- Entity
- county:pennsylvania-lawrence-42073
- 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/lawrence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 62
- PPO Plans
- 34
- HMO Plans
- 14
- HMO-POS Plans
- 13
- PFFS Plans
- 1
- Average Monthly Premium
- 33.61
- Average MOOP
- 6366.94
- Average Part D Deductible
- 398.53
- $0 Premium Plans
- 35
- Plans Without Part D Coverage
- 11
- Average CMS Star Rating
- 4.03
- $0 Premium Plan Share
- 56.45
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 63
- 3-Star Plan Share
- 37
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 3
- PPO Average Monthly Premium
- 34.38
- PPO Average MOOP
- 6777.94
- PPO Enrollment
- 4715
- PPO $0 Premium Plans
- 19
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 34.14
- HMO Average MOOP
- 6203.57
- HMO Enrollment
- 3458
- HMO $0 Premium Plans
- 8
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 33.59
- HMO-POS Average MOOP
- 5842.31
- HMO-POS Enrollment
- 4509
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 4
- 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-lawrence-42073
- 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/lawrence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-lawrence-42073-landscape-stats
- Plans Indexed
- 62
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Enhanced
H5521-122-0 -
Aetna Medicare Signature
H5521-261-0 -
Aetna Medicare Value Plus
H5522-005-0 -
Community Blue Medicare HMO Signature
H3957-047-2 -
Complete Blue HMO Distinct
H3957-050-2 -
Complete Blue PPO Distinct
H3916-035-2 -
Complete Blue PPO Merit
H3916-057-0 -
Complete Blue PPO Signature
H3916-038-0 -
Freedom Blue PPO Classic
H3916-001-0 -
Freedom Blue PPO Select
H3916-022-0 -
Freedom Blue PPO Valor
H3916-067-0 -
Freedom Blue PPO ValueRx
H3916-032-0 -
Security Blue HMO-POS Basic
H3957-043-1 -
Security Blue HMO-POS Deluxe
H3957-046-1 -
Security Blue HMO-POS Standard
H3957-045-1 -
Security Blue HMO-POS ValueRx
H3957-031-0 -
UPMC for Life HMO Deductible Rx
H3907-037-0 -
UPMC for Life HMO No Rx
H3907-002-0 -
UPMC for Life HMO Premier Rx
H3907-059-1 -
UPMC for Life HMO Rx
H3907-058-1 -
UPMC for Life HMO Rx Choice
H3907-057-2 -
UPMC for Life HMO Rx Enhanced
H3907-006-0 -
UPMC for Life PPO Essential Care Rx
H5533-017-1 -
UPMC for Life PPO High Deductible Rx
H5533-003-0 -
UPMC for Life PPO Premier Rx
H5533-013-0 -
UPMC for Life PPO Rx Choice
H5533-015-2 -
UPMC for Life PPO Rx Enhanced
H5533-005-0 -
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 Premier
H3959-002-0 -
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 Gold Plus H6622-054
H6622-054-0 -
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
H5525-085-1 -
HumanaChoice H5216-023
H5216-023-0 -
HumanaChoice H5216-120
H5216-120-0 -
HumanaChoice H5525-005
H5525-005-0 -
HumanaChoice H5525-051
H5525-051-1 -
HumanaChoice H5525-086
H5525-086-1 -
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 -
HealthSpring Preferred
H3949-047-0 -
HealthSpring Preferred Plus
H3949-048-0 -
HealthSpring True Choice
H7849-106-0 -
DEVOTED CORE 010 PA
H6852-010-0 -
DEVOTED GIVEBACK 011 PA
H6852-011-0
-
Aetna Medicare Advantra Signature Giveback
- Total Standard Medicare Advantage Enrollment
- 12682
2026 Medicare Advantage Plans in Lawrence County, PA
Last update: .
In Lawrence County, PA, there are 62 Medicare Advantage plans available for 2026. Of these, 35 offer a $0 monthly premium, and about 63% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Lawrence County, PA. Or explore all Medicare Options available in Lawrence 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 34
- Average Monthly Premium $34.38/mo
- Total PPO Enrollment 4,715
- $0 Premium PPO Plans 19
- Average MOOP $6,778
- Top PPO by Enrollment Complete Blue PPO Distinct (PPO) — 1,097 enrollees
- PPO Plans Without Drug Coverage 5
What is the total number of PPO plans offered in Lawrence?
There are 34 PPO plans in 2026, covering 4,715 beneficiaries.
How much do PPO plans cost in Lawrence?
The average PPO premium in Lawrence is $34.38 per month, with 19 plans offering $0 premiums.
What is the most popular PPO plan in Lawrence?
Complete Blue PPO Distinct (PPO) is the top PPO in Lawrence, with 1,097 enrollees.
What is the number of PPO plans without Part D coverage in Lawrence?
There are 5 PPO plans in Lawrence 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
- $34.14/mo
- Total HMO Enrollment
- 3,458
- $0 Premium HMO Plans
- 8
- Average MOOP
- $6,204
- Top HMO by Enrollment
- UPMC for Life HMO Rx Choice (HMO) — 1,018 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 average monthly premium for HMO plans?
HMO plans in Lawrence cost $34.14 per month on average.
Which HMO plan is most popular in Lawrence?
The most popular HMO plan in Lawrence is UPMC for Life HMO Rx Choice (HMO), with 1,018 enrollees.
How many HMO plans in Lawrence do not include drug coverage?
There are 1 HMO plans in Lawrence without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 leading HMO-POS plan in Lawrence?
Aetna Medicare Advantra Premier (HMO-POS) is the top HMO-POS in Lawrence, with 1,826 enrollees.
What is the number of HMO-POS plans without Part D coverage in Lawrence?
4 HMO-POS plans in Lawrence do not include prescription drug coverage.
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 typical premium for PFFS plans in Lawrence?
PFFS plans in Lawrence cost $0.00 per month on average.
Which PFFS plan has the most enrollment in Lawrence?
The most popular PFFS plan in Lawrence is , with 0 enrollees.
How many PFFS options are available without prescription drug coverage in Lawrence?
There are 1 PFFS plans in Lawrence without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Lawrence 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 | 63% |
| 3 Stars | 22 | 37% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 3% |
| Average Rating | 4.03 | |
* 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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.
This page follows data provenance practices aligned with the 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.