Welcome to Unison Advantage of Pennsylvania

Unison Advantage is a comprehensive health plan that offers the benefits of Original Medicare, plus extra benefits like denture coverage, transportation to your doctor visits and a fitness center membership to keep you on track for a healthier lifestyle.

• $0 premiums *
• No referrals needed
• Part D drug coverage with no deductible
  (Unison Advantage Choice and Plus plans only)
• Access to out-of-network doctors and hospitals available under certain conditions
• Dentures and comprehensive dental
• Eye exams, glasses or contacts
• Hearing exams, hearing aids
• Fitness club membership / fitness classes
  (Unison Advantage Choice and Basic plans only)
• Transportation to doctor visits
  (24 one-way or 12 round-trips)
• Low out-of-pocket costs
• $90 Quarterly Health Products Benefit
  (Unison Advantage Plus plan only)
• $0 copay for up to four routine podiatry visits per year

Unison Advantage also offers Unison Advantage Plus, a Special Needs Plan for beneficiaries who receive both Medicare and Medicaid benefits. Eligible beneficiaries can enroll at any time. You can join Unison Advantage Plus (HMO) if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. However, individuals with End Stage Renal Disease generally are not eligible to enroll in Unison Advantage Plus (HMO) unless they are members of our organization and have been since their dialysis began. You must also receive assistance from the state to join this plan.

Beneficiaries eligible for Unison Advantage Choice or Unison Advantage Basic may enroll in a plan only during specific times of the year. For more information, call Member Services at 1.800.290.4009 (TTY: 711).  You can join Unison Advantage Choice or Basic if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. However, individuals with End Stage Renal Disease are generally not eligible to enroll in Unison Advantage (HMO) unless they are members of our organization and have been since their dialysis began.

Click here to access the Unison Advantage Plus enrollment form.

Click here to access the Unison Advantage Choice/Basic enrollment form.

• Summary of Benefits - Unison Advantage Plus plan 
• Summary of Benefits - Unison Advantage Plus plan (Spanish) (coming soon)
• Summary of Benefits - Unison Advantage Choice/Basic plans 
• Summary of Benefits - Unison Advantage Choice/Basic plans (Spanish) (coming soon)
• Evidence of Coverage - Unison Advantage Plus plan 
• Evidence of Coverage - Unison Advantage Choice plan 
• Evidence of Coverage - Unison Advantage Basic plan 
• Find A Provider/Pharmacy**
• Plan Benefits Guide 
• Silver & Fit ® Fitness Benefit (Unison Advantage Choice and Basic plans only)
• Quarterly Health Products Benefit Brochure (Unison Advantage Plus plan only)
• 2010 Unison Advantage Choice Formulary (comprehensive)
• Choice Formulary Prior Authorization Criteria 
• Choice Formulary Step Therapy Criteria
• Choice Formulary Quantity Limits
• 2010 Unison Advantage Plus Formulary (comprehensive)
• Plus Formulary Prior Authorization Criteria 
• Plus Formulary Step Therapy Criteria
• Plus Formulary Quantity Limits

Unison Advantage Pennsylvania Service Area
Unison Advantage products are offered by Unison, a health plan with a Medicare contract. All Medicare beneficiaries who live in the service area may apply.

The Choice plan includes the following counties: Adams, Allegheny, Beaver, Berks, Butler, Cumberland, Dauphin, Erie, Lackawanna, Lancaster, Lehigh, Luzerne, Mercer, Northampton, Perry, Somerset, Westmoreland and York.

The Plus plan includes the following counties: Adams, Allegheny, Armstrong, Beaver, Berks, Blair, Butler, Cambria, Clarion, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Jefferson, Lackawanna, Lancaster, Lawrence, Lehigh, Luzerne, Mercer, Northampton, Perry, Schuylkill, Somerset, Washington, Westmoreland and York.

The Basic plan includes the following counties: Adams, Allegheny, Beaver, Berks, Butler, Cumberland, Dauphin, Erie, Lackawanna, Lancaster, Lehigh, Luzerne, Mercer, Northampton, Perry, Somerset, Westmoreland and York.

**  You must use network plan providers except in emergencies, urgent-care situations, or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor Unison Advantage will be responsible for the costs. You must use network pharmacies to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use network pharmacies. You can obtain a list of Unison Advantage participating providers and pharmacies by contacting the Member Services Department at 1.800.290.4009 (TTY: 711), from 8 a.m. – 8 p.m., seven days a week.

For full information on Unison Advantage benefits, call our Member Services at 1.800.290.4009 (TTY: 711), from 8 a.m. – 8 p.m., seven days a week.

Pending CMS Approval