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, Plus, and Plus Integrated Care 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 and Plus Integrated Care plans only)
• $0 copay for up to four routine podiatry visits per year

Unison Advantage offers Unison Advantage Plus and Unison Advantage Plus Integrated Care, Special Needs Plans for beneficiaries who receive both Medicare and Medicaid benefits. Eligible beneficiaries can enroll at any time. You can join Unison Advantage Plus or Unison Advantage Plus Integrated Care (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) 
• Summary of Benefits - Unison Advantage Plus Integrated Care plan
• Summary of Benefits - Unison Advantage Plus Integrated Care plan (Spanish)
• Summary of Benefits - Unison Advantage Choice/Basic plans 
• Summary of Benefits - Unison Advantage Choice/Basic plans (Spanish)
• Evidence of Coverage - Unison Advantage Plus plan 
• Evidence of Coverage - Unison Advantage Plus Integrated Care 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 and Unison Advantage Plus Integrated Care plans only)
• Choice Formulary Searchable Directory
• 2010 Unison Advantage Choice Formulary (comprehensive)
• Choice Formulary Prior Authorization Criteria 
• Choice Formulary Step Therapy Criteria
• Choice Formulary Quantity Limits
• Plus Formulary Searchable Directory
• 2010 Unison Advantage Plus and Unison Advantage Plus Integrated Care Formulary (comprehensive)
• Plus/Plus Integrated Care Formulary Prior Authorization Criteria 
• PlusPlus Integrated Care Formulary Step Therapy Criteria
• PlusPlus Integrated Care Formulary Quantity Limits
• Low-Income Subsidy Premium Summary Sheet
• Formulary Transition Notice
• Member Appeals and Grievances Process

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 Plus Integrated Care plan includes the following counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Butler, Cambria, Clarion, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Jefferson, Lackawanna, Lancaster, Lawrence, Lehigh, Luzerne, Mercer, Northampton, Perry, Schuylkill, Somerset, Venango, Warren, 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.

**  Pre-Enrollment Disclaimer Information

 Pending CMS Approval