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2026 Medicare Advantage Plans in Potter County, PA

Last update: .

Potter County, PA has 58 Medicare Advantage plans available in 2026. These include 30 plans with no monthly premium, and roughly 76% are rated at least 4 stars based on CMS data.

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Potter County, PA. Or explore all Medicare Options available in Potter County, PA.

At a Glance

Average Monthly Premium: $37.75/mo
$0 Premium Plans: 30
Average MOOP: $6,427 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 76% · 3 Stars: 24% · Below 3: 0%
Average Part D Deductible: $368.04
Total MA/MAPD Enrollment: 1,816
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Aetna Medicare Value Care (PPO) — 194 enrollees
2. UPMC for Life PPO Premier Rx (PPO) — 177 enrollees
3. Complete Blue PPO Signature (PPO) — 149 enrollees

Medicare Advantage PPO Plans

Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.

  • Total PPO Plans 31
  • Average Monthly Premium $36.61/mo
  • Total PPO Enrollment 1,350
  • $0 Premium PPO Plans 17
  • Average MOOP $6,771
  • Top PPO by Enrollment Aetna Medicare Value Care (PPO) — 194 enrollees
  • PPO Plans Without Drug Coverage 5

Comparison table of 2026 PPO Medicare Advantage Plans available in Potter County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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
Complete Blue PPO Distinct
☆☆☆☆☆
 $39 $6,500 $615 H3916-059-2
Complete Blue PPO Merit
☆☆☆☆☆
 $0 $8,300 $615 H3916-057-0
Complete Blue PPO Signature
☆☆☆☆☆
 $0 $7,550 $615 H3916-058-0
Freedom Blue PPO Classic
☆☆☆☆☆
 $220 $4,500 $0 H3916-002-0
Freedom Blue PPO Select
☆☆☆☆☆
 $96 $5,000 $0 H3916-024-0
Freedom Blue PPO Valor
☆☆☆☆☆
 $0 $6,000 N/A H3916-067-0
Freedom Blue PPO ValueRx
☆☆☆☆☆
 $65 $5,500 $0 H3916-033-0
Geisinger Gold Preferred Advantage Rx
☆☆☆☆☆
 $114 $4,000 $0 H3924-059-21
Geisinger Gold Preferred Complete Rx
☆☆☆☆☆
 $0 $7,200 $0 H3924-065-0
UPMC for Life PPO Essential Care Rx
☆☆☆☆☆
 $0 $8,000 $500 H5533-017-1
UPMC for Life PPO Premier Rx
☆☆☆☆☆
 $0 $6,700 $500 H5533-011-0
UPMC for Life PPO Rx Choice
☆☆☆☆☆
 $30 $6,000 $400 H5533-015-4
UPMC for Life PPO Salute
☆☆☆☆☆
 $0 $9,250 N/A H5533-016-1
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
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,700 N/A H5216-221-0
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
 $0 $7,350 $500 H5525-059-0
HumanaChoice Giveback H5216-116
☆☆☆☆☆
 $0 $4,150 N/A H5216-116-0
HumanaChoice Giveback H5525-085
☆☆☆☆☆
 $0 $8,000 $0 H5525-085-2
HumanaChoice H5216-120
☆☆☆☆☆
 $94 $7,600 $615 H5216-120-0
HumanaChoice H5525-005
☆☆☆☆☆
 $26 $8,300 $615 H5525-005-0
HumanaChoice H5525-086
☆☆☆☆☆
 $29 $6,050 $615 H5525-086-2
HumanaChoice R0110-007
☆☆☆☆☆
 $0 $4,500 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
 $52 $6,700 $615 R0110-008-0
What is the most popular PPO plan in Potter?

Aetna Medicare Value Care (PPO) is the top PPO in Potter, with 194 enrollees.

What is the number of PPO plans without Part D coverage in Potter?

There are 5 PPO plans in Potter without prescription drug coverage.

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
12
Average Monthly Premium
$55.25/mo
Total HMO Enrollment
217
$0 Premium HMO Plans
4
Average MOOP
$6,192
Top HMO by Enrollment
UPMC for Life HMO Rx Choice (HMO) — 69 enrollees
HMO Plans Without Drug Coverage
2

Comparison table of 2026 HMO Medicare Advantage Plans available in Potter County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Community Blue Medicare HMO Signature
☆☆☆☆☆
 $0 $6,500 $615 H3957-047-4
Complete Blue HMO Distinct
☆☆☆☆☆
 $25 $5,900 $615 H3957-050-4
Geisinger Gold Classic Advantage Rx
☆☆☆☆☆
 $120 $3,450 $0 H3954-157-23
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
UPMC for Life HMO Deductible Rx
☆☆☆☆☆
 $22 $6,000 $175 H3907-037-0
UPMC for Life HMO No Rx
☆☆☆☆☆
 $0 $6,000 N/A H3907-002-0
UPMC for Life HMO Rx
☆☆☆☆☆
 $90 $4,500 $0 H3907-058-1
UPMC for Life HMO Rx Choice
☆☆☆☆☆
 $40 $6,000 $175 H3907-057-4
UPMC for Life HMO Rx Enhanced
☆☆☆☆☆
 $295 $7,550 $0 H3907-006-0

What is the typical premium for HMO plans in Potter?

HMO plans in Potter cost $55.25 per month on average.

Which HMO plan do most beneficiaries choose in Potter?

The most popular HMO plan in Potter is UPMC for Life HMO Rx Choice (HMO), with 69 enrollees.

How many HMO options are offered without prescription drug coverage in Potter?

There are 2 HMO plans in Potter 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 13
  • Average Monthly Premium $30.13/mo
  • Total HMO-POS Enrollment 205
  • $0 Premium HMO-POS Plans 7
  • Average MOOP $6,150
  • Top HMO-POS by Enrollment Aetna Medicare Advantra Signature (HMO-POS) — 124 enrollees
  • HMO-POS Plans Without Drug Coverage 4

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Potter County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Security Blue HMO-POS Basic
☆☆☆☆☆
 $0 $5,900 N/A H3957-043-2
Security Blue HMO-POS Deluxe
☆☆☆☆☆
 $138 $4,500 $0 H3957-046-2
Security Blue HMO-POS Standard
☆☆☆☆☆
 $104 $5,000 $0 H3957-045-2
Security Blue HMO-POS ValueRx
☆☆☆☆☆
 $30 $5,500 $0 H3957-044-4
AARP Medicare Advantage from UHC PA-0002
☆☆☆☆☆
 $0 $6,700 $440 H5253-146-0
AARP Medicare Advantage from UHC PA-0003
☆☆☆☆☆
 $39 $5,900 $440 H5253-147-0
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
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 Potter?

In 2026, Potter has 13 HMO-POS plans with 205 enrollees.

How much do HMO-POS plans cost in Potter?

The typical HMO-POS premium in Potter is $30.13, and 7 plans have no monthly premium.

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
2
Average Monthly Premium
$0.00/mo
Total PFFS Enrollment
44
$0 Premium PFFS Plans
2
Average MOOP
$4,300
Top PFFS by Enrollment
Humana Gold Choice H8145-052 (PFFS) — 44 enrollees
PFFS Plans Without Drug Coverage
1

Comparison table of 2026 PFFS Medicare Advantage Plans available in Potter County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-052
☆☆☆☆☆
 $0 $7,100 $615 H8145-052-0
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 Potter cost $0.00 per month on average.
Which PFFS plan is most popular in Potter?
The most popular PFFS plan in Potter is Humana Gold Choice H8145-052 (PFFS), with 44 enrollees.
How many PFFS plans in Potter do not include drug coverage?
There are 1 PFFS plans in Potter without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Potter County, PA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Potter County, PA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 44 76%
3 Stars 14 24%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 4.18

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.

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 .