Medicare Plans in
Chester County, PA

61 Medicare Advantage Plans Found in Chester County. See Plans

Chester County, PA
Medicare Information

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For Chester County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 61 private Medicare plans are available in Chester County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

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Talk to a licensed agent today to find a plan that fits your needs.


For Chester County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 61 private Medicare 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.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

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 some of the Medicare 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
Plans in Chester County

Average Cost of Medicare Advantage Plans in Chester County, Pennsylvania
Average Monthly Premium $53.44
Average in-network out-of-pocket spending limit $6,979.31
Average drug deductible in 2024 (weighted) $342.67
Percentage of plans rated 4 stars or higher 52.5%
Average Cost of Medicare Advantage Plans in Chester County, Pennsylvania
Average Monthly Premium
$53.44
Average in-network out-of-pocket spending limit
$6,979.31
Average drug deductible in 2021 (weighted)
$342.67
Percentage of plans rated 4 stars or higher
52.5%

Learn More About Medicare
Prescription Drug Plans

Chester County Medicare beneficiaries who are interested in a private Medicare 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.

Some beneficiaries 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.

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Talk to a licensed agent today to find a plan that fits your needs.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Chester County, PA

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Pennsylvania in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Advantra Value (HMO-POS) H3959: 052 $0 $0 $7,550 Yes
4.5 out of 5
Aetna Medicare Advantra Eagle (HMO-POS) H3959: 057 $0 N/A $4,000 No
4.5 out of 5
Aetna Medicare Freedom Core (PPO) H5522: 028 $0 $0 $7,550 Yes
4.5 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 $8,850 Yes
4.5 out of 5
Aetna Medicare Philly Suburban Value (HMO-POS) H3931: 105 $0 $250 $8,300 Yes
3.5 out of 5
Aetna Medicare Advantra Credit Value (PPO) H5522: 017 $0 $0 $7,550 Yes
4.5 out of 5
Aetna Medicare Value Plus (HMO-POS) H3959: 033 $27 $0 $7,550 Yes
4.5 out of 5
Aetna Medicare Silver (HMO-POS) H3931: 070 $37 $250 $7,550 Yes
3.5 out of 5
Aetna Medicare Premier (HMO-POS) H3931: 064 $57 $250 $6,900 Yes
3.5 out of 5
Aetna Medicare Advantra Premier Plus (PPO) H5522: 014 $59 $0 $5,900 Yes
4.5 out of 5
Aetna Medicare Premier Plus (HMO-POS) H3931: 004 $87 $250 $6,900 Yes
3.5 out of 5
Aetna Medicare Gold Plan (PPO) H5521: 122 $145 $250 $7,550 Yes
3.5 out of 5
Cigna

Cigna Medicare Plans in Chester County, PA

The following table includes cost information and other plan details for Cigna private Medicare plans available in Pennsylvania in 2024.

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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 $8,850 Yes
3 out of 5
Cigna True Choice Courage Medicare (PPO) H7787: 002 $0 N/A $5,700 No
3.5 out of 5
Cigna Achieve Medicare (HMO C-SNP) H3949: 024 $0 $0 $6,900 Yes
3 out of 5
Cigna Preferred 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 Courage Medicare (HMO) H3949: 026 $0 N/A $5,900 No
3 out of 5
Cigna Preferred Plus Medicare (HMO) H3949: 030 $31 $0 $6,300 Yes
3 out of 5

Devoted Health

Devoted Health Medicare Plans in Chester County, PA

The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Pennsylvania in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted GIVEBACK Pennsylvania (HMO) H6852: 002 $0 $250 $7,900 Yes
Plan too new to be measured
Devoted CHOICE GIVEBACK Pennsylvania (PPO) H6018: 003 $0 $545 $8,300 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 CHOICE Pennsylvania (PPO) H6018: 001 $0 $0 $7,200 Yes
Plan too new to be measured
Devoted CHOICE PLUS Pennsylvania (PPO) H6018: 002 $21 $0 $5,100 Yes
Plan too new to be measured
Humana Inc.

Humana Inc. Medicare Plans in Chester County, PA

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Pennsylvania in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) H6622: 078 $0 $0 $8,850 Yes
4.5 out of 5
Humana Gold Plus H6622-037 (HMO) H6622: 037 $0 $0 $7,900 Yes
4.5 out of 5
Humana USAA Honor (PPO) H5216: 221 $0 N/A $6,700 No
4.5 out of 5
HumanaChoice R0923-001 (Regional PPO) R0923: 001 $0 N/A $4,500 No
4 out of 5
HumanaChoice H5216-116 (PPO) H5216: 116 $0 N/A $3,900 No
4.5 out of 5
HumanaChoice H5525-051 (PPO) H5525: 051 $0 $0 $7,800 Yes
4 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 SNP-DE H5216-373 (PPO D-SNP) H5216: 373 $0 $0 $8,850 Yes
4.5 out of 5
HumanaChoice H5525-058 (PPO) H5525: 058 $0 $505 $7,000 Yes
4 out of 5
Humana USAA Honor with Rx (PPO) H5525: 059 $0 $250 $7,850 Yes
4 out of 5
HumanaChoice H5525-060 (PPO) H5525: 060 $0 $0 $8,050 Yes
4 out of 5
HumanaChoice H5525-017 (PPO) H5525: 017 $26 $0 $6,300 Yes
4 out of 5
HumanaChoice R0923-002 (Regional PPO) R0923: 002 $46 $0 $6,700 Yes
4 out of 5
HumanaChoice H5525-005 (PPO) H5525: 005 $53 $0 $8,300 Yes
4 out of 5
Humana Gold Choice H8145-163 (PFFS) H8145: 163 $75 N/A N/A No
4 out of 5
HumanaChoice H5216-120 (PPO) H5216: 120 $123 $0 $7,600 Yes
4.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Chester County, PA

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Pennsylvania in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UHC Dual Complete PA-V001 (HMO-POS D-SNP) H3113: 014 $0 $0 $6,700 Yes
4 out of 5
AARP Medicare Advantage from UHC PA-0013 (PPO) H2406: 102 $0 $0 $6,900 Yes
3.5 out of 5
UHC Dual Complete PA-S001 (PPO D-SNP) H1889: 007 $0 $0 $8,850 Yes
4 out of 5
AARP Medicare Advantage from UHC PA-0010 (PPO) H2406: 071 $0 $0 $6,700 Yes
3.5 out of 5
AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) H1944: 030 $0 N/A $6,700 No
4 out of 5
AARP Medicare Advantage from UHC PA-0012 (PPO) H2406: 101 $0 $295 $8,300 Yes
3.5 out of 5
AARP Medicare Advantage from UHC PA-0005 (HMO-POS) H1944: 033 $0 $0 $6,900 Yes
4 out of 5
UHC Dual Complete PA-S002 (HMO-POS D-SNP) H3113: 009 $0 $0 $8,850 Yes
4 out of 5
UHC Nursing Home Plan EX-F002 (PPO I-SNP) H0710: 017 $32 $545 $1,800 Yes
5 out of 5
UHC Care Advantage PA-E001 (PPO I-SNP) H0710: 067 $36 $0 $1,600 Yes
5 out of 5
AARP Medicare Advantage from UHC PA-0001 (HMO-POS) H1944: 009 $37 $0 $5,900 Yes
4 out of 5
AARP Medicare Advantage from UHC PA-0009 (PPO) H2406: 048 $49 $0 $6,300 Yes
3.5 out of 5
Wellcare Health Plans, Inc.

Wellcare Health Plans, Inc. Medicare Plans in Chester County, PA

The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Pennsylvania in 2024.

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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 No Premium (HMO) H2915: 016 $0 $0 $7,000 Yes
2.5 out of 5
Wellcare Patriot Giveback (HMO) H2915: 013 $0 N/A $7,550 No
2.5 out of 5
Wellcare Dual Access (HMO D-SNP) H2915: 002 $0 $0 $8,850 Yes
2.5 out of 5
Wellcare Giveback Open (PPO) H2128: 004 $0 $545 $7,550 Yes
Plan too new to be measured
Wellcare Dual Access Open (PPO D-SNP) H2128: 005 $0 $0 $8,850 Yes
Plan too new to be measured
Wellcare Assist (HMO) H2915: 011 $21 $435 $7,550 Yes
2.5 out of 5