- Entity
- county:pennsylvania-lawrence-42073
- 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/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
- 59
- PPO Plans
- 32
- HMO Plans
- 16
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 37.03
- Average MOOP
- 6810.34
- Average Part D Deductible
- 554.46
- $0 Premium Plans
- 33
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 4.07
- $0 Premium Plan Share
- 55.93
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 76
- 3-Star Plan Share
- 24
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 2
- PPO Average Monthly Premium
- 37.56
- PPO Average MOOP
- 7057.81
- PPO Enrollment
- 3286
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 32.31
- HMO Average MOOP
- 6731.88
- HMO Enrollment
- 3448
- HMO $0 Premium Plans
- 10
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 42.36
- HMO-POS Average MOOP
- 6204.55
- HMO-POS Enrollment
- 4498
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 3
- Entity
- county:pennsylvania-lawrence-42073
- 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/lawrence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-lawrence-42073-landscape-stats
- Plans Indexed
- 59
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Premier Plus
H5522-005-0 -
Community Blue Medicare HMO Signature
H3957-047-2 -
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
H3916-041-2 -
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 Essential Rx
H5533-017-1 -
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 High Deductible Rx
H5533-003-0 -
UPMC for Life PPO Premier Rx
H5533-013-0 -
UPMC for Life PPO Rx Choice
H5533-020-0 -
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 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 -
Humana Essentials Plus Giveback
H5525-085-1 -
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 -
Humana Value Choice
H5525-051-1 -
HumanaChoice Giveback H5216-116
H5216-116-0 -
HumanaChoice H5216-023
H5216-023-0 -
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 -
HealthSpring Preferred
H3949-047-0 -
HealthSpring Preferred Plus
H3949-048-0 -
HealthSpring True Choice
H7849-106-0 -
Perennial Advantage Freedom
H3419-006-0
-
Aetna Medicare Advantra Signature Giveback
- Total Standard Medicare Advantage Enrollment
- 11232
2027 Medicare Advantage Plans in Lawrence County, PA
Last update: .
For 2027, Lawrence County, PA includes 59 Medicare Advantage plans. Enrollment across these plans totals approximately 11,232, with 33 $0 premium options and 76% 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
- 32
- Average Monthly Premium
- $37.56/mo
- Total PPO Enrollment
- 3,286
- $0 Premium PPO Plans
- 17
- Average MOOP
- $7,058
- Top PPO by Enrollment
- Complete Blue PPO Distinct (PPO) — 1,097 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the average monthly premium for PPO plans in Lawrence?
PPO plans in Lawrence cost $37.56 per month on average.
Which PPO plan has the highest enrollment in Lawrence?
The most popular PPO plan in Lawrence is Complete Blue PPO Distinct (PPO), with 1,097 enrollees.
How many PPO plans in Lawrence do not include prescription drug coverage?
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 16
- Average Monthly Premium $32.31/mo
- Total HMO Enrollment 3,448
- $0 Premium HMO Plans 10
- Average MOOP $6,732
- Top HMO by Enrollment UPMC for Life HMO Rx Choice (HMO) — 1,014 enrollees
- HMO Plans Without Drug Coverage 1
What is the top HMO by enrollment in Lawrence?
UPMC for Life HMO Rx Choice (HMO) is the top HMO in Lawrence, with 1,014 enrollees.
What is the number of HMO plans without Part D coverage in Lawrence?
1 HMO plans in Lawrence 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
- $42.36/mo
- Total HMO-POS Enrollment
- 4,498
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $6,205
- Top HMO-POS by Enrollment
- Aetna Medicare Advantra Enhanced (HMO-POS) — 1,818 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| 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 | $188 | $4,500 | $0 | H3957-046-1 | |
| Security Blue HMO-POS Standard | $132 | $5,000 | $0 | H3957-045-1 | |
| Security Blue HMO-POS ValueRx | $53 | $5,500 | $700 | H3957-031-0 | |
| 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 typical premium for HMO-POS plans in Lawrence?
HMO-POS plans in Lawrence cost $42.36 per month on average.
Which HMO-POS plan has the most members in Lawrence?
The most popular HMO-POS plan in Lawrence is Aetna Medicare Advantra Enhanced (HMO-POS), with 1,818 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Lawrence?
There are 3 HMO-POS plans in Lawrence without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Lawrence 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) | 44 | 76% |
| 3 Stars | 14 | 24% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 4.07 | |
* 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 Lawrence County, Pennsylvania, including communities such as New Castle, Bessemer, Edinburg, Ellwood City, Enon Valley, New Wilmington, Pulaski, Volant, Wampum, 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: 2026-09
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, non-government informational resource and is not affiliated with or endorsed by 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.