2026 Medicare Advantage Plans in Elk County, PA
Last update: . Enrollment data updated: May 2, 2026
In Elk County, PA, there are 48 Medicare Advantage plans available for 2026. Of these, 30 offer a $0 monthly premium, and about 65% 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 Elk County, PA. Or explore all Medicare Options available in Elk 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 Elk?
Elk County has 26 PPO plans for 2026, with 1,150 enrolled.
How much do PPO plans cost in Elk?
The typical PPO premium in Elk is $32.62, and 16 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
- 8
- Average Monthly Premium
- $6.00/mo
- Total HMO Enrollment
- 950
- $0 Premium HMO Plans
- 6
- Average MOOP
- $7,181
- Top HMO by Enrollment
- Community Blue Medicare HMO Signature (HMO) — 670 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 Signature | $0 | $6,500 | $615 | H3957-047-4 | |
| Complete Blue HMO Distinct | $25 | $5,900 | $615 | H3957-050-4 | |
| 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 | |
| Humana Gold Plus H6622-054 | $0 | $7,950 | $615 | H6622-054-0 | |
| 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 Elk cost $6.00 per month on average.
- Which HMO plan is most popular in Elk?
- The most popular HMO plan in Elk is Community Blue Medicare HMO Signature (HMO), with 670 enrollees.
- How many HMO plans in Elk do not include drug coverage?
- There are 2 HMO plans in Elk 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 13
- Average Monthly Premium $29.13/mo
- Total HMO-POS Enrollment 966
- $0 Premium HMO-POS Plans 7
- Average MOOP $5,842
- Top HMO-POS by Enrollment Security Blue HMO-POS ValueRx (HMO-POS) — 295 enrollees
- HMO-POS Plans Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Security Blue HMO-POS Basic | $0 | $5,900 | N/A | H3957-043-2 | |
| Security Blue HMO-POS Deluxe | $138 | $4,500 | $0 | H3957-046-2 | |
| Security Blue HMO-POS Standard | $104 | $5,000 | $0 | H3957-045-2 | |
| Security Blue HMO-POS ValueRx | $36 | $5,500 | $0 | H3957-044-1 | |
| 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 Premier | $29 | $5,500 | $615 | H3959-002-0 | |
| Aetna Medicare Advantra Signature Plus | $0 | $5,500 | $500 | H3959-011-0 | |
| 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 Elk?
There are 13 HMO-POS plans in 2026, covering 966 enrollees.
How much do HMO-POS plans cost in Elk?
The average HMO-POS premium in Elk is $29.13 per month, with 7 plans offering $0 premiums.
What is the leading HMO-POS plan in Elk?
Security Blue HMO-POS ValueRx (HMO-POS) is the top HMO-POS in Elk, with 295 enrollees.
What is the number of HMO-POS plans without Part D coverage in Elk?
4 HMO-POS plans in Elk 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
- 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
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 Elk cost $0.00 per month on average.
Which PFFS plan is most popular in Elk?
The most popular PFFS plan in Elk is , with 0 enrollees.
How many PFFS plans in Elk do not include drug coverage?
There are 1 PFFS plans in Elk without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Elk 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) | 30 | 65% |
| 3 Stars | 16 | 35% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 4% |
| Average Rating | 4.05 | |
* 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 May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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
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 documentation is maintained in alignment 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.