Pennsylvania Medicare

2017 Medicare Advantage Rates for Cameron County

2017 Medicare Advantage Plans for Emporium, Pennsylvania


There are 30 Medicare Advantage plans available in Emporium, Pennsylvania

 

Note: Not 65 yet? Click here for our listing of 2017 Obamacare plans for Cameron County .

Below, you’ll find a summary of plans and rates for each provider in your area. This chart is designed to give you a preview of your options. For detailed information or to enroll in a plan, you must do one of the following:

  • Sign up through the plan provider—use the information we provide below to visit the provider online or call the provider directly.
  • Go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) or 1-877-486-2048 (TTY).
  • Get help from a licensed insurance broker—a broker can help you compare plans and will enroll you in the plan you choose.

You’ll see that each plan on the list is one of the following types: HMO, PPO, PFFS, MSA, or SNP. For an explanation of these terms and an overview of how each kind of plan works, see our article Types of Medicare Plans.


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Provider: UPMC Health Plan ( Contract ID: H3907)

Plan: UPMC for Life (HMO)

(http://www.upmchealthplan.com/medicare - open in new window)

600 Grant Street, Pittsburgh, PA 15219
Toll Free: 1-877-381-3765

Type: HMO

Region: Western Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H3907-002

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: UPMC for Life HMO Rx Enhanced (HMO)

(http://www.upmchealthplan.com/medicare - open in new window)

600 Grant Street, Pittsburgh, PA 15219
Toll Free: 1-877-381-3765

Type: HMO

Region: Western Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H3907-006

Premium:
$255.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $33.80

75% Subsidy level = $43.70

50% Subsidy level = $53.60

25% Subsidy level = $63.40

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: UPMC for Life HMO Rx (HMO)

(http://www.upmchealthplan.com/medicare - open in new window)

600 Grant Street, Pittsburgh, PA 15219
Toll Free: 1-877-381-3765

Type: HMO

Region: Western Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H3907-029

Premium:
$83.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $21.70

75% Subsidy level = $31.60

50% Subsidy level = $41.50

25% Subsidy level = $51.30

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: UPMC for Life HMO Deductible with Rx (HMO)

(http://www.upmchealthplan.com/medicare - open in new window)

600 Grant Street, Pittsburgh, PA 15219
Toll Free: 1-877-381-3765

Type: HMO

Region: Western Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H3907-037

Premium:
$22.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $5.50

50% Subsidy level = $11.00

25% Subsidy level = $16.50

Maximum Out Of Pocket:
$4,000.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

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Provider: Highmark Senior Health Company ( Contract ID: H3916)

Plan: Freedom Blue PPO Classic (PPO)

(www.highmarkblueshield.com/medicare - open in new window)

Freedom Blue, Pittsburgh, PA 15230
Toll Free: 1-866-743-5478

Type: Local Preferred Provider Organization

Region: West Central PA

Network: 20000 and above physicians and providers.

Plan ID: H3916-002

Premium:
$283.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $64.80

75% Subsidy level = $74.70

50% Subsidy level = $84.60

25% Subsidy level = $94.40

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Freedom Blue PPO Select (PPO)

(www.highmarkblueshield.com/medicare - open in new window)

Freedom Blue, Pittsburgh, PA 15230
Toll Free: 1-866-743-5478

Type: Local Preferred Provider Organization

Region: West Central PA

Network: 20000 and above physicians and providers.

Plan ID: H3916-024

Premium:
$137.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $57.20

75% Subsidy level = $67.10

50% Subsidy level = $77.00

25% Subsidy level = $86.80

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Freedom Blue PPO ValueRx (PPO)

(www.highmarkblueshield.com/medicare - open in new window)

Freedom Blue, Pittsburgh, PA 15230
Toll Free: 1-866-743-5478

Type: Local Preferred Provider Organization

Region: West Central PA

Network: 20000 and above physicians and providers.

Plan ID: H3916-033

Premium:
$78.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $23.90

75% Subsidy level = $33.80

50% Subsidy level = $43.70

25% Subsidy level = $53.50

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: Geisinger Gold ( Contract ID: H3924)

Plan: Geisinger Gold Preferred Advantage Rx (PPO)

(www.GeisingerGold.com - open in new window)

100 North Academy Avenue, Danville, PA 17822
Toll Free: 1-800-514-0138

Type: Local Preferred Provider Organization

Region: West - Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3924-059

Premium:
$75.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $13.50

75% Subsidy level = $23.40

50% Subsidy level = $33.30

25% Subsidy level = $43.10

Maximum Out Of Pocket:
$5,900.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Geisinger Gold Preferred Complete Rx (PPO)

(www.GeisingerGold.com - open in new window)

100 North Academy Avenue, Danville, PA 17822
Toll Free: 1-800-514-0138

Type: Local Preferred Provider Organization

Region: West - Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3924-060

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: Geisinger Gold ( Contract ID: H3954)

Plan: Geisinger Gold Classic Advantage (HMO)

(www.GeisingerGold.com - open in new window)

100 North Academy Avenue, Danville, PA 17822
Toll Free: 1-800-514-0138

Type: HMO

Region: West - Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3954-156

Premium:
$80.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Geisinger Gold Classic Advantage Rx (HMO)

(www.GeisingerGold.com - open in new window)

100 North Academy Avenue, Danville, PA 17822
Toll Free: 1-800-514-0138

Type: HMO

Region: West - Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3954-157

Premium:
$127.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $7.60

75% Subsidy level = $17.50

50% Subsidy level = $27.40

25% Subsidy level = $37.20

Maximum Out Of Pocket:
$3,400.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Geisinger Gold Classic Complete Rx (HMO)

(www.GeisingerGold.com - open in new window)

100 North Academy Avenue, Danville, PA 17822
Toll Free: 1-800-514-0138

Type: HMO

Region: West - Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3954-158

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$5,900.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: Highmark Choice Company ( Contract ID: H3957)

Plan: Security Blue HMO Standard (HMO)

(www.highmarkblueshield.com/medicare - open in new window)

Security Blue, Pittsburgh, PA 15230
Toll Free: 1-866-670-5844

Type: HMO

Region: West Central PA

Network: 18001-19000 physicians and providers.

Plan ID: H3957-006

Premium:
$191.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $58.30

75% Subsidy level = $68.20

50% Subsidy level = $78.10

25% Subsidy level = $87.90

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Security Blue HMO Deluxe (HMO)

(www.highmarkblueshield.com/medicare - open in new window)

Security Blue, Pittsburgh, PA 15230
Toll Free: 1-866-670-5844

Type: HMO

Region: West Central PA

Network: 18001-19000 physicians and providers.

Plan ID: H3957-021

Premium:
$231.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $71.90

75% Subsidy level = $81.80

50% Subsidy level = $91.70

25% Subsidy level = $101.50

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Security Blue HMO Basic (HMO)

(www.highmarkblueshield.com/medicare - open in new window)

Security Blue, Pittsburgh, PA 15230
Toll Free: 1-866-670-5844

Type: HMO

Region: West Central PA

Network: 18001-19000 physicians and providers.

Plan ID: H3957-025

Premium:
$61.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: Security Blue HMO ValueRx (HMO)

(www.highmarkblueshield.com/medicare - open in new window)

Security Blue, Pittsburgh, PA 15230
Toll Free: 1-866-670-5844

Type: HMO

Region: West Central PA

Network: 18001-19000 physicians and providers.

Plan ID: H3957-032

Premium:
$64.50
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $24.90

75% Subsidy level = $34.80

50% Subsidy level = $44.70

25% Subsidy level = $54.50

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Community Blue Medicare HMO Signature (HMO)

(www.highmarkblueshield.com/medicare - open in new window)

Community Blue Medicare, Pittsburgh, PA 15230
Toll Free: 1-866-687-3182

Type: HMO

Region: Western PA

Network: 18001-19000 physicians and providers.

Plan ID: H3957-038

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Community Blue Medicare HMO Prestige (HMO)

(www.highmarkblueshield.com/medicare - open in new window)

Community Blue Medicare, Pittsburgh, PA 15230
Toll Free: 1-866-687-3182

Type: HMO

Region: Western PA

Network: 18001-19000 physicians and providers.

Plan ID: H3957-039

Premium:
$199.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $85.60

75% Subsidy level = $95.50

50% Subsidy level = $105.40

25% Subsidy level = $115.20

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Provider: HealthAmerica Pennsylvania, Inc. ( Contract ID: H3959)

Plan: Advantra Gold (HMO)

(www.coventry-medicare.com - open in new window)

PO Box 7087, London, KY 40742
Toll Free: 1-855-338-9566

Type: HMO

Region: Western Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3959-002

Premium:
$135.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $4.30

50% Subsidy level = $8.60

25% Subsidy level = $13.00

Maximum Out Of Pocket:
$6,200.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Advantra Silver (HMO)

(www.coventry-medicare.com - open in new window)

PO Box 7087, London, KY 40742
Toll Free: 1-855-338-9566

Type: HMO

Region: Western Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3959-011

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Advantra Silver Plus (HMO)

(www.coventry-medicare.com - open in new window)

PO Box 7087, London, KY 40742
Toll Free: 1-855-338-9566

Type: HMO

Region: Northwestern Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3959-032

Premium:
$39.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $3.70

50% Subsidy level = $7.50

25% Subsidy level = $11.20

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: Advantra Basic Medical (HMO)

(www.coventry-medicare.com - open in new window)

PO Box 7087, London, KY 40742
Toll Free: 1-855-338-9566

Type: HMO

Region: Central and Western Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H3959-041

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Provider: Aetna Medicare ( Contract ID: H5521)

Plan: Aetna Medicare Gold Plan (PPO)

(www.aetnamedicare.com - open in new window)

P.O. Box 14088, Lexington, KY 40512
Toll Free: 1-855-338-7027

Type: Local Preferred Provider Organization

Region: Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H5521-122

Premium:
$159.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $17.20

75% Subsidy level = $21.10

50% Subsidy level = $24.90

25% Subsidy level = $28.80

Maximum Out Of Pocket:
$4,500.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

Important Notes:

  • This plan's deductible only applies to out-of-network services.

 

Provider: HealthAmerica ( Contract ID: H5522)

Plan: Advantra Silver (PPO)

(www.coventry-medicare.com - open in new window)

PO Box 7087, London, KY 40742
Toll Free: 1-855-338-9566

Type: Local Preferred Provider Organization

Region: Western Pennsylvania

Network: 20000 and above physicians and providers.

Plan ID: H5522-005

Premium:
$74.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $3.80

50% Subsidy level = $7.70

25% Subsidy level = $11.50

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

Important Notes:

  • This plan's deductible only applies to out-of-network services.

 

Provider: UPMC Health Plan ( Contract ID: H5533)

Plan: UPMC for Life PPO High Deductible with Rx (PPO)

(http://www.upmchealthplan.com/medicare/ - open in new window)

600 Grant Street, Pittsburgh, PA 15219
Toll Free: 1-877-381-3765

Type: Local Preferred Provider Organization

Region: Western Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H5533-003

Premium:
$37.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $9.20

50% Subsidy level = $18.50

25% Subsidy level = $27.70

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

 

Plan: UPMC for Life PPO Rx Enhanced (PPO)

(http://www.upmchealthplan.com/medicare/ - open in new window)

600 Grant Street, Pittsburgh, PA 15219
Toll Free: 1-877-381-3765

Type: Local Preferred Provider Organization

Region: Western PA

Network: 6501-7000 physicians and providers.

Plan ID: H5533-005

Premium:
$137.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $31.70

75% Subsidy level = $41.60

50% Subsidy level = $51.50

25% Subsidy level = $61.30

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$0.00

Important Notes:

  • This plan's deductible only applies to out-of-network services.

 

Provider: Humana Insurance Company ( Contract ID: H8145)

Plan: Humana Gold Choice H8145-052 (PFFS)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: Private Fee for Service

Region: Select Counties in Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H8145-052

Premium:
$60.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $7.00

50% Subsidy level = $14.00

25% Subsidy level = $21.10

Maximum Out Of Pocket:
$
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Enhanced
Drug Benefit Type

Annual Drug Deductable:
$360.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $360.00 annual deductible only applies to drugs on certain tiers.

 

Plan: Humana Gold Choice H8145-055 (PFFS)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: Private Fee for Service

Region: Select Counties in Pennsylvania

Network: 6501-7000 physicians and providers.

Plan ID: H8145-055

Premium:
$24.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level =

75% Subsidy level =

50% Subsidy level =

25% Subsidy level =

Maximum Out Of Pocket:
$
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

 

Plan: HumanaChoice R5826-002 (Regional PPO)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: Preferred Provider Organization

Region: States of Pennsylvania and West Virginia

Network: 20000 and above physicians and providers.

Plan ID: R5826-002

Premium:
$97.00
Monthly Consolidated Premium
(Includes: Part C & D)

Low Income Subsidized Rates For:

100% Subsidy level = $0.00

75% Subsidy level = $9.10

50% Subsidy level = $18.20

25% Subsidy level = $27.30

Maximum Out Of Pocket:
$6,700.00
In-network, Maximum Out of Pocket Annual Amount


Prescription Drug Benefits

Basic
Drug Benefit Type

Annual Drug Deductable:
$250.00

Important Notes:

  • This plan does not charge an annual deductible for all drugs. The $250.00 annual deductible only applies to drugs on certain tiers.
  • This plan's deductible only applies to out-of-network services.

 

Plan: HumanaChoice R5826-062 (Regional PPO)

(www.humana-medicare.com - open in new window)

500 West Main Street, Louisville, KY 40202
Toll Free: 1-800-833-2364

Type: Preferred Provider Organization

Region: States of Pennsylvania and West Virginia

Network: 20000 and above physicians and providers.

Plan ID: R5826-062

Premium:
$0.00
Monthly Consolidated Premium
(Includes: Part C & D)

Maximum Out Of Pocket:
$4,500.00
In-network, Maximum Out of Pocket Annual Amount

No Prescription Drug Benefit

Important Notes:

  • This plan's deductible only applies to out-of-network services.