2026 Medicare Advantage Plans in Fulton County, PA
Last update: . Enrollment data updated: June 13, 2026
For 2026, Fulton County, PA includes 56 Medicare Advantage plans. Enrollment across these plans totals approximately 1,185, with 32 $0 premium options and 70% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Fulton County, PA are summarized separately. Visit Medicare Options in Fulton 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
- 33
- Average Monthly Premium
- $43.21/mo
- Total PPO Enrollment
- 942
- $0 Premium PPO Plans
- 17
- Average MOOP
- $6,786
- Top PPO by Enrollment
- Capital Blue Cross Select (PPO) — 198 enrollees
- PPO Plans Without Drug Coverage
- 6
- What is the average monthly premium for PPO plans in Fulton?
- PPO plans in Fulton cost $43.21 per month on average.
- Which PPO plan has the highest enrollment in Fulton?
- The most popular PPO plan in Fulton is Capital Blue Cross Select (PPO), with 198 enrollees.
- How many PPO plans in Fulton do not include prescription drug coverage?
- 6 PPO plans in Fulton 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 |
|---|---|---|---|---|---|
| Capital Blue Cross Essential | $0 | $6,000 | $375 | H3962-022-4 | |
| Capital Blue Cross Premier | $86 | $5,000 | $100 | H3962-001-0 | |
| Capital Blue Cross Value | $58 | $6,500 | $100 | H3962-004-0 | |
| Community Blue Medicare HMO Distinct | $55 | $6,250 | $615 | H3957-049-7 | |
| Community Blue Medicare HMO Signature | $0 | $6,500 | $615 | H3957-042-6 | |
| Geisinger Gold Classic Advantage Rx | $120 | $3,450 | $0 | H3954-157-23 | |
| 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 | |
| Humana Gold Plus H6622-035 | $0 | $8,300 | $615 | H6622-035-0 | |
| DEVOTED CORE 014 PA | $0 | $5,900 | $375 | H6852-014-0 | |
| DEVOTED GIVEBACK 015 PA | $0 | $9,250 | $605 | H6852-015-0 |
What is the total number of HMO plans offered in Fulton?
There are 14 HMO plans in 2026, covering 111 enrollees.
How much do HMO plans cost in Fulton?
The average HMO premium in Fulton is $27.86 per month, with 8 plans offering $0 premiums.
What is the top HMO by enrollment in Fulton?
Community Blue Medicare HMO Signature (HMO) is the top HMO in Fulton, with 62 enrollees.
What is the number of HMO plans without Part D coverage in Fulton?
2 HMO plans in Fulton 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
- 8
- Average Monthly Premium
- $8.96/mo
- Total HMO-POS Enrollment
- 132
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $6,194
- Top HMO-POS by Enrollment
- Aetna Medicare Advantra Signature Plus (HMO-POS) — 89 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 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 Fulton cost $8.96 per month on average.
Which HMO-POS plan is most popular in Fulton?
The most popular HMO-POS plan in Fulton is Aetna Medicare Advantra Signature Plus (HMO-POS), with 89 enrollees.
How many HMO-POS plans in Fulton do not include drug coverage?
There are 3 HMO-POS plans in Fulton 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 Fulton?
is the top PFFS in Fulton, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Fulton?
1 PFFS plans in Fulton do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Fulton 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) | 38 | 70% |
| 3 Stars | 16 | 30% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 4% |
| Average Rating | 4.13 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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.