HMO |
$0.00 | - | $350.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life - H3907_059_3 |
MA-PD HMO |
$0.00 | - | $350.00 | $6,700.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life - H3907_059_4 |
MA-PD HMO |
$0.00 | - | $350.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life - H3907_059_5 |
MA-PD HMO |
$0.00 | - | $350.00 | $6,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Essential Care Rx (PPO) UPMC for Life - H5533_017_1 |
MA-PD PPO |
$0.00 | - | $500.00 | $8,000.00 | 4.5 | - / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Essential Care Rx (PPO) UPMC for Life - H5533_017_2 |
MA-PD PPO |
$0.00 | - | $500.00 | $8,000.00 | 4.5 | - / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Premier Rx (PPO) UPMC for Life - H5533_011_0 |
MA-PD PPO |
$0.00 | - | $500.00 | $6,700.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Premier Rx (PPO) UPMC for Life - H5533_013_0 |
MA-PD PPO |
$0.00 | - | $500.00 | $6,500.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Salute (PPO) UPMC for Life - H5533_016_1 |
MA PPO |
$0.00 | - | n/a | $9,250.00 | 4.5 | - / - | Dental, Vision, Hearing | None | Not loaded |
| UPMC for Life PPO Salute (PPO) UPMC for Life - H5533_016_2 |
MA PPO |
$0.00 | - | n/a | $9,250.00 | 4.5 | - / - | Dental, Vision, Hearing | None | Not loaded |
| AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) UnitedHealthcare - H5253_154_0 |
MA-PD HMO-POS |
$0.00 | - | $520.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) UnitedHealthcare - H5253_203_0 |
MA-PD HMO-POS |
$0.00 | - | $600.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) UnitedHealthcare - H5253_146_0 |
MA-PD HMO-POS |
$0.00 | - | $440.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0010 (PPO) UnitedHealthcare - H2406_071_0 |
MA-PD PPO |
$0.00 | - | $600.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0011 (PPO) UnitedHealthcare - H2406_072_0 |
MA-PD PPO |
$0.00 | - | $520.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) UnitedHealthcare - H2406_101_0 |
MA-PD PPO |
$0.00 | - | $600.00 | $8,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) UnitedHealthcare - H5253_152_0 |
MA HMO-POS |
$0.00 | - | n/a | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | None | Not loaded |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) Aetna Medicare - H3959_041_0 |
MA HMO-POS |
$0.00 | - | n/a | $5,500.00 | 4.0 | $0.00 / $10.00 | Dental, Vision, Hearing | None | Not loaded |
| Aetna Medicare Advantra Prime Plus (HMO-POS) Aetna Medicare - H3959_053_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $6,900.00 | 4.0 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature (HMO-POS) Aetna Medicare - H3959_010_0 |
MA-PD HMO-POS |
$0.00 | - | $500.00 | $5,500.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature (HMO-POS) Aetna Medicare - H3959_037_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $7,500.00 | 4.0 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature (HMO-POS) Aetna Medicare - H3959_052_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $7,500.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature Plus (HMO-POS) Aetna Medicare - H3959_011_0 |
MA-PD HMO-POS |
$0.00 | - | $500.00 | $5,500.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Signature Plus (HMO-POS) Aetna Medicare - H3959_032_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $5,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare - H3959_076_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$0.00 | - | $615.00 | $6,750.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone 65 Basic Rx (HMO) Independence Blue Cross - H3952_055_0 |
MA-PD HMO |
$0.00 | - | $0.00 | $8,500.00 | 4.0 | $0.00 / $38.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone 65 Focus Rx (HMO-POS) Independence Blue Cross - H3952_053_0 |
MA-PD HMO-POS |
$0.00 | - | $0.00 | $6,750.00 | 4.0 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone 65 Liberty Medical Only (HMO) Independence Blue Cross - H3952_059_0 |
MA HMO |
$0.00 | - | n/a | $6,750.00 | 4.0 | $0.00 / $55.00 | Dental, Vision, Hearing | None | Not loaded |
| Keystone 65 Select Medical Only (HMO) Independence Blue Cross - H3952_050_0 |
MA HMO |
$0.00 | - | n/a | $6,750.00 | 4.0 | $0.00 / $40.00 | Dental, Vision, Hearing | None | Not loaded |
| Personal Choice 65 Achieve Rx (PPO) Independence Blue Cross - H3909_020_0 |
MA-PD PPO |
$0.00 | - | $375.00 | $6,750.00 | 4.0 | $0.00 / $55.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Complete Care PA-17 (HMO-POS C-SNP) UnitedHealthcare - H5253_192_0Chronic or Disabling Condition |
MA-PD HMO-POS C-SNP |
$0.00 | - | $440.00 | $6,700.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CHOICE 007 PA (PPO) Devoted Health - H6018_007_0 |
MA-PD PPO |
$0.00 | - | $450.00 | $5,900.00 | 3.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CHOICE 010 PA (PPO) Devoted Health - H6018_010_0 |
MA-PD PPO |
$0.00 | - | $375.00 | $6,500.00 | 3.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CHOICE GIVEBACK 003 PA (PPO) Devoted Health - H6018_003_0 |
MA-PD PPO |
$0.00 | - | $605.00 | $9,250.00 | 3.5 | - / $50.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO) Devoted Health - H6018_008_0 |
MA-PD PPO |
$0.00 | - | $605.00 | $9,250.00 | 3.5 | - / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) Devoted Health - H6018_011_0 |
MA-PD PPO |
$0.00 | - | $605.00 | $9,250.00 | 3.5 | - / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana Gold Choice H8145-052 (PFFS) Humana - H8145_052_0 |
MA-PD PFFS |
$0.00 | - | $615.00 | $7,100.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 86,406 providers |
| Humana Gold Choice H8145-055 (PFFS) Humana - H8145_055_0 |
MA PFFS |
$0.00 | - | n/a | $6,700.00 | 3.5 | $0.00 / $30.00 | Dental, Vision, Hearing | None | Loaded 86,406 providers |
| Humana Gold Plus H6622-035 (HMO) Humana - H6622_035_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $8,300.00 | 3.5 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Loaded 113,838 providers |
| Humana Gold Plus H6622-036 (HMO) Humana - H6622_036_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $8,250.00 | 3.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Loaded 113,838 providers |
| Humana Gold Plus H6622-037 (HMO) Humana - H6622_037_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $7,800.00 | 3.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Loaded 113,838 providers |
| Humana Gold Plus H6622-054 (HMO) Humana - H6622_054_0 |
MA-PD HMO |
$0.00 | - | $615.00 | $7,950.00 | 3.5 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Loaded 113,838 providers |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) Humana - H6622_078_1Dual-Eligible |
MA-PD HMO D-SNP |
$0.00 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 113,838 providers |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) Humana - H6622_078_2Dual-Eligible |
MA-PD HMO D-SNP |
$0.00 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 113,838 providers |
| Humana USAA Honor Giveback (PPO) Humana - H5216_221_0 |
MA PPO |
$0.00 | - | n/a | $6,700.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | None | Loaded 513,591 providers |
| Humana USAA Honor Giveback with Rx (PPO) Humana - H5525_059_0 |
MA-PD PPO |
$0.00 | - | $500.00 | $7,350.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| HumanaChoice Giveback H5216-116 (PPO) Humana - H5216_116_0 |
MA PPO |
$0.00 | - | n/a | $4,150.00 | 3.5 | $0.00 / $25.00 | Dental, Vision, Hearing | None | Loaded 513,591 providers |
| HumanaChoice Giveback H5525-085 (PPO) Humana - H5525_085_1 |
MA-PD PPO |
$0.00 | - | $0.00 | $8,000.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| HumanaChoice Giveback H5525-085 (PPO) Humana - H5525_085_2 |
MA-PD PPO |
$0.00 | - | $0.00 | $8,000.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| HumanaChoice H5525-051 (PPO) Humana - H5525_051_1 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,500.00 | 3.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| HumanaChoice H5525-051 (PPO) Humana - H5525_051_2 |
MA-PD PPO |
$0.00 | - | $615.00 | $7,800.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| HumanaChoice R0110-007 (Regional PPO) Humana - R0110_007_0 |
MA Regional PPO |
$0.00 | - | n/a | $4,500.00 | 3.5 | $0.00 / $35.00 | Dental, Vision, Hearing | None | Not loaded |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) Humana - H5216_227_0Dual-Eligible |
MA-PD PPO D-SNP |
$0.00 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| Jefferson Health Plans Complete (HMO) Jefferson Health Plans - H9207_012_0 |
MA-PD HMO |
$0.00 | - | $0.00 | $6,500.00 | 3.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Giveback (HMO) Jefferson Health Plans - H9207_015_0 |
MA-PD HMO |
$0.00 | - | $300.00 | $9,250.00 | 3.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Patriot Giveback (HMO-POS) Wellcare - H2915_013_0 |
MA HMO-POS |
$0.00 | - | n/a | $7,550.00 | 3.5 | $0.00 / $30.00 | Dental, Vision, Hearing | None | Not loaded |
| Wellcare Simple (HMO-POS) Wellcare - H2915_003_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $6,200.00 | 3.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare PinnacleHealth Prime (HMO-POS) Aetna Medicare - H3931_091_0 |
MA-PD HMO-POS |
$0.00 | - | $615.00 | $6,900.00 | 3.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Achieve (HMO C-SNP) HealthSpring - H3949_024_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$0.00 | - | $275.00 | $5,900.00 | 3.0 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred (HMO) HealthSpring - H3949_035_0 |
MA-PD HMO |
$0.00 | - | $200.00 | $6,600.00 | 3.0 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred (HMO) HealthSpring - H3949_045_0 |
MA-PD HMO |
$0.00 | - | $200.00 | $5,000.00 | 3.0 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred (HMO) HealthSpring - H3949_047_0 |
MA-PD HMO |
$0.00 | - | $200.00 | $4,000.00 | 3.0 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred (HMO) HealthSpring - H3949_049_0 |
MA-PD HMO |
$0.00 | - | $200.00 | $3,200.00 | 3.0 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred (HMO) HealthSpring - H3949_052_0 |
MA-PD HMO |
$0.00 | - | $200.00 | $6,500.00 | 3.0 | - / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred PA (HMO) HealthSpring - H3949_031_0 |
MA-PD HMO |
$0.00 | - | $275.00 | $6,750.00 | 3.0 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred Savings (HMO) HealthSpring - H3949_053_0 |
MA-PD HMO |
$0.00 | - | $590.00 | $9,000.00 | 3.0 | - / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring TotalCare Plus (HMO D-SNP) HealthSpring - H3949_009_0Dual-Eligible |
MA-PD HMO D-SNP |
$0.00 | - | $615.00 | $9,250.00 | 3.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring True Choice (PPO) HealthSpring - H7849_106_0 |
MA-PD PPO |
$0.00 | - | $275.00 | $6,000.00 | 3.0 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring True Choice (PPO) HealthSpring - H7849_151_0 |
MA-PD PPO |
$0.00 | - | $250.00 | $6,800.00 | 3.0 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CORE 008 PA (HMO) Devoted Health - H6852_008_0 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,700.00 | - | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CORE 010 PA (HMO) Devoted Health - H6852_010_0 |
MA-PD HMO |
$0.00 | - | $375.00 | $5,900.00 | - | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CORE 012 PA (HMO) Devoted Health - H6852_012_0 |
MA-PD HMO |
$0.00 | - | $375.00 | $6,700.00 | - | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CORE 014 PA (HMO) Devoted Health - H6852_014_0 |
MA-PD HMO |
$0.00 | - | $375.00 | $5,900.00 | - | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CORE 023 PA (HMO) Devoted Health - H6852_023_0 |
MA-PD HMO |
$0.00 | - | $375.00 | $7,500.00 | - | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED GIVEBACK 009 PA (HMO) Devoted Health - H6852_009_0 |
MA-PD HMO |
$0.00 | - | $605.00 | $7,000.00 | - | - / $55.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED GIVEBACK 011 PA (HMO) Devoted Health - H6852_011_0 |
MA-PD HMO |
$0.00 | - | $605.00 | $9,250.00 | - | - / $55.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED GIVEBACK 013 PA (HMO) Devoted Health - H6852_013_0 |
MA-PD HMO |
$0.00 | - | $605.00 | $7,000.00 | - | - / $55.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED GIVEBACK 015 PA (HMO) Devoted Health - H6852_015_0 |
MA-PD HMO |
$0.00 | - | $605.00 | $9,250.00 | - | - / $55.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Flex (PPO) Jefferson Health Plans - H1619_001_0 |
MA-PD PPO |
$0.00 | - | $0.00 | $7,000.00 | - | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Perennial Advantage Freedom (HMO) Perennial Advantage - H3419_006_0 |
MA-PD HMO |
$0.00 | - | $400.00 | $5,900.00 | - | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Perennial Advantage Premier (HMO I-SNP) Perennial Advantage - H3419_007_0Institutional |
MA-PD HMO I-SNP |
$0.00 | - | $400.00 | $5,900.00 | - | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) Humana - H5377_003_0Dual-Eligible |
MA-PD HMO D-SNP |
$2.60 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 115,292 providers |
| Humana Basic Rx Plan (PDP) Humana - S5884_104_0 |
PDP PDP |
$6.60 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) UnitedHealthcare - H3113_009_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$6.80 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life Complete Care (HMO D-SNP) UPMC for Life Complete Care - H4279_004_0Dual-Eligible |
MA-PD HMO D-SNP |
$8.10 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Value Script (PDP) Wellcare - S4802_141_0 |
PDP PDP |
$8.20 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Wholecare Medicare Assured - H5932_012_0Dual-Eligible |
MA-PD HMO D-SNP |
$8.90 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) Humana - H7617_048_0Dual-Eligible |
MA-PD PPO D-SNP |
$11.50 | - | $615.00 | $9,250.00 | 4.5 | - / - | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Aetna Medicare Value Plus (PPO) Aetna Medicare - H5522_005_0 |
MA-PD PPO |
$13.00 | - | $615.00 | $5,900.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Highmark Wholecare Medicare Assured - H5932_013_0Dual-Eligible |
MA-PD HMO D-SNP |
$13.10 | - | $615.00 | $8,000.00 | 4.0 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Dual (HMO D-SNP) Aetna Medicare - H3959_036_0Dual-Eligible |
MA-PD HMO D-SNP |
$13.80 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Erickson Advantage Liberty (HMO-POS) UnitedHealthcare - H5652_008_0 |
MA-PD HMO-POS |
$14.00 | - | $600.00 | $6,750.00 | 5.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Community HealthChoices (HMO D-SNP) Aetna Medicare - H3959_072_0Dual-Eligible |
MA-PD HMO D-SNP |
$14.20 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Community HealthChoices (HMO D-SNP) Aetna Medicare - H3959_073_0Dual-Eligible |
MA-PD HMO D-SNP |
$14.40 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Community HealthChoices (HMO D-SNP) Aetna Medicare - H3959_069_0Dual-Eligible |
MA-PD HMO D-SNP |
$14.70 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Classic (PDP) Wellcare - S4802_080_0 |
PDP PDP |
$14.70 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Keystone 65 Focus Rx (HMO-POS) Independence Blue Cross - H3952_054_0 |
MA-PD HMO-POS |
$15.00 | - | $0.00 | $6,750.00 | 4.0 | $0.00 / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Wholecare Medicare Assured - H5932_001_0Dual-Eligible |
MA-PD HMO D-SNP |
$16.00 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Community HealthChoices (HMO D-SNP) Aetna Medicare - H3959_071_0Dual-Eligible |
MA-PD HMO D-SNP |
$16.10 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED DUAL PLUS 007 PA (HMO D-SNP) Devoted Health - H6852_007_0Dual-Eligible |
MA-PD HMO D-SNP |
$16.90 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Highmark Wholecare Medicare Assured - H5932_009_0Dual-Eligible |
MA-PD HMO D-SNP |
$17.60 | - | $615.00 | $8,000.00 | 4.0 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Flex Pro (PPO) Jefferson Health Plans - H1619_003_0 |
MA-PD PPO |
$18.00 | - | $0.00 | $6,000.00 | - | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) UnitedHealthcare - H3113_016_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$18.50 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Humana Value Rx Plan (PDP) Humana - S5884_185_0 |
PDP PDP |
$19.40 | - | $601.00 | n/a | - | n/a | Loaded | n/a | |
| DEVOTED DUAL FULL 026 PA (HMO D-SNP) Devoted Health - H6852_026_0Dual-Eligible |
MA-PD HMO D-SNP |
$19.50 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) Devoted Health - H6852_025_0Dual-Eligible |
MA-PD HMO D-SNP |
$19.70 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Basic (PPO) Capital Blue Cross - H3923_048_2 |
MA-PD PPO |
$20.00 | - | $550.00 | $8,200.00 | 4.5 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Basic (PPO) Capital Blue Cross - H3923_048_3 |
MA-PD PPO |
$20.00 | - | $550.00 | $8,200.00 | 4.5 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Basic (PPO) Capital Blue Cross - H3923_048_5 |
MA-PD PPO |
$20.00 | - | $550.00 | $8,200.00 | 4.5 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_050_1 |
MA-PD HMO |
$20.00 | - | $615.00 | $5,900.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_050_2 |
MA-PD HMO |
$20.00 | - | $615.00 | $5,900.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_050_3 |
MA-PD HMO |
$20.00 | - | $615.00 | $5,900.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Peak Advantage Summit (PPO) Peak Health - H8947_002_3 |
MA-PD PPO |
$20.00 | - | $0.00 | $5,500.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Security Blue HMO-POS Basic (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_043_1 |
MA HMO-POS |
$20.00 | - | n/a | $5,900.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | None | Not loaded |
| Keystone 65 Select Medical Only (HMO) Independence Blue Cross - H3952_048_0 |
MA HMO |
$20.00 | - | n/a | $6,750.00 | 4.0 | $0.00 / $40.00 | Dental, Vision, Hearing | None | Not loaded |
| HumanaChoice H5216-023 (PPO) Humana - H5216_023_0 |
MA-PD PPO |
$21.00 | - | $350.00 | $6,550.00 | 3.5 | $0.00 / $55.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| HealthSpring Preferred Plus (HMO) HealthSpring - H3949_048_0 |
MA-PD HMO |
$21.00 | - | $200.00 | $4,000.00 | 3.0 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Community HealthChoices (HMO D-SNP) Aetna Medicare - H3959_070_0Dual-Eligible |
MA-PD HMO D-SNP |
$21.70 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Enhanced (PPO) Capital Blue Cross - H3923_046_3 |
MA-PD PPO |
$22.00 | - | $275.00 | $6,800.00 | 4.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Deductible Rx (HMO) UPMC for Life - H3907_037_0 |
MA-PD HMO |
$22.00 | - | $175.00 | $6,000.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) Devoted Health - H6852_005_0Dual-Eligible |
MA-PD HMO D-SNP |
$22.50 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| SilverScript Choice (PDP) Aetna Medicare - S5601_012_0 |
PDP PDP |
$22.70 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_035_1 |
MA-PD PPO |
$23.00 | - | $615.00 | $6,500.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Geisinger Gold Value Rx (HMO) Geisinger Gold - H3954_163_0 |
MA-PD HMO |
$23.00 | - | $0.00 | $9,250.00 | 4.5 | - / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Enhanced (HMO-POS) Aetna Medicare - H3959_001_0 |
MA-PD HMO-POS |
$24.00 | - | $615.00 | $5,500.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_050_4 |
MA-PD HMO |
$25.00 | - | $615.00 | $5,900.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_050_5 |
MA-PD HMO |
$25.00 | - | $615.00 | $5,900.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_035_2 |
MA-PD PPO |
$25.00 | - | $615.00 | $6,500.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life - H5533_015_1 |
MA-PD PPO |
$25.00 | - | $400.00 | $5,500.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life - H5533_015_3 |
MA-PD PPO |
$25.00 | - | $400.00 | $5,500.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Enhanced (PPO) Capital Blue Cross - H3923_046_1 |
MA-PD PPO |
$26.00 | - | $275.00 | $6,500.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Enhanced (PPO) Capital Blue Cross - H3923_046_2 |
MA-PD PPO |
$26.00 | - | $275.00 | $6,500.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H5525-005 (PPO) Humana - H5525_005_0 |
MA-PD PPO |
$26.00 | - | $615.00 | $8,300.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Loaded 510,267 providers |
| HumanaChoice H5525-086 (PPO) Humana - H5525_086_1 |
MA-PD PPO |
$26.00 | - | $615.00 | $5,800.00 | 3.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| UPMC for Life Complete Care (HMO D-SNP) UPMC for Life Complete Care - H4279_001_0Dual-Eligible |
MA-PD HMO D-SNP |
$26.50 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_1 |
MA-PD HMO |
$27.00 | - | $615.00 | $6,250.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_2 |
MA-PD HMO |
$27.00 | - | $615.00 | $6,250.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_3 |
MA-PD HMO |
$27.00 | - | $615.00 | $6,250.00 | 4.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_4 |
MA-PD HMO |
$27.00 | - | $615.00 | $6,250.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H5525-006 (PPO) Humana - H5525_006_0 |
MA-PD PPO |
$27.00 | - | $615.00 | $6,700.00 | 3.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Aetna Medicare Chronic Care Value (HMO C-SNP) Aetna Medicare - H3959_075_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$28.80 | - | $615.00 | $9,250.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Value Care (PPO) Aetna Medicare - H5522_013_0 |
MA-PD PPO |
$29.00 | - | $615.00 | $6,900.00 | 4.5 | $0.00 / $10.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Value Plus (PPO) Aetna Medicare - H5522_001_0 |
MA-PD PPO |
$29.00 | - | $615.00 | $5,500.00 | 4.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Enhanced (PPO) Capital Blue Cross - H3923_046_4 |
MA-PD PPO |
$29.00 | - | $275.00 | $7,200.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Premier (HMO-POS) Aetna Medicare - H3959_002_0 |
MA-PD HMO-POS |
$29.00 | - | $615.00 | $5,500.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice H5525-086 (PPO) Humana - H5525_086_2 |
MA-PD PPO |
$29.00 | - | $615.00 | $6,050.00 | 3.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Loaded 513,591 providers |
| Aetna Medicare Chronic Care Value (HMO C-SNP) Aetna Medicare - H3959_085_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$29.70 | - | $615.00 | $9,250.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_059_1 |
MA-PD PPO |
$30.00 | - | $615.00 | $6,500.00 | 4.5 | - / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Security Blue HMO-POS ValueRx (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_044_4 |
MA-PD HMO-POS |
$30.00 | - | $0.00 | $5,500.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_1 |
MA-PD HMO |
$30.00 | - | $175.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_2 |
MA-PD HMO |
$30.00 | - | $175.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_3 |
MA-PD HMO |
$30.00 | - | $175.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_6 |
MA-PD HMO |
$30.00 | - | $175.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life - H5533_015_2 |
MA-PD PPO |
$30.00 | - | $400.00 | $5,500.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life - H5533_015_4 |
MA-PD PPO |
$30.00 | - | $400.00 | $6,000.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete PA-V001 (HMO-POS D-SNP) UnitedHealthcare - H3113_014_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$30.40 | - | $615.00 | $6,700.00 | 3.5 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone 65 Essential Rx (HMO-POS) Independence Blue Cross - H3952_060_0 |
MA-PD HMO-POS |
$31.00 | - | $0.00 | $8,500.00 | 4.0 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Preferred Plus (HMO) HealthSpring - H3949_030_0 |
MA-PD HMO |
$31.00 | - | $250.00 | $6,750.00 | 3.0 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Dual Care (HMO D-SNP) Aetna Medicare - H3959_035_0Dual-Eligible |
MA-PD HMO D-SNP |
$31.80 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) UnitedHealthcare - H0710_017_0Institutional |
MA-PD PPO I-SNP |
$32.60 | - | $615.00 | $9,250.00 | 4.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plans - H4093_001_0Institutional |
MA-PD HMO I-SNP |
$32.70 | - | $615.00 | $9,250.00 | 5.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plans - H4093_008_0Institutional |
MA-PD HMO I-SNP |
$32.70 | - | $615.00 | $9,250.00 | 5.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Geisinger Gold Secure Rx (HMO D-SNP) Geisinger Gold - H3954_097_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 4.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Chronic Care Value (HMO C-SNP) Aetna Medicare - H3959_074_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $9,250.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Longevity (HMO I-SNP) Aetna Medicare - H3959_066_0Institutional |
MA-PD HMO I-SNP |
$32.70 | - | $615.00 | $9,250.00 | 4.0 | $0.00 / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Value Care (HMO-POS) Aetna Medicare - H3959_033_0 |
MA-PD HMO-POS |
$32.70 | - | $615.00 | $7,500.00 | 4.0 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA Health Plan Inc. - H4227_002_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone First VIP Choice (HMO D-SNP) VISTA Health Plan Inc. - H4227_001_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UHC Dual Complete PA-S001 (PPO D-SNP) UnitedHealthcare - H1889_007_0Dual-Eligible |
MA-PD PPO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 4.0 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED CHOICE PREMIUM 002 PA (PPO) Devoted Health - H6018_002_0 |
MA-PD PPO |
$32.70 | - | $615.00 | $7,550.00 | 3.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) Jefferson Health Plans - H9207_016_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Prime (HMO) Jefferson Health Plans - H9207_002_0 |
MA-PD HMO |
$32.70 | - | $0.00 | $6,000.00 | 3.5 | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Select (HMO D-SNP) Jefferson Health Plans - H9207_017_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Special (HMO D-SNP) Jefferson Health Plans - H9207_004_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life Complete Care (HMO D-SNP) UPMC for Life Complete Care - H7123_001_0Dual-Eligible |
MA-PD HMO D-SNP |
$32.70 | - | $615.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Assist (HMO-POS) Wellcare - H2915_011_0 |
MA-PD HMO-POS |
$32.70 | - | $475.00 | $5,500.00 | 3.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Dual Liberty Sync (HMO-POS D-SNP) Wellcare - H2915_002_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$32.70 | - | $490.00 | $9,250.00 | 3.5 | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| Wellcare Dual Select (HMO-POS D-SNP) Wellcare - H2915_018_0Dual-Eligible |
MA-PD HMO-POS D-SNP |
$32.70 | - | $615.00 | $5,400.00 | 3.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| American Health Advantage of Pennsylvania (HMO I-SNP) American Health Advantage of Pennsylvania - H9968_001_0Institutional |
MA-PD HMO I-SNP |
$32.70 | - | $615.00 | $9,250.00 | - | $0.00 / - | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) Devoted Health - H6852_021_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) Devoted Health - H6852_022_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) Devoted Health - H6852_016_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $7,800.00 | - | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) Devoted Health - H6852_017_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $7,000.00 | - | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) Devoted Health - H6852_018_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $7,000.00 | - | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) Devoted Health - H6852_019_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $7,000.00 | - | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) Devoted Health - H6852_020_0Chronic or Disabling Condition |
MA-PD HMO C-SNP |
$32.70 | - | $615.00 | $7,000.00 | - | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Jefferson Health Plans Flex Plus (PPO) Jefferson Health Plans - H1619_002_0 |
MA-PD PPO |
$32.70 | - | $0.00 | $6,500.00 | - | - / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Perennial Advantage Strive (HMO I-SNP) Perennial Advantage - H3419_005_0Institutional |
MA-PD HMO I-SNP |
$32.70 | - | $615.00 | $9,250.00 | - | - / - | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO High Deductible Rx (PPO) UPMC for Life - H5533_003_0 |
MA-PD PPO |
$33.00 | - | $175.00 | $7,550.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life - H5533_015_6 |
MA-PD PPO |
$34.00 | - | $400.00 | $5,500.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_5 |
MA-PD HMO |
$35.00 | - | $615.00 | $6,250.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Security Blue HMO-POS ValueRx (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_031_0 |
MA-PD HMO-POS |
$35.00 | - | $0.00 | $5,500.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Security Blue HMO-POS ValueRx (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_044_1 |
MA-PD HMO-POS |
$36.00 | - | $0.00 | $5,500.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Security Blue HMO-POS Basic (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_043_2 |
MA HMO-POS |
$37.00 | - | n/a | $5,900.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | None | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_059_2 |
MA-PD PPO |
$39.00 | - | $615.00 | $6,500.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) UnitedHealthcare - H5253_147_0 |
MA-PD HMO-POS |
$39.00 | - | $440.00 | $5,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Complete (PPO) Capital Blue Cross - H3923_047_3 |
MA-PD PPO |
$40.00 | - | $100.00 | $6,100.00 | 4.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_4 |
MA-PD HMO |
$40.00 | - | $175.00 | $6,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_5 |
MA-PD HMO |
$40.00 | - | $175.00 | $6,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life - H3907_057_7 |
MA-PD HMO |
$40.00 | - | $175.00 | $5,000.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Freedom Blue PPO Basic (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_012_0 |
MA PPO |
$41.00 | - | n/a | $5,900.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | None | Not loaded |
| AARP Medicare Advantage from UHC PA-0007 (PPO) UnitedHealthcare - H2406_046_0 |
MA-PD PPO |
$42.00 | - | $520.00 | $5,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Rx Saver from UHC (PDP) UnitedHealthcare - S5921_351_0 |
PDP PDP |
$43.50 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Capital Blue Cross Complete (PPO) Capital Blue Cross - H3923_047_1 |
MA-PD PPO |
$45.00 | - | $100.00 | $6,100.00 | 4.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Complete (PPO) Capital Blue Cross - H3923_047_2 |
MA-PD PPO |
$45.00 | - | $100.00 | $6,100.00 | 4.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone 65 Select Rx (HMO) Independence Blue Cross - H3952_049_0 |
MA-PD HMO |
$47.00 | - | $0.00 | $6,750.00 | 4.0 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Geisinger Gold Classic Complete Rx (HMO) Geisinger Gold - H3954_158_13 |
MA-PD HMO |
$48.00 | - | $0.00 | $5,700.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Geisinger Gold Classic Complete Rx (HMO) Geisinger Gold - H3954_158_14 |
MA-PD HMO |
$48.00 | - | $0.00 | $5,700.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Advantra Enhanced (HMO-POS) Aetna Medicare - H3959_039_0 |
MA-PD HMO-POS |
$48.00 | - | $615.00 | $7,500.00 | 4.0 | $0.00 / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Complete (PPO) Capital Blue Cross - H3923_047_4 |
MA-PD PPO |
$49.00 | - | $100.00 | $6,100.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Complete (PPO) Capital Blue Cross - H3923_047_5 |
MA-PD PPO |
$49.00 | - | $100.00 | $6,600.00 | 4.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0001 (HMO-POS) UnitedHealthcare - H5253_145_0 |
MA-PD HMO-POS |
$49.00 | - | $440.00 | $5,400.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_6 |
MA-PD HMO |
$50.00 | - | $615.00 | $6,250.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HumanaChoice R0110-008 (Regional PPO) Humana - R0110_008_0 |
MA-PD Regional PPO |
$52.00 | - | $615.00 | $6,700.00 | 3.5 | $0.00 / $45.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3957_049_7 |
MA-PD HMO |
$55.00 | - | $615.00 | $6,250.00 | 4.5 | - / $35.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_060_1 |
MA-PD PPO |
$55.00 | - | $615.00 | $6,750.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_060_2 |
MA-PD PPO |
$55.00 | - | $615.00 | $6,750.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_060_3 |
MA-PD PPO |
$55.00 | - | $615.00 | $6,750.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Value (HMO) Capital Blue Cross - H3962_004_0 |
MA-PD HMO |
$58.00 | - | $100.00 | $6,500.00 | 4.5 | $0.00 / $20.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_060_4 |
MA-PD PPO |
$58.00 | - | $615.00 | $6,750.00 | 4.5 | - / $30.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| UPMC for Life PPO Rx Enhanced (PPO) UPMC for Life - H5533_008_0 |
MA-PD PPO |
$58.00 | - | $400.00 | $7,550.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0008 (PPO) UnitedHealthcare - H2406_047_0 |
MA-PD PPO |
$60.00 | - | $520.00 | $4,900.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Extra Rx (PDP) HealthSpring - S5617_356_0 |
PDP PDP |
$62.60 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Freedom Blue PPO ValueRx (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_033_0 |
MA-PD PPO |
$65.00 | - | $0.00 | $5,500.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Aetna Medicare Enhanced (PPO) Aetna Medicare - H5522_032_0 |
MA-PD PPO |
$66.00 | - | $615.00 | $7,500.00 | 4.5 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Freedom Blue PPO ValueRx (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_018_0 |
MA-PD PPO |
$66.00 | - | $0.00 | $5,500.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Classic (PPO) Capital Blue Cross - H3923_013_0 |
MA-PD PPO |
$72.00 | - | $100.00 | $6,700.00 | 4.5 | $0.00 / $25.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue Plus PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_061_1 |
MA-PD PPO |
$72.00 | - | $615.00 | $6,750.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_060_5 |
MA-PD PPO |
$72.00 | - | $615.00 | $6,750.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Keystone 65 Select Rx (HMO) Independence Blue Cross - H3952_051_0 |
MA-PD HMO |
$74.00 | - | $0.00 | $6,750.00 | 4.0 | $0.00 / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| HealthSpring Assurance Rx (PDP) HealthSpring - S5617_215_0 |
PDP PDP |
$74.00 | - | $615.00 | n/a | - | n/a | Loaded | n/a | |
| Freedom Blue PPO ValueRx (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield - H3916_032_0 |
MA-PD PPO |
$79.00 | - | $0.00 | $5,500.00 | 4.5 | - / $40.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| AARP Medicare Advantage from UHC PA-0009 (PPO) UnitedHealthcare - H2406_048_0 |
MA-PD PPO |
$79.00 | - | $520.00 | $6,300.00 | 4.0 | $0.00 / $0.00 | Dental, Vision, Hearing | Loaded | Not loaded |
| Capital Blue Cross Premier (HMO) Capital Blue Cross - H3962_001_0 |
MA-PD HMO |
$86.00 | - | $100.00 | $5,000.00 | 4.5 | $0.00 / $15.00 | Dental, Vision, Hearing | Loaded | Not loaded |
Derived from CMS public files (Landscape, Plan Benefit Package, Part D formulary). Plan availability, premiums, benefits and drug coverage can change: always confirm with the insurer or Medicare.gov before enrolling. Changes vs 2025 compare the same CMS plan id (contract-plan-segment) in both years; they are estimates, so confirm premiums with the insurer.