Medicare Plans in
Chester County, PA
73 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, 73 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 | $57.64 |
| Average in-network out-of-pocket spending limit | $6,714.29 |
| Average drug deductible in 2023 (weighted) | $361.36 |
| Percentage of plans rated 4 stars or higher | 43.8% |
| Average Cost of Medicare Advantage Plans in Chester County, Pennsylvania |
|---|
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Average Monthly Premium $57.64 |
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Average in-network out-of-pocket spending limit $6,714.29 |
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Average drug deductible in 2021 (weighted) $361.36 |
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Percentage of plans rated 4 stars or higher 43.8% |
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 |
|---|
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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.
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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.
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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.
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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.
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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. 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 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Philly Suburban Value (HMO-POS) | H3931: 105 | $0 | $150 | $8,300 | Yes | 3.5 out of 5 |
| Aetna Medicare Value (PPO) | H5521: 263 | $0 | $0 | $7,550 | Yes | 3.5 out of 5 |
| Aetna Medicare Advantra Cares (HMO D-SNP) | H3959: 035 | $0 | $0 | $8,300 | Yes | 4.5 out of 5 |
| Aetna Medicare Advantra Value (HMO) | H3959: 052 | $0 | $0 | $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 Credit Value (PPO) | H5522: 017 | $0 | $0 | $7,550 | Yes | 4.5 out of 5 |
| Aetna Medicare Advantra Premier (HMO) | H3959: 033 | $27 | $0 | $7,550 | Yes | 4.5 out of 5 |
| SilverScript Choice (PDP) | S5601: 012 | $40 | $505 | N/A | Yes | 3.5 out of 5 |
| Aetna Medicare Value Plus (PPO) | H5522: 021 | $45 | $0 | $6,700 | Yes | 4.5 out of 5 |
| Aetna Medicare Silver (HMO) | H3931: 070 | $47 | $0 | $7,550 | Yes | 3.5 out of 5 |
| Aetna Medicare Advantra Premier Plus (PPO) | H5522: 014 | $48 | $0 | $6,700 | Yes | 4.5 out of 5 |
| Aetna Medicare Premier (HMO-POS) | H3931: 064 | $67 | $0 | $6,900 | Yes | 3.5 out of 5 |
| SilverScript Plus (PDP) | S5601: 013 | $78 | $0 | N/A | Yes | 3.5 out of 5 |
| Aetna Medicare Premier Plus (HMO-POS) | H3931: 004 | $97 | $0 | $6,900 | Yes | 3.5 out of 5 |
| Aetna Medicare Gold Plan (PPO) | H5521: 122 | $176 | $0 | $7,550 | Yes | 3.5 out of 5 |
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 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Cigna TotalCare Plus (HMO D-SNP) | H3949: 009 | $0 | $0 | $0 | Yes | 3 out of 5 |
| Cigna Achieve Medicare (HMO C-SNP) | H3949: 024 | $0 | $0 | $6,400 | Yes | 3 out of 5 |
| Cigna Courage Medicare (HMO) | H3949: 026 | $0 | N/A | $5,900 | No | 3 out of 5 |
| Cigna Alliance Medicare (HMO) | H3949: 031 | $0 | $0 | $5,600 | Yes | 3 out of 5 |
| Cigna True Choice Medicare (PPO) | H7849: 006 | $0 | $0 | $6,600 | Yes | 3 out of 5 |
| Cigna Preferred Medicare (HMO) | H3949: 030 | $31 | $0 | $5,900 | Yes | 3 out of 5 |
| Cigna Extra Rx (PDP) | S5617: 251 | $58 | $100 | N/A | Yes | 3 out of 5 |
| Cigna Preferred Plus Medicare (HMO) | H3949: 013 | $118 | $0 | $4,900 | Yes | 3 out of 5 |
Devoted Health
Devoted Health Medicare Advantage Plans in Chester County, PA
The following table includes cost information and other plan details for Devoted Health Medicare Advantage plans available in Pennsylvania in 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Devoted CHOICE Pennsylvania (PPO) | H6018: 001 | $0 | $0 | $7,200 | Yes | Plan too new to be measured |
| Devoted CORE Pennsylvania (HMO) | H6852: 001 | $0 | $0 | $6,900 | Yes | Plan too new to be measured |
| Devoted GIVEBACK Pennsylvania (HMO) | H6852: 002 | $0 | $250 | $7,900 | Yes | Plan too new to be measured |
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 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| HumanaChoice H5216-116 (PPO) | H5216: 116 | $0 | N/A | $3,900 | No | 4.5 out of 5 |
| Humana Honor (PPO) | H5216: 221 | $0 | N/A | $6,700 | No | 4.5 out of 5 |
| HumanaChoice H5525-051 (PPO) | H5525: 051 | $0 | $0 | $7,550 | Yes | 4 out of 5 |
| HumanaChoice H5525-058 (PPO) | H5525: 058 | $0 | $505 | $7,550 | Yes | 4 out of 5 |
| Humana USAA Honor with Rx (PPO) | H5525: 059 | $0 | $250 | $7,550 | Yes | 4 out of 5 |
| HumanaChoice H5525-060 (PPO) | H5525: 060 | $0 | $0 | $7,550 | Yes | 4 out of 5 |
| Humana Gold Plus H6622-037 (HMO) | H6622: 037 | $0 | $0 | $6,900 | Yes | 4.5 out of 5 |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) | H6622: 078 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
| Humana Gold Choice H8145-052 (PFFS) | H8145: 052 | $0 | $360 | N/A | Yes | 4 out of 5 |
| Humana Gold Choice H8145-055 (PFFS) | H8145: 055 | $0 | N/A | N/A | No | 4 out of 5 |
| HumanaChoice R0923-001 (Regional PPO) | R0923: 001 | $0 | N/A | $4,500 | No | 4 out of 5 |
| HumanaChoice H5525-017 (PPO) | H5525: 017 | $18 | $0 | $4,900 | Yes | 4 out of 5 |
| Humana Walmart Value Rx Plan (PDP) | S5884: 185 | $31 | $505 | N/A | Yes | 3 out of 5 |
| HumanaChoice H5525-005 (PPO) | H5525: 005 | $58 | $0 | $6,700 | Yes | 4 out of 5 |
| HumanaChoice R0923-002 (Regional PPO) | R0923: 002 | $71 | $0 | $6,700 | Yes | 4 out of 5 |
| Humana Premier Rx Plan (PDP) | S5884: 152 | $88 | $200 | N/A | Yes | 3 out of 5 |
| HumanaChoice H5216-120 (PPO) | H5216: 120 | $123 | $0 | $6,700 | Yes | 4.5 out of 5 |
Mutual of Omaha
Mutual of Omaha Medicare Advantage Plans in Chester County, PA
The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in Pennsylvania in 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Mutual of Omaha Rx Essential (PDP) | S7126: 108 | $20 | $505 | N/A | Yes | 2 out of 5 |
| Mutual of Omaha Rx Premier (PDP) | S7126: 075 | $71 | $505 | N/A | Yes | 2 out of 5 |
| Mutual of Omaha Rx Plus (PDP) | S7126: 005 | $91 | $505 | N/A | Yes | 2 out of 5 |
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 2023.
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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 Rebate (PPO) | H2228: 130 | $0 | $295 | $7,550 | Yes | 4 out of 5 |
| AARP Medicare Advantage Choice Plan 3 (PPO) | H2228: 131 | $0 | $0 | $6,900 | Yes | 4 out of 5 |
| UnitedHealthcare Dual Complete Choice (PPO D-SNP) | H1889: 007 | $0 | $0 | $0 | Yes | 4 out of 5 |
| AARP Medicare Advantage Patriot (HMO-POS) | H1944: 030 | $0 | N/A | $5,500 | No | 4 out of 5 |
| AARP Medicare Advantage Plan 1 (HMO-POS) | H1944: 033 | $0 | $0 | $6,900 | Yes | 4 out of 5 |
| AARP Medicare Advantage Choice Plan 2 (PPO) | H2228: 085 | $0 | $0 | $6,700 | Yes | 4 out of 5 |
| UnitedHealthcare Dual Complete (HMO-POS D-SNP) | H3113: 009 | $0 | $0 | $0 | Yes | 4 out of 5 |
| UnitedHealthcare Dual Complete Select (HMO-POS D-SNP) | H3113: 014 | $0 | $0 | $0 | Yes | 4 out of 5 |
| AARP Medicare Advantage Plan 2 (HMO-POS) | H1944: 009 | $27 | $0 | $6,700 | Yes | 4 out of 5 |
| AARP MedicareRx Walgreens (PDP) | S5921: 388 | $33 | $350 | N/A | Yes | 3 out of 5 |
| AARP MedicareRx Saver Plus (PDP) | S5921: 351 | $37 | $505 | N/A | Yes | 3 out of 5 |
| AARP Medicare Advantage Choice Plan 1 (PPO) | H2228: 037 | $43 | $0 | $6,700 | Yes | 4 out of 5 |
| AARP MedicareRx Preferred (PDP) | S5820: 005 | $112 | $0 | N/A | Yes | 3.5 out of 5 |
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 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellcare No Premium Open (PPO) | H2128: 002 | $0 | $160 | $6,700 | Yes | Plan too new to be measured |
| Wellcare Giveback Open (PPO) | H2128: 004 | $0 | $350 | $7,550 | Yes | Plan too new to be measured |
| Wellcare Dual Access Open (PPO D-SNP) | H2128: 005 | $0 | $0 | $0 | Yes | Plan too new to be measured |
| Wellcare Dual Access (HMO D-SNP) | H2915: 002 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
| Wellcare Giveback (HMO) | H2915: 012 | $0 | $0 | $7,550 | Yes | 2.5 out of 5 |
| Wellcare Patriot Giveback (HMO) | H2915: 013 | $0 | N/A | $7,550 | No | 2.5 out of 5 |
| Wellcare No Premium (HMO) | H2915: 016 | $0 | $0 | $6,700 | Yes | 2.5 out of 5 |
| Wellcare Value Script (PDP) | S4802: 141 | $11 | $505 | N/A | Yes | 3 out of 5 |
| Wellcare Assist (HMO) | H2915: 011 | $14 | $445 | $6,700 | Yes | 2.5 out of 5 |
| Wellcare Assist Open (PPO) | H2128: 001 | $14 | $395 | $6,700 | Yes | Plan too new to be measured |
| Wellcare Low Premium Open (PPO) | H2128: 003 | $29 | $100 | $5,000 | Yes | Plan too new to be measured |
| Wellcare Classic (PDP) | S4802: 080 | $38 | $505 | N/A | Yes | 3 out of 5 |
| Wellcare Medicare Rx Value Plus (PDP) | S4802: 237 | $71 | $0 | N/A | Yes | 3 out of 5 |
| Wellcare Medicare Rx Value Plus (PDP) | S4802: 209 | $71 | $0 | N/A | Yes | 3 out of 5 |
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