Medicare plays a key role in providing health and financial security to beneficiaries residing in Pennsylvania. With more than 2.7 million Pennsylvania beneficiaries enrolled in Medicare, we’ll cover some very important information below about Medicare in Pennsylvania. We want to help you better understand your options and make the decision-process as seamless as possible once you’re ready to enroll in Medicare or discover different coverage options.
Pennsylvania Medicare Advantage (Part C), Medicare Supplement (Medigap) Insurance and Medicare Prescription Drug Plans (Part D)
For more information on how you can save money on your out-of-pocket costs with a Part C, Part D, or Medigap plan, please click the plans below to learn more. Licensed agents can also answer any of your questions and help you find a plan that fits your needs, lifestyle, and budget by clicking here.
Pennsylvania Medicare Enrollments
Original Medicare Plans
(Part A and B)
Medicare Advantage & Other Health Plans
Stand-alone Medicare Part D (Drug plans)
Total Medicare Beneficiaries in Oregon
Who Qualifies for Medicare in Pennsylvania?
Medicare covers most Pennsylvania residents who are 65 or older, and it also covers disabled Pennsylvania residents. In general, Medicare enrollment in Pennsylvania works the same way as it does in the rest of the country. If you qualify for Original Medicare, also known as Part A and Part B, it will help cover 80% of your health care costs.
When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:
- Begins 3 months before the month you turn 65
- Includes the month you turn 65
- Ends 3 months after the month you turn 65
In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll be responsible for paying this penalty for as long as you have Part B, and you could have a gap in your health coverage.
Once you reach Medicare eligibility, you can begin choosing additional coverage options to help pay for the remaining 20% of your medical expenses through Medicare Advantage (Part C), Medigap, and/or a Medicare Prescription Drug (Part D) plan.
Local Medicare Health Plan Resources in Pennsylvania
Pennsylvania’s APPRISE program offers free Medicare counseling to older Pennsylvanians. APPRISE counselors are specially trained to answer your questions and provide you with objective, easy-to-understand information about Medicare, Medicare Supplemental Insurance, Medicaid, and Long-Term Care Insurance.
Contact: Call 1-800-783-7067 or contact your local Area Agency on AgingThe Pennsylvania Senior Medicare Patrol (PA-SMP) works to educate seniors and caregivers about Medicare Advantage scams, overbilling, and other issues that can decrease care quality and increase health care costs. The SMP also operates ScamWire, an alert service that notifies seniors, caregivers, and support agencies about emerging scams targeting older adults. PA-SMP services are delivered through a network of trained volunteers who give informational presentations to community, faith, and seniors groups throughout Pennsylvania.
Contact: Call 1-800-356-3606 or complete an online report formThe Older Pennsylvanians Legal Assistance Program provides access to free legal services for older adults including counsel, advice, and representation in a case. The program is open to Pennsylvania residents age 60 and older with a specific focus on older adults with the greatest economic and/or social needs. Seniors who have concerns about Medicare Advantage, Social Security, guardianship, age discrimination, or elder abuse can use this program.
Contact: Call 717-783-1550The Pennsylvania Health Law Project or PHLP is a nonprofit organization that works to improve access to health care for the elderly, people with disabilities, and low-income adults. The PHLP operates a free helpline that seniors can call to connect with a legal advocate who will review the caller’s concerns and provide legal advice. The PHLP also provides free legal representation to clients who are struggling to pay health care costs, need support obtaining health care services, or who have been denied coverage.
Contact: Call 1-800-274-3258Pennsylvania Assistive Technology Foundation (PATF) is a statewide, non-profit organization that helps individuals with disabilities and older Pennsylvanians acquire the assistive technology devices and services they want. PATF is a state and federally-certified Community Development Financial Institution (CDFI) and is the Commonwealth’s designated Alternative Financing Program (AFP) under the federal Assistive Technology Act. PATF is one of 42 AFPs and state financing entities in the U.S. and territories.
Contact: Call 484-674-0506 or toll-free at 1-888-774-1938.
The licensed agents that are partnered with Timefor65 can help you compare the availability, benefits, and costs of Medicare plans in your specific region of Pennsylvania. Our process makes it easier for you to access your Medicare eligibility in Pennsylvania so that you receive personalized, affordable, and easy-to-use coverage options and solutions. Fill out the form or give us a call at (866) 327‑0148 anytime to get a free quote or to ask any questions.