Plans Offering Drug Coverage

AARP MedicareComplete

  • HMO
  • Choice PPO

Aetna Coventry

  • Advantra Gold PPO (1/1/20 new name - Aetna Medicare Advantra Premier Plus PPO)
  • Advantra Northern Pennsylvania Gold HMO (1/1/20 new name - Aetna Medicare Advantra Gold HMO)
  • Advantra Southeast Prime HMO (1/1/20 new name - Aetna Medicare Advantra Value HMO)
  • Advantra Silver HMO & PPO (1/1/20 new name - Aetna Medicare Advantra Silver HMO & PPO)
  • Advantra Silver Plus HMO & PPO (1/1/20 new name - Aetna Medicare Advanta Silver Plus HMO & PPO)
  • Advantra One PPO (1/1/20 new name - Aetna Medicare Advantra Credit Value PPO)
  • Advantra Basic Medical HMO (1/1/20 new name - Aetna Medicare Advantra Core HMO)

Aetna Medicare

  • Aetna PEBTF PPO
  • Choice HMO
  • Silver HMO & PPO
  • Gold PPO
  • Premier HMO
  • Standard HMO
  • Basic HMO

We do not participate in the following Aetna plans:

  • Not PEBTF HMO

Capital Blue Cross Medicare Advantage

  • Blue Journey HMO plans (ALL)
  • Blue Journey PPO plans (ALL)
  • Blue Journey Essential
  • Blue Journey Value

Cigna Medicare (also known as Cigna Health Spring)

  • True Choice (PPO)
  • True Choice Plus (PPO)
  • Preferred HMO
  • Preferred Plus HMO
  • PreventiveCare HMO
  • Total Care HMO
  • Traditions HMO (I)
  • Achieve HMO ©
  • Advantage HMO

We do not participate in the following Cigna Medicare plans:

Humana (Choicecare) 

  • Humana Gold Plus HMO
  • Humana Choice PPO
  • Humana Gold Choice PFFS
  • Humana Gold Plus (HMO D-SNP)

Independence Blue Cross

  • IBC HMO K65 Focus
  • IBC HMO Medicare
  • IBC PPO Medicare

Keystone 65

  • Basic Rx HMO
  • Focus Rx HMO
  • Preferred Rx HMO
  • Select Rx HMO

United Healthcare

  • Unitedhealthcare Dual Complete
  • Unitedhealthcare Group Medicare Advantage Plans
  • Unitedhealthcare Assisted Living Plan (PPO)
  • Unitedhealthcare Nursing Home Plan

UPMC for Life

  • HMO
  • PPO

Other

  • Personal Choice 65 Rx PPO
  • Tricare for Life
  • Alliance HMO

We do not participate in the following UPMC plans:

  • UPMC for Life HMO Premier Rx
  • UPMC for Life Plans Berks County

Vibra

  • Enhanced Complete Coverage PPO
  • Essential Coverage PPO

Plans without Drug Coverage

  • Cigna-HealthSpring Advantage HMO
  • Keystone 65
    • Preferred Medical Only HMO
    • Select Medical Only HMO
  • United Healthcare AARP Medicare Complete

Special Needs Plans

Aetna Coventry

  • Advantra Cares (HMO SNP) - (1/1/20 new name - Aetna Medicare Advantra Cares HMO D-SNP)

Cigna-HealthSpring

  • Achieve HMO (C)
  • Total Care HMO
  • Traditions HMO (I)

Gateway Health Medicare Assured

  • Diamond HMO
  • Ruby HMO

United Healthcare

  • AARP Medicare Complete
  • UHC Dual Complete
  • UHC Group Medicare Advantage Plans
  • UHC Assisted Living Plan (PPO)
  • UHC Nursing Home Plan

Other

  • UPMC for Life Dual HMO
  • Keystone First VIP Choice HMO
  • Sunrise Advantage PA (Spartan)