One large carrier, Aetna, provides 22 percent of Medicare Advantage in Pennsylvania. With more than 12.8 million people in 67 counties, the state ranks sixth in population. With nearly 2.52 million Medicare beneficiaries, almost 1.02 million are enrolled in Medicare Advantage. Another 842,655 have plans with Part D prescription drug coverage.
Medicare Advantage in Pennsylvania is growing in popularity. For instance, on April 18, 2016, the Rothman Institute, the largest orthopedic practice in Philadelphia and Southern Pennsylvania, started accepting Humana Medicare Advantage, which represents about 8,800 members.
The state has an estimated 67 carriers, including: Gateway Health Plan, MVP Health Plan and Summacare Inc. In terms of top-rated Medicare Advantage plans, multiple policies are rated 4.5/5 stars by U.S. News & World Report, which include coverage from Highmark Choice Company, Highmark Senior Health Company and UPMC Health Plan.
According to the Kaiser Family Foundation, in 2018, 1,625,172 residents enrolled in Original Medicare and 1,099,881 residents enrolled in a Medicare Advantage plan.
Medicare Advantage enrollees can choose from: HMOs, PPOs and PFFS (Private Fee-for-Service) plans. There may also be Special Needs Plans (SNPs), for eligible residents. If you have any Medicare-related questions or concerns, you can contact the Pennsylvania State Health Insurance and Assistance Program (SHIIP). Known as APPRISE, you can call (800) 783-7067.
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For more information on Medicare Advantage Plans in Pennsylvania, or to receive a free price quote, please call and speak with one of our healthcare professionals at 1-800-810-1437TTY 711