- Entity
- county:pennsylvania-fayette-42051
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/pennsylvania/fayette/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 52
- PPO Plans
- 30
- HMO Plans
- 11
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 40.71
- Average MOOP
- 6707.88
- Average Part D Deductible
- 517.26
- $0 Premium Plans
- 28
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 4.24
- $0 Premium Plan Share
- 53.85
- 5-Star Plan Share
- 4
- 4+ Star Plan Share
- 88
- 3-Star Plan Share
- 12
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 37.9
- PPO Average MOOP
- 6871.67
- PPO Enrollment
- 4196
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 46.73
- HMO Average MOOP
- 6764.55
- HMO Enrollment
- 4449
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 42.36
- HMO-POS Average MOOP
- 6204.55
- HMO-POS Enrollment
- 4714
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 3
- Entity
- county:pennsylvania-fayette-42051
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/pennsylvania/fayette/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-fayette-42051-landscape-stats
- Plans Indexed
- 52
- Standard Medicare Advantage Plans
-
-
Peak Advantage Summit
H8947-002-3 -
Peak Advantage Vista
H8947-001-3 -
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Premier Plus
H5522-005-0 -
Community Blue Medicare HMO Signature
H3957-047-2 -
Complete Blue HMO Distinct
H3957-050-2 -
Complete Blue PPO Distinct
H3916-035-2 -
Complete Blue PPO Merit
H3916-057-0 -
Complete Blue PPO Signature
H3916-041-2 -
Freedom Blue PPO Classic
H3916-001-0 -
Freedom Blue PPO Select
H3916-022-0 -
Freedom Blue PPO Valor
H3916-067-0 -
Freedom Blue PPO ValueRx
H3916-032-0 -
Security Blue HMO-POS Basic
H3957-043-1 -
Security Blue HMO-POS Deluxe
H3957-046-1 -
Security Blue HMO-POS Standard
H3957-045-1 -
Security Blue HMO-POS ValueRx
H3957-031-0 -
UPMC for Life Essential Rx
H5533-017-1 -
UPMC for Life HMO Deductible Rx
H3907-037-0 -
UPMC for Life HMO No Rx
H3907-002-0 -
UPMC for Life HMO Premier Rx
H3907-059-1 -
UPMC for Life HMO Rx
H3907-058-1 -
UPMC for Life HMO Rx Choice
H3907-057-2 -
UPMC for Life HMO Rx Enhanced
H3907-006-0 -
UPMC for Life PPO High Deductible Rx
H5533-003-0 -
UPMC for Life PPO Premier Rx
H5533-013-0 -
UPMC for Life PPO Rx Choice
H5533-020-0 -
UPMC for Life PPO Rx Enhanced
H5533-005-0 -
UPMC for Life PPO Salute
H5533-016-1 -
AARP Medicare Advantage from UHC PA-0002
H5253-146-0 -
AARP Medicare Advantage from UHC PA-0003
H5253-147-0 -
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 Signature
H5521-261-0 -
Geisinger Gold Heritage
H3954-162-0 -
Geisinger Gold Value Rx
H3954-163-0 -
Humana Essentials Plus Giveback
H5525-085-1 -
Humana Gold Plus H6622-054
H6622-054-0 -
Humana USAA Honor Giveback
H5216-221-0 -
Humana USAA Honor Giveback with Rx
H5525-059-0 -
Humana Value Choice
H5525-051-1 -
HumanaChoice Giveback H5216-116
H5216-116-0 -
HumanaChoice H5216-120
H5216-120-0 -
HumanaChoice H5525-086
H5525-086-1 -
Aetna Medicare Advantra Eagle Plus
H3959-041-0 -
Aetna Medicare Advantra Enhanced
H3959-002-0 -
Aetna Medicare Signature Plus
H3959-011-0 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Wellcare Simple
H2915-003-0
-
Peak Advantage Summit
- Total Standard Medicare Advantage Enrollment
- 13359
2027 Medicare Advantage Plans in Fayette County, PA
Last update: .
In Fayette County, PA, there are 52 Medicare Advantage plans available for 2027. Of these, 28 offer a $0 monthly premium, and about 88% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 30
- Average Monthly Premium $37.90/mo
- Total PPO Enrollment 4,196
- $0 Premium PPO Plans 17
- Average MOOP $6,872
- Top PPO by Enrollment Complete Blue PPO Distinct (PPO) — 1,125 enrollees
- PPO Plans Without Drug Coverage 5
What is the total number of PPO plans offered in Fayette?
There are 30 PPO plans in 2027, covering 4,196 beneficiaries.
How much do PPO plans cost in Fayette?
The average PPO premium in Fayette is $37.90 per month, with 17 plans offering $0 premiums.
What is the most popular PPO plan in Fayette?
Complete Blue PPO Distinct (PPO) is the top PPO in Fayette, with 1,125 enrollees.
What is the number of PPO plans without Part D coverage in Fayette?
There are 5 PPO plans in Fayette without prescription drug coverage.
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
- $46.73/mo
- Total HMO Enrollment
- 4,449
- $0 Premium HMO Plans
- 5
- Average MOOP
- $6,765
- Top HMO by Enrollment
- UPMC for Life HMO Rx Choice (HMO) — 1,511 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 | $6,950 | $700 | H3957-047-2 | |
| Complete Blue HMO Distinct | $42 | $6,450 | $700 | H3957-050-2 | |
| UPMC for Life HMO Deductible Rx | $25 | $6,000 | $700 | H3907-037-0 | |
| UPMC for Life HMO No Rx | $0 | $6,500 | N/A | H3907-002-0 | |
| UPMC for Life HMO Premier Rx | $0 | $6,500 | $700 | H3907-059-1 | |
| UPMC for Life HMO Rx | $90 | $4,500 | $0 | H3907-058-1 | |
| UPMC for Life HMO Rx Choice | $33 | $6,000 | $700 | H3907-057-2 | |
| UPMC for Life HMO Rx Enhanced | $295 | $7,550 | $0 | H3907-006-0 | |
| Geisinger Gold Heritage | $0 | $6,700 | N/A | H3954-162-0 | |
| Geisinger Gold Value Rx | $29 | $9,000 | $0 | H3954-163-0 | |
| Humana Gold Plus H6622-054 | $0 | $8,260 | $700 | H6622-054-0 |
What is the average monthly premium for HMO plans?
HMO plans in Fayette cost $46.73 per month on average.
Which HMO plan is most popular in Fayette?
The most popular HMO plan in Fayette is UPMC for Life HMO Rx Choice (HMO), with 1,511 enrollees.
How many HMO plans in Fayette do not include drug coverage?
There are 2 HMO plans in Fayette without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Security Blue HMO-POS Basic | $0 | $5,900 | N/A | H3957-043-1 | |
| Security Blue HMO-POS Deluxe | $188 | $4,500 | $0 | H3957-046-1 | |
| Security Blue HMO-POS Standard | $132 | $5,000 | $0 | H3957-045-1 | |
| Security Blue HMO-POS ValueRx | $53 | $5,500 | $700 | H3957-031-0 | |
| AARP Medicare Advantage from UHC PA-0002 | $0 | $7,150 | $685 | H5253-146-0 | |
| AARP Medicare Advantage from UHC PA-0003 | $54 | $6,700 | $685 | H5253-147-0 | |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | $0 | $7,150 | N/A | H5253-152-0 | |
| Aetna Medicare Advantra Eagle Plus | $0 | $5,500 | N/A | H3959-041-0 | |
| Aetna Medicare Advantra Enhanced | $39 | $5,500 | $400 | H3959-002-0 | |
| Aetna Medicare Signature Plus | $0 | $5,500 | $400 | H3959-011-0 | |
| Wellcare Simple | $0 | $9,850 | $700 | H2915-003-0 |
What is the leading HMO-POS plan in Fayette?
Aetna Medicare Advantra Enhanced (HMO-POS) is the top HMO-POS in Fayette, with 2,442 enrollees.
What is the number of HMO-POS plans without Part D coverage in Fayette?
3 HMO-POS plans in Fayette do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Fayette County, PA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 4% |
| 4 Stars (includes 5 Stars) | 46 | 88% |
| 3 Stars | 6 | 12% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.24 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Fayette County, Pennsylvania, including communities such as Belle Vernon, Uniontown, Brownsville, Connellsville, Dawson, Dunbar, Fairchance, Farmington, Fayette City, Grindstone, Hopwood, La Belle, Lemont Furnace, Mc Clellandtown, Markleysburg, Masontown, Mill Run, New Salem, Normalville, Perryopolis, Point Marion, Smithfield, Smock, Vanderbilt, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
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
- Medicare.gov, "Joining a plan" — 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.
This page follows data provenance practices aligned with the 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.