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
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#1 Jefferson Health
(Medicare Complete HMO) 		 $458 Jefferson Health
(Medicare Complete HMO) 		 $2,620 Perennial Advantage
(Freedom HMO)  		 $5,073
#2 Independence Blue Cross
(65 Basic Rx HMO)  		 $488 Clover Health
(Choice PPO)   		 $2,782 HealthSpring
(Preferred HMO)  		 $5,971
#3 Clover Health
(Choice PPO)  		 $640 Perennial Advantage
(Freedom HMO)  
 $2,794 Clover Health
(Choice PPO)  		 $5,962
#4 Devoted Health
(CORE PPO)  		 $719 Devoted Health
(CORE PPO)  		 $3,036 Jefferson Health
(Medicare Complete HMO) 		 $6,064
#5 United HealthCare
(AARP Medicare Advantage HMO) 		 $761 HealthSpring
(Preferred HMO)  		 $3,057 Geisinger
(Gold Value Rx HMO)  		 $6,208
#6 Humana
(Gold Plus HMO-37) 		 $770 Independence Blue Cross
(65 Basic Rx HMO)  		 $3,068 Devoted Health
(CORE PPO)  		  $6,673
#7 HealthSpring
(Preferred HMO)  		 $864 Geisinger
(Gold Value Rx HMO)  		 $3,097 Humana
(Gold Plus HMO-37) 		 $6,712
#8 Perennial Advantage
(Freedom HMO)  		 $903 Humana
(Gold Plus HMO-37) 		 $3,209 WellCare
(Simple PPO)  		 $7,180
#9 Aetna 
(Advantra Prime HMO)  		 $934 WellCare
(Simple PPO)   		 $3,301 Independence Blue Cross
(65 Basic Rx HMO)  		 $7,199
#10 WellCare
(Simple PPO)  		 $940 Aetna 
(Advantra Prime HMO)  		 $3,658 United HealthCare
(AARP Medicare Advantage HMO) 		 $8,113
#11 Geisinger
(Gold Value Rx HMO)  		 $1,035 United HealthCare
(AARP Medicare Advantage HMO) 		 $3,680 Aetna 
(Advantra Prime HMO)  		 $8,157
#12 Highmark 
(Complete Blue Distinct PPO-$109)		 $3,541 Highmark 
(Complete Blue Distinct PPO-$109)		 $5,849 Highmark 
(Complete Blue Distinct PPO-$109)		 $9,416
  Average: All Plans $1,004 Average: All Plans  $3,346 Average: All Plans $6,896

*Annual estimated costs (out-of-pocket expenses) include applicable 2026 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.) 

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