2022 Adams County Pennsylvania
Medicare Advantage Plans

There are 59 Medicare Advantage Plans available in Adams County PA from 10 different health insurance providers. 23 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3450 and the highest out of pocket is $7550. Adams County Pennsylvania residents can also pick from 12 Medicare Special Needs Plans. The best Medicare Advantage plan in Adams County Pennsylvania received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars.



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H2577-028)
$0 $0 $6,700 YesBrowse
Formulary
Aetna Medicare Advantra Credit Value (PPO)
(H5522-017)
$0 $250.00 $7,550 YesBrowse
Formulary
Aetna Medicare Advantra Premier (HMO-POS)
(H3959-039)
$17.00 $0 $7,550 YesBrowse
Formulary
Aetna Medicare Advantra Premier Plus (PPO)
(H5522-002)
$48.00 $0 $4,500 YesBrowse
Formulary
Aetna Medicare Advantra Silver (PPO)
(H5522-004)
$0 $0 $7,550 YesBrowse
Formulary
Aetna Medicare Advantra Silver Plus (PPO)
(H5522-013)
$20.00 $0 $7,000 YesBrowse
Formulary
Aetna Medicare Gold Plan (PPO)
(H5521-122)
$170.00 $0 $7,550 YesBrowse
Formulary
Aetna Medicare Silver (HMO)
(H3931-070)
$65.00 $0 $7,550 YesBrowse
Formulary
Aetna Medicare Value (PPO)
(H5521-263)
$0 $0 $7,550 YesBrowse
Formulary
BlueJourney Classic (PPO)
(H3923-013)
$50.00 $0 $6,700 NoBrowse
Formulary
BlueJourney Essential (HMO)
(H3962-007)
$0 $0 $7,500 NoBrowse
Formulary
BlueJourney Premier (HMO)
(H3962-001)
$116.00 $0 $4,500 YesBrowse
Formulary
BlueJourney Prime (PPO)
(H3923-017)
$172.00 $0 $5,000 NoBrowse
Formulary
BlueJourney Select (PPO)
(H3923-028)
$0 $0 $7,000 NoBrowse
Formulary
BlueJourney Value (HMO)
(H3962-004)
$60.00 $0 $5,000 NoBrowse
Formulary
Capital Blue Cross | WellSpan Health Advantage (PPO)
(H3923-029)
$0 $0 $6,600 NoBrowse
Formulary
Capital Blue Cross | WellSpan Health AdvantagePlus (PPO)
(H3923-030)
$19.00 $0 $5,900 NoBrowse
Formulary
Capital Blue Cross | WellSpan Health Inspire (HMO)
(H3962-021)
$0 $0 $6,000 NoBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H3949-035)
$0 $0 $6,900 YesBrowse
Formulary
Cigna True Choice Medicare (PPO)
(H7849-031)
$0 $0 $7,250 YesBrowse
Formulary
Cigna True Choice Plus Medicare (PPO)
(H7849-032)
$30.00 $0 $6,150 YesBrowse
Formulary
Community Blue Medicare HMO Signature (HMO)
(H3957-042)
$0 $0 $7,550 NoBrowse
Formulary
Community Blue Medicare PPO Distinct (PPO)
(H3916-034)
$25.00 $0 $6,500 NoBrowse
Formulary
Community Blue Medicare PPO Signature (PPO)
(H3916-037)
$0 $0 $7,550 NoBrowse
Formulary
Freedom Blue PPO Deluxe (PPO)
(H3916-005)
$288.00 $0 $4,500 YesBrowse
Formulary
Freedom Blue PPO Standard (PPO)
(H3916-015)
$174.00 $0 $5,000 NoBrowse
Formulary
Freedom Blue PPO ValueRx (PPO)
(H3916-018)
$69.00 $0 $5,500 NoBrowse
Formulary
Geisinger Gold Classic 360 Rx (HMO)
(H3954-160)
$0 $0 $7,550 YesBrowse
Formulary
Geisinger Gold Classic Advantage Rx (HMO)
(H3954-157)
$151.00 $0 $3,450 YesBrowse
Formulary
Geisinger Gold Classic Complete Rx (HMO)
(H3954-158)
$38.00 $0 $4,900 YesBrowse
Formulary
Geisinger Gold Classic Essential Rx (HMO)
(H3954-161)
$0 $0 $7,550 YesBrowse
Formulary
Geisinger Gold Preferred 360 Rx (PPO)
(H3924-066)
$0 $0 $7,550 YesBrowse
Formulary
Geisinger Gold Preferred Advantage Rx (PPO)
(H3924-059)
$86.00 $0 $4,000 YesBrowse
Formulary
Geisinger Gold Preferred Complete Rx (PPO)
(H3924-065)
$0 $0 $6,700 YesBrowse
Formulary
Geisinger Gold Preferred Enhanced Rx (PPO)
(H3924-062)
$45.00 $0 $7,550 YesBrowse
Formulary
Humana Value Plus H5216-117 (PPO)
(H5216-117)
$36.50 $480.00 $6,700 NoBrowse
Formulary
HumanaChoice H5216-120 (PPO)
(H5216-120)
$128.00 $0 $6,700 NoBrowse
Formulary
HumanaChoice H5525-006 (PPO)
(H5525-006)
$29.00 $0 $6,700 NoBrowse
Formulary
HumanaChoice H5525-051 (PPO)
(H5525-051)
$0 $0 $7,550 NoBrowse
Formulary
HumanaChoice R0923-002 (Regional PPO)
(R0923-002)
$72.00 $0 $6,700 NoBrowse
Formulary
UPMC for Life HMO Deductible Rx (HMO)
(H3907-037)
$22.00 $0 $7,550 NoBrowse
Formulary
UPMC for Life HMO Rx (HMO)
(H3907-029)
$81.00 $0 $7,550 YesBrowse
Formulary
UPMC for Life HMO Rx Choice (HMO)
(H3907-049)
$38.00 $0 $7,550 NoBrowse
Formulary
UPMC for Life HMO Rx Enhanced (HMO)
(H3907-006)
$302.00 $0 $7,550 NoBrowse
Formulary
UPMC for Life PPO Flex Rx (PPO)
(H5533-011)
$0 $0 $7,550 NoBrowse
Formulary
UPMC for Life PPO Rx Choice (PPO)
(H5533-009)
$29.00 $0 $7,550 NoBrowse
Formulary
UPMC for Life PPO Rx Enhanced (PPO)
(H5533-008)
$60.00 $0 $7,550 NoBrowse
Formulary
Vibra Essential Advocate (PPO)
(H9408-006)
$0 $0 $7,500 NoBrowse
Formulary
Vibra Health Plan Enhanced Complete (PPO)
(H9408-005)
$27.00 $0 $6,500 NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Pennsylvania





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Adams county Pennsylvania

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Advantra Cares (HMO D-SNP)     $22.10 $375.0  No Gap Coverage Dual-Eligible
AmeriHealth Caritas VIP Care (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
Cigna TotalCare (HMO D-SNP)     $29.90 $480.0  No Gap Coverage Dual-Eligible
Cigna TotalCare Plus (HMO D-SNP)     $29.80 $480.0  No Gap Coverage Dual-Eligible
Gateway Health Medicare Assured Diamond (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
Gateway Health Medicare Assured Ruby (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
Geisinger Gold Secure Rx (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP)     $33.90 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete Select (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)     $40.60 $480.0  No Gap Coverage Institutional
UPMC for Life Complete Care (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Access (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible



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

  • 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

GAP
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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