Medicare Plan LookupOfficial CMS data · Contract Year 2027
CMS 2027 data

CMS Contract Year 2027 exact county directory

Medicare plans in Potter County, Pennsylvania

68 exact segment-backed medical plan records are listed for this county in the current CMS release.

68medical records
11organizations
68whole-county records
0partial records

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 (20) · HMOPOS (17) · Local PPO (28) · PFFS (1) · 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.

68whole-county plans in the comparison cohort
11organizations in the comparison cohort
17SNP plans
58plans with drug coverage reported
HMO 37 · PPO 30 · PFFS 1whole-county plan-type mix; HMO includes HMOPOS and PPO includes Local/Regional PPO

HMO plans

37 whole-county
Monthly premium
Median $1 · range $0–$295
Based on 37 of 37 whole-county HMO plans with a reported value.
In-network MOOP
Median $7,150 · range $3,450–$9,850
Based on 37 of 37 whole-county HMO plans with a reported value.

PPO plans

30 whole-county
Monthly premium
Median $0 · range $0–$238
Based on 30 of 30 whole-county PPO plans with a reported value.
In-network MOOP
Median $7,425 · range $4,150–$9,850
Based on 30 of 30 whole-county PPO plans with a reported value.

PFFS plans

1 whole-county
Monthly premium
Not enough reported values
Based on 1 of 1 whole-county PFFS plans with a reported value. At least 3 reported values are required for a range.
In-network MOOP
Not enough reported values
Based on 0 of 1 whole-county PFFS plans with a reported value. At least 3 reported values are required for a range.

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 68 exact medical plan records.

Exact segment records

Medical plans reported for the whole county

68 records
H3959-039-000 HMOPOS
Exact segment geography

Aetna Medicare Advantra Enhanced (HMO-POS)

Aetna Medicare

Prescription-drug coverage reported
Premium
$58 / month
MOOP
$7,500 in-network
Drug coverage
Reported
H3959-039-000 — Open exact plan page
H5522-002-000 Local PPO
Exact segment geography

Aetna Medicare Advantra Premier (PPO)

Aetna Medicare

Prescription-drug coverage reported
Premium
$99 / month
MOOP
$5,900 in-network
Drug coverage
Reported
H5522-002-000 — Open exact plan page
H3959-037-000 HMOPOS
Exact segment geography

Aetna Medicare Advantra Signature (HMO-POS)

Aetna Medicare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$7,500 in-network
Drug coverage
Reported
H3959-037-000 — Open exact plan page
H5522-004-000 Local PPO
Exact segment geography

Aetna Medicare Advantra Signature (PPO)

Aetna Medicare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$9,250 in-network
Drug coverage
Reported
H5522-004-000 — Open exact plan page
H5522-017-000 Local PPO
Exact segment geography

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
Exact segment geography

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
H3959-066-000 HMO
Exact segment geography

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
H5521-263-000 Local PPO
Exact segment geography

Aetna Medicare Signature Extra (PPO)

Aetna Medicare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H5521-263-000 — Open exact plan page
H5522-013-000 Local PPO
Exact segment geography

Aetna Medicare Value Plus (PPO)

Aetna Medicare

Prescription-drug coverage reported
Premium
$35 / month
MOOP
$7,500 in-network
Drug coverage
Reported
H5522-013-000 — Open exact plan page
H9968-001-000 HMO
Exact segment geography

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
H3954-157-023 HMO
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
H3924-059-021 Local PPO
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
H3957-047-004 HMO
Exact segment geography

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
H3957-047-004 — Open exact plan page
H3957-050-004 HMO
Exact segment geography

Complete Blue HMO Distinct (HMO)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$54 / month
MOOP
$6,450 in-network
Drug coverage
Reported
H3957-050-004 — Open exact plan page
H3916-058-000 Local PPO
Exact segment geography

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
H3916-058-000 — Open exact plan page
H3916-002-000 Local PPO
Exact segment geography

Freedom Blue PPO Classic (PPO)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$238 / month
MOOP
$4,500 in-network
Drug coverage
Reported
H3916-002-000 — Open exact plan page
H3916-024-000 Local PPO
Exact segment geography

Freedom Blue PPO Select (PPO)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$114 / month
MOOP
$5,000 in-network
Drug coverage
Reported
H3916-024-000 — Open exact plan page
H3916-067-000 Local PPO
Exact segment geography

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
H3916-033-000 Local PPO
Exact segment geography

Freedom Blue PPO ValueRx (PPO)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$83 / month
MOOP
$5,500 in-network
Drug coverage
Reported
H3916-033-000 — Open exact plan page
H3957-043-002 HMOPOS
Exact segment geography

Security Blue HMO-POS Basic (HMO-POS)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Premium
$37 / month
MOOP
$5,900 in-network
Drug coverage
Not reported
H3957-043-002 — Open exact plan page
H3957-046-002 HMOPOS
Exact segment geography

Security Blue HMO-POS Deluxe (HMO-POS)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$119 / month
MOOP
$4,500 in-network
Drug coverage
Reported
H3957-046-002 — Open exact plan page
H3957-045-002 HMOPOS
Exact segment geography

Security Blue HMO-POS Standard (HMO-POS)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$118 / month
MOOP
$5,000 in-network
Drug coverage
Reported
H3957-045-002 — Open exact plan page
H3957-044-004 HMOPOS
Exact segment geography

Security Blue HMO-POS ValueRx (HMO-POS)

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Prescription-drug coverage reported
Premium
$48 / month
MOOP
$5,500 in-network
Drug coverage
Reported
H3957-044-004 — Open exact plan page
H5932-001-000 HMO
Exact segment geography

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
Exact segment geography

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
H5525-085-002 Local PPO
Exact segment geography

Humana Essentials Plus Giveback (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$8,250 in-network
Drug coverage
Reported
H5525-085-002 — Open exact plan page
H8145-052-000 PFFS
Exact segment geography

Humana Gold Choice H8145-052 (PFFS)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
Not reported
Drug coverage
Reported
H8145-052-000 — Open exact plan page
H5525-059-000 Local PPO
Exact segment geography

Humana USAA Honor Giveback with Rx (PPO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$7,350 in-network
Drug coverage
Reported
H5525-059-000 — Open exact plan page
H7617-115-000 Local PPO
Exact segment geography

HumanaChoice - Diabetes and Heart (PPO C-SNP)

Humana

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$8,700 in-network
Drug coverage
Reported
H7617-115-000 — Open exact plan page
H5216-120-000 Local PPO
Exact segment geography

HumanaChoice H5216-120 (PPO)

Humana

Prescription-drug coverage reported
Premium
$107 / month
MOOP
$7,600 in-network
Drug coverage
Reported
H5216-120-000 — Open exact plan page
H5525-005-000 Local PPO
Exact segment geography

HumanaChoice H5525-005 (PPO)

Humana

Prescription-drug coverage reported
Premium
$39 / month
MOOP
$8,300 in-network
Drug coverage
Reported
H5525-005-000 — Open exact plan page
H5525-086-002 Local PPO
Exact segment geography

HumanaChoice H5525-086 (PPO)

Humana

Prescription-drug coverage reported
Premium
$38 / month
MOOP
$6,050 in-network
Drug coverage
Reported
H5525-086-002 — Open exact plan page
R0110-008-000 Regional PPO
Exact segment geography

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
H7617-048-000 Local PPO
Exact segment geography

HumanaChoice SNP-DE H7617-048 (PPO D-SNP)

Humana

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H7617-048-000 — Open exact plan page
H5253-146-000 HMOPOS
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
H2406-101-000 Local PPO
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
H5253-234-002 HMOPOS
Exact segment geography

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
H5253-234-002 — Open exact plan page
H3113-014-000 HMOPOS
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
H5533-017-001 Local PPO
Exact segment geography

UPMC for Life Essential Rx (PPO)

UPMC for Life

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$8,000 in-network
Drug coverage
Reported
H5533-017-001 — Open exact plan page
H3907-059-003 HMO
Exact segment geography

UPMC for Life HMO Premier Rx (HMO)

UPMC for Life

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$7,000 in-network
Drug coverage
Reported
H3907-059-003 — Open exact plan page
H3907-058-001 HMO
Exact segment geography

UPMC for Life HMO Rx (HMO)

UPMC for Life

Prescription-drug coverage reported
Premium
$90 / month
MOOP
$4,500 in-network
Drug coverage
Reported
H3907-058-001 — Open exact plan page
H3907-057-004 HMO
Exact segment geography

UPMC for Life HMO Rx Choice (HMO)

UPMC for Life

Prescription-drug coverage reported
Premium
$40 / month
MOOP
$6,000 in-network
Drug coverage
Reported
H3907-057-004 — Open exact plan page
H3907-006-000 HMO
Exact segment geography

UPMC for Life HMO Rx Enhanced (HMO)

UPMC for Life

Prescription-drug coverage reported
Premium
$295 / month
MOOP
$7,550 in-network
Drug coverage
Reported
H3907-006-000 — Open exact plan page
H5533-008-000 Local PPO
Exact segment geography

UPMC for Life PPO Rx Enhanced (PPO)

UPMC for Life

Prescription-drug coverage reported
Premium
$60 / month
MOOP
$7,550 in-network
Drug coverage
Reported
H5533-008-000 — Open exact plan page
H4279-007-002 HMO
Exact segment geography

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
H4279-007-002 — Open exact plan page
H4227-002-000 HMO
Exact segment geography

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
Exact segment geography

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
Exact segment geography

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
H2915-003-000 HMOPOS
Exact segment geography

Wellcare Simple (HMO-POS)

Wellcare

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H2915-003-000 — 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.

Read the detailed data-source methodology →