2026 Medicare Advantage Plans in Clinton County, PA
Last update: . Enrollment data updated: June 13, 2026
In Clinton County, PA, there are 55 Medicare Advantage plans available for 2026. Of these, 35 offer a $0 monthly premium, and about 66% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Clinton County, PA. Or explore all Medicare Options available in Clinton County, PA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Clinton?
Clinton County has 32 PPO plans for 2026, with 974 enrolled.
How much do PPO plans cost in Clinton?
The typical PPO premium in Clinton is $37.41, and 19 plans have no monthly premium.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 11
- Average Monthly Premium
- $21.35/mo
- Total HMO Enrollment
- 2,724
- $0 Premium HMO Plans
- 7
- Average MOOP
- $6,645
- Top HMO by Enrollment
- Geisinger Gold Classic 360 Rx (HMO) — 1,856 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Distinct | $50 | $6,250 | $615 | H3957-049-6 | |
| Community Blue Medicare HMO Signature | $0 | $6,750 | $615 | H3957-042-5 | |
| Geisinger Gold Classic 360 Rx | $0 | $7,100 | $0 | H3954-160-0 | |
| Geisinger Gold Classic Advantage Rx | $114 | $3,450 | $0 | H3954-157-22 | |
| Geisinger Gold Classic Complete Rx | $48 | $5,700 | $0 | H3954-158-13 | |
| Geisinger Gold Classic Essential Rx | $0 | $6,750 | $0 | H3954-161-0 | |
| Geisinger Gold Heritage | $0 | $6,700 | N/A | H3954-162-0 | |
| Geisinger Gold Value Rx | $23 | $9,250 | $0 | H3954-163-0 | |
| UPMC for Life HMO No Rx | $0 | $6,000 | N/A | H3907-002-0 | |
| DEVOTED CORE 010 PA | $0 | $5,900 | $375 | H6852-010-0 | |
| DEVOTED GIVEBACK 011 PA | $0 | $9,250 | $605 | H6852-011-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Clinton cost $21.35 per month on average.
- Which HMO plan is most popular in Clinton?
- The most popular HMO plan in Clinton is Geisinger Gold Classic 360 Rx (HMO), with 1,856 enrollees.
- How many HMO plans in Clinton do not include drug coverage?
- There are 2 HMO plans in Clinton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 9
- Average Monthly Premium $13.30/mo
- Total HMO-POS Enrollment 631
- $0 Premium HMO-POS Plans 6
- Average MOOP $6,561
- Top HMO-POS by Enrollment Aetna Medicare Advantra Signature (HMO-POS) — 512 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC PA-0002 | $0 | $6,700 | $440 | H5253-146-0 | |
| AARP Medicare Advantage from UHC PA-0003 | $39 | $5,900 | $440 | H5253-147-0 | |
| 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 | |
| Aetna Medicare Advantra Signature | $0 | $7,500 | $615 | H3959-037-0 | |
| 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 total number of HMO-POS plans in Clinton?
There are 9 HMO-POS plans in 2026, covering 631 enrollees.
How much do HMO-POS plans cost in Clinton?
The average HMO-POS premium in Clinton is $13.30 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Clinton?
Aetna Medicare Advantra Signature (HMO-POS) is the top HMO-POS in Clinton, with 512 enrollees.
What is the number of HMO-POS plans without Part D coverage in Clinton?
3 HMO-POS plans in Clinton do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 3
- Average Monthly Premium
- $0.00/mo
- Total PFFS Enrollment
- 31
- $0 Premium PFFS Plans
- 3
- Average MOOP
- $5,100
- Top PFFS by Enrollment
- Humana Gold Choice H8145-052 (PFFS) — 31 enrollees
- PFFS Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 average monthly premium for PFFS plans?
PFFS plans in Clinton cost $0.00 per month on average.
Which PFFS plan is most popular in Clinton?
The most popular PFFS plan in Clinton is Humana Gold Choice H8145-052 (PFFS), with 31 enrollees.
How many PFFS plans in Clinton do not include drug coverage?
There are 2 PFFS plans in Clinton without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Clinton County, PA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 35 | 66% |
| 3 Stars | 18 | 34% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 4% |
| Average Rating | 4.08 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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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.