- Entity
- county:pennsylvania-philadelphia-42101
- 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/philadelphia/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 63
- PPO Plans
- 31
- HMO Plans
- 21
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 23.45
- Average MOOP
- 7607.14
- Average Part D Deductible
- 516.45
- $0 Premium Plans
- 43
- Plans Without Part D Coverage
- 14
- Average CMS Star Rating
- 3.82
- $0 Premium Plan Share
- 68.25
- 5-Star Plan Share
- 3
- 4+ Star Plan Share
- 66
- 3-Star Plan Share
- 34
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 2
- PPO Average Monthly Premium
- 30.85
- PPO Average MOOP
- 7575.81
- PPO Enrollment
- 16481
- PPO $0 Premium Plans
- 20
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 17.61
- HMO Average MOOP
- 7445.24
- HMO Enrollment
- 47058
- HMO $0 Premium Plans
- 15
- HMO Plans Without Part D Coverage
- 5
- HMO-POS Average Monthly Premium
- 13.73
- HMO-POS Average MOOP
- 8004.55
- HMO-POS Enrollment
- 15936
- HMO-POS $0 Premium Plans
- 8
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:pennsylvania-philadelphia-42101
- 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/philadelphia/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-pennsylvania-philadelphia-42101-landscape-stats
- Plans Indexed
- 63
- Standard Medicare Advantage Plans
-
-
Clover Health Choice
H5141-038-0 -
Clover Health Valor
H5141-061-0 -
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 -
HumanaChoice H5525-086
H5525-086-2 -
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
H3952-053-0 -
Keystone 65 Liberty Medical Only
H3952-059-0 -
Keystone 65 Preferred Medical Only
H3952-008-0 -
Keystone 65 Preferred Rx
H3952-020-0 -
Keystone 65 Select Medical Only
H3952-048-0 -
Keystone 65 Select Rx
H3952-049-0 -
Personal Choice 65 Achieve Rx
H3909-020-0 -
Personal Choice 65 Medical Only
H3909-007-0 -
Personal Choice 65 Rx
H3909-001-0 -
Aetna Medicare Advantra Eagle
H3959-094-0 -
Aetna Medicare Advantra Prime Plus
H3959-053-0 -
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
-
Clover Health Choice
- Total Standard Medicare Advantage Enrollment
- 79475
2027 Medicare Advantage Plans in Philadelphia County, PA
Last update: .
For 2027, Philadelphia County, PA includes 63 Medicare Advantage plans. Enrollment across these plans totals approximately 79,475, with 43 $0 premium options and 66% 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
- 31
- Average Monthly Premium
- $30.85/mo
- Total PPO Enrollment
- 16,481
- $0 Premium PPO Plans
- 20
- Average MOOP
- $7,576
- Top PPO by Enrollment
- Personal Choice 65 Achieve Rx (PPO) — 2,403 enrollees
- PPO Plans Without Drug Coverage
- 7
- What is the average monthly premium for PPO plans in Philadelphia?
- PPO plans in Philadelphia cost $30.85 per month on average.
- Which PPO plan has the highest enrollment in Philadelphia?
- The most popular PPO plan in Philadelphia is Personal Choice 65 Achieve Rx (PPO), with 2,403 enrollees.
- How many PPO plans in Philadelphia do not include prescription drug coverage?
- 7 PPO plans in Philadelphia 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.
What is the total number of HMO plans offered in Philadelphia?
There are 21 HMO plans in 2027, covering 47,058 enrollees.
How much do HMO plans cost in Philadelphia?
The average HMO premium in Philadelphia is $17.61 per month, with 15 plans offering $0 premiums.
What is the top HMO by enrollment in Philadelphia?
Keystone 65 Basic Rx (HMO) is the top HMO in Philadelphia, with 13,816 enrollees.
What is the number of HMO plans without Part D coverage in Philadelphia?
5 HMO plans in Philadelphia 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
- $13.73/mo
- Total HMO-POS Enrollment
- 15,936
- $0 Premium HMO-POS Plans
- 8
- Average MOOP
- $8,005
- Top HMO-POS by Enrollment
- Keystone 65 Focus Rx (HMO-POS) — 3,660 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | $0 | $7,150 | $700 | H3952-053-0 | |
| Aetna Medicare Advantra Eagle | $0 | $7,150 | N/A | H3959-094-0 | |
| Aetna Medicare Advantra Prime Plus | $0 | $7,500 | $400 | H3959-053-0 | |
| 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Philadelphia cost $13.73 per month on average.
Which HMO-POS plan is most popular in Philadelphia?
The most popular HMO-POS plan in Philadelphia is Keystone 65 Focus Rx (HMO-POS), with 3,660 enrollees.
How many HMO-POS plans in Philadelphia do not include drug coverage?
There are 2 HMO-POS plans in Philadelphia without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Philadelphia County, PA (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 2 | 3% |
| 4 Stars (includes 5 Stars) | 41 | 66% |
| 3 Stars | 21 | 34% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 2% |
| Average Rating | 3.82 | |
* 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 Philadelphia County, Pennsylvania, including communities such as Philadelphia, 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.