- Entity
- county:pennsylvania-fulton-42057
- 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/fulton/
- 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
- 33
- HMO Plans
- 14
- HMO-POS Plans
- 8
- PFFS Plans
- 1
- Average Monthly Premium
- 33.71
- Average MOOP
- 6545.54
- Average Part D Deductible
- 364.2
- $0 Premium Plans
- 32
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 4.13
- $0 Premium Plan Share
- 57.14
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 70
- 3-Star Plan Share
- 30
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 4
- PPO Average Monthly Premium
- 43.21
- PPO Average MOOP
- 6786.36
- PPO Enrollment
- 924
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 27.86
- HMO Average MOOP
- 6539.29
- HMO Enrollment
- 114
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 8.96
- HMO-POS Average MOOP
- 6193.75
- HMO-POS Enrollment
- 151
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 3
- 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-fulton-42057
- 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/fulton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-fulton-42057-landscape-stats
- Plans Indexed
- 56
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Premier
H5522-002-0 -
Aetna Medicare Advantra Signature
H5522-004-0 -
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Enhanced
H5521-122-0 -
Aetna Medicare Value Care
H5522-013-0 -
Capital Blue Cross Classic
H3923-013-0 -
Capital Blue Cross Complete
H3923-047-4 -
Capital Blue Cross Enhanced
H3923-046-4 -
Capital Blue Cross Essential
H3962-022-4 -
Capital Blue Cross Premier
H3962-001-0 -
Capital Blue Cross Prime
H3923-017-0 -
Capital Blue Cross Select
H3923-044-4 -
Capital Blue Cross Value
H3923-045-4 -
Capital Blue Cross Value
H3962-004-0 -
Community Blue Medicare HMO Distinct
H3957-049-7 -
Community Blue Medicare HMO Signature
H3957-042-6 -
Freedom Blue PPO Basic
H3916-012-0 -
Freedom Blue PPO Deluxe
H3916-005-0 -
Freedom Blue PPO Standard
H3916-015-0 -
Freedom Blue PPO Valor
H3916-043-0 -
Freedom Blue PPO ValueRx
H3916-018-0 -
Geisinger Gold Classic Advantage Rx
H3954-157-23 -
Geisinger Gold Classic Complete Rx
H3954-158-13 -
Geisinger Gold Classic Essential Rx
H3954-161-0 -
Geisinger Gold Heritage
H3954-162-0 -
Geisinger Gold Preferred Advantage Rx
H3924-059-21 -
Geisinger Gold Preferred Complete Rx
H3924-065-0 -
Geisinger Gold Value Rx
H3954-163-0 -
UPMC for Life HMO No Rx
H3907-002-0 -
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 Signature Plus
H3959-011-0 -
DEVOTED CHOICE 010 PA
H6018-010-0 -
DEVOTED CHOICE GIVEBACK 011 PA
H6018-011-0 -
Humana Gold Choice H8145-163
H8145-163-0 -
Humana Gold Plus H6622-035
H6622-035-0 -
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
H5525-085-2 -
HumanaChoice H5216-120
H5216-120-0 -
HumanaChoice H5525-006
H5525-006-0 -
HumanaChoice H5525-086
H5525-086-2 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Wellcare Assist
H2915-011-0 -
Wellcare Patriot Giveback
H2915-013-0 -
Wellcare Simple
H2915-003-0 -
DEVOTED CORE 014 PA
H6852-014-0 -
DEVOTED GIVEBACK 015 PA
H6852-015-0
-
Aetna Medicare Advantra Premier
- Total Standard Medicare Advantage Enrollment
- 1189
2026 Medicare Advantage Plans in Fulton County, PA
Last update: .
Fulton County, PA has 56 Medicare Advantage plans available in 2026. These include 32 plans with no monthly premium, and roughly 70% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Fulton County, PA. Or explore all Medicare Options available in Fulton County, PA.
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 33
- Average Monthly Premium $43.21/mo
- Total PPO Enrollment 924
- $0 Premium PPO Plans 17
- Average MOOP $6,786
- Top PPO by Enrollment Capital Blue Cross Select (PPO) — 197 enrollees
- PPO Plans Without Drug Coverage 6
What is the most popular PPO plan in Fulton?
Capital Blue Cross Select (PPO) is the top PPO in Fulton, with 197 enrollees.
What is the number of PPO plans without Part D coverage in Fulton?
There are 6 PPO plans in Fulton 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
- 14
- Average Monthly Premium
- $27.86/mo
- Total HMO Enrollment
- 114
- $0 Premium HMO Plans
- 8
- Average MOOP
- $6,539
- Top HMO by Enrollment
- Community Blue Medicare HMO Signature (HMO) — 62 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 typical premium for HMO plans in Fulton?
HMO plans in Fulton cost $27.86 per month on average.
Which HMO plan do most beneficiaries choose in Fulton?
The most popular HMO plan in Fulton is Community Blue Medicare HMO Signature (HMO), with 62 enrollees.
How many HMO options are offered without prescription drug coverage in Fulton?
There are 2 HMO plans in Fulton 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 8
- Average Monthly Premium $8.96/mo
- Total HMO-POS Enrollment 151
- $0 Premium HMO-POS Plans 6
- Average MOOP $6,194
- Top HMO-POS by Enrollment Aetna Medicare Advantra Signature Plus (HMO-POS) — 94 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 total number of HMO-POS plans in Fulton?
In 2026, Fulton has 8 HMO-POS plans with 151 enrollees.
How much do HMO-POS plans cost in Fulton?
The typical HMO-POS premium in Fulton is $8.96, and 6 plans have no monthly premium.
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 Fulton cost $0.00 per month on average.
- Which PFFS plan is most popular in Fulton?
- The most popular PFFS plan in Fulton is , with 0 enrollees.
- How many PFFS plans in Fulton do not include drug coverage?
- There are 1 PFFS plans in Fulton without prescription drug coverage.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Fulton 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) | 38 | 70% |
| 3 Stars | 16 | 30% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 4% |
| Average Rating | 4.13 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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.
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.