- Entity
- county:pennsylvania-jefferson-42065
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 51
- PPO Plans
- 28
- HMO Plans
- 12
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 32.59
- Average MOOP
- 6863.92
- Average Part D Deductible
- 511.17
- $0 Premium Plans
- 30
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 4.03
- $0 Premium Plan Share
- 58.82
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 78
- 3-Star Plan Share
- 22
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 36.04
- PPO Average MOOP
- 7082.14
- PPO Enrollment
- 1325
- PPO $0 Premium Plans
- 16
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 22.42
- HMO Average MOOP
- 6959.17
- HMO Enrollment
- 2267
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 34.91
- HMO-POS Average MOOP
- 6204.55
- HMO-POS Enrollment
- 1568
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 3
- Entity
- county:pennsylvania-jefferson-42065
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-jefferson-42065-landscape-stats
- Plans Indexed
- 51
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Premier Plus
H5522-005-0 -
Community Blue Medicare HMO Signature
H3957-047-3 -
Complete Blue HMO Distinct
H3957-050-3 -
Complete Blue PPO Distinct
H3916-035-5 -
Complete Blue PPO Signature
H3916-041-3 -
Freedom Blue PPO Classic
H3916-002-0 -
Freedom Blue PPO Select
H3916-024-0 -
Freedom Blue PPO Valor
H3916-067-0 -
Freedom Blue PPO ValueRx
H3916-033-0 -
Security Blue HMO-POS Basic
H3957-043-2 -
Security Blue HMO-POS Deluxe
H3957-046-2 -
Security Blue HMO-POS Standard
H3957-045-2 -
Security Blue HMO-POS ValueRx
H3957-044-1 -
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 Signature
H5521-261-0 -
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 Balance Rx
H3924-067-0 -
Geisinger Gold Preferred Complete Rx
H3924-065-0 -
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 H5525-005
H5525-005-0 -
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 -
DEVOTED CORE 010 PA
H6852-010-0 -
DEVOTED GIVEBACK 011 PA
H6852-011-0 -
DEVOTED GIVEBACK EXTRAS 033 PA
H6852-033-0 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Wellcare Simple
H2915-003-0 -
DEVOTED CHOICE 010 PA
H6018-010-0 -
DEVOTED CHOICE GIVEBACK 011 PA
H6018-011-0
-
Aetna Medicare Advantra Signature Giveback
- Total Standard Medicare Advantage Enrollment
- 5160
2027 Medicare Advantage Plans in Jefferson County, PA
Last update: .
For 2027, Jefferson County, PA includes 51 Medicare Advantage plans. Enrollment across these plans totals approximately 5,160, with 30 $0 premium options and 78% rated 4 stars or higher.
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
- 28
- Average Monthly Premium
- $36.04/mo
- Total PPO Enrollment
- 1,325
- $0 Premium PPO Plans
- 16
- Average MOOP
- $7,082
- Top PPO by Enrollment
- Aetna Medicare Premier Plus (PPO) — 305 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Jefferson?
- PPO plans in Jefferson cost $36.04 per month on average.
- Which PPO plan has the highest enrollment in Jefferson?
- The most popular PPO plan in Jefferson is Aetna Medicare Premier Plus (PPO), with 305 enrollees.
- How many PPO plans in Jefferson do not include prescription drug coverage?
- 5 PPO plans in Jefferson 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 | $6,950 | $700 | H3957-047-3 | |
| Complete Blue HMO Distinct | $47 | $6,450 | $700 | H3957-050-3 | |
| UPMC for Life HMO No Rx | $0 | $6,500 | N/A | H3907-002-0 | |
| Geisinger Gold Classic Advantage Rx | $135 | $3,450 | $0 | H3954-157-23 | |
| Geisinger Gold Classic Complete Rx | $58 | $5,700 | $0 | H3954-158-13 | |
| Geisinger Gold Classic Essential Rx | $0 | $7,150 | $700 | H3954-161-0 | |
| 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 | |
| DEVOTED CORE 010 PA | $0 | $5,900 | $650 | H6852-010-0 | |
| DEVOTED GIVEBACK 011 PA | $0 | $9,850 | $461 | H6852-011-0 | |
| DEVOTED GIVEBACK EXTRAS 033 PA | $0 | $7,600 | $700 | H6852-033-0 |
What is the total number of HMO plans offered in Jefferson?
There are 12 HMO plans in 2027, covering 2,267 enrollees.
How much do HMO plans cost in Jefferson?
The average HMO premium in Jefferson is $22.42 per month, with 8 plans offering $0 premiums.
What is the top HMO by enrollment in Jefferson?
Community Blue Medicare HMO Signature (HMO) is the top HMO in Jefferson, with 1,150 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
2 HMO plans in Jefferson 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
- 11
- Average Monthly Premium
- $34.91/mo
- Total HMO-POS Enrollment
- 1,568
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $6,205
- Top HMO-POS by Enrollment
- Security Blue HMO-POS ValueRx (HMO-POS) — 690 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Security Blue HMO-POS Basic | $0 | $5,900 | N/A | H3957-043-2 | |
| Security Blue HMO-POS Deluxe | $119 | $4,500 | $0 | H3957-046-2 | |
| Security Blue HMO-POS Standard | $118 | $5,000 | $0 | H3957-045-2 | |
| Security Blue HMO-POS ValueRx | $54 | $5,500 | $700 | H3957-044-1 | |
| 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Jefferson cost $34.91 per month on average.
Which HMO-POS plan is most popular in Jefferson?
The most popular HMO-POS plan in Jefferson is Security Blue HMO-POS ValueRx (HMO-POS), with 690 enrollees.
How many HMO-POS plans in Jefferson do not include drug coverage?
There are 3 HMO-POS plans in Jefferson without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Jefferson County, PA (2027) 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 | 78% |
| 3 Stars | 11 | 22% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.03 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Jefferson County, Pennsylvania, including communities such as Punxsutawney, Brockway, Brookville, Falls Creek, Reynoldsville, Summerville, 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: 2026-10
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.