Medicare in Pennsylvania

Pennsylvania Medicare
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By the numbers

In 2012, Medicare in Pennsylvania spent $23.8 million on its 2,350,558 beneficiaries. Between 1991 and 2009, Pennsylvania increased Medicare spending by 5.8%. The following is some information on Medicare enrollment and spending in Pennsylvania in 2012:

  • Medicare beneficiaries in Pennsylvania enrolled in Medicare Advantage - 900,335
  • Beneficiaries in the state with creditable prescription drug coverage - 1,973,901
  • Average monthly premium for Pennsylvania prescription drug plan - $56.91

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Pennsylvania

Pennsylvania Medicare Savings Programs: Each state offers savings programs for beneficiaries. Pennsylvania residents who are enrolled in Medicare and have limited means may qualify for a Medicare Savings Program that offers discounts on out-of-pocket health expenses.

Pennsylvania State Health Insurance Counseling and Assistance Program (SHIP): APPRISE Health Insurance Counseling Program offers free health insurance counseling to Pennsylvanians with Medicare. Specially trained volunteers answer questions about all sorts of Medicare topics. They also hold community events throughout the state.

How healthy is the state of Pennsylvania?

Pennsylvania is the sixth most populous state in the U.S. and ranked as the 26th healthiest state to live. Pennsylvania's strength as a healthy state is helped by its low rate of uninsured population as well as the readily available primary care physicians. Two challenges facing Pennsylvania are its high levels of air pollution as well as a high prevalence of diabetes.

All data provided by the Kaiser Family Foundation.