Medicare Advantage plans in Pike County, PA: what changed for 2027
For 2027, Pike County in Pennsylvania has 26 Medicare Advantage plans that include drug coverage, compared with 27 in 2026, according to the CMS plan landscape files.
Advantage plans with drug coverage26-1 from 2026
Advantage plans without drug coverage6-1 from 2026
Special Needs Plans14+2 from 2026
$0 premium plans with drug coverage11-1 from 2026
Median out-of-pocket limit$7,1502026: $6,750
Plans rated 4 stars or more23-3 from 2026
4 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 2 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, 6,051 of the 17,213 people eligible for Medicare in Pike County were enrolled in a Medicare Advantage or other Medicare health plan, 35.2%. A year earlier it was 5,818 of 16,689 (34.9%).
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 (26)
| 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 |
| Aetna Medicare Advantra Signature (HMO-POS) | Aetna Medicare | HMO-POS | $0 | $7,500 | 3.5 of 5 |
| Aetna Medicare Advantra Signature (PPO) | Aetna Medicare | PPO | $0 | $9,250 | 4.5 of 5 |
| Aetna Medicare Advantra Signature Giveback (PPO) | Aetna Medicare | PPO | $0 | $9,850 | 4.5 of 5 |
| Aetna Medicare Signature Extra (PPO) | Aetna Medicare | PPO | $0 | $7,150 | 4 of 5 |
| Community Blue Medicare PPO Signature (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $0 | $7,150 | 4.5 of 5 |
| Complete Blue PPO Merit (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $0 | $8,300 | 4.5 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 |
| 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 |
| Aetna Medicare Value Plus (PPO) | Aetna Medicare | PPO | $35.00 | $7,500 | 4.5 of 5 |
| AARP Medicare Advantage from UHC PA-0007 (PPO) | UnitedHealthcare | PPO | $57.00 | $6,300 | 4 of 5 |
| Aetna Medicare Advantra Enhanced (HMO-POS) | Aetna Medicare | HMO-POS | $58.00 | $7,500 | 3.5 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 |
| HumanaChoice R0110-008 (Regional PPO) | Humana | Regional PPO | $75.00 | $7,150 | 3.5 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 |
| Complete Blue PPO Distinct (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $116.00 | $6,750 | 4.5 of 5 |
| Geisinger Gold Preferred Advantage Rx (PPO) | Geisinger Gold | PPO | $123.00 | $4,450 | 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 (6)
| 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 |
| HumanaChoice R0110-007 (Regional PPO) | Humana | Regional PPO | Not listed | $4,750 | 3.5 of 5 |
Special Needs Plans for 2027 (14)
| 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 |
| 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 |
| 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 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.