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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

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.

 

Pennsylvania MAPD Plans

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.

 

Pa Humana Plans For Seniors

 

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.