2026 Medicare Advantage Plans in Lawrence County, PA
Last update: . Enrollment data updated: June 13, 2026
For 2026, Lawrence County, PA includes 62 Medicare Advantage plans. Enrollment across these plans totals approximately 12,672, with 35 $0 premium options and 63% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Lawrence County, PA are provided separately. Or you can discover all Medicare Options in Lawrence County, PA.
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
- 34
- Average Monthly Premium
- $34.38/mo
- Total PPO Enrollment
- 4,690
- $0 Premium PPO Plans
- 19
- Average MOOP
- $6,778
- Top PPO by Enrollment
- Complete Blue PPO Distinct (PPO) — 1,094 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the typical premium for PPO plans available in Lawrence?
PPO plans in Lawrence cost $34.38 per month on average.
Which PPO plan do most beneficiaries choose in Lawrence?
The most popular PPO plan in Lawrence is Complete Blue PPO Distinct (PPO), with 1,094 enrollees.
How many PPO options are offered without drug coverage in Lawrence?
5 PPO plans in Lawrence do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 14
- Average Monthly Premium $34.14/mo
- Total HMO Enrollment 3,459
- $0 Premium HMO Plans 8
- Average MOOP $6,204
- Top HMO by Enrollment UPMC for Life HMO Rx Choice (HMO) — 1,027 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Signature | $0 | $6,500 | $615 | H3957-047-2 | |
| Complete Blue HMO Distinct | $20 | $5,900 | $615 | H3957-050-2 | |
| 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 H6622-035 | $0 | $8,300 | $615 | H6622-035-0 | |
| Humana Gold Plus H6622-054 | $0 | $7,950 | $615 | H6622-054-0 | |
| HealthSpring Preferred | $0 | $4,000 | $200 | H3949-047-0 | |
| HealthSpring Preferred Plus | $21 | $4,000 | $200 | H3949-048-0 | |
| DEVOTED CORE 010 PA | $0 | $5,900 | $375 | H6852-010-0 | |
| DEVOTED GIVEBACK 011 PA | $0 | $9,250 | $605 | H6852-011-0 |
What is the total number of HMO plans offered in Lawrence?
In 2026, Lawrence County has 14 HMO plans with 3,459 enrollees.
How much do HMO plans cost in Lawrence?
The typical HMO premium in Lawrence is $34.14, and 8 plans have no monthly premium.
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
- 4,523
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,842
- Top HMO-POS by Enrollment
- Aetna Medicare Advantra Premier (HMO-POS) — 1,831 enrollees
- HMO-POS Plans Without Drug Coverage
- 4
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-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 Lawrence cost $33.59 per month on average.
- Which HMO-POS plan is most popular in Lawrence?
- The most popular HMO-POS plan in Lawrence is Aetna Medicare Advantra Premier (HMO-POS), with 1,831 enrollees.
- How many HMO-POS plans in Lawrence do not include drug coverage?
- There are 4 HMO-POS plans in Lawrence 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 | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-163 | $0 | $1,500 | N/A | H8145-163-0 |
What is the total number of PFFS plans in Lawrence?
There are 1 PFFS plans in 2026, covering 0 enrollees.
How much do PFFS plans cost in Lawrence?
The average PFFS premium in Lawrence is $0.00 per month, with 1 plans offering $0 premiums.
What is the top PFFS plan in Lawrence?
is the top PFFS in Lawrence, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Lawrence?
1 PFFS plans in Lawrence do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Lawrence 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 | 63% |
| 3 Stars | 22 | 37% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 3% |
| Average Rating | 4.03 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.