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Medicare plans in Fulton County, PA — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Fulton County, Pennsylvania has 88 Medicare plans (46 Medicare Advantage with drug coverage, 10 without, 8 standalone Part D, 24 Special Needs) from 15 carriers. 47 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,450.
What changed vs 2026
- Carriers entered: Jefferson Health Plans, Perennial Advantage
- Carriers exited: Highmark Blue Shield
- $0-premium plans up 15
Market snapshot
- Residents 65 and older
- 3,315
- Residents 60–64, aging in over the next five years
- 1,108
- Medicare eligibles
- 4,013
- Medicare Advantage penetration
- 47.1%
- Plans per 1,000 residents 65+
- 26.5
Carriers by number of plans
- Humana — 15 plans
- UnitedHealthcare — 13 plans
- Capital Blue Cross — 10 plans
- Devoted Health — 10 plans
- Aetna Medicare — 9 plans
- Geisinger Gold — 9 plans
- Highmark Blue Cross Blue Shield or Highmark Blue Shield — 7 plans
- Wellcare — 5 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Aetna Medicare Advantra Signature (PPO) (H5522-004-0) | Aetna Medicare | MA-PD | PPO | $0 | $700 | $9,250 | 4.5 |
| Aetna Medicare Advantra Signature Giveback (PPO) (H5522-017-0) | Aetna Medicare | MA-PD | PPO | $0 | $700 | $9,850 | 4.5 |
| Community Blue Medicare HMO Signature (HMO) (H3957-051-0) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | MA-PD | HMO | $0 | $700 | $7,150 | 4.5 |
| Freedom Blue PPO Valor (PPO) (H3916-043-0) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | MA | PPO | $0 | $6,000 | 4.5 | |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) (H7617-048-0) | Humana | SNP | PPO D-SNP | $0 | $50 | $9,850 | 4.5 |
| UPMC for Life HMO No Rx (HMO) (H3907-002-0) | UPMC for Life | MA | HMO | $0 | $6,500 | 4.5 | |
| UPMC for Life PPO Salute (PPO) (H5533-016-1) | UPMC for Life | MA | PPO | $0 | $9,850 | 4.5 | |
| Freedom Blue PPO Basic (PPO) (H3916-012-0) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | MA | PPO | $5 | $5,900 | 4.5 | |
| Humana Basic Rx Plan (PDP) (S5884-104-0) | Humana | PDP | PDP | $16.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-185-0) | Humana | PDP | PDP | $31.70 | $687 | 4.5 |
Showing 10 of 88 plans.
Nearby counties
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.