Pennsylvania Medicare Coverage Guide
Find dental, vision, hearing aid, and nursing home Medicare benefits available to Pennsylvania residents.
Pennsylvania Dental Coverage
Pennsylvania Medicaid covers dental for dual-eligible beneficiaries. Penn Dental Medicine in Philadelphia and Temple University Kornberg School of Dentistry are world-class resources.
Available Programs
- PA Medicaid Dental
- Medicare Advantage dental plans
- Penn Dental Medicine
- Temple Kornberg School of Dentistry
Typical Out-of-Pocket Cost
$400–$1,800/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Pennsylvania Residents
- Penn and Temple dental schools in Philadelphia offer excellent low-cost care
- PA APPRISE (1-800-783-7067) for plan guidance
- Competitive MA markets in Philadelphia and Pittsburgh
Pennsylvania Vision Coverage
PA Medicaid covers vision for dual-eligible members. Competitive MA market in PA major metros.
Available Programs
- PA Medicaid vision
- Medicare Advantage vision
- Pennsylvania Bureau of Blindness and Visual Services
Typical Out-of-Pocket Cost
$150–$350/year
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Pennsylvania Residents
- BBVS: 717-787-6176 for vision rehabilitation
- Wills Eye Hospital in Philadelphia is nationally renowned
- PA APPRISE: 1-800-783-7067
Pennsylvania Hearing Aids Coverage
PA Medicare Advantage plans offer hearing benefits. PA has excellent audiology resources in Philadelphia and Pittsburgh.
Available Programs
- Medicare Advantage hearing plans
- Pennsylvania Office of Deaf and Hard of Hearing
- Pennsylvania Assistive Technology Foundation
Typical Out-of-Pocket Cost
$1,000–$7,000 per pair
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Pennsylvania Residents
- ODHH: 717-783-4912 for resources and referrals
- PATF: 1-888-744-1938 for low-interest loans for hearing aids
- PA APPRISE: 1-800-783-7067
Pennsylvania Nursing Home Coverage
Medicare Part A covers SNF. PA Medicaid covers long-term care. Pennsylvania has many nursing facilities and PACE programs.
Available Programs
- Medicare Part A SNF
- PA Medicaid LTC
- PACE Pennsylvania (many locations)
- PA APPRISE (1-800-783-7067)
Typical Out-of-Pocket Cost
$290–$380/day
Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.
Tips for Pennsylvania Residents
- PACE programs in Philadelphia, Pittsburgh, and other PA cities
- PA Community HealthChoices supports home-based alternatives
- APPRISE: 1-800-783-7067
📊 Live CMS Data Pennsylvania Medicare Snapshot
Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 — public data from data.cms.gov
- UPMC Health Plan
- Independence Blue Cross
- Highmark BCBS
Get Free Help in Pennsylvania
SHIP Counseling
Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.
Find Pennsylvania SHIP →1-800-MEDICARE
Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.
Medicare.gov →Medicare Plan Finder
Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Pennsylvania by ZIP code.
Compare Plans →Nursing Home Compare
Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Pennsylvania.
Care Compare →