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Aetna, one of the nation's largest insurers, purchased Coventry six years ago for more than $5 billion. Coventry offers plans in Pennsylvania through HealthAmerica. A wide range of Senior Medicare plans are offered, along with Medicaid Worker's Compensation, and behavioral coverage.

Group coverage through small and large employers are also offered. Affordable monthly premiums are available with many flexible policy options. A large network helps provide physicians, specialists, medical facilities, and hospitals close to your home or work.

 

Advantra Insurance Medicare Plans In Pennsylvania

Advantra plans are issued through Coventry. Together, the two carriers offer managed care products, plans, and services to individuals, businesses, insurers, and government agencies. Although Advantra does not market Supplemental coverage, they do offer PPO and HMO Advantage plans. Shown below are the 2019 policy options:

 

Advantage Plans 

 

Advantra Basic Medical - $0 monthly premium with $4,900 maximum out-of-pocket expenses. Primary care physician and specialist visit copays are $0 and $25. The in-hospital stay copay is $275 and the ER copay is $90. Lab services and diagnostic procedures have a $0 copay. X-rays have a $15 copay. $500 per ear hearing aid benefits are included.

Advantra Silver (PPO) - $27 monthly premium with $5,900 maximum out-of-pocket expenses and $750 deductible. Primary care physician and specialist visit copays are $5 and $35. The in-hospital stay copay is $275 and the ER copay is $90. Lab services and diagnostic procedures have $5 copays. X-rays have a $20 copay. $250 per year of preventative dental coverage is included. Preferred pharmacy 30-day copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). Mail-order pharmacy copays are $0 (Tier 1), $0 (Tier 2), and $136 (Tier 3).

Advantra Silver (HMO) - $0 monthly premium with $6,700 maximum out-of-pocket expenses and $0 deductible. Primary care physician and specialist visit copays are $5 and $40. The in-hospital stay copay is $150 for 5 days and the ER copay is $90. Lab services and diagnostic procedures have $5 and $20 copays. X-rays have a $25 copay. $250 per year of preventative dental coverage is included. Preferred pharmacy 30-day copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). Mail-order pharmacy copays are $0 (Tier 1), $0 (Tier 2), and $136 (Tier 3).

AdvantraOne - $0 monthly premium with $6,700 maximum out-of-pocket expenses and $1,500 deductible. Primary care physician and specialist visit copays are $35 and $50. The in-hospital stay copay is $275 and the ER copay is $90. Lab services and diagnostic procedures have $5 copays. X-rays have a $20 copay. $250 per year of preventative dental coverage is included. Preferred pharmacy 30-day copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). Mail-order pharmacy copays are $0 (Tier 1), $0 (Tier 2), and $136 (Tier 3).

Advantra Choice Plan - $0 monthly premium with $6,700 maximum out-of-pocket expenses and $495 deductible. Primary care physician and specialist visit copays are $10 and $40. The in-hospital stay copay is $300 and the ER copay is $90. Lab services and diagnostic procedures have $5 and $15 copays. X-rays have a $35 copay.  Preferred pharmacy 30-day copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). Mail-order pharmacy copays are $0 (Tier 1), $0 (Tier 2), and $136 (Tier 3). 

Advantra Gold (HMO) - $40 monthly premium with $4,900 maximum out-of-pocket expenses and $0 deductible. Primary care physician and specialist visit copays are $0 and $25. The in-hospital stay copay is $225 and the ER copay is $90. Lab services and diagnostic procedures have $0 copays. X-rays have a $10 copay.  Preferred pharmacy 30-day copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). Mail-order pharmacy copays are $0 (Tier 1), $0 (Tier 2), and $136 (Tier 3).  

Advantra Gold (PPO) - $47 monthly premium with $5,900 maximum out-of-pocket expenses and $750 deductible. Primary care physician and specialist visit copays are $0 and $30. The in-hospital stay copay is $250 and the ER copay is $90. Lab services and diagnostic procedures have $0 copays. X-rays have a $15 copay.  Preferred pharmacy 30-day copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). Mail-order pharmacy copays are $0 (Tier 1), $0 (Tier 2), and $136 (Tier 3).   


 

Get cheaper HealthAmerica policies in Pennsylvania. Both family and individual plans are available.

Covered By Coventry?

If you were covered by a Coventry Group policy through work, and that coverage ended, you may be eligible for a conversion to a personal policy and you would not have to qualify medically. Whether you are disabled or suffer from chronic disease, you may be automatically accepted. Typically, you have 31 days from receiving the notice and approximately 90 days from leaving your employer. Aetna healthcare plans in Pennsylvania, like Coventry, are not available on an individual basis to applicants under age 65. 

Pa Exchange Options

Preventative coverage is included with no out of pocket costs or waiting period. Some of the included preventative coverages include gynecological exams, adult physicals, routine mammograms, well-child visits and routine pediatric immunizations. There are many additional preventive benefits that can be found in a policy spec sheet.

HealthAmerica was purchased by Coventry, which was puchased by Aetna! That's a lot of health insurance changes!

Each year the Department of Health and Human Services reviews existing free services and often adds additional options. This should continue beyond 2019, regardless of which political party holds office. Some of the most recent additions are mandatory maternity benefits and breast-feeding counseling and information. These changes are part of the Affordable Care Act legislation.

 

Summary 

HealthAmerica is one of many large reputable companies including United Healthcare,  Highmark Blue Cross Blue Shield, UPMC, Capital Blue Cross, Independence Blue Cross and Aetna. Advantra Medicare Advantage plans continue to provide poular choices for Seniors.

To compare Pa HealthAmerica options, we have provided a free quote section on the top of the page. You'll be able to review plans along with other reputable carriers and apply for a policy. We give you more than three decades of experience and the quickest methods to purchase the benefits you need.