Medicare Plans in
Chester County, PA

58 Medicare Advantage Plans Found in Chester County. See Plans

Chester County, PA
Medicare Information

For Chester County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 58 MA plans are available in Chester County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

For Chester County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 58 MA plans are available in Chester County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about Medicare Advantage plans in Chester County, Pennsylvania, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare Advantage
Plans in Chester County

Average Cost of Medicare Advantage Plans in Chester County, Pennsylvania
Average Monthly Premium $80.44
Average in-network out-of-pocket spending limit $6,324.53
Average drug deductible in 2022 (weighted) $275.56
Percentage of plans rated 4 stars or higher 55.2%
Average Cost of Medicare Advantage Plans in Chester County, Pennsylvania
Average Monthly Premium
$80.44
Average in-network out-of-pocket spending limit
$6,324.53
Average drug deductible in 2021 (weighted)
$275.56
Percentage of plans rated 4 stars or higher
55.2%

Learn More About Medicare Advantage
Prescription Drug Plans

Chester County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Advantra Credit Value (PPO) H5522: 017 $0 $250 $7,550 Yes
4.5 out of 5
Aetna Medicare Advantra Eagle (HMO) H3959: 057 $0 N/A $4,000 No
4.5 out of 5
Aetna Medicare Advantra Value (HMO) H3959: 052 $0 $0 $7,550 Yes
4.5 out of 5
Aetna Medicare Elite (HMO) H3931: 112 $0 $150 $7,550 Yes
3.5 out of 5
Aetna Medicare Philly Suburban Value (HMO) H3931: 105 $0 $150 $7,550 Yes
3.5 out of 5
Aetna Medicare Value (PPO) H5521: 263 $0 $0 $7,550 Yes
4 out of 5
Aetna Medicare Advantra Premier (HMO) H3959: 033 $16 $0 $7,550 Yes
4.5 out of 5
Aetna Medicare Advantra Premier Plus (PPO) H5522: 014 $50 $0 $6,700 Yes
4.5 out of 5
Aetna Medicare Silver (HMO) H3931: 070 $65 $0 $7,550 Yes
3.5 out of 5
Aetna Medicare Premier (HMO-POS) H3931: 064 $96 $0 $7,550 Yes
3.5 out of 5
Aetna Medicare Premier Plus (HMO) H3931: 004 $146 $0 $7,550 Yes
3.5 out of 5
Aetna Medicare Gold Plan (PPO) H5521: 122 $170 $0 $7,550 Yes
4 out of 5
Cigna

Cigna Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Alliance Medicare (HMO) H3949: 031 $0 $0 $6,900 Yes
4 out of 5
Cigna Fundamental Medicare (HMO) H3949: 026 $0 N/A $5,900 No
4 out of 5
Cigna True Choice Medicare (PPO) H7849: 006 $0 $0 $7,200 Yes
Plan too new to be measured
Cigna Preferred Medicare (HMO) H3949: 030 $35 $0 $5,900 Yes
4 out of 5
Cigna True Choice Plus Medicare (PPO) H7849: 007 $60 $0 $6,100 Yes
Plan too new to be measured
Cigna Preferred Plus Medicare (HMO) H3949: 013 $135 $0 $4,900 Yes
4 out of 5

Geisinger Health System

Geisinger Health System Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for Geisinger Health System Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Geisinger Gold Classic Advantage (HMO) H3954: 156 $0 N/A $3,400 No
4 out of 5
Geisinger Gold Classic Essential Rx (HMO) H3954: 161 $0 $0 $7,550 Yes
4 out of 5
Geisinger Gold Preferred Complete Rx (PPO) H3924: 065 $0 $0 N/A Yes
3.5 out of 5
Geisinger Gold Classic Complete Rx (HMO) H3954: 158 $38 $0 $4,900 Yes
4 out of 5
Geisinger Gold Preferred Enhanced Rx (PPO) H3924: 062 $45 $0 N/A Yes
3.5 out of 5
Geisinger Gold Preferred Advantage Rx (PPO) H3924: 059 $86 $0 N/A Yes
3.5 out of 5
Geisinger Gold Classic Advantage Rx (HMO) H3954: 157 $151 $0 $3,400 Yes
4 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Gold Choice H8145-055 (PFFS) H8145: 055 $0 N/A N/A No
3.5 out of 5
Humana Gold Plus H6622-037 (HMO) H6622: 037 $0 $0 $6,900 Yes
4 out of 5
Humana Honor (PPO) H5216: 221 $0 N/A $6,700 No
4 out of 5
HumanaChoice H5216-116 (PPO) H5216: 116 $0 N/A $3,900 No
4 out of 5
HumanaChoice H5525-051 (PPO) H5525: 051 $0 $0 $7,550 Yes
4 out of 5
HumanaChoice R0923-001 (Regional PPO) R0923: 001 $0 N/A $4,500 No
3.5 out of 5
Humana Gold Choice H8145-052 (PFFS) H8145: 052 $7 $360 N/A Yes
3.5 out of 5
HumanaChoice H5525-005 (PPO) H5525: 005 $62 $0 $6,700 Yes
4 out of 5
HumanaChoice R0923-002 (Regional PPO) R0923: 002 $72 $0 $6,700 Yes
3.5 out of 5
HumanaChoice H5216-120 (PPO) H5216: 120 $128 $0 $6,700 Yes
4 out of 5

Independence Health Group, Inc.

Independence Health Group, Inc. Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for Independence Health Group, Inc. Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Keystone 65 Basic Rx (HMO) H3952: 056 $0 $0 $7,550 Yes
4 out of 5
Personal Choice 65 Prime Rx (PPO) H3909: 015 $0 $0 $7,550 Yes
3.5 out of 5
Personal Choice 65 Saver Rx (PPO) H3909: 016 $0 $0 $7,550 Yes
3.5 out of 5
Keystone 65 Focus Rx (HMO-POS) H3952: 054 $15 $0 $6,500 Yes
4 out of 5
Keystone 65 Select Medical Only (HMO) H3952: 050 $50 N/A $4,900 No
4 out of 5
Personal Choice 65 Elite Rx (PPO) H3909: 017 $51 $0 $6,500 Yes
3.5 out of 5
Keystone 65 Select Rx (HMO) H3952: 051 $84 $0 $4,900 Yes
4 out of 5
Personal Choice 65 Rx (PPO) H3909: 009 $165 $0 $5,000 Yes
3.5 out of 5
Keystone 65 Preferred Medical Only (HMO) H3952: 044 $187 N/A $3,800 No
4 out of 5
Keystone 65 Preferred Rx (HMO) H3952: 045 $258 $0 $3,800 Yes
4 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage Choice Plan 2 (PPO) H2228: 085 $0 $0 $6,700 Yes
4 out of 5
AARP Medicare Advantage Patriot (HMO) H1944: 030 $0 N/A $5,500 No
4 out of 5
AARP Medicare Advantage Plan 1 (HMO) H1944: 033 $0 $0 $6,900 Yes
4 out of 5
AARP Medicare Advantage Plan 2 (HMO) H1944: 009 $27 $0 $6,700 Yes
4 out of 5
AARP Medicare Advantage Choice Plan 1 (PPO) H2228: 037 $45 $0 $6,700 Yes
4 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Chester County, PA

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Pennsylvania in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Giveback Open (PPO) H2128: 004 $0 $350 $7,550 Yes
na
Wellcare No Premium Open (PPO) H2128: 002 $0 $160 $6,700 Yes
na
Wellcare Giveback (HMO) H2915: 012 $0 $0 $7,550 Yes
Plan too new to be measured
Wellcare No Premium (HMO) H2915: 016 $0 $0 $6,700 Yes
Plan too new to be measured
Wellcare Patriot Giveback (HMO) H2915: 013 $0 N/A $4,900 No
Plan too new to be measured
Wellcare Assist Open (PPO) H2128: 001 $25 $480 $6,700 Yes
na
Wellcare Low Premium Open (PPO) H2128: 003 $29 $100 $5,000 Yes
na
Wellcare Assist (HMO) H2915: 011 $36 $480 $7,550 Yes
Plan too new to be measured