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Pennsylvania MedicareAdvantage Plans

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Medicare Advantage Plans in Franklin County, Pennsylvania

Below are Medicare Advantage plans available to residents of Franklin county, Pennsylvania. 7 carriers offer 19 plans throughout the county of Franklin. Residents may choose plans from carriers such as LIFE Lutheran Services Inc., Universal American Corp. and Highmark Inc.. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Franklin county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Franklin

Carrier Plan Title Plan Type
LIFE Lutheran Services Inc. LIFE Lutheran - Dual (PACE) (H2537-001) National PACE
    LIFE Lutheran Services Inc. LIFE Lutheran - Medicare Only (PACE) (H2537-002) National PACE
      Universal American Corp. Today's Options Premier 100 (PFFS) (H2816-002) Private Fee for Service

        Premium and Other Important Information

        • $3 400 out-of-pocket limit for Medicare-covered services.
        • $47.00 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
        • This plan does not allow providers to balance bill (charging more than your cost share amount).

        Doctor Office Visits

        • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
        • $10 copay for each primary care doctor visit for Medicare-covered benefits.
        • $35 copay for each in-area network urgent care Medicare-covered visit
        • $30 copay for each specialist visit for Medicare-covered benefits.
        • $15 copay for each primary care doctor visit
        • $35 copay for each specialist visit
        Universal American Corp. Today's Options Premier 400 (PFFS) (H2816-008) Private Fee for Service

          Premium and Other Important Information

          • $6 700 out-of-pocket limit for Medicare-covered services.
          • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
          • This plan does not allow providers to balance bill (charging more than your cost share amount).

          Doctor Office Visits

          • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
          • $25 copay for each primary care doctor visit for Medicare-covered benefits.
          • $35 copay for each in-area network urgent care Medicare-covered visit
          • $50 copay for each specialist visit for Medicare-covered benefits.
          • $30 copay for each primary care doctor visit
          • $60 copay for each specialist visit
          Universal American Corp. Today's Options Premier Plus 150A (PFFS) (H2816-014) Private Fee for Service

            Premium and Other Important Information

            • $3 400 out-of-pocket limit for Medicare-covered services.
            • $100 monthly plan premium in addition to your monthly Medicare Part B premium.
            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
            • This plan does not allow providers to balance bill (charging more than your cost share amount).

            Doctor Office Visits

            • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
            • $10 copay for each primary care doctor visit for Medicare-covered benefits.
            • $35 copay for each in-area network urgent care Medicare-covered visit
            • $30 copay for each specialist visit for Medicare-covered benefits.
            • $15 copay for each primary care doctor visit
            • $35 copay for each specialist visit
            Universal American Corp. Today's Options Premier Plus 450B (PFFS) (H2816-020) Private Fee for Service

              Premium and Other Important Information

              • $6 700 out-of-pocket limit for Medicare-covered services.
              • $35 monthly plan premium in addition to your monthly Medicare Part B premium.
              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
              • This plan does not allow providers to balance bill (charging more than your cost share amount).

              Doctor Office Visits

              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
              • $25 copay for each primary care doctor visit for Medicare-covered benefits.
              • $35 copay for each in-area network urgent care Medicare-covered visit
              • $50 copay for each specialist visit for Medicare-covered benefits.
              • $30 copay for each primary care doctor visit
              • $60 copay for each specialist visit
              Highmark Inc. FreedomBlue PPO Deluxe (PPO) (H3916-005) Local Preferred Provider Organization

                Premium and Other Important Information

                • $3 400 out-of-pocket limit for Medicare-covered services.
                • $500 annual deductible. Contact the plan for services that apply.
                • $5 100 out-of-pocket limit for Medicare-covered services.
                • $167 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                Doctor Office Visits

                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                • $50 copay for each in-area network urgent care Medicare-covered visit
                • $25 copay for each specialist visit for Medicare-covered benefits.
                • 20% of the cost for each primary care doctor visit
                • 20% of the cost for each specialist visit
                Highmark Inc. FreedomBlue PPO Value (PPO) (H3916-012) Local Preferred Provider Organization

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services.
                  • $500 annual deductible. Contact the plan for services that apply.
                  • $5 100 out-of-pocket limit for Medicare-covered services.
                  • $61.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                  Doctor Office Visits

                  • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $50 copay for each in-area network urgent care Medicare-covered visit
                  • $25 copay for each specialist visit for Medicare-covered benefits.
                  • 30% of the cost for each primary care doctor visit
                  • 30% of the cost for each specialist visit
                  Highmark Inc. FreedomBlue PPO Standard (PPO) (H3916-015) Local Preferred Provider Organization

                    Premium and Other Important Information

                    • $3 400 out-of-pocket limit for Medicare-covered services.
                    • $500 annual deductible. Contact the plan for services that apply.
                    • $5 100 out-of-pocket limit for Medicare-covered services.
                    • $132 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                    • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                    Doctor Office Visits

                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $50 copay for each in-area network urgent care Medicare-covered visit
                    • $25 copay for each specialist visit for Medicare-covered benefits.
                    • 20% of the cost for each primary care doctor visit
                    • 20% of the cost for each specialist visit
                    Highmark Inc. FreedomBlue PPO Basic Rx (PPO) (H3916-018) Local Preferred Provider Organization

                      Premium and Other Important Information

                      • $3 400 out-of-pocket limit for Medicare-covered services.
                      • $500 annual deductible. Contact the plan for services that apply.
                      • $5 100 out-of-pocket limit for Medicare-covered services.
                      • $39 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                      • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                      Doctor Office Visits

                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $50 copay for each in-area network urgent care Medicare-covered visit
                      • $35 copay for each specialist visit for Medicare-covered benefits.
                      • 30% of the cost for each primary care doctor visit
                      • 30% of the cost for each specialist visit
                      Highmark Inc. FreedomBlue PPO HD Rx (PPO) (H3916-025) Local Preferred Provider Organization

                        Premium and Other Important Information

                        • Highmark Inc. will reduce your monthly Medicare Part B premium by up to $ 3.00.
                        • $2 700 out-of-pocket limit for Medicare-covered services.
                        • $950 annual deductible. Contact the plan for services that apply.
                        • $4 500 out-of-pocket limit for Medicare-covered services.
                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                        • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                        Doctor Office Visits

                        • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $50 copay for each in-area network urgent care Medicare-covered visit
                        • $15 copay for each specialist visit for Medicare-covered benefits.
                        • 30% of the cost for each primary care doctor visit
                        • 30% of the cost for each specialist visit
                        Capital Advantage Insurance Company SeniorBlue - Option 2 (PPO) (H3923-013) Local Preferred Provider Organization

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                          • $500 annual deductible. Contact the plan for services that apply.
                          • $5 100 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                          • $42.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                          • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                          Doctor Office Visits

                          • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $35 copay for each specialist visit for Medicare-covered benefits.
                          • 30% of the cost for each primary care doctor visit
                          • 30% of the cost for each specialist visit
                          Capital Advantage Insurance Company SeniorBlue - Option 1 (PPO) (H3923-017) Local Preferred Provider Organization

                            Premium and Other Important Information

                            • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                            • $500 annual deductible. Contact the plan for services that apply.
                            • $5 100 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                            • $162.7 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                            • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                            Doctor Office Visits

                            • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $25 copay for each specialist visit for Medicare-covered benefits.
                            • 20% of the cost for each primary care doctor visit
                            • 20% of the cost for each specialist visit
                            Keystone Health Plan Central Inc. SeniorBlue - Option 1 (HMO) (H3962-001) HMO

                              Premium and Other Important Information

                              • $3 400 out-of-pocket limit for Medicare-covered services.
                              • $156.8 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                              Doctor Office Visits

                              • Authorization rules may apply.
                              • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $20 copay for each specialist visit for Medicare-covered benefits.
                              Keystone Health Plan Central Inc. SeniorBlue - Option 2 (HMO) (H3962-004) HMO

                                Premium and Other Important Information

                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                • $107.4 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $25 copay for each specialist visit for Medicare-covered benefits.
                                Keystone Health Plan Central Inc. SeniorBlue - Option 3 (HMO) (H3962-007) HMO

                                  Premium and Other Important Information

                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                  Doctor Office Visits

                                  • Authorization rules may apply.
                                  • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                  Humana Insurance Company Humana Gold Choice H8145-052 (PFFS) (H8145-052) Private Fee for Service

                                    Premium and Other Important Information

                                    • Package: 1 - MyOption Dental Low PPO:
                                    • Package: 2 - MyOption Vision:
                                    • Package: 3 - MyOption Plus:
                                    • Package: 4 - MyOption Complete:
                                    • Package: 5 - MyOption Healthy Back:
                                    • $20 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                    • $15 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                    • $31 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                    • $33 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                    • $16 monthly premium in addition to your $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                                    • $1 000 plan coverage limit every year for these benefits.
                                    • $290 plan coverage limit every year for these benefits.
                                    • $500 plan coverage limit every year for these benefits.
                                    • $5 900 out-of-pocket limit for Medicare-covered services.
                                    • $49 monthly plan premium in addition to your monthly Medicare Part B premium.
                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                    • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                    Doctor Office Visits

                                    • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                    • $35 copay for each specialist visit for Medicare-covered benefits.
                                    • $15 copay for each primary care doctor visit
                                    • $35 copay for each specialist visit
                                    Humana Insurance Company Humana Gold Choice H8145-055 (PFFS) (H8145-055) Private Fee for Service

                                      Premium and Other Important Information

                                      • Package: 1 - MyOption Dental Low PPO:
                                      • Package: 2 - MyOption Vision:
                                      • Package: 3 - MyOption Plus:
                                      • Package: 4 - MyOption Complete:
                                      • Package: 5 - MyOption Healthy Back:
                                      • $20 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                      • $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                      • $31 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                      • $33 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                      • $16 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                                      • $1 000 plan coverage limit every year for these benefits.
                                      • $290 plan coverage limit every year for these benefits.
                                      • $500 plan coverage limit every year for these benefits.
                                      • $6 700 out-of-pocket limit for Medicare-covered services.
                                      • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                      Doctor Office Visits

                                      • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $40 copay for each in-area network urgent care Medicare-covered visit
                                      • $40 copay for each specialist visit for Medicare-covered benefits.
                                      • $15 copay for each primary care doctor visit
                                      • $40 copay for each specialist visit
                                      Geisinger Gold Geisinger Gold Reserve (MSA) (H8468-001) Medical Savings Account

                                        Premium and Other Important Information

                                        • Balance billing means that a provider may charge and bill you more than the plan's payment amount for services There is a limit on what providers may charge for Medicare-covered services
                                        • $3 000 annual deductible
                                        • Note that only Medicare-covered services will count toward your annual deductible.
                                        • Medicare will deposit $1 500 into your bank account.
                                        • You will not have a monthly plan premium. Medicare pays the monthly plan premium for the Medicare MSA Plan.
                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                        • Balance billing counts towards your plan deductible.

                                        Doctor Office Visits

                                        • Once you reach the plan deductible Medicare MSA plans cover Original Medicare benefits. Co-pay for Medicare MSAs is $0 once deductible is met.

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