In Pennsylvania, nearly 2,767,000 residents are enrolled in Medicare. Of these beneficiaries residing in the Keystone State, a portion is part of every facet of Medicare. Meanwhile, some just enjoy a piece of Medicare.

Regardless of which aspect of Medicare these Pennsylvanians are eligible for, there’s a demand for supplemental plans — and there’s also a variety of these plans to choose from. Keep reading to find out more about these supplementary options, along with the number of Pennsylvania citizens who currently enjoy Medicare.

Looking at the Number of Residents On Medicare in Pennsylvania

  • A bit more than 1,560,000 beneficiaries are enrolled in Part A of Medicare.
  • Of those, about 1,324,000 people aged into it. Also, roughly 237,000 receive it through a disability.
  • A little less than 2,110,000 boomers have a Part D prescription drug plan.
  • Those on Medicare with Medicare Advantage plans total nearly 1,220,000 Pennsylvanians.

Breakdown of Medicare Costs in Pennsylvania for 2022

The most important aspects of Medicare its recipients want to know are:

  1. What is covered?
  2. How much will it cost me?

To that end, let’s look at Original Medicare. Part A of Medicare is responsible for any visits to the hospital you might end up requiring and is also referred to as inpatient service.

This is provided free of charge (but carries a $1,556 total deductible per benefit period) as long as you’re 65 years or older, have a work history spanning 10 years or more, and are a U.S. citizen. This covers most hospital visits, with one possible exception being long-term custodial care.

The other half of Original Medicare is Part B coverage, which is for everything not related to visiting the hospital. Coverage is standardized for Part B, but there is a small premium to pay for it. (Which is $233 for the year) This makes sure physical exams, regular check-ups, vaccines, and other specialized care is insured.

Medicare Part A Costs in 2022 Medicare Part B Costs in 2022
  • Part A is premium-free for most
  • Part A deductible is $1,556 per benefit period
  • Inpatient hospital stay days 61-90 is $389
  • The standard Part B premium is $170.10
  • The annual deductible for Part B is $233
  • Medicare pays 80%, you pay 20% out-of-pocket

Perusing Original Medicare for Pennsylvanians

A great number of Pennsylvania residents are enrolled in both Part A and Part B of Medicare — a smidge over 1,331,000 Pennsylvanians. That number breaks down to 1,131,000 who aged in to the program and another 200,000 that receive both parts due to a disability.

Medicare Part A (Hospital Coverage)

  • Inpatient care in hospitals
  • Skilled nursing facility care
  • Hospice care
  • Home health care
Medicare Part B (Medical Insurance)

  • Services from doctors and health providers
  • Outpatient care
  • Home health care
  • Durable medical equipment
  • Some preventive services

Finding Supplemental Medicare Plans for Pennsylvania Residents

When looking for supplemental plans, they can serve three functions:

  • Replace certain aspects of Medicare
  • Enhance the coverage you already have
  • Cover the gap between what you have and what you feel is truly needed

The good thing is Part A and B carry the same benefits and potential costs regardless of the state a beneficiary resides in. So Pennsylvanians can rest assured on that matter. Supplemental plans, which are also called Medigap, are meant to provide more options for current coverage or to fill in the gaps.

One thing people from Pennsylvania need to know, however, is that the price of these supplemental plans will vary based on your location in the state. So those in Philadelphia won’t see the same rates for plans as their Keystone State counterparts in Pittsburgh.

It’s already been established what supplementary plans do for their beneficiaries but there are other aspects of these setups that customers find appealing. For instance, these plans are easy to understand and use. This helps mitigate one of the biggest complaints about health insurance — it’s sometimes difficult to comprehend.

For Pennsylvanians, the other positive development is the ability to enroll in a supplemental plan year-round. That’s right, the state has completely open enrollment. So you can start Medigap whenever you want.

Knowing your Medicare Resources in Pennsylvania

One of the predominant resources for Medicare — and other health insurance needs — in the state is the Pennsylvania Department of Aging. This state-runs organization connects older Pennsylvanians with all of their options regarding health coverage.

Through the Department of Aging, Pennsylvania directly offers Medicare counseling with PA MEDI. This way, no beneficiary has to be in the dark regarding one of the most important aspects of later life.

If Medicaid is what you’re looking for, Pennsylvania has you covered with its Medical Assistance program. While Medicare and Medicaid need to be handled through the state, we are the ones who can help with any of your supplemental plan needs!

Pennsylvania Cities with Medicare Supplement Coverage’s Estimated Premiums

Medicare Supplement plans are great for many but do carry monthly premiums. For the following cities, here are charts illustrating projected costs:

FAQs

Does Pennsylvania have Medicare?

Simply put, yes, Pennsylvania does indeed offer its residents Medicare. There are nearly 3 million people in the state who currently enjoy the benefits afforded by Original Medicare and more each day who become eligible to join.

What is Medicare called in Pennsylvania?

Parts A & B of Pennsylvania Medicare are called Original Medicare. This is the same in the other 49 states, plus other U.S. territories, that the federal government offers to its citizens.

Who is eligible for Medicare and Medicaid in PA?

For Pennsylvania Medicare, being 65 years or older and being a U.S. citizen is all it takes to be eligible for Medicare. If you have a qualifying disability, you can receive Medicare even if you’re under 65 as long as you’ve been collecting SSDI for at least 24 months.

Medicaid is a bit different. To qualify, you must be considered low-income, a child or pregnant woman, or receive Supplemental Security Income (SSI). There are 72.5 million people in the United States, making it the most used health coverage.

How to Sign Up For Supplemental Medicare in Pennsylvania

With a wealth of information and options to sort through, it’s still not the most simple process for an individual. That’s why using a licensed agent is a great idea when making these decisions regarding your health coverage.

If you’re worried about what a licensed agent might cost, don’t — because it’s absolutely free. Placing a call or completing this simple rate form will connect you with rates in your area today!

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by Lindsay Malzone, Lindsay Malzone is the Medicare expert for Medigap.com. She's been contributing to many well-known publications as an industry expert since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.