2026 Medicare Advantage Plans in Delaware County, PA
Last update: . Enrollment data updated: August 15, 2026
For 2026, Delaware County, PA includes 66 Medicare Advantage plans. Enrollment across these plans totals approximately 30,103, with 39 $0 premium options and 52% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Delaware County, PA are summarized separately. Visit Medicare Options in Delaware 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
- 31
- Average Monthly Premium
- $35.92/mo
- Total PPO Enrollment
- 9,572
- $0 Premium PPO Plans
- 18
- Average MOOP
- $7,052
- Top PPO by Enrollment
- Personal Choice 65 Achieve Rx (PPO) — 2,156 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Delaware?
- PPO plans in Delaware cost $35.92 per month on average.
- Which PPO plan has the highest enrollment in Delaware?
- The most popular PPO plan in Delaware is Personal Choice 65 Achieve Rx (PPO), with 2,156 enrollees.
- How many PPO plans in Delaware do not include prescription drug coverage?
- 5 PPO plans in Delaware do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
What is the total number of HMO plans offered in Delaware?
There are 18 HMO plans in 2026, covering 13,112 enrollees.
How much do HMO plans cost in Delaware?
The average HMO premium in Delaware is $17.71 per month, with 13 plans offering $0 premiums.
What is the top HMO by enrollment in Delaware?
Keystone 65 Basic Rx (HMO) is the top HMO in Delaware, with 6,823 enrollees.
What is the number of HMO plans without Part D coverage in Delaware?
4 HMO plans in Delaware 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
- 16
- Average Monthly Premium
- $34.34/mo
- Total HMO-POS Enrollment
- 7,419
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $6,450
- Top HMO-POS by Enrollment
- Keystone 65 Essential Rx (HMO-POS) — 1,878 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Delaware cost $34.34 per month on average.
Which HMO-POS plan is most popular in Delaware?
The most popular HMO-POS plan in Delaware is Keystone 65 Essential Rx (HMO-POS), with 1,878 enrollees.
How many HMO-POS plans in Delaware do not include drug coverage?
There are 3 HMO-POS plans in Delaware without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $0.00/mo
- Total PFFS Enrollment 0
- $0 Premium PFFS Plans 1
- Average MOOP $1,500
- Top PFFS by Enrollment — 0 enrollees
- PFFS Plans Without Drug Coverage 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-163 | $0 | $1,500 | N/A | H8145-163-0 |
What is the top PFFS plan in Delaware?
is the top PFFS in Delaware, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Delaware?
1 PFFS plans in Delaware do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Delaware County, PA (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 7% |
| 4 Stars (includes 5 Stars) | 32 | 52% |
| 3 Stars | 29 | 48% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 5 | 8% |
| Average Rating | 3.84 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 2026
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 informational resource and has no affiliation with, or endorsement from, 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.