2022 Susquehanna County Pennsylvania
Medicare Advantage Plans

There are 54 Medicare Advantage Plans available in Susquehanna County PA from 9 different health insurance providers. 19 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. Susquehanna County Pennsylvania residents can also pick from 8 Medicare Special Needs Plans. The best Medicare Advantage plan in Susquehanna 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)
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Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
Aetna Medicare Advantra Credit Value (PPO)
(H5522-017)
$0 $250.00 $7,550 YesBrowse
Formulary
Aetna Medicare Advantra Gold (HMO-POS)
(H3959-037)
$0 $0 $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
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)
$122.00 $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 Advantage Rx (PPO)
(H3924-059)
$111.00 $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)
$0 $0 $7,550 YesBrowse
Formulary
Humana Gold Choice H8145-052 (PFFS)
(H8145-052)
$7.00 $360.00 $- NoBrowse
Formulary
Humana Gold Plus H6622-052 (HMO)
(H6622-052)
$0 $0 $7,200 NoBrowse
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 H5525-007 (PPO)
(H5525-007)
$55.00 $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 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
Wellcare Assist (HMO)
(H2915-011)
$36.00 $480.00 $7,550 NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H2128-001)
$24.70 $480.00 $6,700 NoToo NewBrowse
Formulary
Wellcare Giveback (HMO)
(H2915-012)
$0 $0 $7,550 NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H2128-004)
$0 $350.00 $7,550 YesToo NewBrowse
Formulary
Wellcare Low Premium Open (PPO)
(H2128-003)
$29.00 $100.00 $5,000 NoToo NewBrowse
Formulary
Wellcare No Premium (HMO)
(H2915-016)
$0 $0 $6,700 NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H2128-002)
$0 $160.00 $6,700 NoToo NewBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Pennsylvania





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Susquehanna 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
Geisinger Gold Secure Rx (HMO D-SNP)     $40.70 $480.0  No Gap Coverage Dual-Eligible
Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)     $23.70 $450.0  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
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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