- Entity
- county:pennsylvania-montgomery-42091
- 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/montgomery/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 58
- PPO Plans
- 27
- HMO Plans
- 21
- HMO-POS Plans
- 10
- PFFS Plans
- 0
- Average Monthly Premium
- 24.51
- Average MOOP
- 7587.07
- Average Part D Deductible
- 526.22
- $0 Premium Plans
- 38
- Plans Without Part D Coverage
- 12
- Average CMS Star Rating
- 3.78
- $0 Premium Plan Share
- 65.52
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 65
- 3-Star Plan Share
- 35
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 2
- PPO Average Monthly Premium
- 32.7
- PPO Average MOOP
- 7524.07
- PPO Enrollment
- 13763
- PPO $0 Premium Plans
- 17
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 17.75
- HMO Average MOOP
- 7445.24
- HMO Enrollment
- 23552
- HMO $0 Premium Plans
- 15
- HMO Plans Without Part D Coverage
- 5
- HMO-POS Average Monthly Premium
- 16.6
- HMO-POS Average MOOP
- 8055
- HMO-POS Enrollment
- 8648
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:pennsylvania-montgomery-42091
- 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/montgomery/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-montgomery-42091-landscape-stats
- Plans Indexed
- 58
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Advantra Premier
H5522-014-0 -
Aetna Medicare Advantra Signature Giveback
H5522-017-0 -
Aetna Medicare Elite
H5522-028-0 -
Complete Blue PPO Distinct
H3916-062-0 -
Freedom Blue PPO Valor
H3916-056-0 -
UPMC for Life HMO No Rx
H3907-002-0 -
UPMC for Life PPO Salute
H5533-016-2 -
AARP Medicare Advantage Essentials from UHC PA-5
H5253-154-0 -
AARP Medicare Advantage Extras from UHC PA-18
H5253-203-0 -
AARP Medicare Advantage from UHC PA-0001
H5253-145-0 -
AARP Medicare Advantage from UHC PA-0008
H2406-047-0 -
AARP Medicare Advantage from UHC PA-0009
H2406-048-0 -
AARP Medicare Advantage from UHC PA-0010
H2406-071-0 -
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 Extra
H5521-263-0 -
Geisinger Gold Heritage
H3954-162-0 -
Geisinger Gold Value Rx
H3954-163-0 -
Humana Essentials Plus Giveback
H5525-085-2 -
Humana Total Complete
H6622-037-0 -
Humana USAA Honor Giveback
H5216-221-0 -
Humana USAA Honor Giveback with Rx
H5525-059-0 -
Humana Value Choice
H5525-051-2 -
HumanaChoice Giveback H5216-116
H5216-116-0 -
HumanaChoice H5216-120
H5216-120-0 -
HumanaChoice H5525-005
H5525-005-0 -
Keystone 65 Assured Rx
H3952-062-0 -
Keystone 65 Basic Rx
H3952-055-0 -
Keystone 65 Essential Rx
H3952-060-0 -
Keystone 65 Focus Rx
H3952-054-0 -
Keystone 65 Liberty Medical Only
H3952-059-0 -
Keystone 65 Preferred Medical Only
H3952-008-0 -
Keystone 65 Preferred Rx
H3952-045-0 -
Keystone 65 Select Medical Only
H3952-050-0 -
Keystone 65 Select Rx
H3952-051-0 -
Personal Choice 65 Achieve Rx
H3909-020-0 -
Personal Choice 65 Rx
H3909-009-0 -
Aetna Medicare Advantra Eagle
H3959-094-0 -
Aetna Medicare Advantra Signature
H3959-052-0 -
Aetna Medicare Value Care
H3959-033-0 -
DEVOTED CORE 023 PA
H6852-023-0 -
DEVOTED GIVEBACK EXTRAS 036 PA
H6852-036-0 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Wellcare Simple
H2915-003-0 -
DEVOTED CHOICE 007 PA
H6018-007-0 -
DEVOTED CHOICE GIVEBACK 003 PA
H6018-003-0 -
HealthSpring Preferred
H3949-052-0 -
HealthSpring Preferred PA
H3949-031-0 -
HealthSpring Preferred Plus
H3949-030-0 -
HealthSpring Preferred Savings
H3949-053-0 -
HealthSpring True Choice
H7849-151-0 -
Jefferson Health Plans Complete
H9207-012-0 -
Jefferson Health Plans Flex
H1619-001-0 -
Jefferson Health Plans Giveback
H9207-015-0 -
Jefferson Health Plans Preferred
H1619-004-0 -
Jefferson Health Plans Prime
H9207-002-0 -
Perennial Advantage Freedom
H3419-006-0
-
Aetna Medicare Advantra Premier
- Total Standard Medicare Advantage Enrollment
- 45963
2027 Medicare Advantage Plans in Montgomery County, PA
Last update: .
In Montgomery County, PA, there are 58 Medicare Advantage plans available for 2027. Of these, 38 offer a $0 monthly premium, and about 65% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Montgomery?
Montgomery County has 27 PPO plans for 2027, with 13,763 enrolled.
How much do PPO plans cost in Montgomery?
The typical PPO premium in Montgomery is $32.70, and 17 plans have no monthly premium.
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
- 21
- Average Monthly Premium
- $17.75/mo
- Total HMO Enrollment
- 23,552
- $0 Premium HMO Plans
- 15
- Average MOOP
- $7,445
- Top HMO by Enrollment
- Keystone 65 Basic Rx (HMO) — 12,104 enrollees
- HMO Plans Without Drug Coverage
- 5
- What is the average monthly premium for HMO plans?
- HMO plans in Montgomery cost $17.75 per month on average.
- Which HMO plan is most popular in Montgomery?
- The most popular HMO plan in Montgomery is Keystone 65 Basic Rx (HMO), with 12,104 enrollees.
- How many HMO plans in Montgomery do not include drug coverage?
- There are 5 HMO plans in Montgomery 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 10
- Average Monthly Premium $16.60/mo
- Total HMO-POS Enrollment 8,648
- $0 Premium HMO-POS Plans 6
- Average MOOP $8,055
- Top HMO-POS by Enrollment Keystone 65 Essential Rx (HMO-POS) — 2,690 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC PA-5 | $0 | $6,700 | $685 | H5253-154-0 | |
| AARP Medicare Advantage Extras from UHC PA-18 | $0 | $7,150 | $685 | H5253-203-0 | |
| AARP Medicare Advantage from UHC PA-0001 | $63 | $6,700 | $685 | H5253-145-0 | |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | $0 | $7,150 | N/A | H5253-152-0 | |
| Keystone 65 Essential Rx | $45 | $9,000 | $700 | H3952-060-0 | |
| Keystone 65 Focus Rx | $15 | $7,150 | $700 | H3952-054-0 | |
| Aetna Medicare Advantra Eagle | $0 | $7,150 | N/A | H3959-094-0 | |
| Aetna Medicare Advantra Signature | $0 | $9,850 | $400 | H3959-052-0 | |
| Aetna Medicare Value Care | $43 | $9,850 | $700 | H3959-033-0 | |
| Wellcare Simple | $0 | $9,850 | $700 | H2915-003-0 |
What is the total number of HMO-POS plans in Montgomery?
There are 10 HMO-POS plans in 2027, covering 8,648 enrollees.
How much do HMO-POS plans cost in Montgomery?
The average HMO-POS premium in Montgomery is $16.60 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Montgomery?
Keystone 65 Essential Rx (HMO-POS) is the top HMO-POS in Montgomery, with 2,690 enrollees.
What is the number of HMO-POS plans without Part D coverage in Montgomery?
2 HMO-POS plans in Montgomery do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Montgomery County, PA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 37 | 65% |
| 3 Stars | 20 | 35% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.78 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Montgomery County, Pennsylvania, including communities such as East Greenville, Green Lane, Pennsburg, Perkiomenville, Red Hill, Souderton, Telford, Abington, Ambler, Ardmore, Bala Cynwyd, Huntingdon Valley, Cheltenham, Dresher, Elkins Park, Flourtown, Fort Washington, Gladwyne, Glenside, Hatboro, Haverford, Horsham, Jenkintown, Merion Station, Narberth, Oreland, Willow Grove, Wyncote, Wynnewood, Norristown, Bridgeport, King Of Prussia, Blue Bell, Collegeville, Conshohocken, Harleysville, Hatfield, Lafayette Hill, Lansdale, North Wales, Plymouth Meeting, Pottstown, Royersford, Schwenksville, Gilbertsville, 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: 2026-10
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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.