Medicare Advantage plans in Somerset County, PA: what changed for 2027
For 2027, Somerset County in Pennsylvania has 47 Medicare Advantage plans that include drug coverage, compared with 49 in 2026, according to the CMS plan landscape files.
Advantage plans with drug coverage47-2 from 2026
Advantage plans without drug coverage10-2 from 2026
Special Needs Plans30+4 from 2026
$0 premium plans with drug coverage21-1 from 2026
Median out-of-pocket limit$7,1502026: $6,500
Plans rated 4 stars or more38+1 from 2026
9 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 5 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, 14,993 of the 21,122 people eligible for Medicare in Somerset County were enrolled in a Medicare Advantage or other Medicare health plan, 71.0%. A year earlier it was 14,755 of 20,800 (70.9%).
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 (47)
| 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 |
| Aetna Medicare Advantra Signature Giveback (PPO) | Aetna Medicare | PPO | $0 | $9,850 | 4.5 of 5 |
| Aetna Medicare Signature (PPO) | Aetna Medicare | PPO | $0 | $5,500 | 4 of 5 |
| Aetna Medicare Signature Plus (HMO-POS) | Aetna Medicare | HMO-POS | $0 | $5,500 | 3.5 of 5 |
| Community Blue Medicare HMO Signature (HMO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO | $0 | $6,950 | 4.5 of 5 |
| Complete Blue PPO Signature (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $0 | $7,150 | 4.5 of 5 |
| DEVOTED CHOICE 010 PA (PPO) | Devoted Health | PPO | $0 | $6,600 | 3 of 5 |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) | Devoted Health | PPO | $0 | $9,850 | 3 of 5 |
| DEVOTED CORE 014 PA (HMO) | Devoted Health | HMO | $0 | $6,550 | 3.5 of 5 |
| DEVOTED GIVEBACK 015 PA (HMO) | Devoted Health | HMO | $0 | $9,850 | 3.5 of 5 |
| DEVOTED GIVEBACK EXTRAS 035 PA (HMO) | Devoted Health | HMO | $0 | $7,950 | 3.5 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 | $8,000 | 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 |
| UPMC for Life Essential Rx (PPO) | UPMC for Life | PPO | $0 | $8,000 | 4.5 of 5 |
| UPMC for Life HMO Premier Rx (HMO) | UPMC for Life | HMO | $0 | $7,150 | 4.5 of 5 |
| Wellcare Simple (HMO-POS) | Wellcare | HMO-POS | $0 | $9,850 | 3.5 of 5 |
| UPMC for Life HMO Deductible Rx (HMO) | UPMC for Life | HMO | $25.00 | $6,000 | 4.5 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 |
| UPMC for Life PPO High Deductible Rx (PPO) | UPMC for Life | PPO | $33.00 | $7,550 | 4.5 of 5 |
| Aetna Medicare Advantra Enhanced (HMO-POS) | Aetna Medicare | HMO-POS | $39.00 | $5,500 | 3.5 of 5 |
| Aetna Medicare Premier Plus (PPO) | Aetna Medicare | PPO | $39.00 | $7,150 | 4.5 of 5 |
| HumanaChoice H5525-086 (PPO) | Humana | PPO | $39.00 | $5,800 | 4 of 5 |
| Complete Blue HMO Distinct (HMO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO | $47.00 | $6,450 | 4.5 of 5 |
| UPMC for Life HMO Rx Choice (HMO) | UPMC for Life | HMO | $48.00 | $6,500 | 4.5 of 5 |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) | UnitedHealthcare | HMO-POS | $54.00 | $6,700 | 4 of 5 |
| Security Blue HMO-POS ValueRx (HMO-POS) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $54.00 | $5,500 | 4.5 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 |
| Complete Blue PPO Distinct (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $63.00 | $7,150 | 4.5 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 | $83.00 | $5,500 | 4.5 of 5 |
| UPMC for Life HMO Rx (HMO) | UPMC for Life | HMO | $100.00 | $5,000 | 4.5 of 5 |
| HumanaChoice H5216-120 (PPO) | Humana | PPO | $107.00 | $7,600 | 4 of 5 |
| Freedom Blue PPO Select (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $114.00 | $5,000 | 4.5 of 5 |
| Security Blue HMO-POS Standard (HMO-POS) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $118.00 | $5,000 | 4.5 of 5 |
| Security Blue HMO-POS Deluxe (HMO-POS) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | $119.00 | $4,500 | 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 | $135.00 | $3,450 | 4 of 5 |
| UPMC for Life PPO Rx Enhanced (PPO) | UPMC for Life | PPO | $155.00 | $7,550 | 4.5 of 5 |
| Freedom Blue PPO Classic (PPO) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | PPO | $238.00 | $4,500 | 4.5 of 5 |
| UPMC for Life HMO Rx Enhanced (HMO) | UPMC for Life | HMO | $295.00 | $7,550 | 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 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 |
| Security Blue HMO-POS Basic (HMO-POS) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | HMO-POS | Not listed | $5,900 | 4.5 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 Chronic Care (HMO C-SNP) | Aetna Medicare | HMO C-SNP · Chronic or Disabling Condition | $0 | $7,150 | 3.5 of 5 |
| 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 020 PA (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $7,050 | 3.5 of 5 |
| DEVOTED C-SNP GIVEBACK EXTRAS 031 PA (HMO C-SNP) | Devoted Health | HMO C-SNP · Chronic or Disabling Condition | $0 | $7,950 | 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 |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) | Humana | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4 of 5 |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) | Humana | PPO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | Provider Partners Health Plans | HMO I-SNP · Institutional | $0 | $2,600 | 3.5 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 |
| American Health Advantage of Pennsylvania (HMO I-SNP) | American Health Advantage of Pennsylvania | HMO I-SNP · Institutional | $12.80 | $9,850 | Not Enough Data Available |
| 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 |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | Provider Partners Health Plans | HMO I-SNP · Institutional | $12.80 | $9,850 | 3.5 of 5 |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | Provider Partners Health Plans | HMO I-SNP · Institutional | $12.80 | $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.