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Gateway Health Medicare Assured Plans

2018 PA Medicare Assured Plans


Medicare Assured Diamond

Gateway Health Medicare Assured Diamond is created for Medicare beneficiaries who are on a fixed income and eligible for full Medicaid benefits. These plans include significant $0 copay options to ensure that health plan members can access the care you need when you need it.

Medicare Assured Ruby

Gateway Health Medicare Assured Ruby plan is created for Medicare beneficiaries who are on a fixed income and eligible for partial Medicaid or State financial aid. These plans include significant $0 copay options to ensure that health plan members can access the care you need when you need it.

Medicare Assured Select

Gateway Health Medicare Assured Select is an all inclusive, convenient plans with $0 monthly premium and fixed, manageable costs for peace of mind. These plans are an alternative to Original Medicare and there’s no need for a supplemental plan.
Select is offered in the following counties: Bucks, Delaware, and Philadelphia

Medicare Assured Value

Medicare Assured Value Plan is a Point of Service (POS) plan.  Members of this plan can choose to receive care from in or out-of-network providers.  The Value plan has a low monthly premium of $29, which may be reduced if the member qualifies for low income subsidy (LIS).
Value is offered in the following counties: Bucks, Delaware, and Philadelphia

Pennsylvania Service Area (Diamond and Ruby)

Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bucks
Butler
Dauphin
Delaware
Erie
Fayette
Forest
Greene
Cambria
Chester
Clarion
Crawford
Cumberland
Huntingdon
Indiana
Lackawanna
Lancaster
Lawrence
Lebanon
 

Lehigh
Mercer
Montgomery
Northampton
Northumberland
Perry
Philadelphia
Schuylkill
Somerset
Venango
Washington
Westmoreland
York

Gateway Health offers HMO plans with a Medicare Contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered. Enrollment in these plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium – The State pays the Part B premium for full dual members. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Y0097_1104 Approved