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  1. 🏠
  2. Medicare Advantage Plans
  3. Pennsylvania
  4. Lehigh County

2027 Medicare Advantage Plans in Lehigh County, PA

Last update: October 5, 2026.

For 2027, Lehigh County, PA includes 74 Medicare Advantage plans. Enrollment across these plans totals approximately 23,028, with 42 $0 premium options and 77% rated 4 stars or higher.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

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

  • Average Monthly Premium: $34.82/mo
  • $0 Premium Plans: 42
  • Average MOOP: $7,236 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): 4+ Stars: 77% · 3 Stars: 23% · Below 3: 0%
  • Average Part D Deductible: $526.67
  • Total MA/MAPD Enrollment: 23,028
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Community Blue Medicare PPO Signature (PPO) — 4,594 enrollees
    2. Capital Blue Cross Enhanced (PPO) — 1,970 enrollees
    3. Aetna Medicare Signature Giveback (PPO) — 1,473 enrollees

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Lehigh County, PA are summarized separately. Visit Medicare Options in Lehigh County, PA to see more options. For a broader perspective, explore Pennsylvania Medicare Advantage plans, including statewide premiums, out-of-pocket costs, CMS ratings, and enrollment comparisons.

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
45
Average Monthly Premium
$38.16/mo
Total PPO Enrollment
17,406
$0 Premium PPO Plans
23
Average MOOP
$7,309
Top PPO by Enrollment
Community Blue Medicare PPO Signature (PPO) — 4,594 enrollees
PPO Plans Without Drug Coverage
6

2027 PPO Medicare Advantage plans in Lehigh County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Aetna Medicare Advantra Premier
☆☆☆☆☆
$99 $5,900 $700 H5522-002-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
$0 $9,250 $700 H5522-004-0
Aetna Medicare Enhanced
☆☆☆☆☆
$76 $9,850 $700 H5522-032-0
Aetna Medicare Signature Giveback
☆☆☆☆☆
$0 $7,150 $700 H5522-022-0
Community Blue Medicare PPO Signature
☆☆☆☆☆
$0 $7,150 $700 H3916-037-8
Complete Blue PPO Distinct
☆☆☆☆☆
$90 $7,150 $700 H3916-060-5
Complete Blue PPO Merit
☆☆☆☆☆
$0 $8,300 $700 H3916-069-1
Freedom Blue PPO Basic
☆☆☆☆☆
$0 $5,900 N/A H3916-012-0
Freedom Blue PPO Deluxe
☆☆☆☆☆
$239 $4,500 $0 H3916-005-0
Freedom Blue PPO Standard
☆☆☆☆☆
$135 $5,000 $0 H3916-015-0
Freedom Blue PPO Valor
☆☆☆☆☆
$0 $6,000 N/A H3916-043-0
Freedom Blue PPO ValueRx
☆☆☆☆☆
$84 $5,500 $700 H3916-018-0
UPMC for Life Essential Rx
☆☆☆☆☆
$0 $8,000 $700 H5533-017-1
UPMC for Life PPO Rx Enhanced
☆☆☆☆☆
$60 $7,550 $700 H5533-008-0
UPMC for Life PPO Salute
☆☆☆☆☆
$0 $9,850 N/A H5533-016-1
AARP Medicare Advantage from UHC PA-0007
☆☆☆☆☆
$57 $6,300 $595 H2406-046-0
AARP Medicare Advantage from UHC PA-0008
☆☆☆☆☆
$60 $5,900 $685 H2406-047-0
AARP Medicare Advantage from UHC PA-0011
☆☆☆☆☆
$0 $7,150 $685 H2406-072-0
AARP Medicare Advantage Giveback from UHC PA-12
☆☆☆☆☆
$0 $9,200 $685 H2406-101-0
Aetna Medicare Signature Extra
☆☆☆☆☆
$0 $7,150 $700 H5521-263-0
Capital Blue Cross Basic
☆☆☆☆☆
$28 $9,800 $700 H3923-049-3
Capital Blue Cross Classic
☆☆☆☆☆
$77 $6,700 $700 H3923-013-0
Capital Blue Cross Complete
☆☆☆☆☆
$44 $7,100 $700 H3923-047-3
Capital Blue Cross Enhanced
☆☆☆☆☆
$32 $6,800 $700 H3923-046-3
Capital Blue Cross Prime
☆☆☆☆☆
$184 $6,700 $550 H3923-017-0
Capital Blue Cross Select
☆☆☆☆☆
$0 $9,850 $700 H3923-044-3
Capital Blue Cross Value
☆☆☆☆☆
$0 $9,000 $700 H3923-045-3
Geisinger Gold Preferred Advantage Rx
☆☆☆☆☆
$104 $4,450 $0 H3924-059-22
Geisinger Gold Preferred Balance Rx
☆☆☆☆☆
$29 $9,850 $0 H3924-067-0
Geisinger Gold Preferred Complete Rx
☆☆☆☆☆
$0 $9,850 $700 H3924-065-0
Humana Essentials Plus Giveback
☆☆☆☆☆
$0 $8,250 $700 H5525-085-2
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,700 N/A H5216-221-0
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
$0 $7,350 $700 H5525-059-0
Humana Value Choice
☆☆☆☆☆
$0 $8,000 $700 H5525-051-1
HumanaChoice Giveback H5216-116
☆☆☆☆☆
$0 $4,150 N/A H5216-116-0
HumanaChoice H5216-120
☆☆☆☆☆
$107 $7,600 $700 H5216-120-0
HumanaChoice H5525-006
☆☆☆☆☆
$50 $6,700 $700 H5525-006-0
HumanaChoice H5525-086
☆☆☆☆☆
$38 $6,050 $700 H5525-086-2
HumanaChoice R0110-007
☆☆☆☆☆
$0 $4,750 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
$75 $7,150 $700 R0110-008-0
DEVOTED CHOICE 007 PA
☆☆☆☆☆
$0 $7,100 $650 H6018-007-0
DEVOTED CHOICE GIVEBACK 003 PA
☆☆☆☆☆
$0 $9,850 $461 H6018-003-0
HealthSpring True Choice
☆☆☆☆☆
$9 $7,900 $700 H7849-151-0
Jefferson Health Plans Flex
☆☆☆☆☆
$0 $8,000 $0 H1619-001-0
Jefferson Health Plans Preferred
☆☆☆☆☆
$40 $6,500 $0 H1619-004-0
What is the average monthly premium for PPO plans in Lehigh?
PPO plans in Lehigh cost $38.16 per month on average.
Which PPO plan has the highest enrollment in Lehigh?
The most popular PPO plan in Lehigh is Community Blue Medicare PPO Signature (PPO), with 4,594 enrollees.
How many PPO plans in Lehigh do not include prescription drug coverage?
6 PPO plans in Lehigh 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.

Total HMO Plans
24
Average Monthly Premium
$35.83/mo
Total HMO Enrollment
4,945
$0 Premium HMO Plans
14
Average MOOP
$6,963
Top HMO by Enrollment
Humana Gold Plus H6622-036 (HMO) — 1,179 enrollees
HMO Plans Without Drug Coverage
2

2027 HMO Medicare Advantage plans in Lehigh County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Community Blue Medicare HMO Distinct
☆☆☆☆☆
$53 $6,500 $700 H3957-049-5
Community Blue Medicare HMO Signature
☆☆☆☆☆
$0 $6,950 $700 H3957-042-4
UPMC for Life HMO No Rx
☆☆☆☆☆
$0 $6,500 N/A H3907-002-0
UPMC for Life HMO Premier Rx
☆☆☆☆☆
$0 $7,000 $700 H3907-059-3
UPMC for Life HMO Rx
☆☆☆☆☆
$90 $4,500 $0 H3907-058-1
UPMC for Life HMO Rx Choice
☆☆☆☆☆
$40 $6,000 $700 H3907-057-4
UPMC for Life HMO Rx Enhanced
☆☆☆☆☆
$295 $7,550 $0 H3907-006-0
Capital Blue Cross Essential
☆☆☆☆☆
$0 $7,100 $700 H3962-022-3
Capital Blue Cross Premier
☆☆☆☆☆
$90 $5,000 $350 H3962-001-0
Capital Blue Cross Value
☆☆☆☆☆
$63 $6,500 $700 H3962-023-3
Geisinger Gold Classic 360 Rx
☆☆☆☆☆
$0 $9,850 $700 H3954-160-0
Geisinger Gold Classic Advantage Rx
☆☆☆☆☆
$129 $3,450 $0 H3954-157-22
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 H6622-036
☆☆☆☆☆
$0 $8,250 $700 H6622-036-0
DEVOTED CORE 008 PA
☆☆☆☆☆
$0 $6,750 $650 H6852-008-0
DEVOTED GIVEBACK 009 PA
☆☆☆☆☆
$0 $8,000 $461 H6852-009-0
DEVOTED GIVEBACK EXTRAS 032 PA
☆☆☆☆☆
$0 $7,100 $700 H6852-032-0
HealthSpring Preferred
☆☆☆☆☆
$0 $7,700 $500 H3949-052-0
Jefferson Health Plans Complete
☆☆☆☆☆
$0 $7,500 $0 H9207-012-0
Jefferson Health Plans Giveback
☆☆☆☆☆
$0 $9,850 $450 H9207-015-0
Jefferson Health Plans Prime
☆☆☆☆☆
$13 $6,500 $0 H9207-002-0
What is the total number of HMO plans offered in Lehigh?

There are 24 HMO plans in 2027, covering 4,945 enrollees.

How much do HMO plans cost in Lehigh?

The average HMO premium in Lehigh is $35.83 per month, with 14 plans offering $0 premiums.

What is the top HMO by enrollment in Lehigh?

Humana Gold Plus H6622-036 (HMO) is the top HMO in Lehigh, with 1,179 enrollees.

What is the number of HMO plans without Part D coverage in Lehigh?

2 HMO plans in Lehigh 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
5
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
677
$0 Premium HMO-POS Plans
5
Average MOOP
$7,900
Top HMO-POS by Enrollment
AARP Medicare Advantage from UHC PA-0002 (HMO-POS) — 368 enrollees
HMO-POS Plans Without Drug Coverage
2

2027 HMO-POS Medicare Advantage plans in Lehigh County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
AARP Medicare Advantage from UHC PA-0002
☆☆☆☆☆
$0 $7,150 $685 H5253-146-0
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 Signature
☆☆☆☆☆
$0 $9,850 $400 H3959-101-0
Wellcare Simple
☆☆☆☆☆
$0 $9,850 $700 H2915-003-0

What is the average monthly premium for HMO-POS plans?

HMO-POS plans in Lehigh cost $0.00 per month on average.

Which HMO-POS plan is most popular in Lehigh?

The most popular HMO-POS plan in Lehigh is AARP Medicare Advantage from UHC PA-0002 (HMO-POS), with 368 enrollees.

How many HMO-POS plans in Lehigh do not include drug coverage?

There are 2 HMO-POS plans in Lehigh without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Lehigh County, PA (2027) are summarized below.

Medicare Advantage Plan Ratings in Lehigh County, PA (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 57 77%
3 Stars 17 23%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.97

* 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 Lehigh County, Pennsylvania, including communities such as Alburtis, Breinigsville, Catasauqua, Center Valley, Coopersburg, Coplay, Emmaus, Fogelsville, Whitehall, Germansville, Macungie, New Tripoli, Orefield, Schnecksville, Slatington, Zionsville, Allentown, 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 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.

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