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Medicare plans in Monroe 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, Monroe County, Pennsylvania has 92 Medicare plans (44 Medicare Advantage with drug coverage, 10 without, 8 standalone Part D, 30 Special Needs) from 13 carriers. 53 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,450.
What changed vs 2026
- Carriers exited: Highmark Blue Shield
- $0-premium plans up 19
Market snapshot
- Residents 65 and older
- 32,781
- Residents 60–64, aging in over the next five years
- 14,034
- Medicare eligibles
- 40,511
- Medicare Advantage penetration
- 45.1%
- Plans per 1,000 residents 65+
- 2.8
Carriers by number of plans
- Humana — 18 plans
- UnitedHealthcare — 16 plans
- Aetna Medicare — 11 plans
- Devoted Health — 10 plans
- Geisinger Gold — 10 plans
- Jefferson Health Plans — 8 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 |
|---|---|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) (H0710-017-0) | UnitedHealthcare | SNP | PPO I-SNP | $12.50 | $700 | $9,850 | 5.0 |
| AARP Medicare Advantage from UHC PA-0015 (PPO) (H2001-110-0) | UnitedHealthcare | MA-PD | PPO | $0 | $685 | $7,150 | 4.5 |
| Aetna Medicare Advantra Signature (PPO) (H5522-004-0) | Aetna Medicare | MA-PD | PPO | $0 | $700 | $9,250 | 4.5 |
| Aetna Medicare Signature Giveback (PPO) (H5522-022-0) | Aetna Medicare | MA-PD | PPO | $0 | $700 | $7,150 | 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 - Diabetes and Heart (PPO C-SNP) (H7617-115-0) | Humana | SNP | PPO C-SNP | $0 | $500 | $8,700 | 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 |
Showing 10 of 92 plans.
Nearby counties
Agent Tools
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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.