- Entity
- county:pennsylvania-fayette-42051
- 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/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
- 56
- PPO Plans
- 31
- HMO Plans
- 11
- HMO-POS Plans
- 13
- PFFS Plans
- 1
- Average Monthly Premium
- 36.76
- Average MOOP
- 6322.32
- Average Part D Deductible
- 366.14
- $0 Premium Plans
- 30
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 4.13
- $0 Premium Plan Share
- 53.57
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 71
- 3-Star Plan Share
- 29
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 36.84
- PPO Average MOOP
- 6620.97
- PPO Enrollment
- 5258
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 43.64
- HMO Average MOOP
- 6486.36
- HMO Enrollment
- 4471
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 33.59
- HMO-POS Average MOOP
- 5842.31
- HMO-POS Enrollment
- 4743
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 4
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 1500
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:pennsylvania-fayette-42051
- 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/fayette/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-fayette-42051-landscape-stats
- Plans Indexed
- 56
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Enhanced
H5521-122-0 -
Aetna Medicare Signature
H5521-261-0 -
Aetna Medicare Value 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 -
Geisinger Gold Heritage
H3954-162-0 -
Geisinger Gold Value Rx
H3954-163-0 -
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 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 Essential Care Rx
H5533-017-1 -
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
H5533-015-2 -
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 Advantra Eagle Plus
H3959-041-0 -
Aetna Medicare Advantra Premier
H3959-002-0 -
Aetna Medicare Advantra Signature Plus
H3959-011-0 -
Humana Gold Choice H8145-163
H8145-163-0 -
Humana Gold Plus H6622-054
H6622-054-0 -
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
H5525-085-1 -
HumanaChoice H5216-120
H5216-120-0 -
HumanaChoice H5525-051
H5525-051-1 -
HumanaChoice H5525-086
H5525-086-1 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Peak Advantage Summit
H8947-002-3 -
Peak Advantage Vista
H8947-001-3 -
Wellcare Assist
H2915-011-0 -
Wellcare Patriot Giveback
H2915-013-0 -
Wellcare Simple
H2915-003-0
-
Aetna Medicare Advantra Signature Giveback
- Total Standard Medicare Advantage Enrollment
- 14472
2026 Medicare Advantage Plans in Fayette County, PA
Last update: .
For 2026, Fayette County, PA includes 56 Medicare Advantage plans. Enrollment across these plans totals approximately 14,472, with 30 $0 premium options and 71% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Fayette County, PA are summarized separately. Visit Medicare Options in Fayette 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
- $36.84/mo
- Total PPO Enrollment
- 5,258
- $0 Premium PPO Plans
- 17
- Average MOOP
- $6,621
- Top PPO by Enrollment
- Complete Blue PPO Distinct (PPO) — 1,126 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Fayette?
- PPO plans in Fayette cost $36.84 per month on average.
- Which PPO plan has the highest enrollment in Fayette?
- The most popular PPO plan in Fayette is Complete Blue PPO Distinct (PPO), with 1,126 enrollees.
- How many PPO plans in Fayette do not include prescription drug coverage?
- 5 PPO plans in Fayette 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.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Signature | $0 | $6,500 | $615 | H3957-047-2 | |
| Complete Blue HMO Distinct | $20 | $5,900 | $615 | H3957-050-2 | |
| 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 Deductible Rx | $22 | $6,000 | $175 | H3907-037-0 | |
| UPMC for Life HMO No Rx | $0 | $6,000 | N/A | H3907-002-0 | |
| UPMC for Life HMO Premier Rx | $0 | $6,000 | $350 | H3907-059-1 | |
| UPMC for Life HMO Rx | $90 | $4,500 | $0 | H3907-058-1 | |
| UPMC for Life HMO Rx Choice | $30 | $5,000 | $175 | H3907-057-2 | |
| UPMC for Life HMO Rx Enhanced | $295 | $7,550 | $0 | H3907-006-0 | |
| Humana Gold Plus H6622-054 | $0 | $7,950 | $615 | H6622-054-0 |
What is the total number of HMO plans offered in Fayette?
There are 11 HMO plans in 2026, covering 4,471 enrollees.
How much do HMO plans cost in Fayette?
The average HMO premium in Fayette is $43.64 per month, with 5 plans offering $0 premiums.
What is the top HMO by enrollment in Fayette?
UPMC for Life HMO Rx Choice (HMO) is the top HMO in Fayette, with 1,519 enrollees.
What is the number of HMO plans without Part D coverage in Fayette?
2 HMO plans in Fayette 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
- 13
- Average Monthly Premium
- $33.59/mo
- Total HMO-POS Enrollment
- 4,743
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,842
- Top HMO-POS by Enrollment
- Aetna Medicare Advantra Premier (HMO-POS) — 2,442 enrollees
- HMO-POS Plans Without Drug Coverage
- 4
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Security Blue HMO-POS Basic | $0 | $5,900 | N/A | H3957-043-1 | |
| Security Blue HMO-POS Deluxe | $179 | $4,500 | $0 | H3957-046-1 | |
| Security Blue HMO-POS Standard | $122 | $5,000 | $0 | H3957-045-1 | |
| Security Blue HMO-POS ValueRx | $35 | $5,500 | $0 | H3957-031-0 | |
| 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Fayette cost $33.59 per month on average.
Which HMO-POS plan is most popular in Fayette?
The most popular HMO-POS plan in Fayette is Aetna Medicare Advantra Premier (HMO-POS), with 2,442 enrollees.
How many HMO-POS plans in Fayette do not include drug coverage?
There are 4 HMO-POS plans in Fayette 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 Fayette?
is the top PFFS in Fayette, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Fayette?
1 PFFS plans in Fayette do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Fayette 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) | 40 | 71% |
| 3 Stars | 16 | 29% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.13 | |
* 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 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.