Looking for Medicare Advantage Plans in Philadelphia County? Enter your ZIP below to compare affordable or $0 premium plans in your area.
Nearly 1.6 million people call Philadelphia County, PA, home. Many of the Medicare beneficiaries who live in Philadelphia have enrolled in Medicare Advantage (Medicare Part C) plans for their health coverage.
Close to 117,000 Medicare beneficiaries in Philadelphia County were enrolled in Medicare Advantage plans in 2019, which accounted for 43% of all Medicare beneficiaries within the county.1
Learn more about Medicare Advantage in Pennsylvania.
|Number of unique plans||4|
|Weighted average premium||$144|
|Average annual deductible||$171.62|
|Average (in-network) out-of-pocket maximum||$6,167|
|Number of $0 premium plans||0|
|Number of plans rated four stars or higher||3|
Philadelphia residents had their choice of four distinct Medicare Advantage plans in 2019, three of which were rated four stars or higher based on Medicare Star Ratings.2 Plans rated four stars or higher are considered top-rated Medicare plans.
The weighted average deductible for plans in 2019 was just $171 per year.
Premiums, deductibles and other costs may vary. The numbers reported in the table above are taken from the Centers for Medicare and Medicaid Services (CMS). A licensed insurance agent will be able to help you review and compare costs for specific plans available in Philadelphia County or wherever you may live.
Medicare Advantage plans can come in several different forms.
The majority Medicare Advantage enrollees in Pennsylvania belonged to an HMO plan in 2019.
Medical Savings Accounts and Private Fee-For-Service plans were also available in Pennsylvania in 2019.
In the state of Pennsylvania, the breakdown of plan types in 2019 was as follows:
|Plan type||Percentage of Pennsylvania enrollees (2019)|
There are different Medicare enrollment periods in the year during which you may able to sign up for a Medicare Advantage plan in Philadelphia, depending on your eligibility.
When you first become eligible for Medicare, you will typically be granted an Initial Enrollment Period (IEP). This period begins three months before you turn 65 years old, includes the month of your birthday and continues for an additional three months.
The Annual Enrollment Period (AEP, also called the Medicare Open Enrollment Period for Medicare Advantage plans) takes place from October 15 to December 7 each year. This period is open to all eligible Medicare beneficiaries who wish to add, drop or change Medicare plans.
If you experience a qualifying circumstance, you may be granted a Special Enrollment Period (SEP) at any time throughout the year to allow you to enroll in a Medicare Advantage plan.
Such circumstances may include situations like moving outside of your plan’s service area or losing your Medicare Advantage plan coverage through no fault of your own. A licensed insurance agent can help you determine if you are eligible for a Special Enrollment Period and what actions you may be able to take during that time.
Medicare Advantage plans can come in a variety of types and can include different benefits, networks, costs and more.
Connect with a licensed insurance agent today for help determining your eligibility and finding the best Medicare Advantage plan for you in Philadelphia County.
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1 MedicareAdvantage.com's internal analysis of CMS Medicare Advantage landscape source files, accessed May 2019. Data retrieved from www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn.
2 Every year, Medicare evaluates plans based on a 5-star rating system.