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Medicare plans in Pike County, PA — 2026
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 2026, Pike County, Pennsylvania has 58 Medicare plans (27 Medicare Advantage with drug coverage, 7 without, 12 standalone Part D, 12 Special Needs) from 10 carriers. 13 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $1,500.
Market snapshot
- Residents 65 and older
- 14,732
- Residents 60–64, aging in over the next five years
- 5,412
- Medicare eligibles
- 17,173
- Medicare Advantage penetration
- 35.1%
- Plans per 1,000 residents 65+
- 3.9
Carriers by number of plans
- Aetna Medicare — 13 plans
- UnitedHealthcare — 12 plans
- Geisinger Gold — 9 plans
- Highmark Blue Cross Blue Shield or Highmark Blue Shield — 8 plans
- Humana — 6 plans
- Wellcare — 4 plans
- HealthSpring — 2 plans
- Highmark Blue Shield — 2 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 | $615 | $9,250 | 4.5 |
|---|
| Aetna Medicare Advantra Signature Giveback (PPO) (H5522-017-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $9,250 | 4.5 |
|---|
| Aetna Medicare Signature Extra (PPO) (H5521-263-0) | Aetna Medicare | MA-PD | PPO | $0 | $615 | $6,750 | 4.5 |
|---|
| Community Blue Medicare PPO Signature (PPO) (H3916-065-0) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | MA-PD | PPO | $0 | $615 | $7,950 | 4.5 |
|---|
| Complete Blue PPO Merit (PPO) (H3916-066-0) | Highmark Blue Cross Blue Shield or Highmark Blue Shield | MA-PD | PPO | $0 | $615 | $8,300 | 4.5 |
|---|
| Geisinger Gold Classic 360 Rx (HMO) (H3954-160-0) | Geisinger Gold | MA-PD | HMO | $0 | $0 | $7,100 | 4.5 |
|---|
| Geisinger Gold Classic Essential Rx (HMO) (H3954-161-0) | Geisinger Gold | MA-PD | HMO | $0 | $0 | $6,750 | 4.5 |
|---|
| Geisinger Gold Preferred Complete Rx (PPO) (H3924-065-0) | Geisinger Gold | MA-PD | PPO | $0 | $0 | $7,200 | 4.5 |
|---|
| Geisinger Gold Value Rx (HMO) (H3954-163-0) | Geisinger Gold | MA-PD | HMO | $23 | $0 | $9,250 | 4.5 |
|---|
| Aetna Medicare Value Care (PPO) (H5522-013-0) | Aetna Medicare | MA-PD | PPO | $29 | $615 | $6,900 | 4.5 |
|---|
Showing 10 of 58 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 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.