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תוכניות Medicare Advantage ב-Fayette County, PA לשנת 2027
77 תוכניות Medicare Advantage מ-11 חברות זמינות ב-Fayette County לשנת 2027. תוכניות עם פרמיה חודשית של $0 (לא כולל תוכניות לצרכים מיוחדים): 27. מגבלת תשלום מכיס נמוכה ביותר ברשת: $4,150.
תקופת ההרשמה הפתוחה לשנת 2027 מתקיימת בין 15 באוקטובר ל-7 בדצמבר, 2026; הכיסוי מתחיל ב-1 בינואר, 2027.
תוכניות עם כיסוי תרופות (42)
| תוכנית | סוג | פרמיה חודשית | השתתפות עצמית בתרופות | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|---|
| Aetna Medicare Signature (PPO) Aetna Medicare | PPO | $0 | $700 | $5,500 | 4.5 |
| Aetna Medicare Signature Plus (HMO-POS) Aetna Medicare | HMO-POS | $0 | $400 | $5,500 | 4 |
| Peak Advantage Vista (PPO) Peak Health | PPO | $0 | $0 | $5,900 | 4.5 |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life | HMO | $0 | $700 | $6,500 | 4.5 |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO | $0 | $700 | $6,950 | 4.5 |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $685 | $7,150 | 4 |
| AARP Medicare Advantage from UHC PA-0011 (PPO) UnitedHealthcare | PPO | $0 | $685 | $7,150 | 4 |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $0 | $700 | $7,150 | 4.5 |
| UPMC for Life PPO Premier Rx (PPO) UPMC for Life | PPO | $0 | $700 | $7,150 | 4.5 |
| Humana USAA Honor Giveback with Rx (PPO) Humana | PPO | $0 | $700 | $7,350 | 3.5 |
| Humana Essentials Plus Giveback (PPO) Humana | PPO | $0 | $700 | $8,000 | 3.5 |
| Humana Value Choice (PPO) Humana | PPO | $0 | $700 | $8,000 | 3.5 |
| UPMC for Life Essential Rx (PPO) UPMC for Life | PPO | $0 | $700 | $8,000 | 4.5 |
| Humana Gold Plus H6622-054 (HMO) Humana | HMO | $0 | $700 | $8,260 | 3.5 |
| Complete Blue PPO Merit (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $0 | $700 | $8,300 | 4.5 |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) UnitedHealthcare | PPO | $0 | $685 | $9,200 | 4 |
| Aetna Medicare Advantra Signature Giveback (PPO) Aetna Medicare | PPO | $0 | $700 | $9,850 | 4.5 |
| Wellcare Simple (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $9,850 | 3.5 |
| Peak Advantage Summit (PPO) Peak Health | PPO | $25 | $0 | $5,500 | 4.5 |
| UPMC for Life HMO Deductible Rx (HMO) UPMC for Life | HMO | $25 | $700 | $6,000 | 4.5 |
| Geisinger Gold Value Rx (HMO) Geisinger Gold | HMO | $29 | $0 | $9,000 | 4.5 |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life | HMO | $33 | $700 | $6,000 | 4.5 |
| UPMC for Life PPO High Deductible Rx (PPO) UPMC for Life | PPO | $33 | $700 | $7,550 | 4.5 |
| Aetna Medicare Advantra Enhanced (HMO-POS) Aetna Medicare | HMO-POS | $39 | $400 | $5,500 | 4 |
| HumanaChoice H5525-086 (PPO) Humana | PPO | $39 | $700 | $5,800 | 3.5 |
| Aetna Medicare Premier Plus (PPO) Aetna Medicare | PPO | $39 | $700 | $7,150 | 4.5 |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $41 | $700 | $6,950 | 4.5 |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO | $42 | $700 | $6,450 | 4.5 |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life | PPO | $43 | $700 | $7,000 | 4.5 |
| Security Blue HMO-POS ValueRx (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $53 | $700 | $5,500 | 4.5 |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) UnitedHealthcare | HMO-POS | $54 | $685 | $6,700 | 4 |
| AARP Medicare Advantage from UHC PA-0008 (PPO) UnitedHealthcare | PPO | $60 | $685 | $5,900 | 4 |
| HumanaChoice R0110-008 (Regional PPO) Humana | Regional PPO | $75 | $700 | $7,150 | 3.5 |
| UPMC for Life HMO Rx (HMO) UPMC for Life | HMO | $90 | $0 | $4,500 | 4.5 |
| Freedom Blue PPO ValueRx (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $97 | $700 | $5,500 | 4.5 |
| HumanaChoice H5216-120 (PPO) Humana | PPO | $107 | $700 | $7,600 | 3.5 |
| Security Blue HMO-POS Standard (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $132 | $0 | $5,000 | 4.5 |
| UPMC for Life PPO Rx Enhanced (PPO) UPMC for Life | PPO | $155 | $0 | $7,550 | 4.5 |
| Freedom Blue PPO Select (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $157 | $0 | $5,000 | 4.5 |
| Security Blue HMO-POS Deluxe (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $188 | $0 | $4,500 | 4.5 |
| Freedom Blue PPO Classic (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $266 | $0 | $4,500 | 4.5 |
| UPMC for Life HMO Rx Enhanced (HMO) UPMC for Life | HMO | $295 | $0 | $7,550 | 4.5 |
תוכניות ללא כיסוי תרופות (10)
| תוכנית | סוג | פרמיה חודשית | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|
| HumanaChoice Giveback H5216-116 (PPO) Humana | PPO | $0 | $4,150 | 3.5 |
| HumanaChoice R0110-007 (Regional PPO) Humana | Regional PPO | $0 | $4,750 | 3.5 |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) Aetna Medicare | HMO-POS | $0 | $5,500 | 4 |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $0 | $6,000 | 4.5 |
| UPMC for Life HMO No Rx (HMO) UPMC for Life | HMO | $0 | $6,500 | 4.5 |
| Geisinger Gold Heritage (HMO) Geisinger Gold | HMO | $0 | $6,700 | 4.5 |
| Humana USAA Honor Giveback (PPO) Humana | PPO | $0 | $6,700 | 3.5 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $7,150 | 4 |
| UPMC for Life PPO Salute (PPO) UPMC for Life | PPO | $0 | $9,850 | 4.5 |
| Security Blue HMO-POS Basic (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $7 | $5,900 | 4.5 |
תוכניות לצרכים מיוחדים (25)
תוכניות לצרכים מיוחדים מיועדות רק לאנשים שיש להם גם Medicaid (D-SNP), מצבים כרוניים מסוימים (C-SNP) או המתגוררים במוסד כגון בית אבות (I-SNP).
| תוכנית | סוג | פרמיה חודשית | השתתפות עצמית בתרופות | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|---|
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plans | HMO I-SNP | $0 | $700 | $2,600 | 5 |
| Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP) Wellcare | HMO-POS D-SNP | $0 | $700 | $5,400 | 3.5 |
| Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare | HMO C-SNP | $0 | $700 | $7,150 | 4 |
| UHC Complete Care PA-17 (HMO-POS C-SNP) UnitedHealthcare | HMO-POS C-SNP | $0 | $595 | $7,150 | 4 |
| Aetna Medicare Dual (HMO D-SNP) Aetna Medicare | HMO D-SNP | $0 | $700 | $9,850 | 4 |
| Aetna Medicare Full Dual Extra (HMO D-SNP) Aetna Medicare | HMO D-SNP | $0 | $700 | $9,850 | 4 |
| Aetna Medicare Longevity (HMO I-SNP) Aetna Medicare | HMO I-SNP | $0 | $700 | $9,850 | 4 |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) Humana | PPO D-SNP | $0 | $700 | $9,850 | 3.5 |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) Humana | PPO D-SNP | $0 | $50 | $9,850 | 4.5 |
| UHC Complete Care Support PA-1A (HMO-POS C-SNP) UnitedHealthcare | HMO-POS C-SNP | $0 | $580 | $9,850 | 4 |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $0 | $380 | $9,850 | 3.5 |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $0 | $360 | $9,850 | 3.5 |
| UPMC for Life Complete Care (HMO D-SNP) UPMC for Life Complete Care | HMO D-SNP | $0 | $700 | $9,850 | 4 |
| Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP) Wellcare | HMO-POS D-SNP | $0 | $700 | $9,850 | 3.5 |
| Geisinger Gold Secure Rx (HMO D-SNP) Geisinger Gold | HMO D-SNP | $1 | $700 | $9,850 | 4.5 |
| Amerihealth Caritas VIP Care (HMO D-SNP) VISTA Health Plan Inc. | HMO D-SNP | $9 | $700 | $9,850 | 4 |
| UHC Dual Complete PA-S001 (PPO D-SNP) UnitedHealthcare | PPO D-SNP | $11.7 | $700 | $9,850 | 4 |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) UnitedHealthcare | PPO I-SNP | $12.5 | $700 | $9,850 | 4.5 |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Highmark Wholecare Medicare Assured | HMO D-SNP | $12.8 | $700 | $6,500 | 4 |
| UHC Dual Advantage PA-V1 (HMO-POS D-SNP) UnitedHealthcare | HMO-POS D-SNP | $12.8 | $700 | $7,150 | 3.5 |
| Aetna Medicare Chronic Care Value (HMO C-SNP) Aetna Medicare | HMO C-SNP | $12.8 | $700 | $9,850 | 4 |
| American Health Advantage of Pennsylvania (HMO I-SNP) American Health Advantage of Pennsylvania | HMO I-SNP | $12.8 | $700 | $9,850 | — |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Wholecare Medicare Assured | HMO D-SNP | $12.8 | $700 | $9,850 | 4 |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plans | HMO I-SNP | $12.8 | $700 | $9,850 | 5 |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plans | HMO I-SNP | $12.8 | $700 | $9,850 | 5 |
תוכניות תרופות חלק D עצמאיות ב-Pennsylvania →
דירוגי הכוכבים לשנת 2027 מתפרסמים על ידי CMS באוקטובר; הכוכבים המוצגים הם הדירוג הכולל של החוזה לשנת 2026. אינו קשור או מומלץ על ידי ממשלת ארה"ב או תוכנית Medicare הפדרלית, ואיננו מוכרים תוכניות. איננו מפרטים את כל הטבות התוכנית; יש לאשר עלויות וכיסוי מול התוכנית, Medicare.gov או 1-800-MEDICARE (TTY 1-877-486-2048) לפני ההרשמה. מקור: תמונת המצב של Medicare Advantage וחלק D של CMS, 2027 (מהדורת 2026-10).