Your Medicare Coverage Options in Delaware County, PA
Learn about Medicare coverage options available in Delaware County, Pennsylvania, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.
Medicare Options at a Glance
Medicare coverage in Delaware County is built around several core options, each serving different needs depending on how you want to receive care, manage costs, and access providers. They include:
- Original Medicare: Best for broad provider access nationwide.
- Medicare Advantage: Best for bundled coverage with lower premiums.
- Part D: Best for prescription drug coverage with Original Medicare.
- Medigap: Best for predictable out-of-pocket costs.
- SNPs: Best for specific health or eligibility needs.
- Other Options: These may include VA benefits, employer or retiree coverage, and local assistance programs.
Each of these options works differently. Understanding how they compare is the key to choosing the right Medicare coverage in Yavapai County.
Medicare Advantage Options in Delaware County
Medicare Advantage plans in Delaware County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.
| Medicare Advantage Snapshot | Delaware County |
|---|---|
| Total Medicare Advantage plans | 66 |
| $0 premium plans | 39 |
| HMO plans | 18 |
| PPO plans | 31 |
| Plans with drug coverage | 53 |
| Lowest MOOP | $1,500 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $155.00 |
Top PPO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Advantra Signature Giveback | 4.5 ★ | 17,901 |
| HumanaChoice H5525-086 | 3.5 ★ | 15,532 |
| HumanaChoice Giveback H5525-085 | 3.5 ★ | 14,015 |
Top HMO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Keystone 65 Basic Rx | 4.0 ★ | 48,529 |
| Humana Gold Plus H6622-037 | 3.5 ★ | 12,468 |
| HealthSpring Preferred Savings | 3.0 ★ | 7,804 |
Top HMO-POS Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Keystone 65 Essential Rx | 4.0 ★ | 12,031 |
| Aetna Medicare Advantra Signature | 4.0 ★ | 10,097 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | 4.0 ★ | 5,453 |
Top PFFS Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Keystone 65 Essential Rx | 4.0 ★ | 12,031 |
| Aetna Medicare Advantra Signature | 4.0 ★ | 10,097 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | 4.0 ★ | 5,453 |
Medicare Advantage options are shaped mainly by provider network type, prescription drug inclusion, and annual out-of-pocket exposure. Beneficiaries who want bundled coverage and extra benefits often start here, but network access and plan rules matter.
Prescription Drug Coverage (Part D) in Delaware County
Medicare Part D plans provide standalone prescription drug coverage for people who stay on Original Medicare. These plans vary by premium, deductible, pharmacy network, and formulary.
Top Basic Coverage Plans by Enrollments
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| SilverScript Choice | $22.70 | $615 | 181,457 |
| Wellcare Classic | $14.70 | $615 | 80,403 |
| Humana Basic Rx Plan | $6.60 | $615 | 33,191 |
Top Enhanced Coverage Plans by Enrollments
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Value Script | $8.20 | $615 | 337,303 |
| AARP Medicare Rx Preferred from UHC | $121.90 | $130 | 74,501 |
| Humana Value Rx Plan | $19.40 | $601 | 68,887 |
Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.
See Medicare Part D plans in Pennsylvania
Medigap Plans in Delaware County
Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.
Across 38 insurers, sample data shows monthly premiums starting near $34 and rising above $1,226 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.
| Medigap Snapshot | Delaware County |
|---|---|
| Works with Original Medicare | Yes |
| Includes prescription drug coverage | No |
| Requires separate Part D plan | Usually yes |
| Best fit for | Beneficiaries who want broad provider access and predictable cost sharing |
For residents of Delaware, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.
Sample Plan G Pricing in Pennsylvania
Plan G typically ranges from $126 to $1,019.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | G | $162 | $707 |
| Aetna | G | $168 | $533 |
| Humana | G | $138 | $1,019 |
| Mutual of Omaha | G | $175 | $555 |
| Wellcare | G | $136 | $486 |
Sample Plan N Pricing in Pennsylvania
Plan N typically ranges from $97 to $764.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | N | $107 | $602 |
| Aetna | N | $112 | $376 |
| Humana | N | $101 | $764 |
| Mutual of Omaha | N | $113 | $383 |
| Wellcare | N | $102 | $398 |
Explore all Medicare Supplement plans in Pennsylvania for more details.
SNP Coverage Options in Delaware County
SNPs are Medicare Advantage plans tailored for people with defined eligibility profiles, including those enrolled in Medicaid, living with certain chronic conditions, or receiving long-term or institutional care.
| SNP Snapshot | Delaware County |
|---|---|
| Total SNP plans | 34 |
| D-SNP plans | 19 |
| C-SNP plans | 6 |
| I-SNP plans | 9 |
Top D-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Advantra Dual Care | 4.0 ★ | 30,409 |
| Keystone First VIP Choice | 4.0 ★ | 14,675 |
| UHC Dual Complete PA-S002 | 3.5 ★ | 10,674 |
Top C-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Complete Care PA-17 | 4.0 ★ | 9,651 |
| Aetna Medicare Chronic Care Value | 4.0 ★ | 3,006 |
| HealthSpring Achieve | 3.0 ★ | 2,134 |
Top I-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Nursing Home Plan EX-F002 | 4.5 ★ | 6,156 |
| Aetna Medicare Longevity | 4.0 ★ | 799 |
| Provider Partners Pennsylvania Advantage Plan | 0.0 ★ | 761 |
Availability of SNPs in Delaware is tied to eligibility requirements. These plans are not available to all beneficiaries but can be especially valuable for those with Medicaid or qualifying chronic conditions.
VA Benefits and Medicare Assistance in Delaware County
Some beneficiaries may have coverage choices or support options outside standard Medicare plan categories, including VA health benefits, retiree coverage, and counseling programs.
| Additional Support Options | Delaware County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | APPRISE |
| Local help resource | State Health Insurance Assistance Program |
Finding the Right Medicare Plan for You in Delaware County
Choosing Medicare coverage comes down to how you want to receive care, manage costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.
Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.
Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.
Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.
The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.
To explore your options in more detail, start by reviewing available plans and coverage types in Delaware County.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 2026
- Medicare.gov, "Joining a plan" — Last accessed May 7, 2026
- Medicare.gov, "Get Medigap Basics" — Last accessed May 5, 2026
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.