Pennsylvania Health Insurance

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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 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

98 – Lancaster County

97 – Bucks County

97 –  Cumberland County

96 – Lebanon County

95 – Dauphin County

93 – Lehigh County

92 – Northampton County

91 – Chester County

89 – Berks County

89 – Delaware County

87 – York County

86 – Perry County

84 – Philadelphia County

84 – Juniata County

83 – Mifflin County

83 – Huntingdon County

83 – Washington County

83 – Butler County

83 – Fulton County

82 – Blair County

 

New PA MA Plans For 2023

AARP Medicare Advantage Choice

AARP Medicare Advantage Choice Rebate

AARP Medicare Advantage Choice Plan 3

AARP Medicare Advantage Flex

AARP Medicare Advantage Patriot

Aetna Medicare Longevity Plan

Aetna Medicare Philly SuburbanValue

Aetna Medicare Silver Back

Capitol Blue Cross WellSpan Health Value

Capitol Blue Cross Enhanced

Cigna Preferred Medicare

Cigna Preferred Plus Medicare

Cigna True Choice Medicare

Cigna True Choice Plus Medicare

Cigna True Choice Savings Medicare

Community Blue Medicare HMO Signature

Devoted CHOICE Pennsylvania

Devoted CORE Pennsylvania

Freedom Blue PPO Valor

Geisinger Gold Heritage

Humana USAA Honor With Rx

Keystone 65 Liberty Medical Only

Together Blue Medicare HMO Signature

UPMC For Life PPO Premier Rx

UPMC For Life PPO Salute

UPMC For Life PPO Rx Choice

Wellcare Giveback Open

Wellcare No Premium Open

Wellcare Assist Open

Wellcare Dual Access Open

Wellcare Low Premium Open

 

Pennsylvania Medicare Advantage Plans Without Prescription Drug Coverage

AARP Medicare Advantage Patriot – $0 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 and $15. Emergency Room and Urgent Care copays are $90 and $40. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $250.

Aetna Medicare Advantra Eagle – $0 per month with $4,000 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 $15. Emergency Room and Urgent Care copays are $110 and $50. Occupational, physical, speech, and language therapy visit copays are $25. The ground ambulance copay is $235.

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 and $10. Emergency Room and Urgent Care copays are $110 and $55. Occupational, physical, speech, and language therapy visit copays are $25. The ground ambulance copay is $215.

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 $95 and $50. Occupational, physical, speech, and language therapy visit copays are $15. The ground ambulance copay is $250.

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 $95 and $20. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $100.

Humana Honor 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-$35 and $0-$85. Emergency Room and Urgent Care copays are $110 and $35. Occupational, physical, speech, and language therapy visit copays are $10-$25. The ground ambulance copay is $270.

Humana Honor 221-0 – $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-$35 and $0-$85. Emergency Room and Urgent Care copays are $110 and $35. Occupational, physical, speech, and language therapy visit copays are $10-$25. The ground ambulance copay is $270.

Humana Gold Choice – $7 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. The ground ambulance copay is $270.

Keystone 65 Select Medical Only – $34.50 per month with $4,900 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 $40. Emergency Room and Urgent Care copays are $95 and $15-$40. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $225.

Keystone 65 Preferred Medical Only – $176.00 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 $95 and $5-$40. Occupational, physical, speech, and language therapy visit copays are $20. The ground ambulance copay is $150.

Keystone 65 Liberty Medical Only – $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 $45. Emergency Room and Urgent Care copays are $95 and $15-$40. Occupational, physical, speech, and language therapy visit copays are $40. The ground ambulance copay is $260.

Personal Choice 65 Medical Only – $179 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.

Security Blue HMO-POS Basic – $54.00 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 $90 and $50. Occupational, physical, speech, and language therapy visit copays are $30.

UPMC For Life HMO No Rx – $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 $5 and $30. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $40.

UPMC For Life HMO Salute – $0 per month with $6,700 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 $4,900 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. Emergency Room and Urgent Care copays are $90 and $65. Occupational, physical, speech, and language therapy visit copays are $0.

Pennsylvania Medicare Advantage Plans

Pennsylvania Medicare Advantage Plans With Prescription Drug Coverage

Aetna Medicare Advantra Silver – $0 per month with $7,550 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 $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 $275.

Aetna Medicare Advantra Silver Plus – $20 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 – $27 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 and $20. Emergency Room and Urgent Care copays are $90 and $50. Occupational, physical, speech, and language therapy visit copays are $15. Preferred generic, generic, and preferred brand drug copays are $0, $0, and $37. The ground ambulance copay is $250.

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 $3, $7, and $47. The ground ambulance copay is $270.

Aetna Medicare Value – $0 per month with $7,550 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 $5 and $30. Emergency Room and Urgent Care copays are $90 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 $90 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 – $17 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 $90 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 – $48 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 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 – $170 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 $90 and $10-$50. Occupational, physical, speech, and language therapy visit copays are $15. Preferred generic, generic, and preferred brand drug copays are $2, $5, and $47. The ground ambulance copay is $250.

Aetna Medicare Premier Plus – $146 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 $20. Emergency Room and Urgent Care copays are $90 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  – $96 per month with $7,550 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 and $30. Emergency Room and Urgent Care copays are $90 and $10-$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.

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 $6,700 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 $35. Emergency Room and Urgent Care copays are $90 and $55. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $42.

Cigna True Choice Medicare – $0 per month with $7,250 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 $30. Emergency Room and Urgent Care copays are $90 and $55. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $42.

Cigna True Choice Plus Medicare – $29 per month with $6,150 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 $30. Emergency Room and Urgent Care copays are $90 and $55. Occupational, physical, speech, and language therapy visit copays are $35. Preferred generic, generic, and preferred brand drug copays are $0, $5, and $42.

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.