Juniata County, Pennsylvania Medicare Companies and Plans (2021)

Eligible residents can buy Juniata County Medicare plans from multiple insurance companies. Medicare plans available in Juniata County include Medicare Advantage (Part C), Part D prescription drug coverage, and Medicare Supplement (Medigap) plans. The best way to choose the right Medicare coverage in Juniata County, PA is to compare coverage and rates from multiple companies.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Sep 23, 2021

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The Highlights

  • Juniata County residents can buy Medicare Advantage or choose original Medicare
  • Medicare Advantage plans in Juniata County, Pennsylvania may include dental, vision, and hearing coverage
  • Standalone Medicare Part D plans in Juniata County can help cover the cost of prescriptions

Juniata County, Pennsylvania Medicare plans are widely available, and Medicare-eligible residents can compare options that include Medicare Advantage, standalone Medicare Part D, and Medicare Supplement plans to fill the gaps in original Medicare.

Whether you are just looking for Medigap coverage in Juniata County to avoid out-of-pocket costs not covered by your Medicare Part A and B or want to sign up for Medicare Advantage instead, comparing your options is the best way to find affordable Juniata County, PA Medicare coverage that suits your needs.

Ready to find cheap Medicare rates in Juniata County, PA? Enter your ZIP code to compare Juniata County, Pennsylvania Medicare plans today.

Medicare Advantage Companies in Juniata County, Pennsylvania

A Medicare Advantage plan in Juniata County, PA can provide additional coverage above and beyond original Medicare and allows you to choose your plan, coverage, and network. Take a look at the companies that offer Medicare Advantage plans in Juniata County, Pennsylvania.

Medicare Advantage Companies in Juniata County, Pennsylvania

Plan Name Monthly Prem. (Parts C & D) Deductible Additional Gap Coverage Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
Aetna Medicare Advantra Cares (HMO D-SNP) – H3959-036-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 35%, Specialty Tier: 29% n/a
Aetna Medicare Advantra Credit Value (PPO) – H5522-017-0 $0.00 $250 . Tier 1 and 2 exempt Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $7,550
Aetna Medicare Advantra Eagle (HMO) – H3959-041-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $4,000
Aetna Medicare Advantra Gold (HMO) – H3959-037-0 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Advantra Premier (HMO) – H3959-039-0 $25.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Advantra Premier Plus (PPO) – H5522-002-0 $47.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $4,900
Aetna Medicare Advantra Silver (PPO) – H5522-004-0 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Advantra Silver Plus (PPO) – H5522-013-0 $19.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Gold Plan (PPO) – H5521-122-0 $169.00 $0 Yes, some additional gap coverage. Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Silver (HMO) – H3931-070-0 $69.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Value (PPO) – H5521-263-0 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Allwell Dual Medicare (HMO D-SNP) – H2915-007-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% n/a
Allwell Medicare (HMO) – H2915-015-2 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
Allwell Medicare Boost (HMO) – H2915-012-0 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $7,550
Allwell Medicare Complement (HMO) – H2915-011-0 $29.50 $445 . Tier 1 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 25% $7,550
Allwell Medicare Simple (HMO) – H2915-010-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $3,450
AmeriHealth Caritas VIP Care (HMO D-SNP) – H4227-002-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Generic: $5.00, Brand: 25% n/a
BlueJourney Classic (PPO) – H3923-013-0 $49.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
BlueJourney Essential (HMO) – H3962-007-0 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
BlueJourney Premier (HMO) – H3962-001-0 $106.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,400
BlueJourney Prime (PPO) – H3923-017-0 $171.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $4,000
BlueJourney Select (PPO) – H3923-028-0 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $8.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
BlueJourney Value (HMO) – H3962-004-0 $51.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $4,500
Community Blue Medicare HMO Signature (HMO) – H3957-042-2 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Community Blue Medicare PPO Distinct (PPO) – H3916-034-3 $35.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,500
Community Blue Medicare PPO Signature (PPO) – H3916-037-2 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Freedom Blue PPO Basic (PPO) – H3916-012-0 $66.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $5,900
Freedom Blue PPO Deluxe (PPO) – H3916-005-0 $289.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $4,500
Freedom Blue PPO Standard (PPO) – H3916-015-0 $175.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $5,000
Freedom Blue PPO ValueRx (PPO) – H3916-018-0 $70.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $5,500
Gateway Health Medicare Assured Diamond (HMO D-SNP) – H5932-001-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $38.00, Non-Preferred Drug: 49%, Specialty Tier: 25% n/a
Gateway Health Medicare Assured Ruby (HMO D-SNP) – H5932-009-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% n/a
Geisinger Gold Classic Advantage (HMO) – H3954-156-13 $30.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $3,450
Geisinger Gold Classic Advantage Rx (HMO) – H3954-157-13 $121.00 $0 Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $3,450
Geisinger Gold Classic Complete Rx (HMO) – H3954-158-13 $38.00 $0 Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $4,900
Geisinger Gold Classic Essential Rx (HMO) – H3954-159-13 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $7,550
Geisinger Gold Preferred Advantage Rx (PPO) – H3924-059-13 $110.00 $0 Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $4,000
Geisinger Gold Preferred Complete Rx (PPO) – H3924-060-13 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $3.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $6,700
Geisinger Gold Preferred Enhanced Rx (PPO) – H3924-062-21 $0.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $6,700
Geisinger Gold Secure Rx (HMO D-SNP) – H3954-097-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Tier 1: 15% n/a
Humana Gold Choice H8145-052 (PFFS) – H8145-052-0 $8.00 $360 . Tier 1 and 2 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $7.00, Generic: $17.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% n/a
Humana Gold Choice H8145-055 (PFFS) – H8145-055-0 $7.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. n/a
Humana Honor (PPO) – H5216-221-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $6,700
Humana Value Plus H5216-117 (PPO) – H5216-117-0 $26.90 $420 . Tier 1 exempt No additional gap coverage, only the Donut Hole Discount Preferred Generic: $1.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% $6,700
HumanaChoice H5216-116 (PPO) – H5216-116-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $3,900
HumanaChoice H5216-120 (PPO) – H5216-120-0 $127.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $97.00, Specialty Tier: 33% $6,700
HumanaChoice H5525-006 (PPO) – H5525-006-0 $28.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,700
HumanaChoice H5525-038 (PPO) – H5525-038-0 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $7.00, Generic: $17.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,700
HumanaChoice R0923-001 (Regional PPO) – R0923-001-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $4,900
HumanaChoice R0923-002 (Regional PPO) – R0923-002-0 $63.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $6.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $6,700
HumanaChoice SNP-DE H5216-227 (PPO D-SNP) – H5216-227-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $2.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
Lasso Healthcare Growth (MSA) – H1924-001-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. n/a
Lasso Healthcare Growth Plus (MSA) – H1924-004-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. n/a
UPMC for Life Complete Care (HMO D-SNP) – H4279-001-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $18.00, Non-Preferred Drug: 49%, Specialty Tier: 25% n/a
UPMC for Life HMO Deductible with Rx (HMO) – H3907-037-0 $22.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
UPMC for Life HMO No Rx (HMO) – H3907-002-0 $0.00 No Rx Coverage No Rx Coverage This Plan does NOT include Prescription Drug coverage. $7,550
UPMC for Life HMO Rx (HMO) – H3907-029-0 $81.00 $0 Yes, some additional gap coverage. Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
UPMC for Life HMO Rx Choice (HMO) – H3907-049-0 $40.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
UPMC for Life HMO Rx Enhanced (HMO) – H3907-006-0 $302.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
UPMC for Life PPO Rx Enhanced (PPO) – H5533-008-0 $60.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
UnitedHealthcare Dual Complete (HMO D-SNP) – H3113-009-0 $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Vibra Essential Advocate (PPO) – H9408-006-2 $0.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
Vibra Health Plan Enhanced Complete (PPO) – H9408-005-0 $26.00 $0 No additional gap coverage, only the Donut Hole Discount Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $5,800

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Medicare Supplement Companies in Juniata County, Pennsylvania

If you choose original Medicare in Juniata County, PA, you can get coverage for out-of-pocket costs like deductibles, co-pays, and coinsurance with a Juniata County Medicare Supplement plan. Take a look at which companies offer Medicare Supplement plans in Juniata County, PA and which plans are available.

Medicare Supplement Companies in Juniata County, Pennsylvania

Company Plans
AARP – UnitedHealthcare Insurance Company (Level 1) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
AARP – UnitedHealthcare Insurance Company (Level 1/Household) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
AARP – UnitedHealthcare Insurance Company (Level 2) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
AARP – UnitedHealthcare Insurance Company (Level 2/Household) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
AARP – UnitedHealthcare Insurance Company (Standard) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
AARP – UnitedHealthcare Insurance Company (Standard/Household) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
Accendo Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Aetna Health Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
American Benefit Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Atlantic Coast Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Atlantic Coast Life Insurance Company (Household) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Bankers Fidelity Assurance Company (Preferred) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Bankers Fidelity Assurance Company (Standard) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Bankers Fidelity Life Insurance Company (Preferred) Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Bankers Fidelity Life Insurance Company (Standard) Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Capital BlueCross Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Capital BlueCross (First Eligible Disabled) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Capitol Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Central States Health and Life Co. of Omaha Medigap Plan A,
Medigap Plan B,
Medigap Plan N
Cigna National Health Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (Standard II w/ 15% HHD) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (Standard II w/ 6% HHD) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (Standard II) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (Standard III w/ 15% HHD) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (Standard III w/ 6% HHD) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (Standard III) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (w/ 15% HHD) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Cigna National Health Insurance Company (w/ 6% HHD) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Colonial Penn Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan L,
Medigap Plan M,
Medigap Plan N
Colonial Penn Life Insurance Company (Substandard) Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan L,
Medigap Plan M,
Medigap Plan N
Combined Insurance Company of America Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Erie Family Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Everence Association Inc. Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N
Federal Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
GPM Health and Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Garden State Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan M,
Medigap Plan N
Globe Life and Accident Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
Great Southern Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Great Southern Life Insurance Company (Class 1) Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Guarantee Trust Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Heartland National Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Highmark Blue Shield (Preferred) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Highmark Blue Shield (Standard) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Highmark Blue Shield (Whole Health Balance/Preferred) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Highmark Blue Shield (Whole Health Balance/Standard) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
Humana Achieve (Emphesys Insurance Company) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
Humana Achieve (Emphesys Insurance Company) (Household) Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
Independence American Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Lumico Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Manhattan Life Assurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Medico Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
Nassau Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
National Guardian Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
National Health Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
National Health Insurance Company (Household) Medigap Plan A,
Medigap Plan B,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan N
New Era Life Insurance Company of the Midwest Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
Pan-American Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Prosperity Life Group Medigap Plan A,
Medigap Plan B,
Medigap Plan G
Puritan Life Insurance Company of America Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Resource Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G
Sentinel Security Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Shenandoah Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Southern Guaranty Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
State Farm Mutual Automobile Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
Transamerica Life Insurance Company (Direct) Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan M,
Medigap Plan N
USAA Life Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
Union Security Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan N
United American Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan F-high deductible,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
United Commercial Travelers of America Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan N
United States Fire Insurance Company Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan L,
Medigap Plan N
United of Omaha Life Insurance Medigap Plan A,
Medigap Plan B,
Medigap Plan G,
Medigap Plan G-high deductible,
Medigap Plan N
Wisconsin Physicians Service Insurance Corporation Medigap Plan A,
Medigap Plan B,
Medigap Plan C,
Medigap Plan G,
Medigap Plan L,
Medigap Plan N

Juniata County, Pennsylvania Medicare Supplement Coverage by Plan

Not sure which Juniata County Medicare supplement plan is right for you? Take a look at the details of each of the standard Pennsylvania Medicare supplement plans to find out what’s covered.

Juniata County, Pennsylvania Medicare Supplement Coverage by Plan

Plan Name Monthly Cost Copays Coinsurance Deductibles Plan Benefits
Medigap Plan A Premiums range from $53-$763 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $1,484 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: No
Part A deductible: No
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan B Premiums range from $94-$774 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: No
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan C Premiums range from $127-$642 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$0 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: Yes
Part B excess charges: No
Foreign travel emergency: Yes
Medigap Plan D Premiums range from $120-$547 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: Yes
Medigap Plan F Premiums range from $123-$949 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$0 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: Yes
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan F-high deductible Premiums range from $32-$212 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services after you pay $2,370 deductible $2,370 total plan deductible.
After, you pay: $0 Hospital (Part A) deductible,
$0 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: Yes
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan G Premiums range from $96-$983 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan G-high deductible Premiums range from $32-$189 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services after you pay $2,370 deductible $2,370 total plan deductible.
After, you pay: $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: Yes
Foreign travel emergency: Yes
Medigap Plan K Premiums range from $38-$367 depending on your age, sex, health status, and when you buy. 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. $742 (50% of Part A deductible) Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan L Premiums range from $65-$714 depending on your age, sex, health status, and when you buy. 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. $371 (25% of Part A deductible) Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: No
Medigap Plan M Premiums range from $123-$803 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services $742 (50% of Part A deductible) Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: Yes
Medigap Plan N Premiums range from $77-$670 depending on your age, sex, health status, and when you buy. $0 Generally your cost for approved Part B services with some $20 and $50 copays $0 Hospital (Part A) deductible,
$203 Medical (Part B) deductible
Skilled nursing facility: Yes
Part A deductible: Yes
Part B deductible: No
Part B excess charges: No
Foreign travel emergency: Yes

Standalone Medicare Part D Plans in Juniata County, Pennsylvania

If you’re looking to buy a standalone Juniata County, PA Medicare Part D plan for prescription drug coverage, you have several options. Review the companies that offer Part D as a standalone policy and what sort of Medicare prescription coverage is available in Juniata County, Pennsylvania.

Standalone Medicare Part D plans in Juniata County, Pennsylvania

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 181 – 0
by Aetna Medicare
Monthly Premium: $7.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
Clear Spring Health Premier Rx (PDP)
S6946 – 032 – 0
by Clear Spring Health
Monthly Premium: $13.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $40.00
Tier 4: 42%
Tier 5: 25%
Elixir RxPlus (PDP)
S7694 – 126 – 0
by Elixir Insurance
Monthly Premium: $15.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 175 – 0
by WellCare
Monthly Premium: $15.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 185 – 0
by Humana
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 19%
Tier 4: 35%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 141 – 0
by WellCare
Monthly Premium: $17.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 285 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 50%
Tier 5: 25%
Mutual of Omaha Rx Premier (PDP)
S7126 – 075 – 0
by Mutual of Omaha Rx
Monthly Premium: $24.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 23%
Tier 4: 45%
Tier 5: 25%
Express Scripts Medicare – Saver (PDP)
S5660 – 222 – 0
by Express Scripts Medicare
Monthly Premium: $25.90
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
WellCare Medicare Rx Select (PDP)
S5810 – 280 – 0
by WellCare
Monthly Premium: $26.40
Annual Deductable: $415
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 25%
Clear Spring Health Value Rx (PDP)
S6946 – 003 – 0
by Clear Spring Health
Monthly Premium: $29.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $42.00
Tier 4: 34%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 215 – 0
by Cigna
Monthly Premium: $30.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $30.00
Tier 4: 50%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 012 – 0
by Aetna Medicare
Monthly Premium: $32.90
Annual Deductable: $345
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 40%
Tier 5: 26%
WellCare Classic (PDP)
S4802 – 080 – 0
by WellCare
Monthly Premium: $33.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $33.00
Tier 4: 34%
Tier 5: 25%
Indy Health SaverRx (PDP)
S3535 – 009 – 0
by Indy Health Insurance Company
Monthly Premium: $34.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $10.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 25%
AARP MedicareRx Saver Plus (PDP)
S5921 – 351 – 0
by UnitedHealthcare
Monthly Premium: $34.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $5.00
Tier 3: $33.00
Tier 4: 40%
Tier 5: 25%
Elixir RxSecure (PDP)
S7694 – 006 – 0
by Elixir Insurance
Monthly Premium: $35.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 34%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5884 – 104 – 0
by Humana
Monthly Premium: $35.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 388 – 0
by UnitedHealthcare
Monthly Premium: $35.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 040 – 0
by WellCare
Monthly Premium: $35.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Express Scripts Medicare – Value (PDP)
S5660 – 108 – 0
by Express Scripts Medicare
Monthly Premium: $36.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $21.00
Tier 4: 50%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 251 – 0
by Cigna
Monthly Premium: $45.60
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
Indy Health EliteRx (PDP)
S3535 – 005 – 0
by Indy Health Insurance Company
Monthly Premium: $47.10
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $3.00
Tier 2: $5.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 33%
SecureRx – Option 3 (PDP)
S8067 – 001 – 0
by Avalon Insurance Company
Monthly Premium: $60.90
Annual Deductable: $265
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $8.00
Tier 2: $12.00
Tier 3: $40.00
Tier 4: 50%
Tier 5: 28%
Humana Premier Rx Plan (PDP)
S5884 – 152 – 0
by Humana
Monthly Premium: $67.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 49%
Tier 5: 25%
SilverScript Plus (PDP)
S5601 – 013 – 0
by Aetna Medicare
Monthly Premium: $72.80
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 33%
Mutual of Omaha Rx Plus (PDP)
S7126 – 005 – 0
by Mutual of Omaha Rx
Monthly Premium: $74.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 39%
Tier 5: 25%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 129 – 0
by WellCare
Monthly Premium: $75.60
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 33%
Express Scripts Medicare – Choice (PDP)
S5660 – 176 – 0
by Express Scripts Medicare
Monthly Premium: $82.40
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
AARP MedicareRx Preferred (PDP)
S5820 – 005 – 0
by UnitedHealthcare
Monthly Premium: $87.20
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%
Blue Rx PDP Plus (PDP)
S5593 – 002 – 0
by Highmark Inc.
Monthly Premium: $94.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $7.00
Tier 3: 20%
Tier 4: 40%
Tier 5: 25%
SecureRx – Option 1 (PDP)
S8067 – 003 – 0
by Avalon Insurance Company
Monthly Premium: $107.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $3.00
Tier 2: $10.00
Tier 3: $38.00
Tier 4: $88.00
Tier 5: 33%
Blue Rx PDP Complete (PDP)
S5593 – 003 – 0
by Highmark Inc.
Monthly Premium: $164.40
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $40.00
Tier 4: 35%
Tier 5: 33%

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