How each 2026 Pennsylvania Medicare Advantage plan changes in 2027
306 Medicare Advantage plans sold in Pennsylvania in 2026, each paired with what the CMS Plan Crosswalk says becomes of it. 36 are not returning here, so their members must choose again. 6 are consolidated into another plan, which moves those members automatically. 73 plans are new to Pennsylvania for 2027.
Showing Pennsylvania — choose another state
- Renewing
- 264
- Consolidated
- 6
- Not returning
- 36
- New here
- 73
- Median drug premium change
- $0.00
Showing 379 of 379 rows
| Plan | What happens | 2027 premium | 2026 drug premium | 2027 drug premium | Change | Drug deductible | In-network MOOP | Stars |
|---|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) H5253-154-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $520.00 → $685.00 | $6,700.00 | 4★ |
| AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) H5253-203-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $600.00 → $685.00 | $6,700.00 → $7,150.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0001 (HMO-POS) H5253-145-0 · HMO-POS | Renewed | $63.00 | $49.00 | $62.00 | ▲ $13.00 | $440.00 → $685.00 | $5,400.00 → $6,700.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) H5253-146-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $440.00 → $685.00 | $6,700.00 → $7,150.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) H5253-147-0 · HMO-POS | Renewed | $54.00 | $39.00 | $49.00 | ▲ $10.00 | $440.00 → $685.00 | $5,900.00 → $6,700.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0007 (PPO) H2406-046-0 · PPO | Renewed | $57.00 | $42.00 | $49.00 | ▲ $7.00 | $520.00 → $595.00 | $5,900.00 → $6,300.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0008 (PPO) H2406-047-0 · PPO | Renewed | $60.00 | $60.00 | $59.00 | ▼ $1.00 | $520.00 → $685.00 | $4,900.00 → $5,900.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0009 (PPO) H2406-048-0 · PPO | Renewed | $81.00 | $79.00 | $79.00 | no change | $520.00 → $685.00 | $6,300.00 → $7,150.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0010 (PPO) H2406-071-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $600.00 → $685.00 | $6,700.00 → $7,150.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0011 (PPO) H2406-072-0 · PPO | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $520.00 → $685.00 | $6,700.00 → $7,150.00 | 4★ |
| AARP Medicare Advantage from UHC PA-0015 (PPO) H2001-110-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $440.00 → $685.00 | $6,700.00 → $7,150.00 | 4.5★ |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) H2406-101-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $600.00 → $685.00 | $8,900.00 → $9,200.00 | 4★ |
| Aetna Community HealthChoices (HMO D-SNP) H3959-073-0 · HMO D-SNP · Dual-eligible SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $9,250.00 | 4★ |
| Aetna Community HealthChoices (HMO D-SNP) H3959-071-0 · HMO D-SNP · Dual-eligible SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $9,250.00 | 4★ |
| Aetna Community HealthChoices (HMO D-SNP) H3959-072-0 · HMO D-SNP · Dual-eligible SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $9,250.00 | 4★ |
| Aetna Community HealthChoices (HMO D-SNP) H3959-070-0 · HMO D-SNP · Dual-eligible SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $9,250.00 | 4★ |
| Aetna Community HealthChoices (HMO D-SNP) H3959-069-0 · HMO D-SNP · Dual-eligible SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $9,250.00 | 4★ |
| Aetna Medicare Dual (HMO D-SNP) H3959-036-0 · HMO D-SNP · Dual-eligible SNP was Aetna Medicare Advantra Dual (HMO D-SNP) | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Dual Care (HMO D-SNP) H3959-035-0 · HMO D-SNP · Dual-eligible SNP was Aetna Medicare Advantra Dual Care (HMO D-SNP) | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Enhanced (HMO-POS) H3959-039-0 · HMO-POS | Renewed | $58.00 | $48.00 | $4.80 | ▼ $43.20 | $615.00 → $700.00 | $7,500.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Enhanced (HMO-POS) H3959-001-0 · HMO-POS | Renewed | $34.00 | $19.00 | $24.00 | ▲ $5.00 | $615.00 → $400.00 | $5,500.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Enhanced (HMO-POS) H3959-002-0 · HMO-POS was Aetna Medicare Advantra Premier (HMO-POS) | Renewed | $39.00 | $29.00 | $29.00 | no change | $615.00 → $400.00 | $5,500.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Premier (PPO) H5522-002-0 · PPO | Renewed | $99.00 | $97.00 | $95.00 | ▼ $2.00 | $615.00 → $700.00 | $5,900.00 | 4.5★ |
| Aetna Medicare Advantra Premier (PPO) H5522-014-0 · PPO | Renewed | $128.00 | $105.00 | $118.00 | ▲ $13.00 | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Aetna Medicare Advantra Prime Plus (HMO-POS) H3959-053-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $400.00 | $6,900.00 → $7,500.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Signature Plus (HMO-POS) H3959-010-0 · HMO-POS was Aetna Medicare Advantra Signature (HMO-POS) | Renewed | $0.00 | $0.00 | $0.00 | no change | $500.00 → $400.00 | $5,500.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Signature (HMO-POS) H3959-037-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $400.00 | $7,500.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Signature (HMO-POS) H3959-052-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $400.00 | $7,500.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Advantra Signature (PPO) H5522-004-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 | 4.5★ |
| Aetna Medicare Advantra Signature Giveback (PPO) H5522-017-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4.5★ |
| Aetna Medicare Signature Plus (HMO-POS) H3959-011-0 · HMO-POS was Aetna Medicare Advantra Signature Plus (HMO-POS) | Renewed | $0.00 | $0.00 | $0.00 | no change | $500.00 → $400.00 | $5,500.00 | 4★ → 3.5★ |
| Aetna Medicare Signature Extra Plus (HMO-POS) H3959-032-0 · HMO-POS was Aetna Medicare Advantra Signature Plus (HMO-POS) | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $400.00 | $5,900.00 | 4★ → 3.5★ |
| Aetna Medicare Chronic Care (HMO C-SNP) H3959-076-0 · HMO C-SNP · Chronic-condition SNP | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4★ → 3.5★ |
| Aetna Medicare Chronic Care Value (HMO C-SNP) H3959-085-0 · HMO C-SNP · Chronic-condition SNP | Renewed, service area expanded | $0.50 | $29.70 | $0.50 | ▼ $29.20 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Chronic Care Value (HMO C-SNP) H3959-075-0 · HMO C-SNP · Chronic-condition SNP | Renewed, service area expanded | $12.80 | $28.80 | $12.80 | ▼ $16.00 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Chronic Care Value (HMO C-SNP) H3959-074-0 · HMO C-SNP · Chronic-condition SNP | Renewed, service area expanded | $12.80 | $32.70 | $12.80 | ▼ $19.90 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Enhanced (PPO) H5521-122-0 · PPO | Not offered members must choose a new plan | — | $175.00 | — | — | $615.00 | $7,500.00 | 4.5★ |
| Aetna Medicare Enhanced (PPO) H5522-032-0 · PPO | Renewed | $76.00 | $66.00 | $27.40 | ▼ $38.60 | $615.00 → $700.00 | $7,500.00 → $9,850.00 | 4.5★ |
| Aetna Medicare Longevity (HMO I-SNP) H3959-066-0 · HMO I-SNP · Institutional SNP | Renewed | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare PinnacleHealth Prime (HMO-POS) H3931-091-0 · HMO-POS | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $6,900.00 | 3★ |
| Aetna Medicare PinnacleHealth Prime (PPO) H5522-029-0 · PPO | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $7,500.00 | 4.5★ |
| Aetna Medicare Premier (HMO-POS) H3931-004-0 · HMO-POS | Not offered members must choose a new plan | — | $104.00 | — | — | $615.00 | $6,900.00 | 3★ |
| Aetna Medicare Signature (PPO) H5521-261-0 · PPO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $5,500.00 | 4.5★ → 4★ |
| Aetna Medicare Elite (PPO) H5522-028-0 · PPO was Aetna Medicare Signature (PPO) | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4.5★ |
| Aetna Medicare Signature Extra (PPO) H5521-263-0 · PPO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ → 4★ |
| Aetna Medicare Signature Giveback (PPO) H5522-022-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Aetna Medicare Value Care (HMO-POS) H3959-033-0 · HMO-POS | Renewed | $43.00 | $32.70 | $33.00 | ▲ $0.30 | $615.00 → $700.00 | $7,500.00 → $9,850.00 | 4★ → 3.5★ |
| Aetna Medicare Value Plus (PPO) H5522-013-0 · PPO was Aetna Medicare Value Care (PPO) | Renewed | $35.00 | $29.00 | $5.90 | ▼ $23.10 | $615.00 → $700.00 | $6,900.00 → $7,500.00 | 4.5★ |
| Aetna Medicare Premier Plus (PPO) H5522-001-0 · PPO was Aetna Medicare Value Plus (PPO) | Renewed | $49.00 | $29.00 | $44.00 | ▲ $15.00 | $615.00 → $700.00 | $5,500.00 | 4.5★ |
| Aetna Medicare Premier Plus (PPO) H5522-005-0 · PPO was Aetna Medicare Value Plus (PPO) | Renewed | $39.00 | $13.00 | $23.20 | ▲ $10.20 | $615.00 → $700.00 | $5,900.00 → $7,150.00 | 4.5★ |
| American Health Advantage of Pennsylvania (HMO I-SNP) H9968-001-0 · HMO I-SNP · Institutional SNP | Renewed, service area expanded | $12.80 | $32.70 | $12.80 | ▼ $19.90 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | — |
| Amerihealth Caritas VIP Care (HMO D-SNP) H4227-002-0 · HMO D-SNP · Dual-eligible SNP was AmeriHealth Caritas VIP Care (HMO D-SNP) | Renewed | $9.00 | $0.00 | $9.00 | ▲ $9.00 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Capital Blue Cross Basic (PPO) H3923-049-4 · PPO 2026 id H3923-048-5 → H3923-049-4 | Renewed | $28.00 | $18.00 | $25.00 | ▲ $7.00 | $550.00 → $700.00 | $8,200.00 → $9,800.00 | 4.5★ → 4★ |
| Capital Blue Cross Basic (PPO) H3923-048-3 · PPO | Not offered members must choose a new plan | — | $18.00 | — | — | $550.00 | $8,200.00 | 4.5★ |
| Capital Blue Cross Basic (PPO) H3923-048-2 · PPO | Not offered members must choose a new plan | — | $18.00 | — | — | $550.00 | $8,200.00 | 4.5★ |
| Capital Blue Cross Classic (PPO) H3923-013-0 · PPO | Renewed | $77.00 | $32.50 | $56.60 | ▲ $24.10 | $100.00 → $700.00 | $6,700.00 | 4.5★ → 4★ |
| Capital Blue Cross Complete (PPO) H3923-047-5 · PPO | Not offered members must choose a new plan | — | $49.00 | — | — | $100.00 | $6,600.00 | 4.5★ |
| Capital Blue Cross Complete (PPO) H3923-047-3 · PPO | Renewed | $44.00 | $40.00 | $40.00 | no change | $100.00 → $700.00 | $6,100.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Complete (PPO) H3923-047-1 · PPO | Renewed | $45.00 | $45.00 | $45.00 | no change | $100.00 → $700.00 | $6,100.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Complete (PPO) H3923-047-2 · PPO | Renewed | $49.00 | $45.00 | $45.00 | no change | $100.00 → $700.00 | $6,100.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Complete (PPO) H3923-047-4 · PPO | Renewed, service area reduced | $54.00 | $49.00 | $49.00 | no change | $100.00 → $700.00 | $6,100.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Enhanced (PPO) H3923-046-3 · PPO | Renewed | $32.00 | $22.00 | $30.00 | ▲ $8.00 | $275.00 → $700.00 | $6,800.00 | 4.5★ → 4★ |
| Capital Blue Cross Enhanced (PPO) H3923-046-1 · PPO | Renewed | $29.00 | $26.00 | $29.00 | ▲ $3.00 | $275.00 → $700.00 | $6,500.00 → $6,800.00 | 4.5★ → 4★ |
| Capital Blue Cross Enhanced (PPO) H3923-046-2 · PPO | Renewed | $36.00 | $26.00 | $32.00 | ▲ $6.00 | $275.00 → $700.00 | $6,500.00 → $7,150.00 | 4.5★ → 4★ |
| Capital Blue Cross Enhanced (PPO) H3923-046-4 · PPO | Renewed, service area reduced | $35.00 | $29.00 | $35.00 | ▲ $6.00 | $275.00 → $700.00 | $7,200.00 → $7,150.00 | 4.5★ → 4★ |
| Capital Blue Cross Essential (HMO) H3962-022-5 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $6,000.00 → $5,550.00 | 4.5★ → 4★ |
| Capital Blue Cross Essential (HMO) H3962-022-3 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $6,000.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Essential (HMO) H3962-022-1 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $6,000.00 → $6,800.00 | 4.5★ → 4★ |
| Capital Blue Cross Essential (HMO) H3962-022-2 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $6,000.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Essential (HMO) H3962-022-4 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $6,000.00 → $7,100.00 | 4.5★ → 4★ |
| Capital Blue Cross Premier (HMO) H3962-001-0 · HMO | Renewed | $90.00 | $25.30 | $28.00 | ▲ $2.70 | $100.00 → $350.00 | $5,000.00 | 4.5★ → 4★ |
| Capital Blue Cross Prime (PPO) H3923-017-0 · PPO | Renewed | $184.00 | $77.30 | $53.80 | ▼ $23.50 | $100.00 → $550.00 | $6,700.00 | 4.5★ → 4★ |
| Capital Blue Cross Select (PPO) H3923-044-3 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $8,100.00 → $9,850.00 | 4.5★ → 4★ |
| Capital Blue Cross Select (PPO) H3923-044-1 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $8,100.00 → $8,800.00 | 4.5★ → 4★ |
| Capital Blue Cross Select (PPO) H3923-044-2 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $8,100.00 → $9,850.00 | 4.5★ → 4★ |
| Capital Blue Cross Select (PPO) H3923-044-4 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $8,100.00 → $9,850.00 | 4.5★ → 4★ |
| Capital Blue Cross Value (HMO) H3962-023-4 · HMO 2026 id H3962-004-0 → H3962-023-4 | Renewed | $60.00 | $33.90 | $60.00 | ▲ $26.10 | $100.00 → $700.00 | $6,500.00 → $7,000.00 | 4.5★ → 4★ |
| Capital Blue Cross Value (PPO) H3923-045-5 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $550.00 → $700.00 | $9,000.00 → $9,800.00 | 4.5★ → 4★ |
| Capital Blue Cross Value (PPO) H3923-045-3 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $550.00 → $700.00 | $9,000.00 | 4.5★ → 4★ |
| Capital Blue Cross Value (PPO) H3923-045-1 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $550.00 → $700.00 | $9,000.00 | 4.5★ → 4★ |
| Capital Blue Cross Value (PPO) H3923-045-2 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $550.00 → $700.00 | $9,000.00 | 4.5★ → 4★ |
| Capital Blue Cross Value (PPO) H3923-045-4 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $550.00 → $700.00 | $9,000.00 → $9,800.00 | 4.5★ → 4★ |
| Clover Health Choice (PPO) H5141-038-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 | $7,499.00 → $9,850.00 | 4.5★ → 5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-6 · HMO | Renewed | $63.00 | $18.70 | $44.00 | ▲ $25.30 | $615.00 → $700.00 | $6,250.00 → $6,500.00 | 4.5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-5 · HMO | Renewed | $53.00 | $0.00 | $44.00 | ▲ $44.00 | $615.00 → $700.00 | $6,250.00 → $6,500.00 | 4.5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-4 · HMO | Renewed | $47.00 | $0.00 | $44.00 | ▲ $44.00 | $615.00 → $700.00 | $6,250.00 → $6,500.00 | 4.5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-7 · HMO | Renewed | $72.00 | $18.70 | $44.00 | ▲ $25.30 | $615.00 → $700.00 | $6,250.00 → $6,500.00 | 4.5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-1 · HMO | Renewed | $45.00 | $0.00 | $44.00 | ▲ $44.00 | $615.00 → $700.00 | $6,250.00 → $6,550.00 | 4.5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-2 · HMO | Renewed | $47.00 | $0.00 | $44.00 | ▲ $44.00 | $615.00 → $700.00 | $6,250.00 → $6,550.00 | 4.5★ |
| Community Blue Medicare HMO Distinct (HMO) H3957-049-3 · HMO | Renewed | $47.00 | $0.00 | $44.00 | ▲ $44.00 | $615.00 → $700.00 | $6,250.00 → $6,550.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-5 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-1 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-5 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-4 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-3 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-4 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-7 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-047-2 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-6 · HMO | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $6,500.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-1 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-042-2 · HMO | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $6,950.00 | 4.5★ |
| Community Blue Medicare Plus PPO Signature (PPO) H3916-063-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare Plus PPO Signature (PPO) H3916-039-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-065-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-7 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-2 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-6 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-4 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-5 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Community Blue Medicare PPO Signature (PPO) H3916-037-8 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $7,150.00 | 4.5★ |
| Complete Blue HMO Distinct (HMO) H3957-050-1 · HMO | Renewed | $40.00 | $0.00 | $40.00 | ▲ $40.00 | $615.00 → $700.00 | $5,900.00 → $6,450.00 | 4.5★ |
| Complete Blue HMO Distinct (HMO) H3957-050-5 · HMO | Renewed | $52.00 | $0.00 | $40.60 | ▲ $40.60 | $615.00 → $700.00 | $5,900.00 → $6,450.00 | 4.5★ |
| Complete Blue HMO Distinct (HMO) H3957-050-3 · HMO | Renewed | $47.00 | $0.00 | $40.60 | ▲ $40.60 | $615.00 → $700.00 | $5,900.00 → $6,450.00 | 4.5★ |
| Complete Blue HMO Distinct (HMO) H3957-050-4 · HMO | Renewed | $54.00 | $0.00 | $40.60 | ▲ $40.60 | $615.00 → $700.00 | $5,900.00 → $6,450.00 | 4.5★ |
| Complete Blue HMO Distinct (HMO) H3957-050-2 · HMO | Renewed | $42.00 | $0.00 | $40.60 | ▲ $40.60 | $615.00 → $700.00 | $5,900.00 → $6,450.00 | 4.5★ |
| Complete Blue Plus PPO Distinct (PPO) H3916-061-2 · PPO | Renewed | $117.00 | $11.00 | $51.10 | ▲ $40.10 | $615.00 → $700.00 | $6,750.00 | 4.5★ |
| Complete Blue Plus PPO Distinct (PPO) H3916-061-1 · PPO | Renewed | $90.00 | $11.00 | $51.10 | ▲ $40.10 | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Complete Blue Plus PPO Merit (PPO) H3916-064-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $8,300.00 → $8,500.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-060-6 · PPO | Renewed | $116.00 | $11.00 | $51.50 | ▲ $40.50 | $615.00 → $700.00 | $6,750.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-035-1 · PPO | Renewed | $43.00 | $1.00 | $43.00 | ▲ $42.00 | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-060-5 · PPO | Renewed | $90.00 | $11.00 | $51.50 | ▲ $40.50 | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-059-1 · PPO | Not offered members must choose a new plan | — | $6.00 | — | — | $615.00 | $6,500.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-062-0 · PPO | Renewed | $137.00 | $0.00 | $14.70 | ▲ $14.70 | $615.00 → $700.00 | $6,750.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-059-2 · PPO | Not offered members must choose a new plan | — | $15.00 | — | — | $615.00 | $6,500.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-060-1 · PPO | Renewed | $73.00 | $11.00 | $51.50 | ▲ $40.50 | $615.00 → $700.00 | $6,750.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-060-4 · PPO | Renewed | $76.00 | $11.00 | $51.50 | ▲ $40.50 | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-035-2 · PPO | Renewed, service area expanded | $41.00 | $5.00 | $41.00 | ▲ $36.00 | $615.00 → $700.00 | $6,500.00 → $6,950.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-060-2 · PPO | Renewed | $73.00 | $11.00 | $51.50 | ▲ $40.50 | $615.00 → $700.00 | $6,750.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-060-3 · PPO | Renewed | $73.00 | $11.00 | $51.50 | ▲ $40.50 | $615.00 → $700.00 | $6,750.00 | 4.5★ |
| Complete Blue PPO Merit (PPO) H3916-069-1 · PPO 2026 id H3916-066-0 → H3916-069-1 | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $8,300.00 | 4.5★ |
| Complete Blue PPO Merit (PPO) H3916-057-0 · PPO | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $8,300.00 | 4.5★ |
| Complete Blue PPO Signature (PPO) H3916-041-1 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Complete Blue PPO Signature (PPO) H3916-041-3 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Complete Blue PPO Signature (PPO) H3916-058-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,550.00 → $7,150.00 | 4.5★ |
| Complete Blue PPO Signature (PPO) H3916-038-0 · PPO | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| Complete Blue PPO Signature (PPO) H3916-041-2 · PPO | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ |
| DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) H6852-021-0 · HMO C-SNP · Chronic-condition SNP | Renewed | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) H6852-022-0 · HMO C-SNP · Chronic-condition SNP | Renewed, service area expanded | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED C-SNP ENHANCED 016 PA (HMO C-SNP) H6852-016-0 · HMO C-SNP · Chronic-condition SNP was DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) | Renewed | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $7,800.00 → $8,000.00 | 3.5★ |
| DEVOTED C-SNP ENHANCED 017 PA (HMO C-SNP) H6852-017-0 · HMO C-SNP · Chronic-condition SNP was DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) | Renewed, service area expanded | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $7,000.00 → $7,250.00 | 3.5★ |
| DEVOTED C-SNP ENHANCED 018 PA (HMO C-SNP) H6852-018-0 · HMO C-SNP · Chronic-condition SNP was DEVOTED C-SNP PREMIUM 018 PA (HMO C-SNP) | Renewed, service area expanded | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $7,000.00 | 3.5★ |
| DEVOTED C-SNP ENHANCED 019 PA (HMO C-SNP) H6852-019-0 · HMO C-SNP · Chronic-condition SNP was DEVOTED C-SNP PREMIUM 019 PA (HMO C-SNP) | Renewed | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $7,000.00 | 3.5★ |
| DEVOTED C-SNP ENHANCED 020 PA (HMO C-SNP) H6852-020-0 · HMO C-SNP · Chronic-condition SNP was DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) | Renewed | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $461.00 | $7,000.00 → $7,050.00 | 3.5★ |
| DEVOTED CHOICE 007 PA (PPO) H6018-007-0 · PPO | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $450.00 → $650.00 | $5,900.00 → $7,100.00 | 3.5★ → 3★ |
| DEVOTED CHOICE 010 PA (PPO) H6018-010-0 · PPO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $375.00 → $461.00 | $6,500.00 → $6,600.00 | 3.5★ → 3★ |
| DEVOTED CHOICE GIVEBACK 003 PA (PPO) H6018-003-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO) H6018-008-0 · PPO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) H6018-011-0 · PPO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| DEVOTED CHOICE PREMIUM 002 PA (PPO) H6018-002-0 · PPO | Consolidated into another plan | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $650.00 | $7,550.00 → $7,100.00 | 3.5★ → 3★ |
| DEVOTED CORE 008 PA (HMO) H6852-008-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $375.00 → $650.00 | $6,700.00 → $6,750.00 | 3.5★ |
| DEVOTED CORE 010 PA (HMO) H6852-010-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $375.00 → $650.00 | $5,900.00 | 3.5★ |
| DEVOTED CORE 012 PA (HMO) H6852-012-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $650.00 | $6,700.00 → $6,250.00 | 3.5★ |
| DEVOTED CORE 014 PA (HMO) H6852-014-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $650.00 | $5,900.00 → $6,550.00 | 3.5★ |
| DEVOTED CORE 023 PA (HMO) H6852-023-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $650.00 | $7,500.00 | 3.5★ |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) H6852-025-0 · HMO D-SNP · Dual-eligible SNP | Renewed, service area expanded | $0.00 | $19.70 | $0.00 | ▼ $19.70 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED DUAL FULL 026 PA (HMO D-SNP) H6852-026-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $19.50 | $0.00 | ▼ $19.50 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) H6852-005-0 · HMO D-SNP · Dual-eligible SNP | Renewed, service area expanded | $0.00 | $22.50 | $0.00 | ▼ $22.50 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED DUAL PLUS 007 PA (HMO D-SNP) H6852-007-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $16.90 | $0.00 | ▼ $16.90 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED GIVEBACK 009 PA (HMO) H6852-009-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $7,000.00 → $8,000.00 | 3.5★ |
| DEVOTED GIVEBACK 011 PA (HMO) H6852-011-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ |
| DEVOTED GIVEBACK 013 PA (HMO) H6852-013-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $7,000.00 → $8,000.00 | 3.5★ |
| DEVOTED GIVEBACK 015 PA (HMO) H6852-015-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $605.00 → $461.00 | $9,250.00 → $9,850.00 | 3.5★ |
| Erickson Advantage Champion (HMO-POS C-SNP) H5652-004-0 · HMO-POS C-SNP · Chronic-condition SNP | Not offered members must choose a new plan | — | $119.50 | — | — | $270.00 | $3,400.00 | 5★ |
| Erickson Advantage Freedom (HMO-POS) H5652-006-0 · HMO-POS | Not offered members must choose a new plan | — | $89.00 | — | — | $355.00 | $4,900.00 | 5★ |
| Erickson Advantage Guardian (HMO-POS I-SNP) H5652-003-0 · HMO-POS I-SNP · Institutional SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $0.00 | $1,000.00 | 5★ |
| Erickson Advantage Liberty (HMO-POS) H5652-008-0 · HMO-POS | Not offered members must choose a new plan | — | $14.00 | — | — | $600.00 | $6,750.00 | 5★ |
| Erickson Advantage Signature (HMO-POS) H5652-001-0 · HMO-POS | Not offered members must choose a new plan | — | $173.70 | — | — | $270.00 | $2,900.00 | 5★ |
| Freedom Blue PPO Classic (PPO) H3916-001-0 · PPO | Renewed | $266.00 | $145.40 | $157.60 | ▲ $12.20 | $0.00 | $4,500.00 | 4.5★ |
| Freedom Blue PPO Classic (PPO) H3916-002-0 · PPO | Renewed | $238.00 | $140.90 | $130.80 | ▼ $10.10 | $0.00 | $4,500.00 | 4.5★ |
| Freedom Blue PPO Deluxe (PPO) H3916-005-0 · PPO | Renewed | $239.00 | $122.40 | $164.50 | ▲ $42.10 | $0.00 | $4,500.00 | 4.5★ |
| Freedom Blue PPO Select (PPO) H3916-022-0 · PPO | Renewed | $157.00 | $115.70 | $143.90 | ▲ $28.20 | $0.00 | $5,000.00 | 4.5★ |
| Freedom Blue PPO Select (PPO) H3916-024-0 · PPO | Renewed | $114.00 | $95.70 | $114.00 | ▲ $18.30 | $0.00 | $5,000.00 | 4.5★ |
| Freedom Blue PPO Standard (PPO) H3916-015-0 · PPO | Renewed | $135.00 | $98.20 | $135.00 | ▲ $36.80 | $0.00 | $5,000.00 | 4.5★ |
| Freedom Blue PPO ValueRx (PPO) H3916-018-0 · PPO | Renewed | $84.00 | $44.00 | $84.00 | ▲ $40.00 | $0.00 → $700.00 | $5,500.00 | 4.5★ |
| Freedom Blue PPO ValueRx (PPO) H3916-032-0 · PPO | Renewed | $97.00 | $77.00 | $97.00 | ▲ $20.00 | $0.00 → $700.00 | $5,500.00 | 4.5★ |
| Freedom Blue PPO ValueRx (PPO) H3916-033-0 · PPO | Renewed | $83.00 | $37.20 | $81.90 | ▲ $44.70 | $0.00 → $700.00 | $5,500.00 | 4.5★ |
| Geisinger Gold Classic 360 Rx (HMO) H3954-160-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $7,100.00 → $9,850.00 | 4.5★ → 4★ |
| Geisinger Gold Classic Advantage Rx (HMO) H3954-157-23 · HMO | Renewed | $135.00 | $99.30 | $77.50 | ▼ $21.80 | $0.00 | $3,450.00 | 4.5★ → 4★ |
| Geisinger Gold Classic Advantage Rx (HMO) H3954-157-22 · HMO | Renewed | $129.00 | $99.30 | $77.50 | ▼ $21.80 | $0.00 | $3,450.00 | 4.5★ → 4★ |
| Geisinger Gold Classic Advantage Rx (HMO) H3954-157-21 · HMO | Renewed | $151.00 | $99.30 | $77.50 | ▼ $21.80 | $0.00 | $3,450.00 | 4.5★ → 4★ |
| Geisinger Gold Classic Complete Rx (HMO) H3954-158-13 · HMO | Renewed | $58.00 | $48.00 | $40.10 | ▼ $7.90 | $0.00 | $5,700.00 | 4.5★ → 4★ |
| Geisinger Gold Classic Complete Rx (HMO) H3954-158-14 · HMO | Renewed | $56.00 | $48.00 | $40.10 | ▼ $7.90 | $0.00 | $5,700.00 | 4.5★ → 4★ |
| Geisinger Gold Classic Essential Rx (HMO) H3954-161-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $6,750.00 → $7,150.00 | 4.5★ → 4★ |
| Geisinger Gold Preferred Advantage Rx (PPO) H3924-059-22 · PPO | Renewed | $104.00 | $91.00 | $96.00 | ▲ $5.00 | $0.00 | $4,000.00 → $4,450.00 | 4.5★ → 4★ |
| Geisinger Gold Preferred Advantage Rx (PPO) H3924-059-21 · PPO | Renewed | $123.00 | $112.00 | $114.00 | ▲ $2.00 | $0.00 | $4,000.00 → $4,450.00 | 4.5★ → 4★ |
| Geisinger Gold Preferred Complete Rx (PPO) H3924-065-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $7,200.00 → $9,850.00 | 4.5★ → 4★ |
| Geisinger Gold Secure Rx (HMO D-SNP) H3954-097-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $1.00 | $0.00 | $1.00 | ▲ $1.00 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4.5★ → 4★ |
| Geisinger Gold Value Rx (HMO) H3954-163-0 · HMO | Renewed | $29.00 | $23.00 | $23.00 | no change | $0.00 | $9,250.00 → $9,000.00 | 4.5★ → 4★ |
| HealthSpring Achieve (HMO C-SNP) H3949-024-0 · HMO C-SNP · Chronic-condition SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $275.00 → $500.00 | $5,900.00 → $7,150.00 | 3★ |
| HealthSpring Preferred (HMO) H3949-035-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $200.00 → $500.00 | $6,600.00 → $7,900.00 | 3★ |
| HealthSpring Preferred (HMO) H3949-047-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $200.00 → $500.00 | $4,000.00 → $7,150.00 | 3★ |
| HealthSpring Preferred (HMO) H3949-052-0 · HMO | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $200.00 → $500.00 | $6,500.00 → $7,700.00 | 3★ |
| HealthSpring Preferred (HMO) H3949-049-0 · HMO | Not offered members must choose a new plan | — | $0.00 | — | — | $200.00 | $3,200.00 | 3★ |
| HealthSpring Preferred (HMO) H3949-045-0 · HMO | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $200.00 → $500.00 | $5,000.00 → $7,700.00 | 3★ |
| HealthSpring Preferred PA (HMO) H3949-031-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $275.00 → $400.00 | $6,750.00 → $8,700.00 | 3★ |
| HealthSpring Preferred Plus (HMO) H3949-048-0 · HMO | Renewed | $32.00 | $11.30 | $0.00 | ▼ $11.30 | $200.00 → $500.00 | $4,000.00 → $5,700.00 | 3★ |
| HealthSpring Preferred Plus (HMO) H3949-030-0 · HMO | Renewed | $44.00 | $12.30 | $0.00 | ▼ $12.30 | $250.00 → $500.00 | $6,750.00 → $7,150.00 | 3★ |
| HealthSpring Preferred Savings (HMO) H3949-053-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $590.00 → $300.00 | $9,000.00 → $9,250.00 | 3★ |
| HealthSpring TotalCare Plus (HMO D-SNP) H3949-009-0 · HMO D-SNP · Dual-eligible SNP | Renewed, service area reduced | $12.80 | $0.00 | $12.80 | ▲ $12.80 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3★ |
| HealthSpring True Choice (PPO) H7849-106-0 · PPO | Renewed, service area reduced | $7.00 | $0.00 | $0.00 | no change | $275.00 → $700.00 | $6,000.00 → $7,500.00 | 3★ |
| HealthSpring True Choice (PPO) H7849-151-0 · PPO | Renewed | $9.00 | $0.00 | $0.00 | no change | $250.00 → $700.00 | $6,800.00 → $7,900.00 | 3★ |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-001-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $12.80 | $0.00 | $12.80 | ▲ $12.80 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) H5932-012-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) H5932-009-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $12.80 | $17.60 | $12.80 | ▼ $4.80 | $615.00 → $700.00 | $8,000.00 → $6,500.00 | 4★ → 3.5★ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) H5932-013-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $12.80 | $13.10 | $12.80 | ▼ $0.30 | $615.00 → $700.00 | $8,000.00 → $6,500.00 | 4★ → 3.5★ |
| Humana Gold Choice H8145-052 (PFFS) H8145-052-0 · PFFS | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,100.00 → $9,850.00 | 3.5★ → 4★ |
| Humana Gold Plus H6622-035 (HMO) H6622-035-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $8,300.00 | 3.5★ → 4★ |
| Humana Gold Plus H6622-036 (HMO) H6622-036-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $8,250.00 | 3.5★ → 4★ |
| Humana Total Complete (HMO) H6622-037-0 · HMO was Humana Gold Plus H6622-037 (HMO) | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,800.00 → $8,200.00 | 3.5★ → 4★ |
| Humana Gold Plus H6622-054 (HMO) H6622-054-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,950.00 → $8,260.00 | 3.5★ → 4★ |
| Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) H5377-003-0 · HMO D-SNP · Dual-eligible SNP | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 4★ |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) H6622-078-1 · HMO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 4★ |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) H6622-078-2 · HMO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 4★ |
| Humana USAA Honor Giveback with Rx (PPO) H5525-059-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $500.00 → $700.00 | $7,350.00 | 3.5★ → 4★ |
| Humana Essentials Plus Giveback (PPO) H5525-085-2 · PPO was HumanaChoice Giveback H5525-085 (PPO) | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $8,000.00 → $8,250.00 | 3.5★ → 4★ |
| Humana Essentials Plus Giveback (PPO) H5525-085-1 · PPO was HumanaChoice Giveback H5525-085 (PPO) | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $8,000.00 | 3.5★ → 4★ |
| HumanaChoice H5216-023 (PPO) H5216-023-0 · PPO | Renewed, service area expanded | $44.00 | $21.00 | $31.00 | ▲ $10.00 | $350.00 → $450.00 | $6,550.00 → $6,000.00 | 3.5★ → 4★ |
| HumanaChoice H5216-120 (PPO) H5216-120-0 · PPO | Renewed | $107.00 | $85.60 | $107.00 | ▲ $21.40 | $615.00 → $700.00 | $7,600.00 | 3.5★ → 4★ |
| HumanaChoice H5525-005 (PPO) H5525-005-0 · PPO | Renewed, service area reduced | $39.00 | $26.00 | $39.00 | ▲ $13.00 | $615.00 → $700.00 | $8,300.00 | 3.5★ → 4★ |
| HumanaChoice H5525-006 (PPO) H5525-006-0 · PPO | Renewed | $50.00 | $27.00 | $50.00 | ▲ $23.00 | $615.00 → $700.00 | $6,700.00 | 3.5★ → 4★ |
| Humana Value Choice (PPO) H5525-051-1 · PPO was HumanaChoice H5525-051 (PPO) | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,500.00 → $8,000.00 | 3.5★ → 4★ |
| Humana Value Choice (PPO) H5525-051-2 · PPO was HumanaChoice H5525-051 (PPO) | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $7,800.00 → $7,750.00 | 3.5★ → 4★ |
| HumanaChoice H5525-086 (PPO) H5525-086-2 · PPO | Renewed, service area reduced | $38.00 | $29.00 | $38.00 | ▲ $9.00 | $615.00 → $700.00 | $6,050.00 | 3.5★ → 4★ |
| HumanaChoice H5525-086 (PPO) H5525-086-1 · PPO | Renewed | $39.00 | $26.00 | $39.00 | ▲ $13.00 | $615.00 → $700.00 | $5,800.00 | 3.5★ → 4★ |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) H5216-227-0 · PPO D-SNP · Dual-eligible SNP | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 4★ |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) H7617-048-0 · PPO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $50.00 | $9,250.00 → $9,850.00 | 4.5★ |
| Jefferson Health Plans Complete (HMO) H9207-012-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 | $6,500.00 → $7,500.00 | 3.5★ → 3★ |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) H9207-016-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $12.80 | $0.00 | $12.80 | ▲ $12.80 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| Jefferson Health Plans Flex (PPO) H1619-001-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 | $7,000.00 → $8,000.00 | 3★ |
| Jefferson Health Plans Flex Plus (PPO) H1619-002-0 · PPO | Not offered members must choose a new plan | — | $32.70 | — | — | $0.00 | $6,500.00 | — |
| Jefferson Health Plans Flex Pro (PPO) H1619-003-0 · PPO | Not offered members must choose a new plan | — | $18.00 | — | — | $0.00 | $6,000.00 | — |
| Jefferson Health Plans Giveback (HMO) H9207-015-0 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $300.00 → $450.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| Jefferson Health Plans Prime (HMO) H9207-002-0 · HMO | Renewed | $12.80 | $32.70 | $12.80 | ▼ $19.90 | $0.00 | $6,000.00 → $6,500.00 | 3.5★ → 3★ |
| Jefferson Health Plans Select (HMO D-SNP) H9207-017-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $12.80 | $0.00 | $12.80 | ▲ $12.80 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| Jefferson Health Plans Special (HMO D-SNP) H9207-004-0 · HMO D-SNP · Dual-eligible SNP | Renewed, service area expanded | $12.80 | $0.00 | $12.80 | ▲ $12.80 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| Keystone 65 Basic Rx (HMO) H3952-055-0 · HMO | Renewed | $15.00 | $0.00 | $15.00 | ▲ $15.00 | $0.00 → $700.00 | $8,500.00 → $9,500.00 | 4★ |
| Keystone 65 Essential Rx (HMO-POS) H3952-060-0 · HMO-POS | Renewed | $45.00 | $31.00 | $0.00 | ▼ $31.00 | $0.00 → $700.00 | $8,500.00 → $9,000.00 | 4★ |
| Keystone 65 Focus Rx (HMO-POS) H3952-053-0 · HMO-POS | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $6,750.00 → $7,150.00 | 4★ |
| Keystone 65 Focus Rx (HMO-POS) H3952-054-0 · HMO-POS | Renewed | $15.00 | $0.00 | $0.00 | no change | $0.00 → $700.00 | $6,750.00 → $7,150.00 | 4★ |
| Keystone 65 Preferred Rx (HMO) H3952-020-0 · HMO | Renewed | $202.00 | $79.70 | $138.90 | ▲ $59.20 | $0.00 | $4,200.00 → $4,450.00 | 4★ |
| Keystone 65 Preferred Rx (HMO) H3952-045-0 · HMO | Renewed | $178.00 | $59.70 | $46.70 | ▼ $13.00 | $0.00 | $4,200.00 → $4,450.00 | 4★ |
| Keystone 65 Select Rx (HMO) H3952-049-0 · HMO | Renewed | $67.00 | $47.00 | $67.00 | ▲ $20.00 | $0.00 | $6,750.00 | 4★ |
| Keystone 65 Select Rx (HMO) H3952-051-0 · HMO | Renewed | $94.00 | $63.50 | $94.00 | ▲ $30.50 | $0.00 | $6,750.00 | 4★ |
| Keystone First VIP Choice (HMO D-SNP) H4227-001-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $12.80 | $0.00 | $12.80 | ▲ $12.80 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| Peak Advantage Summit (PPO) H8947-002-3 · PPO | Renewed | $25.00 | $20.00 | $25.00 | ▲ $5.00 | $0.00 | $5,500.00 | 4.5★ → 5★ |
| Peak Advantage Vista (PPO) H8947-001-3 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $0.00 | $5,900.00 | 4.5★ → 5★ |
| Perennial Advantage Freedom (HMO) H3419-006-0 · HMO | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $400.00 | $5,900.00 → $4,500.00 | — |
| Perennial Advantage Premier (HMO I-SNP) H3419-007-0 · HMO I-SNP · Institutional SNP | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $400.00 | $5,900.00 → $4,500.00 | — |
| Perennial Advantage Strive (HMO I-SNP) H3419-005-0 · HMO I-SNP · Institutional SNP | Renewed, service area expanded | $12.80 | $32.70 | $12.80 | ▼ $19.90 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | — |
| Personal Choice 65 Achieve Rx (PPO) H3909-020-0 · PPO | Renewed | $0.00 | $0.00 | $0.00 | no change | $375.00 → $700.00 | $6,750.00 → $9,850.00 | 4★ |
| Personal Choice 65 Plus Rx (PPO) H3909-018-0 · PPO | Not offered members must choose a new plan | — | $81.20 | — | — | $0.00 | $4,201.00 | 4★ |
| Personal Choice 65 Rx (PPO) H3909-001-0 · PPO | Renewed | $242.50 | $102.20 | $119.40 | ▲ $17.20 | $0.00 | $5,950.00 | 4★ |
| Personal Choice 65 Rx (PPO) H3909-009-0 · PPO | Renewed | $207.00 | $112.70 | $173.50 | ▲ $60.80 | $0.00 | $5,950.00 | 4★ |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) H4093-001-0 · HMO I-SNP · Institutional SNP | Renewed | $12.80 | $32.70 | $12.80 | ▼ $19.90 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 5★ → 3.5★ |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) H4093-004-0 · HMO I-SNP · Institutional SNP | Not offered members must choose a new plan | — | $0.00 | — | — | $615.00 | $2,600.00 | 5★ |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) H4093-008-0 · HMO I-SNP · Institutional SNP | Not offered members must choose a new plan | — | $32.70 | — | — | $615.00 | $9,250.00 | 5★ |
| Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-1 · HMO-POS | Renewed | $188.00 | $95.90 | $81.10 | ▼ $14.80 | $0.00 | $4,500.00 | 4.5★ |
| Security Blue HMO-POS Deluxe (HMO-POS) H3957-046-2 · HMO-POS | Renewed | $119.00 | $95.90 | $81.10 | ▼ $14.80 | $0.00 | $4,500.00 | 4.5★ |
| Security Blue HMO-POS Standard (HMO-POS) H3957-045-1 · HMO-POS | Renewed | $132.00 | $51.80 | $62.00 | ▲ $10.20 | $0.00 | $5,000.00 | 4.5★ |
| Security Blue HMO-POS Standard (HMO-POS) H3957-045-2 · HMO-POS | Renewed | $118.00 | $51.80 | $62.00 | ▲ $10.20 | $0.00 | $5,000.00 | 4.5★ |
| Security Blue HMO-POS ValueRx (HMO-POS) H3957-031-0 · HMO-POS | Renewed | $53.00 | $10.00 | $53.00 | ▲ $43.00 | $0.00 → $700.00 | $5,500.00 | 4.5★ |
| Security Blue HMO-POS ValueRx (HMO-POS) H3957-044-1 · HMO-POS | Renewed | $54.00 | $0.00 | $54.00 | ▲ $54.00 | $0.00 → $700.00 | $5,500.00 | 4.5★ |
| Security Blue HMO-POS ValueRx (HMO-POS) H3957-044-4 · HMO-POS | Renewed | $48.00 | $0.00 | $48.00 | ▲ $48.00 | $0.00 → $700.00 | $5,500.00 | 4.5★ |
| Together Blue Medicare HMO with AHN Signature (HMO) H3957-048-0 · HMO was Together Blue Medicare HMO Signature (HMO) | Renewed, service area expanded | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $4,900.00 → $6,250.00 | 4.5★ |
| UHC Complete Care PA-17 (HMO-POS C-SNP) H5253-192-0 · HMO-POS C-SNP · Chronic-condition SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $440.00 → $595.00 | $6,700.00 → $7,150.00 | 4★ |
| UHC Dual Complete PA-S001 (PPO D-SNP) H1889-007-0 · PPO D-SNP · Dual-eligible SNP | Renewed | $11.70 | $0.00 | $11.70 | ▲ $11.70 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) H3113-009-0 · HMO-POS D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $380.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) H3113-016-0 · HMO-POS D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $360.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| UHC Dual Advantage PA-V1 (HMO-POS D-SNP) H3113-014-0 · HMO-POS D-SNP · Dual-eligible SNP was UHC Dual Complete PA-V001 (HMO-POS D-SNP) | Renewed | $12.80 | $30.40 | $12.80 | ▼ $17.60 | $615.00 → $700.00 | $6,700.00 → $7,150.00 | 3.5★ → 3★ |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) H0710-017-0 · PPO I-SNP · Institutional SNP | Renewed, service area reduced | $12.50 | $32.60 | $12.50 | ▼ $20.10 | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4.5★ → 5★ |
| UPMC for Life Complete Care (HMO D-SNP) H4279-001-0 · HMO D-SNP · Dual-eligible SNP | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| UPMC for Life Complete Care (HMO D-SNP) H4279-004-0 · HMO D-SNP · Dual-eligible SNP | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 4★ → 3.5★ |
| UPMC for Life Complete Care (HMO D-SNP) H7123-001-0 · HMO D-SNP · Dual-eligible SNP | Renewed | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ → 3★ |
| UPMC for Life HMO Deductible Rx (HMO) H3907-037-0 · HMO | Renewed, service area reduced | $25.00 | $18.10 | $25.00 | ▲ $6.90 | $175.00 → $700.00 | $6,000.00 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-1 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $350.00 → $700.00 | $6,000.00 → $6,500.00 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-2 · HMO | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $350.00 → $700.00 | $5,000.00 → $6,500.00 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-3 · HMO | Renewed | $0.00 | $0.00 | $0.00 | no change | $350.00 → $700.00 | $6,700.00 → $7,000.00 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-4 · HMO | Not offered members must choose a new plan | — | $0.00 | — | — | $350.00 | $5,000.00 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) H3907-059-5 · HMO | Not offered members must choose a new plan | — | $0.00 | — | — | $350.00 | $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx (HMO) H3907-058-1 · HMO | Renewed | $90.00 | $33.70 | $51.60 | ▲ $17.90 | $0.00 | $4,500.00 | 4.5★ |
| UPMC for Life HMO Rx (HMO) H3907-058-2 · HMO | Renewed | $100.00 | $33.70 | $51.60 | ▲ $17.90 | $0.00 | $4,500.00 → $5,000.00 | 4.5★ |
| UPMC for Life HMO Rx (HMO) H3907-058-3 · HMO | Renewed, service area reduced | $95.00 | $33.70 | $51.60 | ▲ $17.90 | $0.00 | $4,500.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-1 · HMO | Renewed | $25.00 | $3.90 | $20.00 | ▲ $16.10 | $175.00 → $700.00 | $5,000.00 → $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-2 · HMO | Renewed | $33.00 | $3.90 | $30.00 | ▲ $26.10 | $175.00 → $700.00 | $5,000.00 → $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-5 · HMO | Not offered members must choose a new plan | — | $10.90 | — | — | $175.00 | $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-4 · HMO | Renewed | $40.00 | $10.90 | $28.30 | ▲ $17.40 | $175.00 → $700.00 | $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-3 · HMO | Renewed, service area reduced | $33.00 | $3.90 | $30.00 | ▲ $26.10 | $175.00 → $700.00 | $5,000.00 → $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-6 · HMO | Not offered members must choose a new plan | — | $3.90 | — | — | $175.00 | $5,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-7 · HMO | Not offered members must choose a new plan | — | $10.90 | — | — | $175.00 | $5,000.00 | 4.5★ |
| UPMC for Life HMO Rx Enhanced (HMO) H3907-006-0 · HMO | Renewed, service area reduced | $295.00 | $93.40 | $68.80 | ▼ $24.60 | $0.00 | $7,550.00 | 4.5★ |
| UPMC for Life Essential Rx (PPO) H5533-017-1 · PPO was UPMC for Life PPO Essential Care Rx (PPO) | Renewed | $0.00 | $0.00 | $0.00 | no change | $500.00 → $700.00 | $8,000.00 | 4.5★ |
| UPMC for Life Essential Rx (PPO) H5533-017-2 · PPO was UPMC for Life PPO Essential Care Rx (PPO) | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $500.00 → $700.00 | $8,000.00 | 4.5★ |
| UPMC for Life PPO High Deductible Rx (PPO) H5533-003-0 · PPO | Renewed, service area reduced | $33.00 | $33.00 | $33.00 | no change | $175.00 → $700.00 | $7,550.00 | 4.5★ |
| UPMC for Life PPO Premier Rx (PPO) H5533-013-0 · PPO | Renewed, service area reduced | $0.00 | $0.00 | $0.00 | no change | $500.00 → $700.00 | $6,500.00 → $7,150.00 | 4.5★ |
| UPMC for Life PPO Premier Rx (PPO) H5533-011-0 · PPO | Not offered members must choose a new plan | — | $0.00 | — | — | $500.00 | $6,700.00 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-1 · PPO | Not offered members must choose a new plan | — | $25.00 | — | — | $400.00 | $5,500.00 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-2 · PPO | Not offered members must choose a new plan | — | $30.00 | — | — | $400.00 | $5,500.00 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-3 · PPO | Not offered members must choose a new plan | — | $25.00 | — | — | $400.00 | $5,500.00 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) H5533-015-4 · PPO | Not offered members must choose a new plan | — | $30.00 | — | — | $400.00 | $6,000.00 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) H5533-019-0 · PPO 2026 id H5533-015-6 → H5533-019-0 | Renewed, service area reduced | $33.00 | $34.00 | $28.00 | ▼ $6.00 | $400.00 → $700.00 | $5,500.00 | 4.5★ |
| UPMC for Life PPO Rx Enhanced (PPO) H5533-005-0 · PPO | Renewed, service area reduced | $155.00 | $140.00 | $140.00 | no change | $0.00 | $7,550.00 | 4.5★ |
| UPMC for Life PPO Rx Enhanced (PPO) H5533-008-0 · PPO | Renewed, service area expanded | $60.00 | $42.70 | $58.00 | ▲ $15.30 | $400.00 → $700.00 | $7,550.00 | 4.5★ |
| Wellcare Assist (HMO-POS) H2915-011-0 · HMO-POS | Consolidated into another plan | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $475.00 → $700.00 | $5,500.00 → $9,850.00 | 3.5★ |
| Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP) H2915-002-0 · HMO-POS D-SNP · Dual-eligible SNP was Wellcare Dual Liberty Sync (HMO-POS D-SNP) | Renewed | $0.00 | $0.00 | $0.00 | no change | $490.00 → $700.00 | $9,250.00 → $9,850.00 | 3.5★ |
| Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP) H2915-018-0 · HMO-POS D-SNP · Dual-eligible SNP was Wellcare Dual Select (HMO-POS D-SNP) | Renewed | $0.00 | $32.70 | $0.00 | ▼ $32.70 | $615.00 → $700.00 | $5,400.00 | 3.5★ |
| Wellcare Simple (HMO-POS) H2915-003-0 · HMO-POS | Consolidated into another plan | $0.00 | $0.00 | $0.00 | no change | $615.00 → $700.00 | $6,200.00 → $9,850.00 | 3.5★ |
| AARP Medicare Advantage from UHC PA-19 (HMO-POS) H5652-009-0 · HMO-POS | New | $160.00 | — | $146.50 | — | $685.00 | $9,850.00 | 5★ |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) H5253-152-0 · HMO-POS · no drug coverage | New | $0.00 | — | — | — | — | $7,150.00 | 4★ |
| Aetna Medicare Advantra Eagle (HMO-POS) H3959-094-0 · HMO-POS · no drug coverage | New | $0.00 | — | — | — | — | $7,150.00 | 3.5★ |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) H3959-041-0 · HMO-POS · no drug coverage | New | $0.00 | — | — | — | — | $5,500.00 | 3.5★ |
| Aetna Medicare Chronic Care (HMO C-SNP) H3959-097-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $7,150.00 | 3.5★ |
| Aetna Medicare Chronic Care (HMO C-SNP) H3959-098-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $7,150.00 | 3.5★ |
| Aetna Medicare Full Dual Care (HMO D-SNP) H3959-089-0 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| Aetna Medicare Full Dual Extra (HMO D-SNP) H3959-090-0 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| Aetna Medicare Full Dual Extra (HMO D-SNP) H3959-092-0 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| Aetna Medicare Full Dual Extra (HMO D-SNP) H3959-091-0 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| Aetna Medicare Full Dual Extra (HMO D-SNP) H3959-088-0 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| Aetna Medicare PinnacleHealth Prime (HMO-POS) H3959-093-0 · HMO-POS | New | $0.00 | — | $0.00 | — | $400.00 | $7,150.00 | 3.5★ |
| Aetna Medicare Signature (HMO-POS) H3959-101-0 · HMO-POS | New | $0.00 | — | $0.00 | — | $400.00 | $9,850.00 | 3.5★ |
| Capital Blue Cross Basic (PPO) H3923-049-5 · PPO | New | $28.00 | — | $25.00 | — | $700.00 | $9,800.00 | 4★ |
| Capital Blue Cross Basic (PPO) H3923-049-3 · PPO | New | $28.00 | — | $25.00 | — | $700.00 | $9,800.00 | 4★ |
| Capital Blue Cross Basic (PPO) H3923-049-1 · PPO | New | $28.00 | — | $25.00 | — | $700.00 | $9,800.00 | 4★ |
| Capital Blue Cross Basic (PPO) H3923-049-2 · PPO | New | $28.00 | — | $25.00 | — | $700.00 | $9,800.00 | 4★ |
| Capital Blue Cross Value (HMO) H3962-023-5 · HMO | New | $63.00 | — | $63.00 | — | $700.00 | $6,500.00 | 4★ |
| Capital Blue Cross Value (HMO) H3962-023-3 · HMO | New | $63.00 | — | $63.00 | — | $700.00 | $6,500.00 | 4★ |
| Capital Blue Cross Value (HMO) H3962-023-1 · HMO | New | $63.00 | — | $63.00 | — | $700.00 | $6,500.00 | 4★ |
| Capital Blue Cross Value (HMO) H3962-023-2 · HMO | New | $60.00 | — | $60.00 | — | $700.00 | $7,000.00 | 4★ |
| Clover Health Valor (PPO) H5141-061-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $9,850.00 | 5★ |
| Community Blue Medicare HMO Signature (HMO) H3957-051-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $7,150.00 | 4.5★ |
| Complete Blue PPO Distinct (PPO) H3916-035-5 · PPO | New | $63.00 | — | $63.00 | — | $700.00 | $7,150.00 | 4.5★ |
| Complete Blue PPO Merit (PPO) H3916-069-2 · PPO | New | $0.00 | — | $0.00 | — | $700.00 | $8,300.00 | 4.5★ |
| DEVOTED C-SNP GIVEBACK EXTRAS 027 PA (HMO C-SNP) H6852-027-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $8,400.00 | 3.5★ |
| DEVOTED C-SNP GIVEBACK EXTRAS 028 PA (HMO C-SNP) H6852-028-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $7,100.00 | 3.5★ |
| DEVOTED C-SNP GIVEBACK EXTRAS 029 PA (HMO C-SNP) H6852-029-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $7,600.00 | 3.5★ |
| DEVOTED C-SNP GIVEBACK EXTRAS 030 PA (HMO C-SNP) H6852-030-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $6,850.00 | 3.5★ |
| DEVOTED C-SNP GIVEBACK EXTRAS 031 PA (HMO C-SNP) H6852-031-0 · HMO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $700.00 | $7,950.00 | 3.5★ |
| DEVOTED GIVEBACK EXTRAS 032 PA (HMO) H6852-032-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $7,100.00 | 3.5★ |
| DEVOTED GIVEBACK EXTRAS 033 PA (HMO) H6852-033-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $7,600.00 | 3.5★ |
| DEVOTED GIVEBACK EXTRAS 034 PA (HMO) H6852-034-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $6,850.00 | 3.5★ |
| DEVOTED GIVEBACK EXTRAS 035 PA (HMO) H6852-035-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $7,950.00 | 3.5★ |
| DEVOTED GIVEBACK EXTRAS 036 PA (HMO) H6852-036-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $8,400.00 | 3.5★ |
| Freedom Blue PPO Basic (PPO) H3916-012-0 · PPO · no drug coverage | New | $5.00 | — | — | — | — | $5,900.00 | 4.5★ |
| Freedom Blue PPO Valor (PPO) H3916-043-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $6,000.00 | 4.5★ |
| Freedom Blue PPO Valor (PPO) H3916-067-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $6,000.00 | 4.5★ |
| Freedom Blue PPO Valor (PPO) H3916-056-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $6,000.00 | 4.5★ |
| Geisinger Gold Heritage (HMO) H3954-162-0 · HMO · no drug coverage | New | $0.00 | — | — | — | — | $6,700.00 | 4★ |
| Geisinger Gold Preferred Balance Rx (PPO) H3924-067-0 · PPO | New | $29.00 | — | $25.00 | — | $0.00 | $9,850.00 | 4★ |
| Humana Dual Select H6622-103 (HMO D-SNP) H6622-103-0 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,250.00 | 4★ |
| Humana USAA Honor Giveback (PPO) H5216-221-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $6,700.00 | 4★ |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) H7617-115-0 · PPO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $500.00 | $8,700.00 | 4.5★ |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) H7617-116-0 · PPO C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $500.00 | $7,750.00 | 4.5★ |
| HumanaChoice Giveback H5216-116 (PPO) H5216-116-0 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $4,150.00 | 4★ |
| HumanaChoice R0110-007 (Regional PPO) R0110-007-0 · Regional PPO · no drug coverage | New | $0.00 | — | — | — | — | $4,750.00 | 3.5★ |
| HumanaChoice R0110-008 (Regional PPO) R0110-008-0 · Regional PPO | New | $75.00 | — | $75.00 | — | $700.00 | $7,150.00 | 3.5★ |
| Jefferson Health Plans Preferred (PPO) H1619-004-0 · PPO | New | $40.00 | — | $13.70 | — | $0.00 | $6,500.00 | 3★ |
| Keystone 65 Assured Rx (HMO) H3952-062-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 4★ |
| Keystone 65 Liberty Medical Only (HMO) H3952-059-0 · HMO · no drug coverage | New | $0.00 | — | — | — | — | $7,150.00 | 4★ |
| Keystone 65 Preferred Medical Only (HMO) H3952-008-0 · HMO · no drug coverage | New | $105.00 | — | — | — | — | $4,450.00 | 4★ |
| Keystone 65 Select Medical Only (HMO) H3952-048-0 · HMO · no drug coverage | New | $20.00 | — | — | — | — | $6,750.00 | 4★ |
| Keystone 65 Select Medical Only (HMO) H3952-050-0 · HMO · no drug coverage | New | $0.00 | — | — | — | — | $6,750.00 | 4★ |
| Personal Choice 65 Medical Only (PPO) H3909-007-0 · PPO · no drug coverage | New | $113.00 | — | — | — | — | $5,950.00 | 4★ |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) H4093-009-0 · HMO I-SNP · Institutional SNP | New | $0.00 | — | $0.00 | — | $700.00 | $2,600.00 | 3.5★ |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) H4093-010-0 · HMO I-SNP · Institutional SNP | New | $12.80 | — | $12.80 | — | $700.00 | $9,850.00 | 3.5★ |
| Security Blue HMO-POS Basic (HMO-POS) H3957-043-1 · HMO-POS · no drug coverage | New | $7.00 | — | — | — | — | $5,900.00 | 4.5★ |
| Security Blue HMO-POS Basic (HMO-POS) H3957-043-2 · HMO-POS · no drug coverage | New | $37.00 | — | — | — | — | $5,900.00 | 4.5★ |
| UHC Complete Care Support PA-1A (HMO-POS C-SNP) H5253-234-2 · HMO-POS C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $580.00 | $9,850.00 | 4★ |
| UHC Complete Care Support PA-1A (HMO-POS C-SNP) H5253-234-1 · HMO-POS C-SNP · Chronic-condition SNP | New | $0.00 | — | $0.00 | — | $580.00 | $9,850.00 | 4★ |
| UPMC for Life Complete Care (HMO D-SNP) H4279-007-1 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| UPMC for Life Complete Care (HMO D-SNP) H4279-007-3 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| UPMC for Life Complete Care (HMO D-SNP) H4279-007-4 · HMO D-SNP · Dual-eligible SNP | New | $0.00 | — | $0.00 | — | $700.00 | $9,850.00 | 3.5★ |
| UPMC for Life HMO No Rx (HMO) H3907-002-0 · HMO · no drug coverage | New | $0.00 | — | — | — | — | $6,500.00 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) H3907-061-0 · HMO | New | $0.00 | — | $0.00 | — | $700.00 | $7,150.00 | 4.5★ |
| UPMC for Life HMO Rx (HMO) H3907-063-0 · HMO | New | $105.00 | — | $55.10 | — | $700.00 | $6,000.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-057-8 · HMO | New | $48.00 | — | $28.30 | — | $700.00 | $6,500.00 | 4.5★ |
| UPMC for Life HMO Rx Choice (HMO) H3907-062-0 · HMO | New | $49.00 | — | $32.30 | — | $700.00 | $6,500.00 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) H5533-020-0 · PPO | New | $43.00 | — | $3.90 | — | $700.00 | $7,000.00 | 4.5★ |
| UPMC for Life PPO Salute (PPO) H5533-016-1 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $9,850.00 | 4.5★ |
| UPMC for Life PPO Salute (PPO) H5533-016-2 · PPO · no drug coverage | New | $0.00 | — | — | — | — | $9,850.00 | 4.5★ |
| UPMC for Life Preferred Rx (HMO) H3907-064-0 · HMO | New | $14.00 | — | $10.00 | — | $700.00 | $6,000.00 | 4.5★ |
“What happens” is the CMS Plan Crosswalk’s verdict for the plan id; “not offered in this state” means the plan renews but no longer sells in any Pennsylvania county. Medicare Advantage is sold county by county — choose a county above for the plans you can actually join.
The 2026 plan files carry only the Part D (drug) part of an MA-PD premium, so the change column compares drug premiums, and the 2027 premium column is the whole monthly premium (Part C + D).
All 2027 Pennsylvania Medicare Advantage plans by county → · Stand-alone Part D plan changes →