Philadelphia Area Comparisons
Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D - Drug Benefits Indicates $0 Premium Plans
Click the Senior Choice Gold Award highlighted Medicare Plan for enrollment details
RANK
If your health is EXCELLENT
use this column
Click here to view health status detailsIf your health is FAIR
use this column
Click here to view health status detailsIf your health is POOR
use this column
Click here to view health status details
#1 | Clover Health (Choice PPO) |
$565 | Highmark (Blue Choice Deluxe HMO) |
$2,011 | Highmark (Blue Choice Deluxe HMO) |
$3,636 |
#2 | Humana (Gold Plus HMO-37) |
$569 | Humana (Gold Plus HMO-37) |
$2,267 | Cigna Healthcare (Alliance HMO) |
$5,430 |
#3 | Cigna Healthcare (Alliance HMO) |
$595 | Geisinger (Gold Value Rx HMO) |
$2,555 | United HealthCare (AARP Medicare Advantage HMO) |
$5,877 |
#4 | Jefferson Health (Medicare Complete HMO) |
$823 | Cigna Healthcare (Alliance HMO) |
$2,560 | Geisinger (Gold Value Rx HMO) |
$6,090 |
#5 | Independence Blue Cross (65 Basic Rx HMO) |
$840 | Jefferson Health (Medicare Complete HMO) |
$2,603 | Humana (Gold Plus HMO-37) |
$6,160 |
#6 | United HealthCare (AARP Medicare Advantage HMO) |
$906 | Independence Blue Cross (65 Basic Rx HMO) |
$2,660 | Jefferson Health (Medicare Complete HMO) |
$6,458 |
#7 | Aetna (Advantra Prime HMO) |
$944 | United HealthCare (AARP Medicare Advantage HMO) |
$2,728 | Independence Blue Cross (65 Basic Rx HMO) |
$6,524 |
#8 | Geisinger (Gold Value Rx HMO) |
$960 | Aetna (Advantra Prime HMO) |
$3,698 | Aetna (Advantra Prime HMO) |
$8,238 |
#9 | Highmark (Blue Choice Deluxe HMO) |
$1,147 | Clover Health (Choice PPO) |
$4,373 | Devoted Health (CORE PPO) |
$8,370 |
#10 | WellCare (Simple PPO) |
$1,163 | Devoted Health (CORE PPO) |
$5,045 | Clover Health (Choice PPO) |
$8,685 |
#11 | Devoted Health (CORE PPO) |
$1,281 | WellCare (Simple PPO) |
$5,275 | WellCare (Simple PPO) |
$9,356 |
Average: All Plans | $890 | Average: All Plans | $3,290 | Average: All Plans | $6,802 |
*Annual estimated costs (out-of-pocket expenses) include applicable 2025 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($185 in 2025 for most beneficiaries) are not included. Estimated costs may be greater for beneficiaries who are late enrolling for Medicare Part D (prescription drug) coverage or lower for beneficiaries with limited income and resources who may be eligible for low-income subsidies. Estimates do not include cost-sharing for additional popular benefits provided by some plans, e.g., eyewear, hearing aids, transportation.
The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans.
Medicare has neither reviewed nor endorsed this information. The Senior Choice Gold Award is not given by Medicare.
This is not a complete listing of plans available in your service area. For a complete listing, please contact 1-800-MEDICARE or consult www.Medicare.gov.
(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.Medicare.gov.)
COSTSHARE REPORT is a registered mark of HealthMetrix Research Inc.