2026 Medicare Advantage Plans in Northampton County, PA
Last update: . Enrollment data updated: June 13, 2026
In Northampton County, PA, there are 76 Medicare Advantage plans available for 2026. Of these, 41 offer a $0 monthly premium, and about 68% 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 Northampton County, PA. Or explore all Medicare Options available in Northampton County, PA.
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 Northampton?
Northampton County has 46 PPO plans for 2026, with 16,639 enrolled.
How much do PPO plans cost in Northampton?
The typical PPO premium in Northampton is $37.60, and 23 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
- 23
- Average Monthly Premium
- $37.33/mo
- Total HMO Enrollment
- 4,768
- $0 Premium HMO Plans
- 12
- Average MOOP
- $6,443
- Top HMO by Enrollment
- Humana Gold Plus H6622-036 (HMO) — 1,112 enrollees
- HMO Plans Without Drug Coverage
- 2
- What is the average monthly premium for HMO plans?
- HMO plans in Northampton cost $37.33 per month on average.
- Which HMO plan is most popular in Northampton?
- The most popular HMO plan in Northampton is Humana Gold Plus H6622-036 (HMO), with 1,112 enrollees.
- How many HMO plans in Northampton do not include drug coverage?
- There are 2 HMO plans in Northampton 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 6
- Average Monthly Premium $5.45/mo
- Total HMO-POS Enrollment 742
- $0 Premium HMO-POS Plans 5
- Average MOOP $6,358
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC PA-0002 (HMO-POS) — 409 enrollees
- HMO-POS Plans Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC PA-0002 | $0 | $6,700 | $440 | H5253-146-0 | |
| 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 | |
| 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 total number of HMO-POS plans in Northampton?
There are 6 HMO-POS plans in 2026, covering 742 enrollees.
How much do HMO-POS plans cost in Northampton?
The average HMO-POS premium in Northampton is $5.45 per month, with 5 plans offering $0 premiums.
What is the leading HMO-POS plan in Northampton?
AARP Medicare Advantage from UHC PA-0002 (HMO-POS) is the top HMO-POS in Northampton, with 409 enrollees.
What is the number of HMO-POS plans without Part D coverage in Northampton?
3 HMO-POS plans in Northampton 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 average monthly premium for PFFS plans?
PFFS plans in Northampton cost $0.00 per month on average.
Which PFFS plan is most popular in Northampton?
The most popular PFFS plan in Northampton is , with 0 enrollees.
How many PFFS plans in Northampton do not include drug coverage?
There are 1 PFFS plans in Northampton without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Northampton 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) | 48 | 68% |
| 3 Stars | 23 | 32% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 5 | 7% |
| Average Rating | 4.11 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
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
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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.