If you are looking for health insurance in Pennsylvania, there are many options available. Geisinger, Independence Blue Cross, Highmark, and UPMC are some of the companies that offer health plans. Some of these plans are also referred to as small group health insurance. The UPMC Advantage Bronze plan, for example, costs $6,700/year and is a Partner Network plan.
Geisinger health insurance in Pennsylvania is available to residents of Pennsylvania who live within the state’s borders. The system is based in Danville, Pennsylvania and serves more than three million patients throughout 45 counties. Its services include emergency care, inpatient care, outpatient care, and a variety of other medical services.
Geisinger health insurance in Pennsylvania offers individual and family medical plans. Geisinger has 27 plans to choose from, so you can find the right one for you and your family. Geisinger’s premiums are generally competitive. They are most affordable in Northampton, Lehigh, and Central counties.
Another benefit of Geisinger health insurance in Pennsylvania is its mail-order pharmacy. This is especially helpful for those who can’t make it into the office to purchase prescriptions. In addition, this health plan has a program to help low-income families afford medical care. The Children’s Health Insurance Program pays for routine immunizations and wellness visits, as well as emergency care for children.
Geisinger Gold plans are available in most counties in Pennsylvania. Geisinger’s Medicare Supplement plans are popular with seniors. Geisinger’s gold plans are available in Adams, Berks, Bradford, Bucks, and Dauphin counties.
Highmark is a leading health insurance provider in Pennsylvania. The company administers plans for nearly four million members in Pennsylvania, Delaware, and West Virginia. As a member of the Blue Cross Blue Shield Association, it underwrites various indemnity health insurance products. These policies cover services that include dental and vision care, prescription drug coverage, and long-term care insurance. Highmark also provides claims processing services and third-party administrative services for its members.
Highmark offers a variety of plans through both state and federal Marketplaces. These plans typically include extra savings that reduce monthly premiums and out-of-pocket costs. Highmark also offers several plans through the Highmark plan app. However, to qualify for the plan, you must have active Highmark medical insurance coverage.
Highmark plans vary by county, but they all offer access to more than nine out of 10 hospitals in Pennsylvania and the U.S. Highmark also offers national coverage through the Blue Cross Blue Shield Association. The company offers a range of products, and most recently, introduced Medicare Advantage plans. This will allow consumers to enjoy a greater variety of coverage at affordable prices.
In addition to Pennsylvania, Highmark also offers plans in Delaware and West Virginia. Its Pennsylvania presence is extensive, covering nearly thirty-one counties in the western part of the state, 21 counties in Central Pennsylvania, and the Lehigh Valley. The company also has a presence in border areas of eastern Ohio and the entire state of West Virginia.
UPMC Advantage Bronze $6,700/$0 – Partner Network plan
UPMC offers Medicare Advantage plans that are affordable and offer new benefits, such as unlimited fitness. The plan also has a low $5 copay for doctor visits, and the policy has no premium. The plan also includes dental and vision coverage, as well as travel assistance.
UPMC has 140 hospitals and 29,000 doctors in its network. It also has an extended network for Urgent Care. In addition, it recently acquired the Western Maryland Health System (WMHS), which expanded its reach into Western Maryland. The plan’s network features a variety of community-based and carrier-owned hospitals and doctors.
UPMC Advantage Bronze $6,700/0 – Partner Network plan costs $178 per month for a 26-year-old, and MoneyGeek defines a high out-of-pocket maximum at $8,250. It falls into the Bronze tier, which is the lowest tier in Pennsylvania and has low premiums but high out-of-pocket costs. For this reason, it’s a good choice for those who do not require a lot of medical care.
UPMC’s partner network includes hospitals in Allegheny, Beaver, Clinton, Fayette, Washington, and Westmoreland counties. Other participating hospitals include Grove City Medical Center, Heritage Valley Health System, and Monongahela Valley. UPMC also has several specialty hospitals that are part of their network.
UPMC Advantage Silver $6,700/$0 – Partner Network plan
UPMC Health Plan has a Bronze health insurance plan for residents of Pennsylvania, priced at $178 per month for a 26-year-old. This plan is part of the Partner Network, which is a network of doctors and hospitals affiliated with UPMC. Despite the low monthly premium, the plan’s out-of-pocket maximum is high (up to $8,250, according to MoneyGeek). As such, this plan is not a good choice for people who need extensive medical care.
Consumers in western Pennsylvania can also access the UPMC Premium Network, which includes all UPMC physicians and numerous community partners. UPMC also offers a catastrophic health plan. The plan also offers rewards to members who complete two steps within 90 days: choose a primary care physician and complete a health risk assessment. After completing these steps, members will receive a $50 gift card code. These cards can be used at hundreds of retailers.
UPMC has a reputation for quality care. Highmark has been in the news recently after it cut network payments to cancer-care providers. The decision was made after a court ruling. Highmark is not pleased with the decision, and is now moving to reverse the decision. Meanwhile, UPMC continues to win awards for providing excellent care. In fact, its commercial HMOs have received the highest rating possible from the National Committee For Quality Assurance (NCQA), which is a group that ranks health plans based on the quality of care and satisfaction.
In addition to its PPO and HMO plans, UPMC also offers an affordable Medicare Advantage plan. Some of its newer benefits include unlimited fitness, a low $5 co-pay for doctor visits, and a policy with no premium. The policy also includes two PPO plans with dental and vision coverage and travel assistance.
UPMC Silver Platinum $6,700/$0 – Partner Network plan
UPMC’s Silver Platinum health insurance plan in Pennsylvania is the most affordable option in the Marketplace. It offers the lowest premium for silver plans in 32 counties. Despite the price tag, this plan offers a number of benefits, including preventative dental care. Additionally, this plan will reimburse you for travel expenses.
UPMC’s partner network is comprised of hospitals and physicians in Allegheny, Blair, Clinton, Erie, Lawrence, Mercer, Somerset, and Tioga counties. The network includes hospitals operated by AHN Grove City Medical Center, UPMC, and Select Specialty Hospitals.
UPMC is the largest health care provider in the area and has more than 29,000 doctors and 140 hospitals in its network. It also offers out-of-network benefits and flexible cost-sharing. Its premium network is the largest in Pennsylvania, and includes many community-based and carrier-owned hospitals.
UPMC MyHealth Nurse Line is available around the clock and provides medical advice and support. Registered nurses are available to answer your questions about various health issues and can also refer you to a physician when needed. The plan also offers free health evaluations.
While the UPMC Silver Platinum $6,700/0 – Partner Network plan is the most expensive subsidized plan, the benefits are very impressive. In addition to unlimited pcp office visits, you also get generous network-negotiated repricing on specialist visits. The only downside is that you can’t use the federal tax credit to reduce the cost of your health insurance. Moreover, you need to be under 30 to qualify for this plan.