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Vibra Health Plan offers Medicare Advantage programs for residents of over 30 counties in eastern and central Pennsylvania, including Berks, Centre, Cumberland and Lancaster. The company has its headquarters in Harrisburg, Pennsylvania. Medicare Advantage plans from Vibra Health Plan rely on a PPO structure. Members can use in-network or out-of-network providers, but the company pays a larger percentage for in-network care. Out-of-network care may require advance approval.
Vibra Health Plan began offering Medicaid Advantage programs in the fall of 2016. In 2017, Capital BlueCross purchased a majority share in the company for an undisclosed amount. Despite the acquisition, Vibra Health Plan continues to operate as a separate company with its own name and different Medicare Advantage plans from those offered by Capital BlueCross. Vibra does not offer Medicare supplement plans, also known as Medigap policies.
The Centers for Medicare and Medicaid Services does not yet have enough data to assign a star rating to Vibra Medicare Advantage plans overall, but the drug plan portions of both options received 3.5 stars.
Vibra Health Plan Medicare Advantage in 2019
Vibra Health Plan offers two different plans: Essential PPO and Enhanced PPO. The Essential PPO plan is available for a $0 copay. Both plans include coverage for prescription drugs as well as dental, vision and hearing care. The Enhanced PPO plan includes additional benefits, such as a wellness program, transportation for appointments and a yearly checkup with a primary care provider.
Below, we’ve summarized some basic benefits using information available on Vibra’s website. Keep in mind that Vibra only operates in certain counties within the state of Pennsylvania. For specifics on cost and availability, get a customized quote based on where you live.
|Vibra Health Plan Medicare Advantage (2019)|
|Vibra Essential Coverage PPO||Vibra Enhanced Coverage PPO|
|Copay (primary)||$5 (in network)||$5 (in network)|
|Deductibles||$0 for medical $0 for drug||$0 for medical $0 for drug|
|Network||Coverage for network and non-network care||Coverage for network and non-network care|
|Rx cost||$4 copay for tier 1||$2 copay for tier 1|
|Special features||Hearing aids, routine dental, chiropractic; monthly allowance for over-the-counter drugs||Hearing aids, routine dental, chiropractic; monthly allowance for over-the-counter drugs; transportation benefits and gym membership|
|Out-of-pocket max||$6,700 (in network)||$6,700 (in network)|
|CMS Star Rating||N/A (not enough data to rate)||N/A (not enough data to rate)|
If you live in Pennsylvania, Vibra could provide a good option for you when it comes to Medicare Advantage. But if you’re not sure or you want to compare these plans with other options, make sure to reach out to us for some help. We’re Medicare experts who can help you cut through the clutter and find a plan that works for you. Get a quote today to learn more about your options.