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2026 Medicare Advantage Plans in Pike County, PA

Last update: .

For 2026, Pike County, PA includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 3,776, with 19 $0 premium options and 91% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Pike County, PA are provided separately. Or you can discover all Medicare Options in Pike County, PA.

At a Glance

  • Average Monthly Premium: $38.88/mo
  • $0 Premium Plans: 19
  • Average MOOP: $6,429 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 91% · 3 Stars: 9% · Below 3: 0%
  • Average Part D Deductible: $369.63
  • Total MA/MAPD Enrollment: 3,776
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Aetna Medicare Advantra Signature (HMO-POS) — 523 enrollees
    2. Community Blue Medicare PPO Signature (PPO) — 388 enrollees
    3. Aetna Medicare Value Care (PPO) — 319 enrollees

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
22
Average Monthly Premium
$49.50/mo
Total PPO Enrollment
2,696
$0 Premium PPO Plans
11
Average MOOP
$6,557
Top PPO by Enrollment
Community Blue Medicare PPO Signature (PPO) — 388 enrollees
PPO Plans Without Drug Coverage
3

2026 PPO Medicare Advantage plans in Pike County, Pennsylvania (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Aetna Medicare Advantra Premier
☆☆☆☆☆
 $98 $5,900 $615 H5522-002-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
 $0 $9,250 $615 H5522-004-0
Aetna Medicare Advantra Signature Giveback
☆☆☆☆☆
 $0 $9,250 $615 H5522-017-0
Aetna Medicare Enhanced
☆☆☆☆☆
 $183 $7,500 $615 H5521-122-0
Aetna Medicare Signature Extra
☆☆☆☆☆
 $0 $6,750 $615 H5521-263-0
Aetna Medicare Value Care
☆☆☆☆☆
 $29 $6,900 $615 H5522-013-0
Community Blue Medicare PPO Signature
☆☆☆☆☆
 $0 $7,950 $615 H3916-065-0
Complete Blue PPO Distinct
☆☆☆☆☆
 $98 $6,750 $615 H3916-060-6
Complete Blue PPO Merit
☆☆☆☆☆
 $0 $8,300 $615 H3916-066-0
Freedom Blue PPO Basic
☆☆☆☆☆
 $0 $5,900 N/A H3916-012-0
Freedom Blue PPO Deluxe
☆☆☆☆☆
 $226 $4,500 $0 H3916-005-0
Freedom Blue PPO Standard
☆☆☆☆☆
 $121 $5,000 $0 H3916-015-0
Freedom Blue PPO Valor
☆☆☆☆☆
 $0 $6,000 N/A H3916-043-0
Freedom Blue PPO ValueRx
☆☆☆☆☆
 $66 $5,500 $0 H3916-018-0
Geisinger Gold Preferred Advantage Rx
☆☆☆☆☆
 $114 $4,000 $0 H3924-059-21
Geisinger Gold Preferred Complete Rx
☆☆☆☆☆
 $0 $7,200 $0 H3924-065-0
AARP Medicare Advantage from UHC PA-0007
☆☆☆☆☆
 $42 $5,900 $520 H2406-046-0
AARP Medicare Advantage from UHC PA-0008
☆☆☆☆☆
 $60 $4,900 $520 H2406-047-0
AARP Medicare Advantage from UHC PA-0011
☆☆☆☆☆
 $0 $6,700 $520 H2406-072-0
AARP Medicare Advantage Giveback from UHC PA-12
☆☆☆☆☆
 $0 $8,900 $600 H2406-101-0
HumanaChoice R0110-007
☆☆☆☆☆
 $0 $4,500 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
 $52 $6,700 $615 R0110-008-0

What is the typical premium for PPO plans available in Pike?

PPO plans in Pike cost $49.50 per month on average.

Which PPO plan do most beneficiaries choose in Pike?

The most popular PPO plan in Pike is Community Blue Medicare PPO Signature (PPO), with 388 enrollees.

How many PPO options are offered without drug coverage in Pike?

3 PPO plans in Pike 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 6
  • Average Monthly Premium $30.82/mo
  • Total HMO Enrollment 339
  • $0 Premium HMO Plans 3
  • Average MOOP $6,492
  • Top HMO by Enrollment Geisinger Gold Classic 360 Rx (HMO) — 261 enrollees
  • HMO Plans Without Drug Coverage 1

2026 HMO Medicare Advantage plans in Pike County, Pennsylvania (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Geisinger Gold Classic 360 Rx
☆☆☆☆☆
 $0 $7,100 $0 H3954-160-0
Geisinger Gold Classic Advantage Rx
☆☆☆☆☆
 $114 $3,450 $0 H3954-157-22
Geisinger Gold Classic Complete Rx
☆☆☆☆☆
 $48 $5,700 $0 H3954-158-13
Geisinger Gold Classic Essential Rx
☆☆☆☆☆
 $0 $6,750 $0 H3954-161-0
Geisinger Gold Heritage
☆☆☆☆☆
 $0 $6,700 N/A H3954-162-0
Geisinger Gold Value Rx
☆☆☆☆☆
 $23 $9,250 $0 H3954-163-0
What is the total number of HMO plans offered in Pike?

In 2026, Pike County has 6 HMO plans with 339 enrollees.

How much do HMO plans cost in Pike?

The typical HMO premium in Pike is $30.82, and 3 plans have no monthly premium.

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
$9.60/mo
Total HMO-POS Enrollment
741
$0 Premium HMO-POS Plans
4
Average MOOP
$6,780
Top HMO-POS by Enrollment
Aetna Medicare Advantra Signature (HMO-POS) — 523 enrollees
HMO-POS Plans Without Drug Coverage
2

2026 HMO-POS Medicare Advantage plans in Pike County, Pennsylvania (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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
Aetna Medicare Advantra Enhanced
☆☆☆☆☆
 $48 $7,500 $615 H3959-039-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
 $0 $7,500 $615 H3959-037-0
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Pike cost $9.60 per month on average.
Which HMO-POS plan is most popular in Pike?
The most popular HMO-POS plan in Pike is Aetna Medicare Advantra Signature (HMO-POS), with 523 enrollees.
How many HMO-POS plans in Pike do not include drug coverage?
There are 2 HMO-POS plans in Pike without prescription drug coverage.

Medicare Advantage PFFS Plans

Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.

  • 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

2026 PFFS Medicare Advantage plans in Pike County, Pennsylvania (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Choice H8145-163
☆☆☆☆☆
 $0 $1,500 N/A H8145-163-0
What is the total number of PFFS plans in Pike?

There are 1 PFFS plans in 2026, covering 0 enrollees.

How much do PFFS plans cost in Pike?

The average PFFS premium in Pike is $0.00 per month, with 1 plans offering $0 premiums.

What is the top PFFS plan in Pike?

is the top PFFS in Pike, with 0 enrollees.

What is the number of PFFS plans without Part D coverage in Pike?

1 PFFS plans in Pike do not include prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Pike County, PA (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Pike County, PA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 31 91%
3 Stars 3 9%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.28

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .