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Senior Pa Medicare Advantage plans (also known as “MA Plans” or “Part C”) are available in all counties as an alternative to original Medicare. Private insurance companies package Part A (hospitalization), Part B (medical insurance), and Part D (prescription drugs) into most plans. Additionally, along with basic Medicare services, many plans include dental, vision, hearing, wellness (gym memberships), over-the-counter drugs, transportation to doctor visits, and adult day-care services.
A fixed payment is paid to each carrier to provide services. A network of doctors, specialists, hospitals, and medical facilities must be selected to take advantage of negotiated lower costs. A referral may be needed to see a specialist, and non-emergency treatment may have different requirements than life-threatening situations. Additional benefits provided by MA plans may include transportation services, meals (short duration), telehealth, fitness perks, health education, in-home safety assessment, medical nutrition therapy, wigs related to hair loss from chemotherapy, tobacco and smoking cessation therapy, and remote access technology.
Monthly rates for 2025 Pa Advantage plans are generally much less expensive than Medicare Supplement plans. Often, premiums are $0, although copays and out-of-pocket expenses may be higher for these plans. The four types of available plans are HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), SNP (Special Needs Plans), and PFFS (Private Fee-For-Service Plans).
Medicare Medical Savings Accounts (MSA) do not offer drug coverage so a separate plan must be purchased. Private Fee-For-Service plans may also not offer drug coverage. If you are enrolled in an Advantage PPO or HMO contract and join a separate Part D plan, you will be returned to original Medicare. Note: Costs and availability of MA plans vary by county.
PA Counties With The Most MA Plans
112 – Bucks County
108 – Lancaster County
108 – Cumberland County
107 – Northampton County
107 – Lehigh County
107 – Dauphin County
105 – Chester County
105 – York County
104 – Lebanon County
102 – Berks County
102 – Delaware County
101 – Philadelphia County
100 – Perry County
94 – Allegheny County
93 – Juniata County
92 – Huntingdon County
93 – Crawford County
92 – Carbon County
92 – Armstrong County
91 – Fulton County
91 – Butler County
91 – Westmoreland County
91 – Beaver County
90 – Blair County
90 – Mifflin County
90 – Franklin County
89 – Lawrence County
89 – Washington County
88 – Somerset County
87 – Centre County
87 – Jefferson County
87 – Clearfield County
87 – Mercer County
86 – Schuylkill County
86 – Snyder County
New PA MA Plans For 2025
AARP Medicare Advantage Patriot No Rx
AARP Medicare Advantage from UHC PA-0002
AARP Medicare Advantage from UHC PA-0011
AARP Medicare Advantage from UHC PA-0003
AARP Medicare Advantage from UHC PA-0014
Aetna Medicare Chronic Care
Aetna Medicare Community Complete
Aetna Medicare Chronic Care Value
American Health Advantage Of Pennsylvania
Cigna Courage Medicare
Cigna Preferred Full Savings Medicare
Clover Health Valor
Complete Blue PPO Choice
Complete Blue PPO Merit
Complete Blue PPO Choice Deluxe
Devoted DUAL PLUS Pennsylvania
HumanaChoice R0010-007
Humana Gold Plus
Jefferson Health Plans Dual Pearl
Jefferson Health Plans Special
Jefferson Health Pans Flex Pro
Keystone 65 Essential Rx
Personal Choice 65 Prime Rx
Personal Choice 65 PLus Rx
Provider Partners Pennsylvania Essential Plan
UHC Complete Care
UHC Dual Complete
UPMC For Life PPO Salute
UPMC For Life HMO Premier Rx
UPMC For Life HMO Rx
UPMC For Life PPO Essential Care Rx
Wellcare Dual Reserve Open
Pennsylvania Medicare Advantage Plans Without Prescription Drug Coverage
AARP Medicare Advantage Patriot No Rx – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $0-$45, and lab services and outpatient x-ray copays are $0 and $25. Occupational, physical, speech, and language therapy visit copays are $0-$45. The ground ambulance copay is $275. $0 hearing exam and routine eye exam copay.
Aetna Medicare Advantra Eagle – $0 per month with $5,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $10, and lab services and outpatient x-ray copays are $0. Occupational, physical, speech, and language therapy visit copays are $10. The ground ambulance copay is $250. $10 hearing exam and $0-$10 routine eye exam copay.
Cigna Courage Medicare – $0 per month with $5,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0-$50 and $20. Occupational, physical, speech, and language therapy visit copays are $25. The ground ambulance copay is $235. $25 hearing exam and $0-$30 routine eye exam copay.
Freedom Blue PPO Valor – $0 per month with $6,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $10, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $100 and $50. Occupational, physical, speech, and language therapy visit copays are $15. The ground ambulance copay is $250. $10 hearing exam copay.
Geisinger Gold Heritage – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $20, and lab services and outpatient x-ray copays are $5 and $25. Emergency Room and Urgent Care copays are $100 and $20. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $100. $20 hearing exam copay.
HumanaChoice 116-0 – $0 per month with $3,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0-$60 and $0-$85. Emergency Room and Urgent Care copays are $120 and $60. Occupational, physical, speech, and language therapy visit copays are $10-$25. The ground ambulance copay is $270. $25 hearing exam copay.
Humana USAA Honor 221-0 – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $45, and lab services and outpatient x-ray copays are $0-$55 and $10-$105. Emergency Room and Urgent Care copays are $90 and $55. Occupational, physical, speech, and language therapy visit copays are $10-$40. The ground ambulance copay is $290. $45 hearing exam copay.
Humana Gold Choice – $75 per month. Primary doctor and specialist in-network office visit copays are $0, and lab services and outpatient x-ray copays are $0-$20 and $0-$105. Emergency Room and Urgent Care copays are $100 and $0. Occupational, physical, speech, and language therapy visit copays are $20-$40. The ground ambulance copay is $270. $0 hearing exam copay.
Keystone 65 Select Medical Only – $27.50 per month with $5,650 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0 and $40. Emergency Room and Urgent Care copays are $120 and $15-$60. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $225. $40 hearing exam copay.
Keystone 65 Preferred Medical Only – $175.00 per month with $3,800 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0 and $40. Emergency Room and Urgent Care copays are $100 and $5-$55. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $150. $40 hearing exam copay.
Keystone 65 Liberty Medical Only – $0 per month with $8,300 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0 and $45. Emergency Room and Urgent Care copays are $100 and $15-$55. Occupational, physical, speech, and language therapy visit copays are $40. The ground ambulance copay is $260. $40 hearing exam copay.
Personal Choice 65 Medical Only – $138 per month with $5,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0 and $40. Emergency Room and Urgent Care copays are $100 and $5-$60. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $175. $35 hearing exam copay.
Security Blue HMO-POS Basic – $48.00 per month with $5,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0-$20 and $25. Emergency Room and Urgent Care copays are $100 and $50. Occupational, physical, speech, and language therapy visit copays are $30. The ground ambulance copay is $125. $30 hearing exam copay.
UPMC For Life HMO No Rx – $0 per month with $5,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $45, and lab services and outpatient x-ray copays are $5 and $30. Emergency Room and Urgent Care copays are $90 and $45. Occupational, physical, speech, and language therapy visit copays are $40. The ground ambulance copay is $50-$290.
UPMC For Life HMO Salute – $0 per month with $5,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $20 and $50, and lab services and outpatient x-ray copays are $5 and $30. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $40.
WellCare Patriot Giveback – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $30. The ground ambulance copay is $300.
Pennsylvania Medicare Advantage Plans With Prescription Drug Coverage
Aetna Medicare Advantra Silver HMO – $0 per month with $5,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0 and $25. Emergency Room and Urgent Care copays are $110 and $60. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $42. The ground ambulance copay is $275.
Aetna Medicare Advantra Silver Plus – $18 per month with $7,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $35, and lab services and outpatient x-ray copays are $0 and $25. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $47. The ground ambulance copay is $250.
Aetna Medicare Advantra Gold – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0 and $25. Emergency Room and Urgent Care copays are $95 and $50. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $47. The ground ambulance copay is $300.
Aetna Medicare Advantra Credit Value – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $50, and lab services and outpatient x-ray copays are $0-$5 and $50. Emergency Room and Urgent Care copays are $90 and $60. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47. The ground ambulance copay is $270.
Aetna Medicare Value – $0 per month with $6,400 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $30, and lab services and outpatient x-ray copays are $5 and $30. Emergency Room and Urgent Care copays are $95 and $5-$50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $47. The ground ambulance copay is $225.
Aetna Medicare PinnacleHealth Prime – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0-$5 and $15. Emergency Room and Urgent Care copays are $95 and $0-$50. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47. The ground ambulance copay is $260.
Aetna Medicare Advantra Premier – $23 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0 and $25. Emergency Room and Urgent Care copays are $95 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $47. The ground ambulance copay is $260.
Aetna Medicare Advantra Premier Plus – $77 per month with $6,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $37. The ground ambulance copay is $225.
Aetna Medicare Gold Plan – $176 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $35, and lab services and outpatient x-ray copays are $0 and $15. Emergency Room and Urgent Care copays are $95 and $10-$50. Occupational, physical, speech, and language therapy visit copays are $15. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47. The ground ambulance copay is $250.
Aetna Medicare Premier Plus – $97 per month with $6,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $95 and $0-$50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $47. The ground ambulance copay is $240.
Aetna Medicare Premier – $67 per month with $6,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $35, and lab services and outpatient x-ray copays are $0 and $30. Emergency Room and Urgent Care copays are $95 and $5-$60. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47. The ground ambulance copay is $200.
Aetna Medicare Advantra Philly Prime – $0 per month with $6,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $95 and $50. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $37. The ground ambulance copay is $225.
AARP Medicare Advantage – $23.50 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0 and $14. Emergency Room and Urgent Care copays are $90 and $30-$40. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $4, $12, and $47.
AARP Medicare Advantage Choice Plan 1 – $25 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $45, and lab services and outpatient x-ray copays are $0 and $14. Emergency Room and Urgent Care copays are $90 and $30-$40. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $2, $8, and $47.
AARP Medicare Advantage Choice Plan 2 – $58 per month with $5,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0 and $14. Emergency Room and Urgent Care copays are $90 and $30-$40. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $2, $8, and $47.
AARP Medicare Advantage Choice Plan 3 – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $45, and lab services and outpatient x-ray copays are $0 and $15. Emergency Room and Urgent Care copays are $90 and $30-$40. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $47.
Allwell Medicare – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $40, and lab services and outpatient x-ray copays are $0-$20 and $0-$40. Emergency Room and Urgent Care copays are $90 and $40. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
Allwell Medicare Boost – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $40, and lab services and outpatient x-ray copays are $0-$20 and $0-$40. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
Allwell Medicare Complement – $29.50 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $45, and lab services and outpatient x-ray copays are $0. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $2, $15, and $42.
Blue Journey Essential – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $30, and lab services and outpatient x-ray copays are $10 and $50. Emergency Room and Urgent Care copays are $90 and $40. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $40.
Blue Journey Premier – $106 per month with $3,400 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $20, and lab services and outpatient x-ray copays are $10 and $25. Emergency Room and Urgent Care copays are $120 and $30. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $40.
Blue Journey Select – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $40, and lab services and outpatient x-ray copays are $25 and $40. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $8, $12, and $40.
Blue Journey Classic – $49 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $30, and lab services and outpatient x-ray copays are $10 and $25. Emergency Room and Urgent Care copays are $90 and $45. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $40.
Blue Journey Prime – $171 per month with $7,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $25, and lab services and outpatient x-ray copays are $10 and $20. Emergency Room and Urgent Care copays are $90 and $35. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $40.
Blue Journey Value – $51 per month with $4,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $30, and lab services and outpatient x-ray copays are $5 and $25. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $40.
Cigna Preferred Medicare – $0 per month with $4,600 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0 and $35. Emergency Room and Urgent Care copays are $110 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $35.
Cigna Preferred Plus Medicare – $26 per month with $3,900 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $110 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $35.
Cigna True Choice Medicare – $0 per month with $6,100 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $35.
Cigna True Choice Plus Medicare – $27 per month with $5,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0 and $30. Emergency Room and Urgent Care copays are $110 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $35.
Cigna True Choice Savings Medicare – $0 per month with $6,050 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0 and $40. Emergency Room and Urgent Care copays are $95 and $50. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $35.
Community Blue Medicare HMO Signature – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $20, and lab services and outpatient x-ray copays are $0-$30 and $25. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47.
Community Blue Medicare PPO Signature – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0-$30 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47.
Community Blue Medicare PPO Distinct – $35 per month with $6,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0-$30 and $25. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $25 and $30. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47.
Community Blue Medicare HMO Prestige – $250 per month with $6,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0-$10 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Freedom Blue PPO ValueRx – $70 per month with $5,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0-$20 and $25. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Freedom Blue PPO Standard – $175 per month with $5,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0-$15 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Freedom Blue PPO Deluxe – $289 per month with $4,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0-$10 and $10. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Freedom Blue PPO Select – $170 per month with $5,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0-$15 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Freedom Blue PPO Classic – $85.00 per month with $4,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0-$10 and $15. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Geisinger Gold Preferred Advantage Rx – $85 per month with $4,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $25, and lab services and outpatient x-ray copays are $15 and $25. Emergency Room and Urgent Care copays are $90 and $25. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $3, $20, and $47.
Geisinger Gold Classic 360Rx – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $90 and $35. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $3, $20, and $47.
Geisinger Gold Classic Essential Rx – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $40, and lab services and outpatient x-ray copays are $10 and $35. Emergency Room and Urgent Care copays are $90 and $40. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $3, $20, and $47.
Geisinger Gold Preferred Complete Rx – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $15 and $40, and lab services and outpatient x-ray copays are $30 and $40. Emergency Room and Urgent Care copays are $90 and $40. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $3, $20, and $47.
Geisinger Gold Preferred Enhanced Rx – $45 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $35, and lab services and outpatient x-ray copays are $20 and $35. Emergency Room and Urgent Care copays are $90 and $35. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $47.
Geisinger Gold Classic Advantage Rx – $150 per month with $3,450 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $20, and lab services and outpatient x-ray copays are $5 and $25. Emergency Room and Urgent Care copays are $120 and $20. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $3, $20, and $47.
Health Partners Medicare Complete – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $45, and lab services and outpatient x-ray copays are $0 and $30. Emergency Room and Urgent Care copays are $90 and $55. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47
Health Partners Medicare Prime – $37.50 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0 and $30. Emergency Room and Urgent Care copays are $90 and $55. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
Humana Gold Plus – $0 per month with $6,200 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $40, and lab services and outpatient x-ray copays are $0-$35 and $0-$90. Emergency Room and Urgent Care copays are $90 and $0-$35. Occupational, physical, speech, and language therapy visit copays are $20-$40. Preferred generic, generic, and preferred brand drug copays are $2, $8, and $47.
Humana Gold Choice – $8 per month. Primary doctor and specialist in-network office visit copays are $15 and $45, and lab services and outpatient x-ray copays are $0-$40 and $15-$100. Emergency Room and Urgent Care copays are $90 and $15-$45. Occupational, physical, speech, and language therapy visit copays are $20-$40. Preferred generic, generic, and preferred brand drug copays are $7, $17, and $47.
Humana Value Plus – $26.90 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are 20%, and lab services and outpatient x-ray copays are $0 and 20%. Emergency Room and Urgent Care copays are $90 and 20%. Occupational, physical, speech, and language therapy visit copays are 20%. Preferred generic, generic, and preferred brand drug copays are $1, $20, and $47.
HumanaChoice – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0-$35 and $0-$100. Emergency Room and Urgent Care copays are $90 and $40. Occupational, physical, speech, and language therapy visit copays are $20-$40. Preferred generic, generic, and preferred brand drug copays are $7, $17, and $47.
Personal Choice 65 Prime Rx PPO – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $40, and lab services and outpatient x-ray copays are $0 and $45. Emergency Room and Urgent Care copays are $90 and $10-$40. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $1, $10, and $47.
Personal Choice 65 Rx PPO – $290 per month with $5,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $35, and lab services and outpatient x-ray copays are $0 and $40. Emergency Room and Urgent Care copays are $90 and $5-$40. Occupational, physical, speech, and language therapy visit copays are $20. Preferred generic, generic, and preferred brand drug copays are $1, $9, and $47.
Security Blue HMO-POS ValueRx – $63 per month with $5,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $0-$20 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $45.
Security Blue HMO-POS Standard – $199 per month with $5,000 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $30, and lab services and outpatient x-ray copays are $0-$10 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $44.
Security Blue HMO-POS Deluxe – $266 per month with $4,500 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $25, and lab services and outpatient x-ray copays are $0-$10 and $15. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $13, and $42.
UPMC For Life HMO Premier Rx – $0 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $40, and lab services and outpatient x-ray copays are $10 and $45. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47. Note: UPMC health insurance plans are also very popular for persons under age 65.
UPMC For Life HMO Deductible With Rx – $22 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $10. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $0. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
UPMC For Life HMO Rx Choice – $40 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $10. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
UPMC For Life HMO Rx – $81 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $0 and $35, and lab services and outpatient x-ray copays are $5 and $35. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
UPMC For Life PPO Rx Enhanced – $136 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $40, and lab services and outpatient x-ray copays are $5 and $20. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
UPMC For Life HMO Rx Enhanced – $302 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $25, and lab services and outpatient x-ray copays are $0 and $20. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
UPMC For Life PPO High Deductible With Rx – $35 per month with $7,550 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $10 and $50, and lab services and outpatient x-ray copays are $10. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $10, and $47.
Vibra Health Plan Essential Advocate – $0 per month with $6,700 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $40, and lab services and outpatient x-ray copays are $25 and $50. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $40.
Vibra Health Plan Enhanced Complete – $26 per month with $5,800 maximum out-of-pocket expenses. Primary doctor and specialist in-network office visit copays are $5 and $25, and lab services and outpatient x-ray copays are $10 and $25. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $25. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $40.
