HMO plans
46 whole-county- Monthly premium
- Median $0 · range $0–$188 Based on 46 of 46 whole-county HMO plans with a reported value.
- In-network MOOP
- Median $7,150 · range $2,600–$9,850 Based on 46 of 46 whole-county HMO plans with a reported value.
Exact county discovery
Plans with exact segment geography
These results are limited to medical plan segments whose CMS Landscape geography names this county. Contract-wide service areas and standalone Part D records are not expanded into county cards.
Plan yearContract Year 2027
Plan typesHMO (29) · HMOPOS (17) · Local PPO (23) · National Pace (4) · Regional PPO (2)
Part D pathPennsylvania plan directory
County snapshot
Reported cost context by plan type
Descriptive summaries of the primary county cohort; they are not plan recommendations.
71whole-county plans in the comparison cohort
13organizations in the comparison cohort
26SNP plans
62plans with drug coverage reported
HMO 46 · PPO 25whole-county plan-type mix; HMO includes HMOPOS and PPO includes Local/Regional PPO
PPO plans
25 whole-county- Monthly premium
- Median $0 · range $0–$266 Based on 25 of 25 whole-county PPO plans with a reported value.
- In-network MOOP
- Median $7,150 · range $4,450–$9,850 Based on 25 of 25 whole-county PPO plans with a reported value.
Primary statistics use current-year medical records with exact plan_segment geography and a whole-county relationship. Partial-county records are shown separately below and are excluded here. Contract-scope records, standalone Part D plans, and employer/group-only relationships are not part of this county comparison. Missing or unreported values remain outside each metric denominator. Confirm benefits, eligibility, and service area in official Medicare or plan materials.
Showing all 75 exact medical plan records.
Exact segment records
Medical plans reported for the whole county
H3959-041-000 HMOPOS Aetna Medicare Advantra Eagle Plus (HMO-POS)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Not reported
H3959-041-000 — Open exact plan page H3959-002-000 HMOPOS Aetna Medicare Advantra Enhanced (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3959-002-000 — Open exact plan page H5522-017-000 Local PPO Aetna Medicare Advantra Signature Giveback (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5522-017-000 — Open exact plan page H3959-036-000 HMO Aetna Medicare Dual (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-036-000 — Open exact plan page H3959-090-000 HMO Aetna Medicare Full Dual Extra (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-090-000 — Open exact plan page H3959-066-000 HMO Aetna Medicare Longevity (HMO I-SNP)
Aetna Medicare
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3959-066-000 — Open exact plan page H5522-005-000 Local PPO Aetna Medicare Premier Plus (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5522-005-000 — Open exact plan page H5521-261-000 Local PPO Aetna Medicare Signature (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H5521-261-000 — Open exact plan page H3959-011-000 HMOPOS Aetna Medicare Signature Plus (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3959-011-000 — Open exact plan page H9968-001-000 HMO American Health Advantage of Pennsylvania (HMO I-SNP)
American Health Advantage of Pennsylvania
InstitutionalPrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9968-001-000 — Open exact plan page H6852-020-000 HMO DEVOTED C-SNP ENHANCED 020 PA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,050 in-network
- Drug coverage
- Reported
H6852-020-000 — Open exact plan page H6852-031-000 HMO DEVOTED C-SNP GIVEBACK EXTRAS 031 PA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,950 in-network
- Drug coverage
- Reported
H6852-031-000 — Open exact plan page H6852-022-000 HMO DEVOTED C-SNP PLUS 022 PA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-022-000 — Open exact plan page H6018-010-000 Local PPO DEVOTED CHOICE 010 PA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,600 in-network
- Drug coverage
- Reported
H6018-010-000 — Open exact plan page H6018-011-000 Local PPO DEVOTED CHOICE GIVEBACK 011 PA (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6018-011-000 — Open exact plan page H6852-014-000 HMO DEVOTED CORE 014 PA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Reported
H6852-014-000 — Open exact plan page H6852-025-000 HMO DEVOTED DUAL FULL 025 PA (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-025-000 — Open exact plan page H6852-005-000 HMO DEVOTED DUAL PLUS 005 PA (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-005-000 — Open exact plan page H6852-015-000 HMO DEVOTED GIVEBACK 015 PA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6852-015-000 — Open exact plan page H6852-035-000 HMO DEVOTED GIVEBACK EXTRAS 035 PA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,950 in-network
- Drug coverage
- Reported
H6852-035-000 — Open exact plan page H3954-160-000 HMO Geisinger Gold Classic 360 Rx (HMO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3954-160-000 — Open exact plan page H3954-157-023 HMO Geisinger Gold Classic Advantage Rx (HMO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $135 / month
- MOOP
- $3,450 in-network
- Drug coverage
- Reported
H3954-157-023 — Open exact plan page H3954-158-013 HMO Geisinger Gold Classic Complete Rx (HMO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $58 / month
- MOOP
- $5,700 in-network
- Drug coverage
- Reported
H3954-158-013 — Open exact plan page H3954-161-000 HMO Geisinger Gold Classic Essential Rx (HMO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3954-161-000 — Open exact plan page H3954-162-000 HMO Geisinger Gold Heritage (HMO)
Geisinger Gold
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Not reported
H3954-162-000 — Open exact plan page H3924-059-021 Local PPO Geisinger Gold Preferred Advantage Rx (PPO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $123 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H3924-059-021 — Open exact plan page H3924-067-000 Local PPO Geisinger Gold Preferred Balance Rx (PPO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $29 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3924-067-000 — Open exact plan page H3924-065-000 Local PPO Geisinger Gold Preferred Complete Rx (PPO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3924-065-000 — Open exact plan page H3954-097-000 HMO Geisinger Gold Secure Rx (HMO D-SNP)
Geisinger Gold
Dual-EligiblePrescription-drug coverage reported
- Premium
- $1 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3954-097-000 — Open exact plan page H3954-163-000 HMO Geisinger Gold Value Rx (HMO)
Geisinger Gold
Prescription-drug coverage reported
- Premium
- $29 / month
- MOOP
- $9,000 in-network
- Drug coverage
- Reported
H3954-163-000 — Open exact plan page H3957-047-003 HMO Community Blue Medicare HMO Signature (HMO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,950 in-network
- Drug coverage
- Reported
H3957-047-003 — Open exact plan page H3957-050-003 HMO Complete Blue HMO Distinct (HMO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $47 / month
- MOOP
- $6,450 in-network
- Drug coverage
- Reported
H3957-050-003 — Open exact plan page H3916-035-005 Local PPO Complete Blue PPO Distinct (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $63 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3916-035-005 — Open exact plan page H3916-041-003 Local PPO Complete Blue PPO Signature (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3916-041-003 — Open exact plan page H3916-001-000 Local PPO Freedom Blue PPO Classic (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $266 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3916-001-000 — Open exact plan page H3916-022-000 Local PPO Freedom Blue PPO Select (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $157 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H3916-022-000 — Open exact plan page H3916-067-000 Local PPO Freedom Blue PPO Valor (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Premium
- $0 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Not reported
H3916-067-000 — Open exact plan page H3916-032-000 Local PPO Freedom Blue PPO ValueRx (PPO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $97 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3916-032-000 — Open exact plan page H3957-043-001 HMOPOS Security Blue HMO-POS Basic (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
- Premium
- $7 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Not reported
H3957-043-001 — Open exact plan page H3957-046-001 HMOPOS Security Blue HMO-POS Deluxe (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $188 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H3957-046-001 — Open exact plan page H3957-045-001 HMOPOS Security Blue HMO-POS Standard (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $132 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H3957-045-001 — Open exact plan page H3957-031-000 HMOPOS Security Blue HMO-POS ValueRx (HMO-POS)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $53 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H3957-031-000 — Open exact plan page H5932-001-000 HMO Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
Highmark Wholecare Medicare Assured
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5932-001-000 — Open exact plan page H5932-009-000 HMO Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
Highmark Wholecare Medicare Assured
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H5932-009-000 — Open exact plan page H5216-221-000 Local PPO Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Not reported
H5216-221-000 — Open exact plan page H5525-051-001 Local PPO Humana Value Choice (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H5525-051-001 — Open exact plan page H5525-086-001 Local PPO HumanaChoice H5525-086 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $5,800 in-network
- Drug coverage
- Reported
H5525-086-001 — Open exact plan page R0110-007-000 Regional PPO HumanaChoice R0110-007 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $4,750 in-network
- Drug coverage
- Not reported
R0110-007-000 — Open exact plan page R0110-008-000 Regional PPO HumanaChoice R0110-008 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $75 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
R0110-008-000 — Open exact plan page H4093-001-000 HMO Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)
Provider Partners Health Plans
InstitutionalPrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4093-001-000 — Open exact plan page H4093-009-000 HMO Provider Partners Pennsylvania Community Plan (HMO I-SNP)
Provider Partners Health Plans
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $2,600 in-network
- Drug coverage
- Reported
H4093-009-000 — Open exact plan page H4093-010-000 HMO Provider Partners Pennsylvania Essential Plan (HMO I-SNP)
Provider Partners Health Plans
InstitutionalPrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4093-010-000 — Open exact plan page H5253-146-000 HMOPOS AARP Medicare Advantage from UHC PA-0002 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-146-000 — Open exact plan page H5253-147-000 HMOPOS AARP Medicare Advantage from UHC PA-0003 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $54 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5253-147-000 — Open exact plan page H2406-047-000 Local PPO AARP Medicare Advantage from UHC PA-0008 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $60 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H2406-047-000 — Open exact plan page H2406-072-000 Local PPO AARP Medicare Advantage from UHC PA-0011 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2406-072-000 — Open exact plan page H2406-101-000 Local PPO AARP Medicare Advantage Giveback from UHC PA-12 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,200 in-network
- Drug coverage
- Reported
H2406-101-000 — Open exact plan page H5253-152-000 HMOPOS AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H5253-152-000 — Open exact plan page H5253-192-000 HMOPOS UHC Complete Care PA-17 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-192-000 — Open exact plan page H5253-234-001 HMOPOS UHC Complete Care Support PA-1A (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5253-234-001 — Open exact plan page H3113-014-000 HMOPOS UHC Dual Advantage PA-V1 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $12.80 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3113-014-000 — Open exact plan page H1889-007-000 Local PPO UHC Dual Complete PA-S001 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $11.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-007-000 — Open exact plan page H3113-009-000 HMOPOS UHC Dual Complete PA-S002 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3113-009-000 — Open exact plan page H3113-016-000 HMOPOS UHC Dual Complete PA-S3 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3113-016-000 — Open exact plan page H0710-017-000 Local PPO UHC Nursing Home Plan EX-F002 (PPO I-SNP)
UnitedHealthcare
InstitutionalPrescription-drug coverage reported
- Premium
- $12.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0710-017-000 — Open exact plan page H3907-002-000 HMO UPMC for Life HMO No Rx (HMO)
UPMC for Life
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Not reported
H3907-002-000 — Open exact plan page H5533-016-001 Local PPO UPMC for Life PPO Salute (PPO)
UPMC for Life
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H5533-016-001 — Open exact plan page H4279-007-003 HMO UPMC for Life Complete Care (HMO D-SNP)
UPMC for Life Complete Care
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4279-007-003 — Open exact plan page H4227-002-000 HMO Amerihealth Caritas VIP Care (HMO D-SNP)
VISTA Health Plan Inc.
Dual-EligiblePrescription-drug coverage reported
- Premium
- $9 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4227-002-000 — Open exact plan page H2915-002-000 HMOPOS Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2915-002-000 — Open exact plan page H2915-018-000 HMOPOS Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,400 in-network
- Drug coverage
- Reported
H2915-018-000 — Open exact plan page Additional verification required
Partial-county plans — verify availability
CMS marks these exact plan-segment relationships as serving only part of the county. Confirm eligibility, service area, and enrollment rules in current official plan materials or Medicare.
H5902-001-000 National Pace Senior LIFE Altoona Dual Eligible (PACE)
Senior LIFE Altoona / Ebensburg / Indiana
Partial county — verify availabilityPrescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H5902-001-000 — Open exact plan page H5902-002-000 National Pace Senior LIFE Altoona Medicare Only (PACE)
Senior LIFE Altoona / Ebensburg / Indiana
Partial county — verify availabilityPrescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H5902-002-000 — Open exact plan page H3925-001-000 National Pace Senior LIFE Johnstown Dual Eligible (PACE)
Senior LIFE Johnstown
Partial county — verify availabilityPrescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H3925-001-000 — Open exact plan page H3925-002-000 National Pace Senior LIFE Johnstown Medicare Only (PACE)
Senior LIFE Johnstown
Partial county — verify availabilityPrescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H3925-002-000 — Open exact plan page Source and scope
How this county directory is built
This page uses the CMS Contract Year 2027 PBP benefits, Landscape, and aligned MA service-area data. County identity comes from exact contract, plan, and segment geography; stable FIPS or SSA values are used only for source-backed identity and route disambiguation.
Contract-level geography and standalone Part D geography remain available through state, carrier, and contract directories rather than being presented as exact county plan cards. Medicare Plan Lookup is an independent quick-reference tool.