• Skip to main content
  • Skip to secondary menu
  • Skip to footer
Medicare Plans

Medicare Plans

We are Medicare Plans

  • Medicare Options
  • Costs
  • Answers
    • Eligibility
    • Options
    • Enrollment
    • Costs
    • Coverage
  • Medicare Advantage
  • Special Needs
  • Medicare Supplement
  • Prescription Drugs
  1. 🏠
  2. Medicare Advantage Plans
  3. Pennsylvania
  4. Lackawanna County

2026 Medicare Advantage Plans in Lackawanna County, PA

Last update: September 3, 2026.

Lackawanna County, PA has 55 Medicare Advantage plans available in 2026. These include 35 plans with no monthly premium, and roughly 64% 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 Lackawanna County, PA. Or explore all Medicare Options available in Lackawanna County, PA.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium: $27.05/mo
$0 Premium Plans: 35
Average MOOP: $6,620 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 64% · 3 Stars: 36% · Below 3: 0%
Average Part D Deductible: $431.02
Total MA/MAPD Enrollment: 16,029
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Geisinger Gold Classic 360 Rx (HMO) — 4,044 enrollees
2. Geisinger Gold Preferred Complete Rx (PPO) — 1,582 enrollees
3. Community Blue Medicare PPO Signature (PPO) — 1,442 enrollees

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 $36.21/mo
  • Total PPO Enrollment 6,894
  • $0 Premium PPO Plans 19
  • Average MOOP $6,720
  • Top PPO by Enrollment Geisinger Gold Preferred Complete Rx (PPO) — 1,582 enrollees
  • PPO Plans Without Drug Coverage 5

Comparison table of 2026 PPO Medicare Advantage Plans available in Lackawanna County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC PA-0015
☆☆☆☆☆
$0 $6,700 $440 H2001-110-0
Aetna Medicare Advantra Premier
☆☆☆☆☆
$98 $5,900 $615 H5522-002-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
$0 $9,250 $615 H5522-004-0
Aetna Medicare Advantra Signature Giveback
☆☆☆☆☆
$0 $9,250 $615 H5522-017-0
Aetna Medicare Enhanced
☆☆☆☆☆
$183 $7,500 $615 H5521-122-0
Aetna Medicare Signature Extra
☆☆☆☆☆
$0 $6,750 $615 H5521-263-0
Aetna Medicare Value Care
☆☆☆☆☆
$29 $6,900 $615 H5522-013-0
Community Blue Medicare PPO Signature
☆☆☆☆☆
$0 $7,950 $615 H3916-037-2
Complete Blue PPO Distinct
☆☆☆☆☆
$55 $6,750 $615 H3916-060-1
Complete Blue PPO Merit
☆☆☆☆☆
$0 $8,300 $615 H3916-066-0
Freedom Blue PPO Basic
☆☆☆☆☆
$0 $5,900 N/A H3916-012-0
Freedom Blue PPO Deluxe
☆☆☆☆☆
$226 $4,500 $0 H3916-005-0
Freedom Blue PPO Standard
☆☆☆☆☆
$121 $5,000 $0 H3916-015-0
Freedom Blue PPO Valor
☆☆☆☆☆
$0 $6,000 N/A H3916-043-0
Freedom Blue PPO ValueRx
☆☆☆☆☆
$66 $5,500 $0 H3916-018-0
Geisinger Gold Preferred Advantage Rx
☆☆☆☆☆
$114 $4,000 $0 H3924-059-21
Geisinger Gold Preferred Complete Rx
☆☆☆☆☆
$0 $7,200 $0 H3924-065-0
AARP Medicare Advantage from UHC PA-0007
☆☆☆☆☆
$42 $5,900 $520 H2406-046-0
AARP Medicare Advantage from UHC PA-0008
☆☆☆☆☆
$60 $4,900 $520 H2406-047-0
AARP Medicare Advantage from UHC PA-0011
☆☆☆☆☆
$0 $6,700 $520 H2406-072-0
AARP Medicare Advantage Giveback from UHC PA-12
☆☆☆☆☆
$0 $8,900 $600 H2406-101-0
DEVOTED CHOICE 007 PA
☆☆☆☆☆
$0 $5,900 $450 H6018-007-0
DEVOTED CHOICE GIVEBACK 008 PA
☆☆☆☆☆
$0 $9,250 $605 H6018-008-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,700 N/A H5216-221-0
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
$0 $7,350 $500 H5525-059-0
HumanaChoice Giveback H5216-116
☆☆☆☆☆
$0 $4,150 N/A H5216-116-0
HumanaChoice Giveback H5525-085
☆☆☆☆☆
$0 $8,000 $0 H5525-085-2
HumanaChoice H5216-120
☆☆☆☆☆
$94 $7,600 $615 H5216-120-0
HumanaChoice H5525-005
☆☆☆☆☆
$26 $8,300 $615 H5525-005-0
HumanaChoice H5525-051
☆☆☆☆☆
$0 $7,500 $615 H5525-051-1
HumanaChoice H5525-086
☆☆☆☆☆
$29 $6,050 $615 H5525-086-2
HumanaChoice R0110-007
☆☆☆☆☆
$0 $4,500 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
$52 $6,700 $615 R0110-008-0
What is the most popular PPO plan in Lackawanna?

Geisinger Gold Preferred Complete Rx (PPO) is the top PPO in Lackawanna, with 1,582 enrollees.

What is the number of PPO plans without Part D coverage in Lackawanna?

There are 5 PPO plans in Lackawanna 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
$19.26/mo
Total HMO Enrollment
7,978
$0 Premium HMO Plans
7
Average MOOP
$6,718
Top HMO by Enrollment
Geisinger Gold Classic 360 Rx (HMO) — 4,044 enrollees
HMO Plans Without Drug Coverage
1

Comparison table of 2026 HMO Medicare Advantage Plans available in Lackawanna County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Community Blue Medicare HMO Distinct
☆☆☆☆☆
$27 $6,250 $615 H3957-049-1
Community Blue Medicare HMO Signature
☆☆☆☆☆
$0 $6,750 $615 H3957-042-1
Geisinger Gold Classic 360 Rx
☆☆☆☆☆
$0 $7,100 $0 H3954-160-0
Geisinger Gold Classic Advantage Rx
☆☆☆☆☆
$114 $3,450 $0 H3954-157-22
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
Humana Gold Plus H6622-036
☆☆☆☆☆
$0 $8,250 $615 H6622-036-0
DEVOTED CORE 008 PA
☆☆☆☆☆
$0 $6,700 $375 H6852-008-0
DEVOTED GIVEBACK 009 PA
☆☆☆☆☆
$0 $7,000 $605 H6852-009-0

What is the typical premium for HMO plans in Lackawanna?

HMO plans in Lackawanna cost $19.26 per month on average.

Which HMO plan do most beneficiaries choose in Lackawanna?

The most popular HMO plan in Lackawanna is Geisinger Gold Classic 360 Rx (HMO), with 4,044 enrollees.

How many HMO options are offered without prescription drug coverage in Lackawanna?

There are 1 HMO plans in Lackawanna 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 $10.09/mo
  • Total HMO-POS Enrollment 1,019
  • $0 Premium HMO-POS Plans 6
  • Average MOOP $6,644
  • Top HMO-POS by Enrollment Aetna Medicare Advantra Signature (HMO-POS) — 639 enrollees
  • HMO-POS Plans Without Drug Coverage 3

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Lackawanna County, Pennsylvania
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 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 Enhanced
☆☆☆☆☆
$48 $7,500 $615 H3959-039-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
$0 $7,500 $615 H3959-037-0
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 Lackawanna?

In 2026, Lackawanna has 8 HMO-POS plans with 1,019 enrollees.

How much do HMO-POS plans cost in Lackawanna?

The typical HMO-POS premium in Lackawanna is $10.09, 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
3
Average Monthly Premium
$0.00/mo
Total PFFS Enrollment
138
$0 Premium PFFS Plans
3
Average MOOP
$5,100
Top PFFS by Enrollment
Humana Gold Choice H8145-052 (PFFS) — 124 enrollees
PFFS Plans Without Drug Coverage
2

Comparison table of 2026 PFFS Medicare Advantage Plans available in Lackawanna County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-052
☆☆☆☆☆
$0 $7,100 $615 H8145-052-0
Humana Gold Choice H8145-055
☆☆☆☆☆
$0 $6,700 N/A H8145-055-0
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 Lackawanna cost $0.00 per month on average.
Which PFFS plan is most popular in Lackawanna?
The most popular PFFS plan in Lackawanna is Humana Gold Choice H8145-052 (PFFS), with 124 enrollees.
How many PFFS plans in Lackawanna do not include drug coverage?
There are 2 PFFS plans in Lackawanna without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Lackawanna County, PA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Lackawanna County, PA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 34 64%
3 Stars 19 36%
Below 3 Stars 0 0%
Not Rated 2 4%
Average Rating 4.06

* 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.

Footer

About This Site

  • About MedicarePlans.com
  • How We Use CMS Data
  • How We Make Money
  • Editorial Policy
  • Why We Exist

Policies & Standards

    • Privacy Policy
    • Contact Us
    • Terms of Use
    • Medicare Publishing Excellence Standards
    • Medicare AI Visibility Study
    • 2027 Medicare Advantage Market Study

 

Trademark Notice

MedicarePlans.com uses U.S. trademarks, service marks, and registered trademarks solely for purposes of identification, description, and factual reference. All such use constitutes nominative fair use and does not imply affiliation, endorsement, or sponsorship by any trademark holder.

© 2026 MedicarePlans.com. All Rights Reserved
MedicarePlans.com is an independent, non-commercial Medicare data platform.
Editorial stewardship: David W. Bynon