Pennsylvania Medicare Advantage Plans from Clover Health
Pennsylvania Medicare Advantage plans offered by Clover Health are designed to give you the benefits you need while being friendly to your budget.
Enter your zip code to see Clover Health plans available in Pennsylvania.
Clover Health Medicare in Pennsylvania
At Clover Health, our approach to Medicare is simple. Our Medicare Advantage plans could lower your out-of-pocket healthcare costs, stretch your retirement dollars, give you the freedom to choose the doctor you want, and even give you yearly allowances for dental care, eyewear, and over-the-counter items.
In Pennsylvania, Clover Health offers PPO Medicare Advantage plans in Bucks, Delaware, and Philadelphia counties.
Our Medicare Advantage plans vs. Original Medicare in Pennsylvania
Original Medicare helps to cover the big stuff in Part A, like hospitalization, and in Part B, like doctor appointments. However, it only covers 80% of your Part B expenses. You are responsible for the remaining 20%, which can add up.
Unlike Original Medicare:
- Our Medicare Advantage plans include prescription drug coverage.
- Our plans usually have lower out-of-pocket expenses, which is great for managing your retirement budget.
- Our plans have copays, so you know how much it will cost to see a doctor or be admitted to a hospital. Original Medicare has coinsurance, which means you pay a portion of the total cost.
- Our Pennsylvania plans include allowances for dental care, eyewear, and over-the-counter items, which means you keep more in your pocket.
- Our plans include rides to medical appointments and the SilverSneakers® fitness program, which includes a gym membership and on-demand video classes.
Peace of mind with a Clover Health Medicare Advantage plan
With a Clover Health Medicare Advantage plan, you can have peace of mind knowing…
- You are still enrolled in Medicare.
- Clover Health has a contract with the Centers for Medicare & Medicaid Services (CMS).
- Every Clover Health Medicare Advantage plan must include all Part A and Part B.
- Every Clover Health plan is reviewed and approved by CMS each year.
Core Medicare benefits of our Pennsylvania Medicare plans
The Clover Health Choice PPO Medicare Advantage plan with prescription drug coverage gives Bucks, Delaware, and Philadelphia County residents some of the best benefits in the area, including a $0 monthly plan premium, a $0 copay for unlimited primary care visits, a $15 copay for unlimited specialist visits, a $0 copay for many generic drugs, a $0 copay for lab services, a $0 copay for preventive services, and a $0 copay for diabetes monitoring supplies.
When you’re a Clover Health member, your copays for urgent care, emergency care, inpatient hospital stays, outpatient surgery, ambulance services, and prescription costs are reasonable and affordable.
Clover Health Medicare plans give you the freedom to choose your doctor
Clover Health puts members’ needs first. Our PPO networks are broad and open, enabling our members to see any doctor participating in Medicare who is willing to accept them.
Clover Health also focuses on keeping your out-of-pocket costs as low as possible. Our Pennsylvania PPO Medicare plans allow members to pay the same low cost-shares whether the doctor is in-network or out-of-network.
If you’d like to see a list of providers in your area who are in the Clover Health network, please use Find a Provider.
Extra help for paying for prescription drugs in Pennsylvania
We know that many people are having trouble paying for prescription drugs and that many qualify for Extra Help. Most people who qualify will pay no more than a $9.20 copay for their medications. In many cases, you’ll pay no copays and save hundreds of dollars a year.
For those in Pennsylvania who qualify, Clover Health has the Choice Value PPO Medicare Advantage plan. The Choice Value PPO plan benefits include, a $0 copay for unlimited primary care visits, a $0 copay for unlimited specialist visits, a $0 copay for many generic drugs, a $0 copay for lab services, a $0 copay for preventive services and a $0 copay for diabetes monitoring supplies.
We can help you see if you qualify, so give us a call.
Supplemental benefits and services in Pennsylvania
Another advantage of the Clover Health PPO Medicare Advantage plan in Pennsylvania is the supplemental benefits not offered with Original Medicare.
Dental, Vision, and Hearing Benefits
Clover Health plans cover important dental, vision, and hearing services to support your wellness. Pennsylvania Clover Health Choice PPO plan members get routine dental exams, cleanings, an annual x-ray, and comprehensive dental coverage with a $2,000 yearly allowance for dentures, crowns, fillings, and other dental services.
With Clover Health, you also get one routine vision exam per year, plus a yearly allowance for routine contacts or glasses. One annual routine hearing exam is also included with a $0 copay in our Pennsylvania Medicare Advantage plan when you visit a TruHearing audiologist, along with hearing aids with affordable copays.
Our Choice PPO Medicare Advantage plan also includes an allowance for frequently used over-the-counter products like aspirin, cold and flu medicines, digestive aids, and much more.
In Pennsylvania, Choice PPO members receive $75 every quarter, or $300 a year, to spend on these items which helps keep more in your pocket.
Easy access to a doctor
In addition to visiting your doctor’s office, you can now see your doctor from the comfort of your home. Clover Health Medicare Advantage plans provide a telehealth solution to all doctors so they can offer video or phone appointments. If your personal doctor isn’t available, Clover Health can connect you with a doctor or nurse practitioner via video or phone.
Staying fit and active is much easier when you have the Clover Health Medicare Advantage plan, which includes a SilverSneakers® membership. Sign up for a Clover Health plan and you’ll have access to over 16,000 fitness centers nationwide as well as on-demand video fitness and nutrition classes through SilverSneakers®.
Unlike Original Medicare, we cover many prescription drugs and can save you money with a convenient 100-day supply delivered to you. With our South Carolina Medicare Advantage plans, Tier 1 prescriptions from a preferred pharmacy have a $0 copay. Preferred pharmacies include CVS as well as many Walmart and Costco pharmacies and other locations nationwide. Check this pharmacy locator for a preferred pharmacy near you. Copays and the percentage of medication costs covered vary by plan and Medicare phase of coverage, so check our formulary to see if your medications are covered.
Why Clover Health Choice PPO Medicare Advantage for Pennsylvania?
Most residents of Bucks, Delaware, and Philadelphia counties are looking to lower their out-of-pocket healthcare costs, stretch their retirement dollars, have the freedom to choose the doctor they want, and even have yearly allowances for dental care, eyewear, and over-the-counter items. The Clover Health Choice PPO Medicare Advantage plan can help you get all that and more.
Contact us at 1-800-836-6890 (TTY 711) 8 am to 8 pm local time, 7 days a week,* to speak to a licensed sales agent and learn why we’ve been one of the fastest growing Medicare Advantage plans in the country since 2013. Already a member? Call us at 1-888-778-1478 (TTY 711).