- Entity
- county:pennsylvania-berks-42011
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/pennsylvania/berks/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 77
- PPO Plans
- 48
- HMO Plans
- 19
- HMO-POS Plans
- 7
- PFFS Plans
- 3
- Average Monthly Premium
- 31.76
- Average MOOP
- 6712.34
- Average Part D Deductible
- 366.25
- $0 Premium Plans
- 44
- Plans Without Part D Coverage
- 13
- Average CMS Star Rating
- 4.08
- $0 Premium Plan Share
- 57.14
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 65
- 3-Star Plan Share
- 35
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 6
- PPO Average Monthly Premium
- 34.74
- PPO Average MOOP
- 6867.71
- PPO Enrollment
- 23047
- PPO $0 Premium Plans
- 25
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 36.72
- HMO Average MOOP
- 6644.74
- HMO Enrollment
- 4126
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 11.53
- HMO-POS Average MOOP
- 6521.43
- HMO-POS Enrollment
- 1334
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 3
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 5100
- PFFS Enrollment
- 270
- PFFS $0 Premium Plans
- 3
- PFFS Plans Without Part D Coverage
- 2
- Entity
- county:pennsylvania-berks-42011
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/pennsylvania/berks/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-berks-42011-landscape-stats
- Plans Indexed
- 77
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Premier
H5522-002-0 -
Aetna Medicare Advantra Signature
H5522-004-0 -
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Enhanced
H5521-122-0 -
Aetna Medicare Signature Extra
H5521-263-0 -
Aetna Medicare Signature Giveback
H5522-022-0 -
Aetna Medicare Value Care
H5522-013-0 -
Capital Blue Cross Basic
H3923-048-3 -
Capital Blue Cross Classic
H3923-013-0 -
Capital Blue Cross Complete
H3923-047-3 -
Capital Blue Cross Enhanced
H3923-046-3 -
Capital Blue Cross Essential
H3962-022-3 -
Capital Blue Cross Premier
H3962-001-0 -
Capital Blue Cross Prime
H3923-017-0 -
Capital Blue Cross Select
H3923-044-3 -
Capital Blue Cross Value
H3962-004-0 -
Capital Blue Cross Value
H3923-045-3 -
Community Blue Medicare HMO Distinct
H3957-049-5 -
Community Blue Medicare HMO Signature
H3957-042-4 -
Community Blue Medicare PPO Signature
H3916-037-7 -
Complete Blue PPO Distinct
H3916-060-5 -
Complete Blue PPO Merit
H3916-066-0 -
Freedom Blue PPO Basic
H3916-012-0 -
Freedom Blue PPO Deluxe
H3916-005-0 -
Freedom Blue PPO Standard
H3916-015-0 -
Freedom Blue PPO Valor
H3916-043-0 -
Freedom Blue PPO ValueRx
H3916-018-0 -
Geisinger Gold Classic Advantage Rx
H3954-157-23 -
Geisinger Gold Classic Complete Rx
H3954-158-13 -
Geisinger Gold Classic Essential Rx
H3954-161-0 -
Geisinger Gold Heritage
H3954-162-0 -
Geisinger Gold Preferred Advantage Rx
H3924-059-22 -
Geisinger Gold Preferred Complete Rx
H3924-065-0 -
Geisinger Gold Value Rx
H3954-163-0 -
UPMC for Life HMO No Rx
H3907-002-0 -
UPMC for Life HMO Rx Enhanced
H3907-006-0 -
UPMC for Life PPO Essential Care Rx
H5533-017-1 -
UPMC for Life PPO Rx Enhanced
H5533-008-0 -
UPMC for Life PPO Salute
H5533-016-1 -
AARP Medicare Advantage from UHC PA-0002
H5253-146-0 -
AARP Medicare Advantage from UHC PA-0007
H2406-046-0 -
AARP Medicare Advantage from UHC PA-0008
H2406-047-0 -
AARP Medicare Advantage from UHC PA-0011
H2406-072-0 -
AARP Medicare Advantage Giveback from UHC PA-12
H2406-101-0 -
AARP Medicare Advantage Patriot No Rx PA-MA01
H5253-152-0 -
Aetna Medicare Advantra Eagle Plus
H3959-041-0 -
Aetna Medicare Advantra Enhanced
H3959-039-0 -
DEVOTED CHOICE 007 PA
H6018-007-0 -
DEVOTED CHOICE GIVEBACK 003 PA
H6018-003-0 -
DEVOTED CHOICE PREMIUM 002 PA
H6018-002-0 -
Humana Gold Choice H8145-052
H8145-052-0 -
Humana Gold Choice H8145-055
H8145-055-0 -
Humana Gold Choice H8145-163
H8145-163-0 -
Humana Gold Plus H6622-035
H6622-035-0 -
Humana USAA Honor Giveback
H5216-221-0 -
Humana USAA Honor Giveback with Rx
H5525-059-0 -
HumanaChoice Giveback H5216-116
H5216-116-0 -
HumanaChoice Giveback H5525-085
H5525-085-2 -
HumanaChoice H5216-120
H5216-120-0 -
HumanaChoice H5525-006
H5525-006-0 -
HumanaChoice H5525-051
H5525-051-1 -
HumanaChoice H5525-086
H5525-086-2 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Jefferson Health Plans Complete
H9207-012-0 -
Jefferson Health Plans Giveback
H9207-015-0 -
Jefferson Health Plans Prime
H9207-002-0 -
Wellcare Assist
H2915-011-0 -
Wellcare Patriot Giveback
H2915-013-0 -
Wellcare Simple
H2915-003-0 -
HealthSpring Preferred
H3949-035-0 -
HealthSpring True Choice
H7849-106-0 -
DEVOTED CORE 008 PA
H6852-008-0 -
DEVOTED GIVEBACK 009 PA
H6852-009-0 -
Jefferson Health Plans Flex
H1619-001-0 -
Jefferson Health Plans Flex Plus
H1619-002-0 -
Jefferson Health Plans Flex Pro
H1619-003-0
-
Aetna Medicare Advantra Premier
- Total Standard Medicare Advantage Enrollment
- 28777
2026 Medicare Advantage Plans in Berks County, PA
Last update: .
For 2026, Berks County, PA includes 77 Medicare Advantage plans. Enrollment across these plans totals approximately 28,777, with 44 $0 premium options and 65% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Berks County, PA are summarized separately. Visit Medicare Options in Berks County, PA to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 48
- Average Monthly Premium
- $34.74/mo
- Total PPO Enrollment
- 23,047
- $0 Premium PPO Plans
- 25
- Average MOOP
- $6,868
- Top PPO by Enrollment
- Community Blue Medicare PPO Signature (PPO) — 4,440 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the average monthly premium for PPO plans in Berks?
PPO plans in Berks cost $34.74 per month on average.
Which PPO plan has the highest enrollment in Berks?
The most popular PPO plan in Berks is Community Blue Medicare PPO Signature (PPO), with 4,440 enrollees.
How many PPO plans in Berks do not include prescription drug coverage?
6 PPO plans in Berks do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 19
- Average Monthly Premium $36.72/mo
- Total HMO Enrollment 4,126
- $0 Premium HMO Plans 11
- Average MOOP $6,645
- Top HMO by Enrollment Humana Gold Plus H6622-035 (HMO) — 1,262 enrollees
- HMO Plans Without Drug Coverage 2
What is the top HMO by enrollment in Berks?
Humana Gold Plus H6622-035 (HMO) is the top HMO in Berks, with 1,262 enrollees.
What is the number of HMO plans without Part D coverage in Berks?
2 HMO plans in Berks do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 7
- Average Monthly Premium
- $11.53/mo
- Total HMO-POS Enrollment
- 1,334
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $6,521
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC PA-0002 (HMO-POS) — 578 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC PA-0002 | $0 | $6,700 | $440 | H5253-146-0 | |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | $0 | $6,700 | N/A | H5253-152-0 | |
| Aetna Medicare Advantra Eagle Plus | $0 | $5,500 | N/A | H3959-041-0 | |
| Aetna Medicare Advantra Enhanced | $48 | $7,500 | $615 | H3959-039-0 | |
| Wellcare Assist | $33 | $5,500 | $475 | H2915-011-0 | |
| Wellcare Patriot Giveback | $0 | $7,550 | N/A | H2915-013-0 | |
| Wellcare Simple | $0 | $6,200 | $615 | H2915-003-0 |
What is the typical premium for HMO-POS plans in Berks?
HMO-POS plans in Berks cost $11.53 per month on average.
Which HMO-POS plan has the most members in Berks?
The most popular HMO-POS plan in Berks is AARP Medicare Advantage from UHC PA-0002 (HMO-POS), with 578 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Berks?
There are 3 HMO-POS plans in Berks without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-052 | $0 | $7,100 | $615 | H8145-052-0 | |
| Humana Gold Choice H8145-055 | $0 | $6,700 | N/A | H8145-055-0 | |
| Humana Gold Choice H8145-163 | $0 | $1,500 | N/A | H8145-163-0 |
What is the total number of PFFS plans in Berks?
In 2026, Berks has 3 PFFS plans with 270 enrollees.
How much do PFFS plans cost in Berks?
The typical PFFS premium in Berks is $0.00, and 3 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Berks County, PA (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 47 | 65% |
| 3 Stars | 25 | 35% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 5 | 6% |
| Average Rating | 4.08 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.