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The 2020 Medicare Advantage Plans in Delaware County PA.

2018 Medicare Advantage Plans in Delaware County Pennsylvania

There are 38 Medicare Advantage Plans available in Delaware County PA from 14 different health insurance providers. 9 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $6700. The highest rated plan available in Delaware County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars. Delaware County Pennsylvania residents can also pick from 17 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
 Gap  MOOP Overall Rating Formulary Sign Up
Advantra Gold (PPO)
$136.00 $0.00 Yes $6,700 FormularyEnroll
Advantra Silver (HMO)
$45.00 $150.00 Yes $6,700 FormularyEnroll
AdvantraOne (PPO)
$19.00 $195.00 Yes $6,700 FormularyEnroll
Aetna Medicare Choice Plan (HMO)
$0.00 $150.00 Yes $6,700 FormularyEnroll
Aetna Medicare Gold Plan (PPO)
$156.00 $0.00 Yes $4,500 FormularyEnroll
Aetna Medicare Main Line Health Prime Plan (HMO)
$0.00 $0.00 Yes $6,700 FormularyEnroll
Aetna Medicare Premier Plan (HMO)
$211.00 $0.00 Yes $6,700 FormularyEnroll
Aetna Medicare Silver Plan (HMO)
$56.00 $0.00 Yes $6,700 FormularyEnroll
Aetna Medicare Standard Plan (HMO)
$102.00 $75.00 Yes $6,700 FormularyEnroll
Cigna-HealthSpring Advantage (HMO)
$0.00 $6,700 Enroll
Cigna-HealthSpring Preferred (HMO)
$23.00 $280.00 No $6,700 FormularyEnroll
Cigna-HealthSpring Preferred Plus (HMO)
$139.00 $280.00 No $6,700 FormularyEnroll
Cigna-HealthSpring PreventiveCare (HMO)
$0.00 $310.00 No $6,700 FormularyEnroll
Erickson Advantage Freedom (HMO-POS)
$49.00 $0.00 No $3,400 Formulary
Erickson Advantage Signature with Drugs (HMO-POS)
$196.00 $0.00 No $5,000 Formulary
Erickson Advantage Signature without Drugs (HMO-POS)
$160.00 $5,000
Gateway Health Medicare Assured Select (HMO)
$0.00 $405.00 No $6,700 Formulary
Gateway Health Medicare Assured Value (HMO-POS)
$29.00 $250.00 No $6,700 Formulary
Health Partners Medicare Basic (HMO)
$0.00 $6,700
Health Partners Medicare Prime (HMO)
$37.00 $350.00 No $6,700 Formulary
Health Partners Medicare Value (HMO)
$0.00 $350.00 No $6,700 Formulary
Humana Gold Plus H6622-037 (HMO)
$0.00 $0.00 No $6,700 FormularyEnroll
Humana Gold Plus H6622-039 (HMO)
$0.00 $350.00 No $6,700 FormularyEnroll
HumanaChoice H5216-116 (PPO)
$0.00 $4,500 Enroll
HumanaChoice H5216-122 (PPO)
$147.00 $0.00 No $6,700 FormularyEnroll
HumanaChoice H5525-005 (PPO)
$77.00 $0.00 No $6,700 FormularyEnroll
HumanaChoice R0923-001 (Regional PPO)
$0.00 $4,500 Enroll
HumanaChoice R0923-002 (Regional PPO)
$95.00 $315.00 No $6,700 FormularyEnroll
Keystone 65 Basic Rx (HMO)
$0.00 $300.00 No $6,700 Formulary
Keystone 65 Focus Rx (HMO)
$35.00 $200.00 No $6,700 Formulary
Keystone 65 Preferred Medical Only (HMO)
$224.00 $4,000
Keystone 65 Preferred Rx (HMO)
$289.00 $0.00 No $4,000 Formulary
Keystone 65 Select Medical Only (HMO)
$66.00 $5,500
Keystone 65 Select Rx (HMO)
$101.00 $0.00 No $5,500 Formulary
Personal Choice 65 Rx (PPO)
$160.00 $400.00 No $6,200 Formulary
Spartan Plan PA (HMO)
$39.00 $0.00 No $5,700 Formulary
UPMC for Life HMO Deductible with Rx (HMO)
$0.00 $0.00 No $5,500 Formulary
UPMC for Life HMO Rx (HMO)
$81.00 $0.00 No $4,000 Formulary
Return to 2018 Medicare Advantage Plans in Pennsylvania

* Plan Type does not offer Medicare Part D drug coverage.

2018 Medicare Special Needs Plans in Delaware county Pennsylvania

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Advantra Cares (HMO SNP)
(H3959- 035)
   $27.80 $125.00  No Dual-Eligible
Allwell Dual Medicare (HMO SNP)
(H2915- 002)
   $37.10 $405.00  No Dual-Eligible
Cigna-HealthSpring Achieve (HMO SNP)
(H3949- 024)
   $58.00 $280.00  No Chronic or Disabling Condition
Cigna-HealthSpring TotalCare (HMO SNP)
(H3949- 009)
   $29.90 $405.00  No Dual-Eligible
Cigna-HealthSpring Traditions (HMO SNP)
(H3949- 016)
   $37.20 $405.00  No Institutional
Erickson Advantage Champion (HMO-POS SNP)
(H5652- 004)
   $196.00 $0.00  No Chronic or Disabling Condition
Erickson Advantage Guardian (HMO-POS SNP)
(H5652- 003)
   $32.80 $0.00  No Institutional
Gateway Health Medicare Assured Diamond (HMO SNP)
(H5932- 001)
   $37.20 $405.00  No Dual-Eligible
Gateway Health Medicare Assured Ruby (HMO SNP)
(H5932- 009)
   $37.20 $405.00  No Dual-Eligible
Health Partners Medicare Special (HMO SNP)
(H9207- 004)
   $37.00 $405.00  No Dual-Eligible
Humana Gold Plus SNP-DE H6622-038 (HMO SNP)
(H6622- 038)
   $25.00 $230.00  No Dual-Eligible
Keystone First VIP Choice (HMO SNP)
(H4227- 001)
   $37.20 $405.00  No Dual-Eligible
Spartan Plan PA C-SNP (HMO SNP)
(H4236- 002)
   $49.00 $0.00  No Chronic or Disabling Condition
Spartan Plan PA I-SNP (HMO SNP)
(H4236- 001)
   $37.10 $0.00  No Institutional
UnitedHealthcare Assisted Living Plan (PPO SNP)
(H0710- 018)
   $29.30 $200.00  No Institutional
UnitedHealthcare Nursing Home Plan 2 (PPO SNP)
(H0710- 017)
   $32.70 $405.00  No Institutional
UPMC for Life Dual (HMO SNP)
(H4279- 001)
   $37.10 $405.00  No Dual-Eligible

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2018 once you and your plan provider have spent $3750 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 35% of the plans cost for covered brand-name prescription drugs and 44% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

Source: CMS.

Data as of September 5, 2017.

Plans are subject to change as contracts are finalized.

Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

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