Medicare in ZIP Code

18245

—

Pine Grove

County:

Schuylkill

Last Updated:

Rural

Young man showing a photo frame to an elderly woman turning 65, holding a small dog on a couch.

240

Population

40.8518

Latitude

-76.036

Longitude

Key Points

ZIP 18245 is located in , Pennsylvania, a rural community with 240 total residents and a an aging community.
59.2% of residents are 65 or older—that's 142 seniors in this area. This percentage is significantly higher than the national average of 17%.
The median household income is $44,607, which falls below the national median. Many residents in this bracket may qualify for Medicare Savings Programs, Extra Help with Part D prescriptions, or dual Medicare-Medicaid eligibility.
Pennsylvania's SHIP program provides free counseling to help you understand all available Medicare options including Original Medicare, Medicare Advantage, and Medigap supplements for .

Smiling middle-aged woman in a nursing home paid for by medicare, giving a small wrapped gift to a seated elderly man in a cozy living room.

Group of happy older adults missed their medicare enrollment, taking a cheerful selfie together in a cozy living room.

Elderly man smiling during medicare AEP and handing a gift and flowers to an elderly woman who is looking up at him warmly.

Demographic Data

ZIP code 18245 is located in Schuylkill County, Pennsylvania, centered near Pine Grove, with a total population of 240 and a median age of 68.2. This is a rural community with a notably high senior population — 59.2% of residents are 65 or older (approximately 142 individuals), well above the national average of 17%. This creates strong demand for Medicare services, local healthcare providers, and senior support programs. The racial and ethnic composition includes 100.0% White.

Economic Metrics

The median household income is $44,607, below the national median. Lower-income Medicare beneficiaries may qualify for Medicare Savings Programs (MSPs) that help pay Part B premiums, or Extra Help (Low-Income Subsidy) to reduce Part D prescription drug costs. The median home value is $112,300. Medicare beneficiaries in Schuylkill County should explore all available plan options during Open Enrollment (October 15 – December 7) or consult the Pennsylvania SHIP (State Health Insurance Assistance Program) for free, unbiased counseling on choosing the right coverage.

Interactive Tools / Medicare Calculators

Decision area	Tool	What it answers
Enrollment	Initial Enrollment Period Calculator	When your 7-month Medicare eligibility window begins and ends based on your 65th birthday
Enrollment	When Should I Sign Up for Medicare?	The best time to enroll based on your work status, other coverage, and age
Enrollment	Special Enrollment Period Checker	Whether a life event qualifies you for enrollment outside the standard windows
Enrollment	Late Enrollment Penalty Checker	How much extra you'll pay monthly if you missed your enrollment window
Enrollment	Part B Penalty Calculator	The exact 10%-per-year premium increase for delayed Part B enrollment
Enrollment	Part D Penalty Calculator	The 1%-per-month premium increase for gaps in creditable drug coverage
Costs	Cost Scenario Planner	Estimated annual spending across plan types at different health utilization levels
Costs	Advantage vs. Medigap Cost Comparison	True cost difference between Medicare Advantage and Original Medicare with Medigap
Costs	IRMAA Calculator	Whether your income triggers higher Part B and Part D premiums
Costs	Part A Premium Estimator	Your monthly Part A premium based on work history and quarters of coverage
Costs	M3P Calculator	How the Medicare Prescription Payment Plan smooths your drug costs into monthly payments
Coverage	Doctor & Drug Assessment	Whether your providers and prescriptions are covered by a specific plan
Coverage	Part D Shopping Tool	Which Part D plan has the lowest total annual cost for your specific medications
Coverage	Travel & Network Risk Assessment	How your coverage works outside your home area and which plan types travel best
Employer/COBRA	COBRA vs. Medicare	Why COBRA can trigger permanent Medicare penalties and how costs compare
Employer/COBRA	Employer Coverage vs. Medicare	Whether your employer plan or Medicare is primary and when to transition
Employer/COBRA	HSA & Medicare Compatibility	How Medicare enrollment affects HSA eligibility and what to do before enrolling
Planning	Caregiver Readiness Checklist	Whether you have everything in place to help a loved one with Medicare decisions
Planning	Document Gatherer	Which documents you need to have ready before enrolling or changing plans
Planning	Medigap Fit Assessment	Whether Medigap or Medicare Advantage is the better fit for how you use healthcare
Planning	Medigap Open Enrollment Window	Whether you're inside your one-time guaranteed issue window for Medigap
Planning	Medicare Savings Program Eligibility	Whether your income qualifies you for help paying Medicare premiums and cost-sharing

Smiling elderly woman read how to enroll in medicare hugging an elderly man from behind as he holds a remote and papers while sitting on a couch.

Cities Near

18245

Frequently Asked Medicare Questions

Medicare Advantage Plans

in

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AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Giveback from UHC PA-12 (PPO) — UnitedHealthcare | $0.00 | MOOP $8,900.00

AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0001 (HMO-POS) — UnitedHealthcare | $49.00 | MOOP $5,400.00

AARP Medicare Advantage from UHC PA-0002 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0003 (HMO-POS) — UnitedHealthcare | $39.00 | MOOP $5,900.00

AARP Medicare Advantage from UHC PA-0007 (PPO) — UnitedHealthcare | $42.00 | MOOP $5,900.00

AARP Medicare Advantage from UHC PA-0008 (PPO) — UnitedHealthcare | $60.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC PA-0009 (PPO) — UnitedHealthcare | $79.00 | MOOP $6,300.00

AARP Medicare Advantage from UHC PA-0010 (PPO) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0011 (PPO) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC PA-0015 (PPO) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Rx Preferred from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

AARP Medicare Rx Saver from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

Aetna Community HealthChoices (HMO D-SNP) — Aetna | $14.40 | MOOP $9,250.00

Aetna Medicare Advantra Dual (HMO D-SNP) — Aetna | $13.80 | MOOP $9,250.00

Aetna Medicare Advantra Dual Care (HMO D-SNP) — Aetna | $31.80 | MOOP $9,250.00

Aetna Medicare Advantra Eagle Plus (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Advantra Enhanced (HMO-POS) — Aetna | $48.00 | MOOP $7,500.00

Aetna Medicare Advantra Premier (HMO-POS) — Aetna | $29.00 | MOOP $5,500.00

Aetna Medicare Advantra Premier (PPO) — Aetna | $98.00 | MOOP $5,900.00

Aetna Medicare Advantra Prime Plus (HMO-POS) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare Advantra Signature (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Advantra Signature (PPO) — Aetna | $0.00 | MOOP $9,250.00

Aetna Medicare Advantra Signature Giveback (PPO) — Aetna | $0.00 | MOOP $9,250.00

Aetna Medicare Advantra Signature Plus (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Chronic Care (HMO C-SNP) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Chronic Care Value (HMO C-SNP) — Aetna | $29.70 | MOOP $9,250.00

Aetna Medicare Enhanced (PPO) — Aetna | $66.00 | MOOP $7,500.00

Aetna Medicare Enhanced (PPO) — Aetna | $183.00 | MOOP $7,500.00

Aetna Medicare Longevity (HMO I-SNP) — Aetna | $32.70 | MOOP $9,250.00

Aetna Medicare PinnacleHealth Prime (HMO-POS) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare PinnacleHealth Prime (PPO) — Aetna | $0.00 | MOOP $7,500.00

Aetna Medicare Premier (HMO-POS) — Aetna | $104.00 | MOOP $6,900.00

Aetna Medicare Signature (PPO) — Aetna | $0.00 | MOOP $9,250.00

Aetna Medicare Signature (PPO) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Signature Extra (PPO) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Signature Giveback (PPO) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Value Care (HMO-POS) — Aetna | $32.70 | MOOP $7,500.00

Aetna Medicare Value Care (PPO) — Aetna | $29.00 | MOOP $6,900.00

Aetna Medicare Value Plus (PPO) — Aetna | $29.00 | MOOP $5,500.00

AmeriHealth Caritas VIP Care (HMO D-SNP) — AmeriHealth | $32.70 | MOOP $9,250.00

American Health Advantage of Pennsylvania (HMO I-SNP) — American Health Advantage of Utah | $32.70 | MOOP $9,250.00

Blue Rx PDP Complete (PDP) — Highmark | Not Applicable | MOOP Not Applicable

Blue Rx PDP Plus (PDP) — Highmark | Not Applicable | MOOP Not Applicable

Capital Blue Cross Basic (PPO) — Capital Blue Cross | $20.00 | MOOP $8,200.00

Capital Blue Cross Classic (PPO) — Capital Blue Cross | $72.00 | MOOP $6,700.00

Capital Blue Cross Complete (PPO) — Capital Blue Cross | $49.00 | MOOP $6,600.00

Capital Blue Cross Enhanced (PPO) — Capital Blue Cross | $22.00 | MOOP $6,800.00

Capital Blue Cross Essential (HMO) — Capital Blue Cross | $0.00 | MOOP $6,000.00

Capital Blue Cross Premier (HMO) — Capital Blue Cross | $86.00 | MOOP $5,000.00

Capital Blue Cross Prime (PPO) — Capital Blue Cross | $177.00 | MOOP $6,700.00

Capital Blue Cross Select (PPO) — Capital Blue Cross | $0.00 | MOOP $8,100.00

Capital Blue Cross Value (HMO) — Capital Blue Cross | $58.00 | MOOP $6,500.00

Capital Blue Cross Value (PPO) — Capital Blue Cross | $0.00 | MOOP $9,000.00

Clover Health Choice (PPO) — Clover Health | $0.00 | MOOP $7,499.00

Clover Health Valor (PPO) — Clover Health | Not Applicable | MOOP $9,250.00

Community Blue Medicare HMO Distinct (HMO) — Highmark | $50.00 | MOOP $6,250.00

Community Blue Medicare HMO Signature (HMO) — Highmark | $0.00 | MOOP $6,750.00

Community Blue Medicare PPO Signature (PPO) — Highmark | $0.00 | MOOP $7,950.00

Community Blue Medicare Plus PPO Signature (PPO) — Highmark | $0.00 | MOOP $7,950.00

Complete Blue HMO Distinct (HMO) — Highmark | $20.00 | MOOP $5,900.00

Complete Blue PPO Distinct (PPO) — Highmark | $98.00 | MOOP $6,750.00

Complete Blue PPO Merit (PPO) — Highmark | $0.00 | MOOP $8,300.00

Complete Blue PPO Signature (PPO) — Highmark | $0.00 | MOOP $6,750.00

Complete Blue Plus PPO Distinct (PPO) — Highmark | $99.00 | MOOP $6,750.00

Complete Blue Plus PPO Merit (PPO) — Highmark | $0.00 | MOOP $8,300.00

DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $9,250.00

DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $9,250.00

DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,800.00

DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) — Devoted Health | $32.70 | MOOP $7,000.00

DEVOTED CHOICE 007 PA (PPO) — Devoted Health | $0.00 | MOOP $5,900.00

DEVOTED CHOICE 010 PA (PPO) — Devoted Health | $0.00 | MOOP $6,500.00

DEVOTED CHOICE GIVEBACK 003 PA (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CHOICE GIVEBACK 008 PA (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CHOICE GIVEBACK 011 PA (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CHOICE PREMIUM 002 PA (PPO) — Devoted Health | $32.70 | MOOP $7,550.00

DEVOTED CORE 008 PA (HMO) — Devoted Health | $0.00 | MOOP $6,700.00

DEVOTED CORE 010 PA (HMO) — Devoted Health | $0.00 | MOOP $5,900.00

DEVOTED CORE 012 PA (HMO) — Devoted Health | $0.00 | MOOP $6,700.00

DEVOTED CORE 014 PA (HMO) — Devoted Health | $0.00 | MOOP $5,900.00

DEVOTED CORE 023 PA (HMO) — Devoted Health | $0.00 | MOOP $7,500.00

DEVOTED DUAL FULL 025 PA (HMO D-SNP) — Devoted Health | $19.70 | MOOP $9,250.00

DEVOTED DUAL FULL 026 PA (HMO D-SNP) — Devoted Health | $19.50 | MOOP $9,250.00

DEVOTED DUAL PLUS 005 PA (HMO D-SNP) — Devoted Health | $22.50 | MOOP $9,250.00

DEVOTED DUAL PLUS 007 PA (HMO D-SNP) — Devoted Health | $16.90 | MOOP $9,250.00

DEVOTED GIVEBACK 009 PA (HMO) — Devoted Health | $0.00 | MOOP $7,000.00

DEVOTED GIVEBACK 011 PA (HMO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED GIVEBACK 013 PA (HMO) — Devoted Health | $0.00 | MOOP $7,000.00

DEVOTED GIVEBACK 015 PA (HMO) — Devoted Health | $0.00 | MOOP $9,250.00

Erickson Advantage Champion (HMO-POS C-SNP) — Erickson Advantage | $182.00 | MOOP $3,400.00

Erickson Advantage Freedom (HMO-POS) — Erickson Advantage | $89.00 | MOOP $4,900.00

Erickson Advantage Guardian (HMO-POS I-SNP) — Erickson Advantage | $0.00 | MOOP $1,000.00

Erickson Advantage Liberty (HMO-POS) — Erickson Advantage | $14.00 | MOOP $6,750.00

Erickson Advantage Liberty no Rx (HMO-POS) — Erickson Advantage | Not Applicable | MOOP $6,750.00

Erickson Advantage Signature (HMO-POS) — Erickson Advantage | $182.00 | MOOP $2,900.00

Freedom Blue PPO Basic (PPO) — Highmark | $41.00 | MOOP $5,900.00

Freedom Blue PPO Classic (PPO) — Highmark | $248.00 | MOOP $4,500.00

Freedom Blue PPO Deluxe (PPO) — Highmark | $226.00 | MOOP $4,500.00

Freedom Blue PPO Select (PPO) — Highmark | $139.00 | MOOP $5,000.00

Freedom Blue PPO Standard (PPO) — Highmark | $121.00 | MOOP $5,000.00

Freedom Blue PPO Valor (PPO) — Highmark | $0.00 | MOOP $6,000.00

Freedom Blue PPO ValueRx (PPO) — Highmark | $66.00 | MOOP $5,500.00

Geisinger Gold Classic 360 Rx (HMO) — Geisinger | $0.00 | MOOP $7,100.00

Geisinger Gold Classic Advantage Rx (HMO) — Geisinger | $120.00 | MOOP $3,450.00

Geisinger Gold Classic Complete Rx (HMO) — Geisinger | $48.00 | MOOP $5,700.00

Geisinger Gold Classic Essential Rx (HMO) — Geisinger | $0.00 | MOOP $6,750.00

Geisinger Gold Heritage (HMO) — Geisinger | Not Applicable | MOOP $6,700.00

Geisinger Gold Preferred Advantage Rx (PPO) — Geisinger | $96.00 | MOOP $4,000.00

Geisinger Gold Preferred Complete Rx (PPO) — Geisinger | $0.00 | MOOP $7,200.00

Geisinger Gold Secure Rx (HMO D-SNP) — Geisinger | $32.70 | MOOP $9,250.00

Geisinger Gold Value Rx (HMO) — Geisinger | $23.00 | MOOP $9,250.00

HealthSpring Achieve (HMO C-SNP) — HealthSpring | $0.00 | MOOP $5,900.00

HealthSpring Assurance Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Extra Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Preferred (HMO) — HealthSpring | $0.00 | MOOP $6,600.00

HealthSpring Preferred PA (HMO) — HealthSpring | $0.00 | MOOP $6,750.00

HealthSpring Preferred Plus (HMO) — HealthSpring | $21.00 | MOOP $4,000.00

HealthSpring Preferred Savings (HMO) — HealthSpring | $0.00 | MOOP $9,000.00

HealthSpring TotalCare Plus (HMO D-SNP) — HealthSpring | $0.00 | MOOP $9,250.00

HealthSpring True Choice (PPO) — HealthSpring | $0.00 | MOOP $6,000.00

Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) — Highmark | $16.00 | MOOP $9,250.00

Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) — Highmark | $17.60 | MOOP $8,000.00

Humana Basic Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana Gold Choice H8145-052 (PFFS) — Humana | $0.00 | MOOP $7,100.00

Humana Gold Choice H8145-055 (PFFS) — Humana | $0.00 | MOOP $6,700.00

Humana Gold Choice H8145-163 (PFFS) — Humana | $155.00 | MOOP $1,500.00

Humana Gold Plus H6622-035 (HMO) — Humana | $0.00 | MOOP $8,300.00

Humana Gold Plus H6622-036 (HMO) — Humana | $0.00 | MOOP $8,250.00

Humana Gold Plus H6622-037 (HMO) — Humana | $0.00 | MOOP $7,800.00

Humana Gold Plus H6622-054 (HMO) — Humana | $0.00 | MOOP $7,950.00

Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) — Humana | $2.60 | MOOP $9,250.00

Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) — Humana | $0.00 | MOOP $9,250.00

Humana Premier Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $6,700.00

Humana USAA Honor Giveback with Rx (PPO) — Humana | $0.00 | MOOP $7,350.00

Humana Value Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

HumanaChoice Giveback H5216-116 (PPO) — Humana | $0.00 | MOOP $4,150.00

HumanaChoice Giveback H5525-085 (PPO) — Humana | $0.00 | MOOP $8,000.00

HumanaChoice H5216-023 (PPO) — Humana | $21.00 | MOOP $6,550.00

HumanaChoice H5216-120 (PPO) — Humana | $94.00 | MOOP $7,600.00

HumanaChoice H5525-005 (PPO) — Humana | $26.00 | MOOP $8,300.00

HumanaChoice H5525-006 (PPO) — Humana | $27.00 | MOOP $6,700.00

HumanaChoice H5525-051 (PPO) — Humana | $0.00 | MOOP $7,500.00

HumanaChoice H5525-086 (PPO) — Humana | $29.00 | MOOP $6,050.00

HumanaChoice R0110-007 (Regional PPO) — Humana | Not Applicable | MOOP $4,500.00

HumanaChoice R0110-008 (Regional PPO) — Humana | $52.00 | MOOP $6,700.00

HumanaChoice SNP-DE H5216-227 (PPO D-SNP) — Humana | $0.00 | MOOP $9,250.00

HumanaChoice SNP-DE H7617-048 (PPO D-SNP) — Humana | $11.50 | MOOP $9,250.00

Jefferson Health Plans Complete (HMO) — Jefferson Health Plans | $0.00 | MOOP $6,500.00

Jefferson Health Plans Dual Pearl (HMO D-SNP) — Jefferson Health Plans | $32.70 | MOOP $9,250.00

Jefferson Health Plans Flex (PPO) — Jefferson Health Plans | $0.00 | MOOP $7,000.00

Jefferson Health Plans Flex Plus (PPO) — Jefferson Health Plans | $32.70 | MOOP $6,500.00

Jefferson Health Plans Flex Pro (PPO) — Jefferson Health Plans | $18.00 | MOOP $6,000.00

Jefferson Health Plans Giveback (HMO) — Jefferson Health Plans | $0.00 | MOOP $9,250.00

Jefferson Health Plans Prime (HMO) — Jefferson Health Plans | $32.70 | MOOP $6,000.00

Jefferson Health Plans Select (HMO D-SNP) — Jefferson Health Plans | $32.70 | MOOP $9,250.00

Jefferson Health Plans Special (HMO D-SNP) — Jefferson Health Plans | $32.70 | MOOP $9,250.00

Keystone 65 Basic Rx (HMO) — Independence Blue Cross | $0.00 | MOOP $8,500.00

Keystone 65 Essential Rx (HMO-POS) — Independence Blue Cross | $31.00 | MOOP $8,500.00

Keystone 65 Focus Rx (HMO-POS) — Independence Blue Cross | $0.00 | MOOP $6,750.00

Keystone 65 Liberty Medical Only (HMO) — Independence Blue Cross | Not Applicable | MOOP $6,750.00

Keystone 65 Preferred Medical Only (HMO) — Independence Blue Cross | Not Applicable | MOOP $4,200.00

Keystone 65 Preferred Rx (HMO) — Independence Blue Cross | $188.00 | MOOP $4,200.00

Keystone 65 Select Medical Only (HMO) — Independence Blue Cross | Not Applicable | MOOP $6,750.00

Keystone 65 Select Rx (HMO) — Independence Blue Cross | $47.00 | MOOP $6,750.00

Keystone First VIP Choice (HMO D-SNP) — Independence Blue Cross | $32.70 | MOOP $9,250.00

Peak Advantage Summit (PPO) — Peak Advantage | $20.00 | MOOP $5,500.00

Peak Advantage Vista (PPO) — Peak Advantage | $0.00 | MOOP $5,900.00

Perennial Advantage Freedom (HMO) — Perennial Advantage | $0.00 | MOOP $5,900.00

Perennial Advantage Premier (HMO I-SNP) — Perennial Advantage | $0.00 | MOOP $5,900.00

Perennial Advantage Strive (HMO I-SNP) — Perennial Advantage | $32.70 | MOOP $9,250.00

Personal Choice 65 Achieve Rx (PPO) — Independence Blue Cross | $0.00 | MOOP $6,750.00

Personal Choice 65 Medical Only (PPO) — Independence Blue Cross | Not Applicable | MOOP $5,950.00

Personal Choice 65 Plus Rx (PPO) — Independence Blue Cross | $214.00 | MOOP $4,201.00

Personal Choice 65 Rx (PPO) — Independence Blue Cross | $227.00 | MOOP $5,950.00

Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) — Provider Partners | $32.70 | MOOP $9,250.00

Provider Partners Pennsylvania Community Plan (HMO I-SNP) — Provider Partners | $0.00 | MOOP $2,600.00

Provider Partners Pennsylvania Essential Plan (HMO I-SNP) — Provider Partners | $32.70 | MOOP $9,250.00

Security Blue HMO-POS Basic (HMO-POS) — Highmark | Not Applicable | MOOP $5,900.00

Security Blue HMO-POS Deluxe (HMO-POS) — Highmark | $179.00 | MOOP $4,500.00

Security Blue HMO-POS Standard (HMO-POS) — Highmark | $122.00 | MOOP $5,000.00

Security Blue HMO-POS ValueRx (HMO-POS) — Highmark | $35.00 | MOOP $5,500.00

SilverScript Choice (PDP) — SilverScript | Not Applicable | MOOP Not Applicable

Together Blue Medicare HMO Signature (HMO) — Independence Blue Cross | $0.00 | MOOP $4,900.00

UHC Complete Care PA-17 (HMO-POS C-SNP) — UnitedHealthcare | $0.00 | MOOP $6,700.00

UHC Dual Complete PA-S001 (PPO D-SNP) — UnitedHealthcare | $32.70 | MOOP $9,250.00

UHC Dual Complete PA-S002 (HMO-POS D-SNP) — UnitedHealthcare | $6.80 | MOOP $9,250.00

UHC Dual Complete PA-S3 (HMO-POS D-SNP) — UnitedHealthcare | $18.50 | MOOP $9,250.00

UHC Dual Complete PA-V001 (HMO-POS D-SNP) — UnitedHealthcare | $30.40 | MOOP $6,700.00

UHC Nursing Home Plan EX-F002 (PPO I-SNP) — UnitedHealthcare | $32.60 | MOOP $9,250.00

UPMC for Life Complete Care (HMO D-SNP) — UPMC | $32.70 | MOOP $9,250.00

UPMC for Life Complete Care (HMO D-SNP) — UPMC | $26.50 | MOOP $9,250.00

UPMC for Life HMO Deductible Rx (HMO) — UPMC | $22.00 | MOOP $6,000.00

UPMC for Life HMO No Rx (HMO) — UPMC | Not Applicable | MOOP $6,000.00

UPMC for Life HMO Premier Rx (HMO) — UPMC | $0.00 | MOOP $6,000.00

UPMC for Life HMO Rx (HMO) — UPMC | $90.00 | MOOP $4,500.00

UPMC for Life HMO Rx Choice (HMO) — UPMC | $30.00 | MOOP $5,000.00

UPMC for Life HMO Rx Enhanced (HMO) — UPMC | $295.00 | MOOP $7,550.00

UPMC for Life PPO Essential Care Rx (PPO) — UPMC | $0.00 | MOOP $8,000.00

UPMC for Life PPO High Deductible Rx (PPO) — UPMC | $33.00 | MOOP $7,550.00

UPMC for Life PPO Premier Rx (PPO) — UPMC | $0.00 | MOOP $6,500.00

UPMC for Life PPO Rx Choice (PPO) — UPMC | $25.00 | MOOP $5,500.00

UPMC for Life PPO Rx Enhanced (PPO) — UPMC | $140.00 | MOOP $7,550.00

UPMC for Life PPO Salute (PPO) — UPMC | Not Applicable | MOOP $9,250.00

Wellcare Assist (HMO-POS) — Wellcare | $32.70 | MOOP $5,500.00

Wellcare Classic (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Wellcare Dual Liberty Sync (HMO-POS D-SNP) — Wellcare | $32.70 | MOOP $9,250.00

Wellcare Dual Select (HMO-POS D-SNP) — Wellcare | $32.70 | MOOP $5,400.00

Wellcare Patriot Giveback (HMO-POS) — Wellcare | Not Applicable | MOOP $7,550.00

Wellcare Simple (HMO-POS) — Wellcare | $0.00 | MOOP $6,200.00

Wellcare Value Script (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

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Medicare Advantage Plans in Ohio

AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $5,400.00

AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $8,500.00

AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO) — UnitedHealthcare | $0.00 | MOOP $8,500.00

AARP Medicare Advantage from UHC OH-0001 (HMO-POS) — UnitedHealthcare | $76.00 | MOOP $3,900.00

AARP Medicare Advantage from UHC OH-0003 (HMO-POS) — UnitedHealthcare | $49.00 | MOOP $4,200.00

AARP Medicare Advantage from UHC OH-0014 (PPO) — UnitedHealthcare | $59.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC OH-0015 (PPO) — UnitedHealthcare | $45.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC OH-0016 (PPO) — UnitedHealthcare | $35.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC OH-18 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $4,200.00

AARP Medicare Rx Preferred from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

AARP Medicare Rx Saver from UHC (PDP) — UnitedHealthcare | Not Applicable | MOOP Not Applicable

Aetna Medicare Advantra (PPO) — Aetna | $0.00 | MOOP $4,500.00

Aetna Medicare Chronic Care (HMO C-SNP) — Aetna | $0.00 | MOOP $6,750.00

Aetna Medicare Chronic Care Total (HMO C-SNP) — Aetna | $28.40 | MOOP $9,250.00

Aetna Medicare Dual Care (HMO D-SNP) — Aetna | $17.90 | MOOP $9,250.00

Aetna Medicare Eagle Giveback (PPO) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare Enhanced (HMO-POS) — Aetna | $56.00 | MOOP $4,150.00

Aetna Medicare Longevity (HMO I-SNP) — Aetna | $31.40 | MOOP $9,250.00

Aetna Medicare Partial Dual (HMO D-SNP) — Aetna | $17.20 | MOOP $9,250.00

Aetna Medicare Premier (PPO) — Aetna | $95.00 | MOOP $4,900.00

Aetna Medicare Signature (HMO) — Aetna | $0.00 | MOOP $6,900.00

Aetna Medicare Signature (HMO-POS) — Aetna | $0.00 | MOOP $7,500.00

Aetna Medicare Signature (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Signature (PPO) — Aetna | $0.00 | MOOP $5,900.00

Aetna Medicare Signature Care (HMO-POS) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Signature Extra (HMO-POS) — Aetna | $0.00 | MOOP $4,700.00

Anthem Dual Advantage (HMO D-SNP) — Anthem | $7.10 | MOOP $6,750.00

Anthem Extra Help (HMO-POS) — Anthem | $31.40 | MOOP $7,350.00

Anthem Full Dual Advantage (HMO D-SNP) — Anthem | $0.20 | MOOP $9,250.00

Anthem Full Dual Advantage 2 (HMO D-SNP) — Anthem | $2.30 | MOOP $9,250.00

Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP) — Anthem | $25.70 | MOOP $9,250.00

Anthem Medicare Advantage (HMO-POS) — Anthem | $0.00 | MOOP $9,250.00

Anthem Medicare Advantage (PPO) — Anthem | $10.00 | MOOP $6,750.00

Anthem Medicare Advantage (Regional PPO) — Anthem | $87.00 | MOOP $6,750.00

Anthem Medicare Advantage 3 (PPO) — Anthem | $51.00 | MOOP $6,750.00

Anthem Medicare Advantage 4 (PPO) — Anthem | $56.00 | MOOP $6,900.00

Anthem Veteran (PPO) — Anthem | $0.00 | MOOP $5,900.00

Anthem Veteran (Regional PPO) — Anthem | Not Applicable | MOOP $4,900.00

CareSource MyCare Ohio (HMO D-SNP) — CareSource | $31.40 | MOOP $8,950.00

CommuniCare Advantage CSNP (HMO C-SNP) — CommuniCare Advantage | $0.00 | MOOP $9,250.00

CommuniCare Advantage ISNP (HMO I-SNP) — CommuniCare Advantage | $31.40 | MOOP $9,250.00

DEVOTED C-SNP PLUS 016 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $9,250.00

DEVOTED C-SNP PREMIUM 017 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $4,600.00

DEVOTED C-SNP PREMIUM 018 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $5,200.00

DEVOTED C-SNP PREMIUM 020 OH (HMO C-SNP) — Devoted Health | $31.40 | MOOP $5,200.00

DEVOTED CHOICE 001 OH (PPO) — Devoted Health | $0.00 | MOOP $5,300.00

DEVOTED CHOICE 003 OH (PPO) — Devoted Health | $0.00 | MOOP $5,300.00

DEVOTED CHOICE MA ONLY 002 OH (PPO) — Devoted Health | $0.00 | MOOP $9,250.00

DEVOTED CORE 001 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 004 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 007 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 015 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 019 OH (HMO) — Devoted Health | $0.00 | MOOP $4,900.00

DEVOTED CORE 022 OH (HMO) — Devoted Health | $0.00 | MOOP $4,300.00

DEVOTED DUAL 011 OH (HMO D-SNP) — Devoted Health | $31.40 | MOOP $4,300.00

DEVOTED DUAL PLUS 010 OH (HMO D-SNP) — Devoted Health | $31.40 | MOOP $9,250.00

DEVOTED GIVEBACK 003 OH (HMO) — Devoted Health | $0.00 | MOOP $6,750.00

DEVOTED GIVEBACK 006 OH (HMO) — Devoted Health | $0.00 | MOOP $6,750.00

DEVOTED GIVEBACK 009 OH (HMO) — Devoted Health | $0.00 | MOOP $6,750.00

DEVOTED PREMIUM 002 OH (HMO) — Devoted Health | $31.40 | MOOP $4,500.00

HealthSpring Assurance Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Extra Rx (PDP) — HealthSpring | Not Applicable | MOOP Not Applicable

HealthSpring Preferred (HMO) — HealthSpring | $0.00 | MOOP $2,875.00

HealthSpring Preferred Savings (HMO) — HealthSpring | $0.00 | MOOP $5,825.00

HealthSpring TotalCare (HMO D-SNP) — HealthSpring | $0.00 | MOOP $9,100.00

HealthSpring TotalCare Plus (HMO D-SNP) — HealthSpring | $0.90 | MOOP $9,250.00

HealthSpring True Choice (PPO) — HealthSpring | $0.00 | MOOP $9,250.00

Humana Basic Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana Cleveland Clinic Preferred (HMO-POS) — Humana | $0.00 | MOOP $7,000.00

Humana Dual Select H5525-046 (PPO D-SNP) — Humana | $31.40 | MOOP $9,250.00

Humana Full Access H5525-042 (PPO) — Humana | $27.00 | MOOP $9,150.00

Humana Gold Choice H8145-032 (PFFS) — Humana | $37.00 | MOOP $3,950.00

Humana Gold Plus - Diabetes and Heart (HMO C-SNP) — Humana | $0.00 | MOOP $9,150.00

Humana Gold Plus H6622-013 (HMO-POS) — Humana | $0.00 | MOOP $5,000.00

Humana Gold Plus H6622-014 (HMO-POS) — Humana | $0.00 | MOOP $4,200.00

Humana Gold Plus H6622-021 (HMO-POS) — Humana | $0.00 | MOOP $5,250.00

Humana Gold Plus H6622-022 (HMO-POS) — Humana | $0.00 | MOOP $4,800.00

Humana Gold Plus H6622-055 (HMO) — Humana | $16.00 | MOOP $6,550.00

Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) — Humana | $17.40 | MOOP $9,250.00

Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP) — Humana | $4.60 | MOOP $9,250.00

Humana Premier Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

Humana Together in Health (PPO I-SNP) — Humana | $23.40 | MOOP $9,250.00

Humana Together in Health Select (PPO I-SNP) — Humana | $138.00 | MOOP $4,900.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $7,900.00

Humana USAA Honor Giveback with Rx (PPO) — Humana | $0.00 | MOOP $7,900.00

Humana Value Plus H5525-041 (PPO) — Humana | $31.40 | MOOP $9,250.00

Humana Value Rx Plan (PDP) — Humana | Not Applicable | MOOP Not Applicable

HumanaChoice Giveback H5216-309 (PPO) — Humana | $0.00 | MOOP $9,150.00

HumanaChoice Giveback H7617-003 (PPO) — Humana | $0.00 | MOOP $9,150.00

HumanaChoice H5216-023 (PPO) — Humana | $21.00 | MOOP $6,550.00

HumanaChoice H5216-106 (PPO) — Humana | $1.00 | MOOP $5,050.00

HumanaChoice H5216-285 (PPO) — Humana | $0.00 | MOOP $5,500.00

HumanaChoice H5216-395 (PPO) — Humana | $17.00 | MOOP $6,550.00

HumanaChoice H5525-030 (PPO) — Humana | $85.00 | MOOP $3,950.00

HumanaChoice H7617-004 (PPO) — Humana | $0.00 | MOOP $5,500.00

HumanaChoice R0110-015 (Regional PPO) — Humana | Not Applicable | MOOP $5,700.00

HumanaChoice R0110-016 (Regional PPO) — Humana | $80.00 | MOOP $7,050.00

MedMutual Advantage Access (PPO) — Medical Mutual | $0.00 | MOOP $5,000.00

MedMutual Advantage Choice (HMO) — Medical Mutual | $45.00 | MOOP $3,700.00

MedMutual Advantage Classic (HMO) — Medical Mutual | $0.00 | MOOP $4,900.00

MedMutual Advantage Plus (HMO) — Medical Mutual | $90.00 | MOOP $3,600.00

MedMutual Advantage Preferred (PPO) — Medical Mutual | $73.00 | MOOP $5,800.00

MedMutual Advantage Premium (PPO) — Medical Mutual | $149.00 | MOOP $3,450.00

MedMutual Advantage Select (PPO) — Medical Mutual | $44.00 | MOOP $6,775.00

MedMutual Advantage Signature (HMO-POS) — Medical Mutual | $0.00 | MOOP $4,200.00

Molina Complete Care for MyCare Ohio (HMO D-SNP) — Molina Healthcare | $19.60 | MOOP $9,250.00

Molina Medicare Complete Care (HMO D-SNP) — Molina Healthcare | $0.00 | MOOP $9,250.00

Mount Carmel MediGold Cash Back (HMO) — Mount Carmel MediGold | $0.00 | MOOP $7,900.00

Mount Carmel MediGold Choice (PPO) — Mount Carmel MediGold | $0.00 | MOOP $5,700.00

Mount Carmel MediGold Glory No RX (HMO) — Mount Carmel MediGold | Not Applicable | MOOP $4,900.00

Mount Carmel MediGold No Premium (HMO) — Mount Carmel MediGold | $0.00 | MOOP $4,900.00

Mount Carmel MediGold Plus (HMO) — Mount Carmel MediGold | $34.00 | MOOP $4,400.00

Mount Carmel MediGold Premier (HMO) — Mount Carmel MediGold | $102.00 | MOOP $3,900.00

Mount Carmel MediGold Premium Choice (PPO) — Mount Carmel MediGold | $14.00 | MOOP $5,700.00

Paramount Elite Enhanced (HMO-POS) — Paramount | $74.00 | MOOP $3,700.00

Paramount Elite Preferred (PPO) — Paramount | $0.00 | MOOP $5,300.00

Paramount Elite Prime (HMO-POS) — Paramount | $35.00 | MOOP $4,200.00

Paramount Elite Standard (HMO-POS) — Paramount | $0.00 | MOOP $4,600.00

Perennial Advantage Freedom (HMO-POS) — Perennial Advantage | $0.00 | MOOP $3,900.00

Perennial Advantage Premier (HMO-POS I-SNP) — Perennial Advantage | $0.00 | MOOP $3,900.00

Perennial Advantage Strive (HMO I-SNP) — Perennial Advantage | $31.40 | MOOP $9,250.00

PrimeTime Health Plan Aultimate (HMO-POS) — PrimeTime Health Plan | $0.00 | MOOP $4,900.00

PrimeTime Health Plan Basic - MA Only (HMO-POS) — PrimeTime Health Plan | Not Applicable | MOOP $3,900.00

PrimeTime Health Plan Classic (HMO-POS) — PrimeTime Health Plan | $60.00 | MOOP $4,500.00

PrimeTime Health Plan Plus (HMO-POS) — PrimeTime Health Plan | $115.00 | MOOP $4,000.00

SilverScript Choice (PDP) — SilverScript | Not Applicable | MOOP Not Applicable

SummaCare Medicare Amber (HMO) — SummaCare | Not Applicable | MOOP $3,450.00

SummaCare Medicare Emerald (HMO-POS) — SummaCare | $157.00 | MOOP $2,800.00

SummaCare Medicare Garnet (HMO) — SummaCare | $35.00 | MOOP $4,800.00

SummaCare Medicare Quartz (HMO) — SummaCare | $0.00 | MOOP $3,950.00

SummaCare Medicare Ruby (HMO) — SummaCare | $50.00 | MOOP $3,600.00

SummaCare Medicare Sapphire (HMO-POS) — SummaCare | $83.00 | MOOP $3,650.00

SummaCare Medicare Topaz (HMO) — SummaCare | $0.00 | MOOP $4,300.00

The Health Plan SecureCare - Option II (HMO) — The Health Plan | $0.00 | MOOP $5,000.00

The Health Plan SecureCare Integrity Plan 3 (HMO) — The Health Plan | Not Applicable | MOOP $6,500.00

The Health Plan SecureCare SNP (HMO D-SNP) — The Health Plan | $17.70 | MOOP $9,250.00

The Health Plan SecureChoice - Option II (PPO) — The Health Plan | $109.00 | MOOP $6,700.00

The Health Plan SecureChoice Optimum (PPO) — The Health Plan | $0.00 | MOOP $5,900.00

UHC Care Advantage OH-E001 (PPO I-SNP) — UnitedHealthcare | $31.40 | MOOP $4,000.00

UHC Complete Care OH-18 (HMO-POS C-SNP) — UnitedHealthcare | $0.00 | MOOP $6,700.00

UHC Dual Complete OH-D001 (HMO D-SNP) — UnitedHealthcare | $28.30 | MOOP $9,250.00

UHC Dual Complete OH-D002 (HMO-POS D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-D1 (PPO D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-S2 (HMO D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-S3 (HMO-POS D-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UHC Dual Complete OH-V001 (HMO D-SNP) — UnitedHealthcare | $31.40 | MOOP $5,800.00

UHC Dual Complete OH-V002 (HMO-POS D-SNP) — UnitedHealthcare | $31.40 | MOOP $5,800.00

UHC Nursing Home Plan OH-F001 (PPO I-SNP) — UnitedHealthcare | $31.40 | MOOP $9,250.00

UPMC for Life HMO Deductible Rx (HMO) — UPMC | $22.00 | MOOP $6,000.00

UPMC for Life HMO No Rx (HMO) — UPMC | Not Applicable | MOOP $6,000.00

UPMC for Life HMO Rx (HMO) — UPMC | $90.00 | MOOP $4,500.00

UPMC for Life HMO Rx Choice (HMO) — UPMC | $30.00 | MOOP $5,000.00

UPMC for Life HMO Rx Enhanced (HMO) — UPMC | $295.00 | MOOP $7,550.00

Valor Health Plan (HMO I-SNP) — Valor Health Plan | $31.40 | MOOP $9,250.00

Wellcare Assist (HMO-POS) — Wellcare | $30.10 | MOOP $4,700.00

Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP) — Wellcare | $31.40 | MOOP $9,250.00

Wellcare Classic (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Wellcare Dual Access (HMO-POS D-SNP) — Wellcare | $27.40 | MOOP $9,250.00

Wellcare Dual Liberty (HMO-POS D-SNP) — Wellcare | $31.40 | MOOP $9,250.00

Wellcare Dual Reserve (HMO-POS D-SNP) — Wellcare | $31.40 | MOOP $4,200.00

Wellcare Simple (HMO-POS) — Wellcare | $0.00 | MOOP $6,500.00

Wellcare Value Script (PDP) — Wellcare | Not Applicable | MOOP Not Applicable

Zing Elite Diabetes & Heart OH (HMO C-SNP) — Zing Health | $0.00 | MOOP $4,500.00

Zing Elite Select OH (HMO) — Zing Health | $0.00 | MOOP $3,900.00

Zing Select Care OH (HMO) — Zing Health | $0.00 | MOOP $4,500.00

Zing Select Diabetes & Heart OH (HMO C-SNP) — Zing Health | $0.00 | MOOP $4,500.00

Zing Select Dialysis OH (HMO C-SNP) — Zing Health | $0.00 | MOOP $4,950.00

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Medicare Advantage Plans in Utah

AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $5,200.00

AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage Giveback from UHC UT-9 (PPO) — UnitedHealthcare | $0.00 | MOOP $13,900.00

AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $6,700.00

AARP Medicare Advantage from UHC UT-0001 (PPO) — UnitedHealthcare | $28.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC UT-0002 (PPO) — UnitedHealthcare | $0.00 | MOOP $5,500.00

AARP Medicare Advantage from UHC UT-0003 (HMO-POS) — UnitedHealthcare | $55.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC UT-0005 (HMO-POS) — UnitedHealthcare | $0.00 | MOOP $4,900.00

AARP Medicare Advantage from UHC UT-0008 (PPO) — UnitedHealthcare | $0.00 | MOOP $10,100.00

AARP Medicare Rx Preferred from UHC (PDP) — UnitedHealthcare | $0.00 | MOOP —

AARP Medicare Rx Saver from UHC (PDP) — UnitedHealthcare | $0.00 | MOOP —

Aetna Medicare Advantra (HMO-POS) — Aetna | $0.00 | MOOP $3,800.00

Aetna Medicare Advantra Select (HMO-POS) — Aetna | $22.00 | MOOP $6,750.00

Aetna Medicare Choice (PPO) — Aetna | $0.00 | MOOP $4,900.00

Aetna Medicare Dual Preferred (HMO D-SNP) — Aetna | $0.00 | MOOP $9,350.00

Aetna Medicare Dual Preferred (PPO D-SNP) — Aetna | $0.00 | MOOP $9,350.00

Aetna Medicare Eagle (PPO) — Aetna | $0.00 | MOOP $8,950.00

Aetna Medicare Elite (PPO) — Aetna | $0.00 | MOOP $5,500.00

Aetna Medicare Enhanced (PPO) — Aetna | $105.00 | MOOP $7,900.00

Aetna Medicare Signature (HMO) — Aetna | $0.00 | MOOP $5,000.00

Aetna Medicare Signature Extra (PPO) — Aetna | $0.00 | MOOP $8,950.00

Aetna Medicare Value (PPO) — Aetna | $51.00 | MOOP $6,900.00

Aetna Medicare Value Plus (PPO) — Aetna | $37.60 | MOOP $8,950.00

American Health Advantage of Utah (HMO I-SNP) — American Health Advantage of Utah | $54.70 | MOOP $9,350.00

Cigna Healthcare Assurance Rx (PDP) — Cigna Healthcare | $128.60 | MOOP —

Cigna Healthcare Extra Rx (PDP) — Cigna Healthcare | $0.00 | MOOP —

Cigna Healthcare Saver Rx (PDP) — Cigna Healthcare | $56.30 | MOOP —

Cigna Preferred Medicare (HMO) — Cigna Healthcare | $0.00 | MOOP $4,200.00

Cigna True Choice Courage Medicare (PPO) — Cigna Healthcare | $0.00 | MOOP $5,700.00

Cigna True Choice Medicare (PPO) — Cigna Healthcare | $0.00 | MOOP $4,300.00

DEVOTED C-SNP CHOICE PLUS 007 UT (PPO C-SNP) — Devoted Health | $37.60 | MOOP $9,250.00

DEVOTED C-SNP CHOICE PREMIUM 003 UT (PPO C-SNP) — Devoted Health | $37.60 | MOOP $7,800.00

DEVOTED CHOICE 001 UT (PPO) — Devoted Health | $0.00 | MOOP $7,500.00

DEVOTED CHOICE GIVEBACK 002 UT (PPO) — Devoted Health | $0.00 | MOOP $13,900.00

DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP) — Devoted Health | $0.00 | MOOP $13,900.00

HealthSpring Premier (HMO-POS) — HealthSpring | $0.00 | MOOP $3,500.00

Humana Basic Rx Plan (PDP) — Humana | $0.00 | MOOP —

Humana Dual Select H7617-039 (PPO D-SNP) — Humana | $27.90 | MOOP $13,900.00

Humana Full Access H7617-025 (PPO) — Humana | $29.00 | MOOP $5,500.00

Humana Gold Plus H2486-003 (HMO) — Humana | $0.00 | MOOP $5,000.00

Humana Premier Rx Plan (PDP) — Humana | $0.00 | MOOP —

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $13,900.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $10,100.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $13,900.00

Humana USAA Honor Giveback (PPO) — Humana | $0.00 | MOOP $5,100.00

Humana Value Choice H7617-032 (PPO) — Humana | $0.00 | MOOP $8,950.00

Humana Value Rx Plan (PDP) — Humana | $0.00 | MOOP —

HumanaChoice Giveback H5216-430 (PPO) — Humana | $0.00 | MOOP $9,450.00

HumanaChoice H5216-048 (PPO) — Humana | $118.00 | MOOP $6,700.00

HumanaChoice H5216-131 (PPO) — Humana | $0.00 | MOOP $5,500.00

HumanaChoice H7617-016 (PPO) — Humana | $87.00 | MOOP $10,100.00

HumanaChoice SNP-DE H5216-296 (PPO D-SNP) — Humana | $0.00 | MOOP $13,900.00

HumanaChoice SNP-DE H7617-038 (PPO D-SNP) — Humana | $0.00 | MOOP $9,250.00

Molina Medicare Complete Care (HMO D-SNP) — Molina Healthcare | $0.00 | MOOP $9,250.00

Molina Medicare Complete Care Select (HMO D-SNP) — Molina Healthcare | $0.00 | MOOP $9,250.00

Regence MedAdvantage + Rx Classic (PPO) — Regence BlueCross BlueShield of Utah | $41.00 | MOOP $6,200.00

Regence MedAdvantage + Rx Enhanced (PPO) — Regence BlueCross BlueShield of Utah | $130.00 | MOOP $5,000.00

Regence Valiance (PPO) — Regence BlueCross BlueShield of Utah | $0.00 | MOOP $4,500.00

Select Health Medicare + Kroger (HMO) — Select Health | $0.00 | MOOP $5,700.00

Select Health Medicare Choice (PPO) — Select Health | $14.00 | MOOP $5,700.00

Select Health Medicare Classic (HMO) — Select Health | $59.00 | MOOP $6,700.00

Select Health Medicare Dual (HMO D-SNP) — Select Health | $54.60 | MOOP $8,850.00

Select Health Medicare Enhanced (HMO) — Select Health | $63.00 | MOOP $4,700.00

Select Health Medicare Essential (HMO) — Select Health | $0.00 | MOOP $4,900.00

Select Health Medicare Essential (HMO) — Select Health | $0.00 | MOOP $5,700.00

Select Health Medicare NoRx (HMO) — Select Health | $0.00 | MOOP $6,700.00

SilverScript Choice (PDP) — SilverScript | $0.00 | MOOP —

UHC Complete Care UT-6 (HMO-POS C-SNP) — UnitedHealthcare | $0.00 | MOOP $5,200.00

UHC Dual Complete UT-S001 (PPO D-SNP) — UnitedHealthcare | $37.60 | MOOP $13,900.00

UHC Dual Complete UT-S2 (HMO-POS D-SNP) — UnitedHealthcare | $37.60 | MOOP $9,250.00

UHC Dual Complete UT-V001 (PPO D-SNP) — UnitedHealthcare | $17.40 | MOOP $10,100.00

UHC Nursing Home Plan UT-F001 (PPO I-SNP) — UnitedHealthcare | $54.70 | MOOP $1,500.00

Wellcare Classic (PDP) — Wellcare | $0.00 | MOOP —

Wellcare Medicare Rx Value Plus (PDP) — Wellcare | $0.00 | MOOP —

Wellcare Value Script (PDP) — Wellcare | $0.00 | MOOP —

Key Takeaways

ZIP 18245 in , PA is home to 240 residents with a an aging population. With 59.2% of residents age 65 or older, this community has strong Medicare coverage needs. Median income of $44,607 suggests exploring Medicare Savings Programs, Extra Help for prescriptions, or dual Medicare-Medicaid coverage for extra benefits.

Open Enrollment (October 15-December 7) is your chance to review and change your Medicare plan. Pennsylvania SHIP provides completely free, unbiased counseling to help you understand Original Medicare, Medicare Advantage plans, and Medigap supplements available in your area. Make your choice based on your personal healthcare needs, preferred doctors, and your budget.

‍CMS TPMO Compliance Disclaimer: We do not offer every plan available in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Participating sales agencies represent Medicare Advantage [HMO, PPO, PFFS, and PDP] organizations that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

Not Government Affiliated: Resting Sycamore Advisors is a licensed Medicare insurance agency. We are not affiliated with or endorsed by the U.S. government or the federal Medicare program.

‍Data & Methodology for Research Articles: All provider, facility, quality star ratings, and enrollment data is sourced from primary CMS records (cms.gov), including the December 2025 CPSC Enrollment files and the January 2026 Provider Data Catalog. Calculations for patient-to-provider ratios are performed using indexed clinician and facility data. Everything on restingsycamore.com is for educational purposes and does not constitute an endorsement of any specific plan or provider.

Non-CMS Data Sources: Some specific data was obtained from https://opendata.gov

Medicare in ZIP Code

18245

—

Pine Grove

240

40.8518

-76.036

Key Points

Demographic Data

Economic Metrics

Interactive Tools / Medicare Calculators

Cities Near

18245

McAdoo

Tamaqua

Mahanoy City

Coaldale

Shenandoah

Frequently Asked Medicare Questions

What would my costs look like in a bad health year on Medicare?

Who do I call when I have a Medicare problem?

What happens if I need care at a hospital that is out of my Medicare Advantage network?

Which Medicare plans are strongest in Utah County?

Medicare Advantage Plans

in

Heading

County

Key Takeaways