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2027 Medicare Advantage Plans in Pike County, PA

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In Pike County, PA, there are 32 Medicare Advantage plans available for 2027. Of these, 17 offer a $0 monthly premium, and about 84% are rated 4 stars or higher based on CMS quality ratings.

At a Glance

Average Monthly Premium
$41.44/mo
Plans with $0 Premium
17
Average MOOP Limit
$6,964 ($9,250 max. in 2027)
Star Ratings (Plan Mix)
4+ Stars: 84% · 3 Stars: 16% · Below 3: 0%
Average Part D Deductible
$494.23
Total MA/MAPD Enrollment
3,329
Plans with the Highest Enrollment
(as of November 10, 2026)
1. Aetna Medicare Advantra Signature (HMO-POS) — 520 enrollees
2. Community Blue Medicare PPO Signature (PPO) — 388 enrollees
3. Aetna Medicare Value Plus (PPO) — 319 enrollees

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Pike County, PA. Or explore all Medicare Options available in Pike County, PA. To understand how local plans fit into the broader market, visit our Pennsylvania Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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.

Total PPO Plans
21
Average Monthly Premium
$50.10/mo
Total PPO Enrollment
2,248
$0 Premium PPO Plans
10
Average MOOP
$6,962
Top PPO by Enrollment
Community Blue Medicare PPO Signature (PPO) — 388 enrollees
PPO Plans Without Drug Coverage
3

PPO Medicare Advantage plan comparison – Pike County, Pennsylvania, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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 Advantra Signature Giveback
☆☆☆☆☆
 $0 $9,850 $700 H5522-017-0
Aetna Medicare Value Plus
☆☆☆☆☆
 $35 $7,500 $700 H5522-013-0
Community Blue Medicare PPO Signature
☆☆☆☆☆
 $0 $7,150 $700 H3916-065-0
Complete Blue PPO Distinct
☆☆☆☆☆
 $116 $6,750 $700 H3916-060-6
Complete Blue PPO Merit
☆☆☆☆☆
 $0 $8,300 $700 H3916-069-2
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
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 Giveback from UHC PA-12
☆☆☆☆☆
 $0 $9,200 $685 H2406-101-0
Aetna Medicare Signature Extra
☆☆☆☆☆
 $0 $7,150 $700 H5521-263-0
Geisinger Gold Preferred Advantage Rx
☆☆☆☆☆
 $123 $4,450 $0 H3924-059-21
Geisinger Gold Preferred Balance Rx
☆☆☆☆☆
 $29 $9,850 $0 H3924-067-0
Geisinger Gold Preferred Complete Rx
☆☆☆☆☆
 $0 $9,850 $700 H3924-065-0
HumanaChoice R0110-007
☆☆☆☆☆
 $0 $4,750 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
 $75 $7,150 $700 R0110-008-0
What is the total number of PPO plans offered in Pike?

Pike County has 21 PPO plans for 2027, with 2,248 enrolled.

How much do PPO plans cost in Pike?

The typical PPO premium in Pike is $50.10, and 10 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
6
Average Monthly Premium
$36.00/mo
Total HMO Enrollment
336
$0 Premium HMO Plans
3
Average MOOP
$6,975
Top HMO by Enrollment
Geisinger Gold Classic 360 Rx (HMO) — 256 enrollees
HMO Plans Without Drug Coverage
1

HMO Medicare Advantage plan comparison – Pike County, Pennsylvania, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
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
What is the average monthly premium for HMO plans?
HMO plans in Pike cost $36.00 per month on average.
Which HMO plan is most popular in Pike?
The most popular HMO plan in Pike is Geisinger Gold Classic 360 Rx (HMO), with 256 enrollees.
How many HMO plans in Pike do not include drug coverage?
There are 1 HMO plans in Pike 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 5
  • Average Monthly Premium $11.60/mo
  • Total HMO-POS Enrollment 745
  • $0 Premium HMO-POS Plans 4
  • Average MOOP $6,960
  • Top HMO-POS by Enrollment Aetna Medicare Advantra Signature (HMO-POS) — 520 enrollees
  • HMO-POS Plans Without Drug Coverage 2

HMO-POS Medicare Advantage plan comparison – Pike County, Pennsylvania, 2027
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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 Advantra Enhanced
☆☆☆☆☆
 $58 $7,500 $700 H3959-039-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
 $0 $7,500 $400 H3959-037-0
What is the total number of HMO-POS plans in Pike?

There are 5 HMO-POS plans in 2027, covering 745 enrollees.

How much do HMO-POS plans cost in Pike?

The average HMO-POS premium in Pike is $11.60 per month, with 4 plans offering $0 premiums.

What is the leading HMO-POS plan in Pike?

Aetna Medicare Advantra Signature (HMO-POS) is the top HMO-POS in Pike, with 520 enrollees.

What is the number of HMO-POS plans without Part D coverage in Pike?

2 HMO-POS plans in Pike do not include prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Pike County, PA for 2027.

CMS Star Ratings for Medicare Advantage Plans in Pike County, PA (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 27 84%
3 Stars 5 16%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.11

* 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 Pike County, Pennsylvania, including communities such as Bushkill, Dingmans Ferry, Matamoras, Milford, Greentown, Hawley, Shohola, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .