Medicare Advantage plans in Monroe County, PA: what changed for 2027
For 2027, Monroe County in Pennsylvania has 44 Medicare Advantage plans that include drug coverage, compared with 43 in 2026, according to the CMS plan landscape files.
Advantage plans with drug coverage44+1 from 2026
Advantage plans without drug coverage10-2 from 2026
Special Needs Plans30+5 from 2026
$0 premium plans with drug coverage25+3 from 2026
Median out-of-pocket limit$7,1502026: $6,700
Plans rated 4 stars or more31+8 from 2026
7 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 6 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 18,270 of the 40,511 people eligible for Medicare in Monroe County were enrolled in a Medicare Advantage or other Medicare health plan, 45.1%. A year earlier it was 17,662 of 39,322 (44.9%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (44)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) | UnitedHealthcare | PPO | $0 | $9,200 | 4 of 5 |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $7,150 | 4 of 5 |
| AARP Medicare Advantage from UHC PA-0011 (PPO) | UnitedHealthcare | PPO | $0 | $7,150 | 4 of 5 |
| AARP Medicare Advantage from UHC PA-0015 (PPO) | UnitedHealthcare | PPO | $0 | $7,150 | 4.5 of 5 |
| Aetna Medicare Advantra Signature (PPO) | Aetna Medicare | PPO | $0 | $9,250 | 4.5 of 5 |
| Aetna Medicare Signature (HMO-POS) | Aetna Medicare | HMO-POS | $0 | $9,850 | 3.5 of 5 |
| Aetna Medicare Signature Extra (PPO) | Aetna Medicare | PPO | $0 | $7,150 | 4 of 5 |
| Aetna Medicare Signature Giveback (PPO) | Aetna Medicare | PPO | $0 | $7,150 | 4.5 of 5 |
| Community Blue Medicare HMO Signature (HMO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO | $0 | $7,150 | 4.5 of 5 |
| DEVOTED CHOICE 007 PA (PPO) | Devoted Health | PPO | $0 | $7,100 | 3 of 5 |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO) | Devoted Health | PPO | $0 | $9,850 | 3 of 5 |
| DEVOTED CORE 008 PA (HMO) | Devoted Health | HMO | $0 | $6,750 | 3.5 of 5 |
| DEVOTED GIVEBACK 009 PA (HMO) | Devoted Health | HMO | $0 | $8,000 | 3.5 of 5 |
| DEVOTED GIVEBACK EXTRAS 032 PA (HMO) | Devoted Health | HMO | $0 | $7,100 | 3.5 of 5 |
| Geisinger Gold Classic 360 Rx (HMO) | Geisinger Gold | HMO | $0 | $9,850 | 4 of 5 |
| Geisinger Gold Classic Essential Rx (HMO) | Geisinger Gold | HMO | $0 | $7,150 | 4 of 5 |
| Geisinger Gold Preferred Complete Rx (PPO) | Geisinger Gold | PPO | $0 | $9,850 | 4 of 5 |
| Humana Essentials Plus Giveback (PPO) | Humana | PPO | $0 | $8,250 | 4 of 5 |
| Humana Gold Plus H6622-036 (HMO) | Humana | HMO | $0 | $8,250 | 4 of 5 |
| Humana USAA Honor Giveback with Rx (PPO) | Humana | PPO | $0 | $7,350 | 4 of 5 |
| Humana Value Choice (PPO) | Humana | PPO | $0 | $8,000 | 4 of 5 |
| Jefferson Health Plans Complete (HMO) | Jefferson Health Plans | HMO | $0 | $7,500 | 3 of 5 |
| Jefferson Health Plans Flex (PPO) | Jefferson Health Plans | PPO | $0 | $8,000 | 3 of 5 |
| Jefferson Health Plans Giveback (HMO) | Jefferson Health Plans | HMO | $0 | $9,850 | 3 of 5 |
| Wellcare Simple (HMO-POS) | Wellcare | HMO-POS | $0 | $9,850 | 3.5 of 5 |
| Jefferson Health Plans Prime (HMO) | Jefferson Health Plans | HMO | $12.80 | $6,500 | 3 of 5 |
| Geisinger Gold Preferred Balance Rx (PPO) | Geisinger Gold | PPO | $29.00 | $9,850 | 4 of 5 |
| Geisinger Gold Value Rx (HMO) | Geisinger Gold | HMO | $29.00 | $9,000 | 4 of 5 |
| HumanaChoice H5525-086 (PPO) | Humana | PPO | $38.00 | $6,050 | 4 of 5 |
| HumanaChoice H5525-005 (PPO) | Humana | PPO | $39.00 | $8,300 | 4 of 5 |
| Jefferson Health Plans Preferred (PPO) | Jefferson Health Plans | PPO | $40.00 | $6,500 | 3 of 5 |
| AARP Medicare Advantage from UHC PA-0007 (PPO) | UnitedHealthcare | PPO | $57.00 | $6,300 | 4 of 5 |
| Geisinger Gold Classic Complete Rx (HMO) | Geisinger Gold | HMO | $58.00 | $5,700 | 4 of 5 |
| AARP Medicare Advantage from UHC PA-0008 (PPO) | UnitedHealthcare | PPO | $60.00 | $5,900 | 4 of 5 |
| Community Blue Medicare HMO Distinct (HMO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO | $72.00 | $6,500 | 4.5 of 5 |
| HumanaChoice R0110-008 (Regional PPO) | Humana | Regional PPO | $75.00 | $7,150 | 3.5 of 5 |
| Aetna Medicare Enhanced (PPO) | Aetna Medicare | PPO | $76.00 | $9,850 | 4.5 of 5 |
| Freedom Blue PPO ValueRx (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $84.00 | $5,500 | 4.5 of 5 |
| Aetna Medicare Advantra Premier (PPO) | Aetna Medicare | PPO | $99.00 | $5,900 | 4.5 of 5 |
| Geisinger Gold Preferred Advantage Rx (PPO) | Geisinger Gold | PPO | $104.00 | $4,450 | 4 of 5 |
| HumanaChoice H5216-120 (PPO) | Humana | PPO | $107.00 | $7,600 | 4 of 5 |
| Geisinger Gold Classic Advantage Rx (HMO) | Geisinger Gold | HMO | $129.00 | $3,450 | 4 of 5 |
| Freedom Blue PPO Standard (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $135.00 | $5,000 | 4.5 of 5 |
| Freedom Blue PPO Deluxe (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $239.00 | $4,500 | 4.5 of 5 |
Advantage plans without drug coverage for 2027 (10)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) | UnitedHealthcare | HMO-POS | Not listed | $7,150 | 4 of 5 |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) | Aetna Medicare | HMO-POS | Not listed | $5,500 | 3.5 of 5 |
| Freedom Blue PPO Basic (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | Not listed | $5,900 | 4.5 of 5 |
| Freedom Blue PPO Valor (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | Not listed | $6,000 | 4.5 of 5 |
| Geisinger Gold Heritage (HMO) | Geisinger Gold | HMO | Not listed | $6,700 | 4 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $6,700 | 4 of 5 |
| HumanaChoice Giveback H5216-116 (PPO) | Humana | PPO | Not listed | $4,150 | 4 of 5 |
| HumanaChoice R0110-007 (Regional PPO) | Humana | Regional PPO | Not listed | $4,750 | 3.5 of 5 |
| UPMC for Life HMO No Rx (HMO) | UPMC for Life | HMO | Not listed | $6,500 | 4.5 of 5 |
| UPMC for Life PPO Salute (PPO) | UPMC for Life | PPO | Not listed | $9,850 | 4.5 of 5 |
Special Needs Plans for 2027 (30)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Dual (HMO D-SNP) | Aetna Medicare | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Aetna Medicare Full Dual Extra (HMO D-SNP) | Aetna Medicare | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Aetna Medicare Longevity (HMO I-SNP) | Aetna Medicare | HMO I-SNP · Institutional | $0 | $9,850 | 3.5 of 5 |
| DEVOTED C-SNP ENHANCED 017 PA (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $7,250 | 3.5 of 5 |
| DEVOTED C-SNP GIVEBACK EXTRAS 028 PA (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $7,100 | 3.5 of 5 |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 3.5 of 5 |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) | Devoted Health | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) | Devoted Health | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Humana Dual Select H6622-103 (HMO D-SNP) | Humana | HMO D-SNP · Dual-Eligible | $0 | $9,250 | 4 of 5 |
| Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) | Humana | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) | Humana | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | Humana | PPO C-SNP · Chronic or Disabling Condition | $0 | $8,700 | 4.5 of 5 |
| UHC Complete Care PA-17 (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $7,150 | 4 of 5 |
| UHC Complete Care Support PA-1A (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 4 of 5 |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3 of 5 |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3 of 5 |
| UPMC for Life Complete Care (HMO D-SNP) | UPMC for Life Complete Care | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP · Dual-Eligible | $0 | $5,400 | 3.5 of 5 |
| Geisinger Gold Secure Rx (HMO D-SNP) | Geisinger Gold | HMO D-SNP · Dual-Eligible | $1.00 | $9,850 | 4 of 5 |
| Amerihealth Caritas VIP Care (HMO D-SNP) | VISTA Health Plan Inc. | HMO D-SNP · Dual-Eligible | $9.00 | $9,850 | 3.5 of 5 |
| UHC Dual Complete PA-S001 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP · Dual-Eligible | $11.70 | $9,850 | 3.5 of 5 |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) | UnitedHealthcare | PPO I-SNP · Institutional | $12.50 | $9,850 | 5 of 5 |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | Aetna Medicare | HMO C-SNP · Chronic or Disabling Condition | $12.80 | $9,850 | 3.5 of 5 |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Highmark Wholecare Medicare Assured | HMO D-SNP · Dual-Eligible | $12.80 | $9,850 | 3.5 of 5 |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | Highmark Wholecare Medicare Assured | HMO D-SNP · Dual-Eligible | $12.80 | $6,500 | 3.5 of 5 |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) | Jefferson Health Plans | HMO D-SNP · Dual-Eligible | $12.80 | $9,850 | 3 of 5 |
| Jefferson Health Plans Select (HMO D-SNP) | Jefferson Health Plans | HMO D-SNP · Dual-Eligible | $12.80 | $9,850 | 3 of 5 |
| Jefferson Health Plans Special (HMO D-SNP) | Jefferson Health Plans | HMO D-SNP · Dual-Eligible | $12.80 | $9,850 | 3 of 5 |
| UHC Dual Advantage PA-V1 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP · Dual-Eligible | $12.80 | $7,150 | 3 of 5 |
Stand-alone Part D drug plans are offered statewide: see Pennsylvania drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.