{ "@context": { "schema": "https://schema.org/", "au": "https://coverage-atlas.ryanjhunter.workers.dev/vocab/agent-native#", "@vocab": "https://schema.org/", "claims": { "@id": "au:claims", "@container": "@list" }, "epistemicStatus": "au:epistemicStatus", "occurred": "au:occurred", "supported": "au:supported", "adjudged": "au:adjudged", "operative": "au:operative", "grounding": "au:grounding", "groundingType": "au:groundingType", "adjudicator": "au:adjudicator", "source": "au:source", "sourceUrl": "au:sourceUrl", "value": "au:value", "claimType": "au:claimType", "reviewStatus": "au:reviewStatus", "commercialInfluence": "au:commercialInfluence", "falsifier": "au:falsifier" }, "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/pa/greene.jsonld", "@type": "schema:Dataset", "name": "Atlas Commons research objects — Medicare plans in Greene, Pennsylvania (CY2026)", "description": "CMS CY2026 Medicare Advantage and Part D plans available in Greene, Pennsylvania: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0.", "license": "https://creativecommons.org/publicdomain/zero/1.0/", "isPartOf": "https://coverage-atlas.ryanjhunter.workers.dev/", "rdfs:isDefinedBy": "https://coverage-atlas.ryanjhunter.workers.dev/vocab/agent-native", "seeAlso": "https://agenticu.ryanjhunter.workers.dev/commons/the-research-object", "about": { "@type": "schema:Place", "name": "Greene, Pennsylvania", "identifier": "PA-greene" }, "claims": [ { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/pa/greene/plan-count", "@type": "schema:Claim", "name": "85 Medicare plans are available in Greene, Pennsylvania for contract year 2026", "text": "The CMS CY2026 Medicare Landscape Files record 85 Medicare Advantage and Part D plans available in Greene, Pennsylvania. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total.", "claimType": "aggregated_fact", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": true, "supported": true, "adjudged": false, "operative": true }, "grounding": { "groundingType": "Aggregation", "source": "CMS CY2026 Medicare Landscape Files", "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information", "value": "85 plans", "adjudicator": null }, "falsifier": "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)." }, { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/pa/greene/premium-range", "@type": "schema:Claim", "name": "Monthly premiums for Medicare plans in Greene, Pennsylvania range from $0.00/mo to $295.00/mo (CY2026)", "text": "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Greene, Pennsylvania. Across the 85 plans with a published premium, the range is $0.00/mo to $295.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost.", "claimType": "official_fact", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": true, "supported": true, "adjudged": true, "operative": true }, "grounding": { "groundingType": "SourceCitation", "source": "CMS CY2026 Medicare Landscape Files", "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information", "value": "$0.00/mo–$295.00/mo monthly consolidated premium", "adjudicator": { "name": "CMS CY2026 Medicare Landscape Files", "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information" } }, "falsifier": "Verify in the CMS CY2026 Medicare Landscape Files for Greene, Pennsylvania. Falsified if the CMS-published per-plan premium figures differ." }, { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/pa/greene/star-ratings", "@type": "schema:Claim", "name": "CMS assigned star ratings to 75 of 85 Medicare plans in Greene, Pennsylvania (CY2026); average overall: 4.1 stars", "text": "CMS issued Overall star ratings (1–5 stars) to 75 of 85 Medicare plans in Greene, Pennsylvania for CY2026. The unweighted average overall star rating across rated plans is 4.1. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area.", "claimType": "regulatory_determination", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": false, "supported": true, "adjudged": true, "operative": true }, "grounding": { "groundingType": "AdjudicativeAct", "source": "CMS CY2026 Medicare Landscape Files", "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information", "value": "4.1 avg overall stars (75 rated plans)", "adjudicator": { "name": "CMS CY2026 Medicare Landscape Files", "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information" } }, "falsifier": "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 10 unrated plans in this county are not rated, not unqualified." }, { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/pa/greene/boundary", "@type": "schema:Claim", "name": "What these Medicare plan figures are — and are NOT — for Greene, Pennsylvania (the epistemic boundary)", "text": "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Greene, Pennsylvania for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227).", "claimType": "interpretation", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": false, "supported": true, "adjudged": false, "operative": true }, "grounding": { "groundingType": "Interpretation", "source": "Coverage Atlas framing (over the CMS facts above)", "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/pa/greene", "value": "plan list + base premiums + CMS star ratings; NOT net cost or a ranking", "adjudicator": null }, "falsifier": "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here." } ], "hasPart": [ { "@type": "schema:ItemList", "name": "Medicare plans in Greene, Pennsylvania (CY2026) — all RECORDED/DETERMINATION", "numberOfItems": 85, "itemListElement": [ { "@type": "schema:ListItem", "position": 1, "item": { "contract_plan_id": "H1889_007", "plan_name": "UHC Dual Complete PA-S001 (PPO D-SNP)", "category": "SNP", "plan_type": "PPO D-SNP", "organization": "UnitedHealthcare", "monthly_premium_usd": 32.7, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 2, "item": { "contract_plan_id": "H2406_047", "plan_name": "AARP Medicare Advantage from UHC PA-0008 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UnitedHealthcare", "monthly_premium_usd": 60, "overall_stars": 4, "moop_in_network_usd": 4900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 3, "item": { "contract_plan_id": "H2406_072", "plan_name": "AARP Medicare Advantage from UHC PA-0011 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UnitedHealthcare", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 4, "item": { "contract_plan_id": "H2406_101", "plan_name": "AARP Medicare Advantage Giveback from UHC PA-12 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UnitedHealthcare", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 8900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 5, "item": { "contract_plan_id": "H2915_002", "plan_name": "Wellcare Dual Liberty Sync (HMO-POS D-SNP)", "category": "SNP", "plan_type": "HMO-POS D-SNP", "organization": "Wellcare", "monthly_premium_usd": 32.7, "overall_stars": 3.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 6, "item": { "contract_plan_id": "H2915_003", "plan_name": "Wellcare Simple (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Wellcare", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 6200, "snp": "No" } }, { "@type": "schema:ListItem", "position": 7, "item": { "contract_plan_id": "H2915_011", "plan_name": "Wellcare Assist (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Wellcare", "monthly_premium_usd": 32.7, "overall_stars": 3.5, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 8, "item": { "contract_plan_id": "H2915_013", "plan_name": "Wellcare Patriot Giveback (HMO-POS)", "category": "MA", "plan_type": "HMO-POS", "organization": "Wellcare", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 7550, "snp": "No" } }, { "@type": "schema:ListItem", "position": 9, "item": { "contract_plan_id": "H2915_018", "plan_name": "Wellcare Dual Select (HMO-POS D-SNP)", "category": "SNP", "plan_type": "HMO-POS D-SNP", "organization": "Wellcare", "monthly_premium_usd": 32.7, "overall_stars": 3.5, "moop_in_network_usd": 5400, "snp": "No" } }, { "@type": "schema:ListItem", "position": 10, "item": { "contract_plan_id": "H3113_009", "plan_name": "UHC Dual Complete PA-S002 (HMO-POS D-SNP)", "category": "SNP", "plan_type": "HMO-POS D-SNP", "organization": "UnitedHealthcare", "monthly_premium_usd": 6.8, "overall_stars": 3.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 11, "item": { "contract_plan_id": "H3113_014", "plan_name": "UHC Dual Complete PA-V001 (HMO-POS D-SNP)", "category": "SNP", "plan_type": "HMO-POS D-SNP", "organization": "UnitedHealthcare", "monthly_premium_usd": 30.4, "overall_stars": 3.5, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 12, "item": { "contract_plan_id": "H3113_016", "plan_name": "UHC Dual Complete PA-S3 (HMO-POS D-SNP)", "category": "SNP", "plan_type": "HMO-POS D-SNP", "organization": "UnitedHealthcare", "monthly_premium_usd": 18.5, "overall_stars": 3.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 13, "item": { "contract_plan_id": "H3907_002", "plan_name": "UPMC for Life HMO No Rx (HMO)", "category": "MA", "plan_type": "HMO", "organization": "UPMC for Life", "monthly_premium_usd": "N/A", "overall_stars": 4.5, "moop_in_network_usd": 6000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 14, "item": { "contract_plan_id": "H3907_006", "plan_name": "UPMC for Life HMO Rx Enhanced (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "UPMC for Life", "monthly_premium_usd": 295, "overall_stars": 4.5, "moop_in_network_usd": 7550, "snp": "No" } }, { "@type": "schema:ListItem", "position": 15, "item": { "contract_plan_id": "H3907_037", "plan_name": "UPMC for Life HMO Deductible Rx (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "UPMC for Life", "monthly_premium_usd": 22, "overall_stars": 4.5, "moop_in_network_usd": 6000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 16, "item": { "contract_plan_id": "H3907_057", "plan_name": "UPMC for Life HMO Rx Choice (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "UPMC for Life", "monthly_premium_usd": 30, "overall_stars": 4.5, "moop_in_network_usd": 5000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 17, "item": { "contract_plan_id": "H3907_058", "plan_name": "UPMC for Life HMO Rx (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "UPMC for Life", "monthly_premium_usd": 90, "overall_stars": 4.5, "moop_in_network_usd": 4500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 18, "item": { "contract_plan_id": "H3907_059", "plan_name": "UPMC for Life HMO Premier Rx (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "UPMC for Life", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 6000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 19, "item": { "contract_plan_id": "H3916_001", "plan_name": "Freedom Blue PPO Classic (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 248, "overall_stars": 4.5, "moop_in_network_usd": 4500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 20, "item": { "contract_plan_id": "H3916_022", "plan_name": "Freedom Blue PPO Select (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 139, "overall_stars": 4.5, "moop_in_network_usd": 5000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 21, "item": { "contract_plan_id": "H3916_032", "plan_name": "Freedom Blue PPO ValueRx (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 79, "overall_stars": 4.5, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 22, "item": { "contract_plan_id": "H3916_041", "plan_name": "Complete Blue PPO Signature (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 6750, "snp": "No" } }, { "@type": "schema:ListItem", "position": 23, "item": { "contract_plan_id": "H3916_057", "plan_name": "Complete Blue PPO Merit (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 8300, "snp": "No" } }, { "@type": "schema:ListItem", "position": 24, "item": { "contract_plan_id": "H3916_059", "plan_name": "Complete Blue PPO Distinct (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 30, "overall_stars": 4.5, "moop_in_network_usd": 6500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 25, "item": { "contract_plan_id": "H3916_067", "plan_name": "Freedom Blue PPO Valor (PPO)", "category": "MA", "plan_type": "PPO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": "N/A", "overall_stars": 4.5, "moop_in_network_usd": 6000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 26, "item": { "contract_plan_id": "H3954_097", "plan_name": "Geisinger Gold Secure Rx (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Geisinger Gold", "monthly_premium_usd": 32.7, "overall_stars": 4.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 27, "item": { "contract_plan_id": "H3954_162", "plan_name": "Geisinger Gold Heritage (HMO)", "category": "MA", "plan_type": "HMO", "organization": "Geisinger Gold", "monthly_premium_usd": "N/A", "overall_stars": 4.5, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 28, "item": { "contract_plan_id": "H3954_163", "plan_name": "Geisinger Gold Value Rx (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Geisinger Gold", "monthly_premium_usd": 23, "overall_stars": 4.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 29, "item": { "contract_plan_id": "H3957_031", "plan_name": "Security Blue HMO-POS ValueRx (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 35, "overall_stars": 4.5, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 30, "item": { "contract_plan_id": "H3957_043", "plan_name": "Security Blue HMO-POS Basic (HMO-POS)", "category": "MA", "plan_type": "HMO-POS", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": "N/A", "overall_stars": 4.5, "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 31, "item": { "contract_plan_id": "H3957_045", "plan_name": "Security Blue HMO-POS Standard (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 122, "overall_stars": 4.5, "moop_in_network_usd": 5000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 32, "item": { "contract_plan_id": "H3957_046", "plan_name": "Security Blue HMO-POS Deluxe (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 179, "overall_stars": 4.5, "moop_in_network_usd": 4500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 33, "item": { "contract_plan_id": "H3957_047", "plan_name": "Community Blue Medicare HMO Signature (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 6500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 34, "item": { "contract_plan_id": "H3957_050", "plan_name": "Complete Blue HMO Distinct (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Highmark Blue Cross Blue Shield or Highmark Blue Shield", "monthly_premium_usd": 20, "overall_stars": 4.5, "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 35, "item": { "contract_plan_id": "H3959_002", "plan_name": "Aetna Medicare Advantra Premier (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Aetna Medicare", "monthly_premium_usd": 29, "overall_stars": 4, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 36, "item": { "contract_plan_id": "H3959_011", "plan_name": "Aetna Medicare Advantra Signature Plus (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Aetna Medicare", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 37, "item": { "contract_plan_id": "H3959_036", "plan_name": "Aetna Medicare Advantra Dual (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Aetna Medicare", "monthly_premium_usd": 13.8, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 38, "item": { "contract_plan_id": "H3959_041", "plan_name": "Aetna Medicare Advantra Eagle Plus (HMO-POS)", "category": "MA", "plan_type": "HMO-POS", "organization": "Aetna Medicare", "monthly_premium_usd": "N/A", "overall_stars": 4, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 39, "item": { "contract_plan_id": "H3959_066", "plan_name": "Aetna Medicare Longevity (HMO I-SNP)", "category": "SNP", "plan_type": "HMO I-SNP", "organization": "Aetna Medicare", "monthly_premium_usd": 32.7, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 40, "item": { "contract_plan_id": "H3959_071", "plan_name": "Aetna Community HealthChoices (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Aetna Medicare", "monthly_premium_usd": 16.1, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 41, "item": { "contract_plan_id": "H4093_001", "plan_name": "Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)", "category": "SNP", "plan_type": "HMO I-SNP", "organization": "Provider Partners Health Plans", "monthly_premium_usd": 32.7, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 42, "item": { "contract_plan_id": "H4093_004", "plan_name": "Provider Partners Pennsylvania Community Plan (HMO I-SNP)", "category": "SNP", "plan_type": "HMO I-SNP", "organization": "Provider Partners Health Plans", "monthly_premium_usd": 0, "overall_stars": "Not rated", "moop_in_network_usd": 2600, "snp": "No" } }, { "@type": "schema:ListItem", "position": 43, "item": { "contract_plan_id": "H4093_008", "plan_name": "Provider Partners Pennsylvania Essential Plan (HMO I-SNP)", "category": "SNP", "plan_type": "HMO I-SNP", "organization": "Provider Partners Health Plans", "monthly_premium_usd": 32.7, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 44, "item": { "contract_plan_id": "H4227_002", "plan_name": "AmeriHealth Caritas VIP Care (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "VISTA Health Plan Inc.", "monthly_premium_usd": 32.7, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 45, "item": { "contract_plan_id": "H4279_001", "plan_name": "UPMC for Life Complete Care (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "UPMC for Life Complete Care", "monthly_premium_usd": 26.5, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 46, "item": { "contract_plan_id": "H5216_116", "plan_name": "HumanaChoice Giveback H5216-116 (PPO)", "category": "MA", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 4150, "snp": "No" } }, { "@type": "schema:ListItem", "position": 47, "item": { "contract_plan_id": "H5216_120", "plan_name": "HumanaChoice H5216-120 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": 94, "overall_stars": 3.5, "moop_in_network_usd": 7600, "snp": "No" } }, { "@type": "schema:ListItem", "position": 48, "item": { "contract_plan_id": "H5216_221", "plan_name": "Humana USAA Honor Giveback (PPO)", "category": "MA", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 49, "item": { "contract_plan_id": "H5216_227", "plan_name": "HumanaChoice SNP-DE H5216-227 (PPO D-SNP)", "category": "SNP", "plan_type": "PPO D-SNP", "organization": "Humana", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 50, "item": { "contract_plan_id": "H5253_146", "plan_name": "AARP Medicare Advantage from UHC PA-0002 (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "UnitedHealthcare", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 51, "item": { "contract_plan_id": "H5253_147", "plan_name": "AARP Medicare Advantage from UHC PA-0003 (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "UnitedHealthcare", "monthly_premium_usd": 39, "overall_stars": 4, "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 52, "item": { "contract_plan_id": "H5253_152", "plan_name": "AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)", "category": "MA", "plan_type": "HMO-POS", "organization": "UnitedHealthcare", "monthly_premium_usd": "N/A", "overall_stars": 4, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 53, "item": { "contract_plan_id": "H5253_192", "plan_name": "UHC Complete Care PA-17 (HMO-POS C-SNP)", "category": "SNP", "plan_type": "HMO-POS C-SNP", "organization": "UnitedHealthcare", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 6700, "snp": "No" } }, { "@type": "schema:ListItem", "position": 54, "item": { "contract_plan_id": "H5521_122", "plan_name": "Aetna Medicare Enhanced (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Aetna Medicare", "monthly_premium_usd": 183, "overall_stars": 4.5, "moop_in_network_usd": 7500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 55, "item": { "contract_plan_id": "H5521_261", "plan_name": "Aetna Medicare Signature (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Aetna Medicare", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 56, "item": { "contract_plan_id": "H5522_005", "plan_name": "Aetna Medicare Value Plus (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Aetna Medicare", "monthly_premium_usd": 13, "overall_stars": 4.5, "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 57, "item": { "contract_plan_id": "H5522_017", "plan_name": "Aetna Medicare Advantra Signature Giveback (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Aetna Medicare", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 58, "item": { "contract_plan_id": "H5525_051", "plan_name": "HumanaChoice H5525-051 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 7500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 59, "item": { "contract_plan_id": "H5525_059", "plan_name": "Humana USAA Honor Giveback with Rx (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 7350, "snp": "No" } }, { "@type": "schema:ListItem", "position": 60, "item": { "contract_plan_id": "H5525_085", "plan_name": "HumanaChoice Giveback H5525-085 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 8000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 61, "item": { "contract_plan_id": "H5525_086", "plan_name": "HumanaChoice H5525-086 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": 26, "overall_stars": 3.5, "moop_in_network_usd": 5800, "snp": "No" } }, { "@type": "schema:ListItem", "position": 62, "item": { "contract_plan_id": "H5533_003", "plan_name": "UPMC for Life PPO High Deductible Rx (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UPMC for Life", "monthly_premium_usd": 33, "overall_stars": 4.5, "moop_in_network_usd": 7550, "snp": "No" } }, { "@type": "schema:ListItem", "position": 63, "item": { "contract_plan_id": "H5533_005", "plan_name": "UPMC for Life PPO Rx Enhanced (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UPMC for Life", "monthly_premium_usd": 140, "overall_stars": 4.5, "moop_in_network_usd": 7550, "snp": "No" } }, { "@type": "schema:ListItem", "position": 64, "item": { "contract_plan_id": "H5533_013", "plan_name": "UPMC for Life PPO Premier Rx (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UPMC for Life", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 6500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 65, "item": { "contract_plan_id": "H5533_015", "plan_name": "UPMC for Life PPO Rx Choice (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UPMC for Life", "monthly_premium_usd": 30, "overall_stars": 4.5, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 66, "item": { "contract_plan_id": "H5533_016", "plan_name": "UPMC for Life PPO Salute (PPO)", "category": "MA", "plan_type": "PPO", "organization": "UPMC for Life", "monthly_premium_usd": "N/A", "overall_stars": 4.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 67, "item": { "contract_plan_id": "H5533_017", "plan_name": "UPMC for Life PPO Essential Care Rx (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "UPMC for Life", "monthly_premium_usd": 0, "overall_stars": 4.5, "moop_in_network_usd": 8000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 68, "item": { "contract_plan_id": "H5932_001", "plan_name": "Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Highmark Wholecare Medicare Assured", "monthly_premium_usd": 16, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 69, "item": { "contract_plan_id": "H5932_009", "plan_name": "Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Highmark Wholecare Medicare Assured", "monthly_premium_usd": 17.6, "overall_stars": 4, "moop_in_network_usd": 8000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 70, "item": { "contract_plan_id": "H6018_010", "plan_name": "DEVOTED CHOICE 010 PA (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Devoted Health", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 6500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 71, "item": { "contract_plan_id": "H6018_011", "plan_name": "DEVOTED CHOICE GIVEBACK 011 PA (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Devoted Health", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 72, "item": { "contract_plan_id": "H6622_054", "plan_name": "Humana Gold Plus H6622-054 (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Humana", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 7950, "snp": "No" } }, { "@type": "schema:ListItem", "position": 73, "item": { "contract_plan_id": "H6852_005", "plan_name": "DEVOTED DUAL PLUS 005 PA (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Devoted Health", "monthly_premium_usd": 22.5, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 74, "item": { "contract_plan_id": "H6852_014", "plan_name": "DEVOTED CORE 014 PA (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Devoted Health", "monthly_premium_usd": 0, "overall_stars": "Not rated", "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 75, "item": { "contract_plan_id": "H6852_015", "plan_name": "DEVOTED GIVEBACK 015 PA (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Devoted Health", "monthly_premium_usd": 0, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 76, "item": { "contract_plan_id": "H6852_020", "plan_name": "DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Devoted Health", "monthly_premium_usd": 32.7, "overall_stars": "Not rated", "moop_in_network_usd": 7000, "snp": "No" } }, { "@type": "schema:ListItem", "position": 77, "item": { "contract_plan_id": "H6852_022", "plan_name": "DEVOTED C-SNP PLUS 022 PA (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Devoted Health", "monthly_premium_usd": 32.7, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 78, "item": { "contract_plan_id": "H6852_025", "plan_name": "DEVOTED DUAL FULL 025 PA (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Devoted Health", "monthly_premium_usd": 19.7, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 79, "item": { "contract_plan_id": "H7617_048", "plan_name": "HumanaChoice SNP-DE H7617-048 (PPO D-SNP)", "category": "SNP", "plan_type": "PPO D-SNP", "organization": "Humana", "monthly_premium_usd": 11.5, "overall_stars": 4.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 80, "item": { "contract_plan_id": "H8145_163", "plan_name": "Humana Gold Choice H8145-163 (PFFS)", "category": "MA", "plan_type": "PFFS", "organization": "Humana", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 1500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 81, "item": { "contract_plan_id": "H8947_001", "plan_name": "Peak Advantage Vista (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Peak Health", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 82, "item": { "contract_plan_id": "H8947_002", "plan_name": "Peak Advantage Summit (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Peak Health", "monthly_premium_usd": 20, "overall_stars": 3.5, "moop_in_network_usd": 5500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 83, "item": { "contract_plan_id": "H9968_001", "plan_name": "American Health Advantage of Pennsylvania (HMO I-SNP)", "category": "SNP", "plan_type": "HMO I-SNP", "organization": "American Health Advantage of Pennsylvania", "monthly_premium_usd": 32.7, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 84, "item": { "contract_plan_id": "R0110_007", "plan_name": "HumanaChoice R0110-007 (Regional PPO)", "category": "MA", "plan_type": "Regional PPO", "organization": "Humana", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 4500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 85, "item": { "contract_plan_id": "R0110_008", "plan_name": "HumanaChoice R0110-008 (Regional PPO)", "category": "MA-PD", "plan_type": "Regional PPO", "organization": "Humana", "monthly_premium_usd": 52, "overall_stars": 3.5, "moop_in_network_usd": 6700, "snp": "No" } } ] } ] }