Medicare Star Rating

Each year, Medicare evaluates prescription drug plans and awards a star rating to each plan based on performance. The Health Options Program’s prescription drug plans received a 5-star rating for 2022, indicating that the program is highly rated in comparison to other prescription drug plans nationwide.

Health Options Program News

A periodic newsletter for individuals enrolled in the Health Options Program. The newsletter features valuable wellness articles to help you lead a healthier lifestyle and contains important updates and announcements about Health Options Program benefits.

Coverage and Premiums

Current Health Options Program members and people joining as the result of a Qualifying Event can use our lookup tool to see the coverage options and premiums for your area.

SilverSneakers©

Find out how to enroll in SilverSneakers.

Find a SilverSneakers location.

Information Sessions

Schedule a 30-minute telephone appointment (not a group meeting) with a staff member of the Health Options Program or watch a recorded information session.

2022 Enrollment Guide for Medicare-Eligible Members (PDF 1.76 MB)

Overview of the Health Options Program, the benefits it offers, and the type of coverage available.

• Large Print 2022 Medicare-Eligible Enrollment Guide (PDF 2 MB)
• Spanish 2022 Medicare-Eligible Enrollment Guide (PDF 1.7 MB)

Managed Care Plans for Medicare-Eligible and Non-Medicare-Eligible Members

Find out which Managed Care Plans are available where you live, the benefits they offer and their rates.

• Southwest Pennsylvania (PDF 377 KB)
• Southeast Pennsylvania (PDF 399 KB)
• North & Central Pennsylvania (PDF 406 KB)
• Outside of Pennsylvania (PDF 486 KB)

Large Print Versions

• Southwest Pennsylvania (PDF 417 KB)
• Southeast Pennsylvania (PDF 445 KB)
• North & Central Pennsylvania (PDF 423 KB)
• Outside of Pennsylvania (PDF 516 KB)

Spanish Versions

• Southwest Pennsylvania (PDF 202KB)
• Southeast Pennsylvania (PDF 222KB)
• North & Central Pennsylvania (PDF 206KB)
• Outside of Pennsylvania (PDF 321KB)

2022 HOP Medical Plan Summary Plan Description (SPD) (PDF 509K)

Comprehensive and detailed explanation about the HOP Medical Plan.

2022 Value Medical Plan Summary Plan Description (SPD) (PDF 281K)

Comprehensive and detailed explanation about the Value Medical Plan.

2022 Materials for the Enhanced and Basic Medicare Rx Options

• 2022 Abridged Formulary (PDF 669KB); Spanish Translated 2022 Abridged Formulary (PDF 780KB)
  An abridged listing of the most common drugs covered under the Enhanced and Basic Medicare Rx Options.
• 2022 Comprehensive Formulary (Effective as of May 1, 2022) (PDF 1.5 MB)
  Listing of all of the drugs covered under the Enhanced and Basic Medicare Rx Options.
• 2022 Part D Formulary Lookup Tool
  An online listing of medications covered under the Enhanced and Basic Medicare Rx Options.
• Annual Notice of Changes (PDF 359KB)
  Overview of the 2022 changes to the Enhanced and Basic Medicare Rx Options.
• Evidence of Coverage (PDF 1.2MB)
  Overview of the 2022 Enhanced and Basic Medicare Rx Options, including how to get your Medicare prescription drug coverage through the Health Options Program, your rights and responsibilities, what is covered, and what you pay as a member of the plan.

2022 Materials for the Value Medicare Rx Option

• 2022 Gold5 Abridged Formulary (PDF 513KB); Spanish Translated 2022 Gold5 Abridged Formulary (PDF 520KB)
  An abridged listing of the most common drugs covered under the Value Medicare Rx Option.
• 2022 Gold5 Comprehensive Formulary (Effective as of May 1, 2022) (PDF 1.1 MB)
  Listing of all of the drugs covered under the Value Medicare Rx Option.
• 2022 Part D Formulary Lookup Too
  An online listing of medications covered under the Value Medicare Rx Option.
• Annual Notice of Changes (PDF 257KB)
  Overview of the 2022 changes to the Value Medicare Rx Option.
• Evidence of Coverage (PDF 1.2MB)
  Overview of the 2022 Value Medicare Rx Option, including how to get your Medicare prescription drug coverage through the Health Options Program, your rights and responsibilities, what is covered, and what you pay as a member of the plan.

2022 MetLife Dental and EyeMed Vision Option Flyer (PDF 175 KB)

Overview of the MetLife Dental and EyeMed Vision Option for Medicare-eligible Health Options Program members.

Spanish Translated 2022 MetLife Dental and EyeMed Vision Option Flyer (PDF 93KB)

Personalized Statements

During the Option Selection Period, current participants receive a personalized statement showing current coverage, available coverage for the next year, and monthly premium rates. To see your personalized statement, log in to your Member Area page.

Health Options Program Find a Plan Tool

Need help choosing a Health Options Program medical or prescription drug plan? Use the Find a Plan tool to help you decide.

• Interactive Find a Plan tool
• Printable Find a Plan tool (PDF 70KB)
• Large-Print Printable Find a Plan tool (PDF 64K)
• Spanish Printable Find a Plan tool (PDF 78K)