Medicare Advantage Plans in Allegheny County, PA:
Your Complete 2026 Guide
Allegheny County, PA offers 63 Medicare Advantage plans in 2026. This includes 37 with $0 monthly premiums. Currently, about 131,626 beneficiaries in the County are enrolled, and 68% of available plans have a 4-star rating or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Allegheny County, PA here.
Page last revised:
Enrollment data refreshed: October 13, 2025
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans offer flexibility by allowing you to see both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs may appeal to people who want more choice in doctors and hospitals.
- Total PPO Plans 32
- Average Premium $35.34/mo
- Beneficiaries Enrolled 56,634
- $0 Premium PPOs 19
- Average MOOP $6,725
- Most Popular PPO UPMC for Life PPO Rx Choice (PPO) with 18,035 enrollees
- PPOs Without Drug Coverage 5
What is the most popular PPO plan in Allegheny?
UPMC for Life PPO Rx Choice (PPO) is the top PPO in Allegheny, with 18,035 enrollees.
What is the number of PPO plans without Part D coverage in Allegheny?
There are 5 PPO plans in Allegheny without prescription drug coverage.
Medicare Advantage HMO Plans
With an HMO, you’ll typically get care from providers and facilities in the plan’s network. In exchange for this limitation, HMO plans usually feature lower monthly premiums and reduced cost-sharing, which can help enrollees better manage their healthcare expenses.
- Total HMO Plans
- 17
- Average Premium
- $29.47/mo
- Beneficiaries Enrolled
- 41,842
- $0 Premium HMOs
- 10
- Average MOOP
- $6,194
- Most Popular HMO
- UPMC for Life HMO Rx (HMO) with 10,402 enrollees
- HMOs Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| Community Blue Medicare HMO Signature | $0 | $6,500 | $615 | |
| Complete Blue HMO Distinct | $20 | $5,900 | $615 | |
| Geisinger Gold Heritage | $0 | $6,700 | N/A | |
| Geisinger Gold Value Rx | $23 | $9,250 | $0 | |
| Together Blue Medicare HMO Signature | $0 | $4,900 | $615 | |
| UPMC for Life HMO Deductible Rx | $22 | $6,000 | $175 | |
| UPMC for Life HMO No Rx | $0 | $6,000 | N/A | |
| UPMC for Life HMO Premier Rx | $0 | $6,000 | $350 | |
| UPMC for Life HMO Rx | $90 | $4,500 | $0 | |
| UPMC for Life HMO Rx Choice | $30 | $5,000 | $175 | |
| UPMC for Life HMO Rx Enhanced | $295 | $7,550 | $0 | |
| Humana Gold Plus H6622-054 | $0 | $7,950 | $615 | |
| HealthSpring Preferred | $0 | $4,000 | $200 | |
| HealthSpring Preferred Plus | $21 | $4,000 | $200 | |
| DEVOTED CORE 014 PA | $0 | $5,900 | $375 | |
| DEVOTED GIVEBACK 015 PA | $0 | $9,250 | $605 | |
| Perennial Advantage Freedom | $0 | $5,900 | $400 |
What is the typical premium for HMO plans in Allegheny?
On average, HMO plans in Allegheny cost $29.47 per month.
Which HMO plan do most beneficiaries choose in Allegheny?
The leading HMO in Allegheny is UPMC for Life HMO Rx (HMO), with 10,402 members.
How many HMO options are offered without prescription drug coverage in Allegheny?
There are 2 HMO plans available in Allegheny without Part D benefits.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans blend elements of HMO and PPO coverage. You can see providers outside the network, but out-of-network services typically cost more. This type of plan may appeal to people who like the lower costs of an HMO but also want occasional flexibility to go out of network.
- Total HMO-POS Plans 13
- Average Premium $33.21/mo
- Beneficiaries Enrolled 33,150
- $0 Premium HMO-POS 7
- Average MOOP $5,842
- Most Popular HMO-POS Aetna Medicare Advantra Enhanced (HMO-POS) with 14,170 enrollees
- HMO-POS Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| Security Blue HMO-POS Basic | $0 | $5,900 | N/A | |
| Security Blue HMO-POS Deluxe | $179 | $4,500 | $0 | |
| Security Blue HMO-POS Standard | $122 | $5,000 | $0 | |
| Security Blue HMO-POS ValueRx | $35 | $5,500 | $0 | |
| AARP Medicare Advantage from UHC PA-0002 | $0 | $6,700 | $440 | |
| AARP Medicare Advantage from UHC PA-0003 | $39 | $5,900 | $440 | |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | $0 | $6,700 | N/A | |
| Aetna Medicare Advantra Eagle Plus | $0 | $5,500 | N/A | |
| Aetna Medicare Advantra Enhanced | $24 | $5,500 | $615 | |
| Aetna Medicare Advantra Signature | $0 | $5,500 | $500 | |
| Wellcare Assist | $33 | $5,500 | $475 | |
| Wellcare Patriot Giveback | $0 | $7,550 | N/A | |
| Wellcare Simple | $0 | $6,200 | $615 |
What is the total number of HMO-POS plans in Allegheny?
In 2026, Allegheny has 13 HMO-POS plans, with 33,150 enrollees.
How much do HMO-POS plans cost on average in Allegheny?
The mean monthly HMO-POS premium is $33.21, and 7 have no premium.
Medicare Advantage PFFS Plans
With a PFFS plan, you can see any Medicare-approved provider who agrees to the plan’s conditions and payment structure. These plans offer broader choice compared to network-based options, but coverage depends on provider participation, so always confirm acceptance in advance.
- Total PFFS Plans
- 1
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 0
- $0 Premium PFFS
- 1
- Average MOOP
- $1,500
- Most Popular PFFS
- with 0 enrollees
- PFFS Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. |
|---|---|---|---|---|
| Humana Gold Choice H8145-163 | $0 | $1,500 | N/A |
- What is the average monthly premium for PFFS plans?
- On average, PFFS plans in Allegheny cost $0.00 per month.
- Which PFFS plan is most popular in Allegheny?
- The leading PFFS plan in Allegheny is , with 0 members.
- How many PFFS plans in Allegheny do not include drug coverage?
- There are 1 PFFS plans in Allegheny without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Allegheny County, PA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 41 | 68% |
| 3 Stars | 19 | 32% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 5% |
| Average Rating | 4.08 | |
For residents of Allegheny County, signing up for a Medicare Advantage plan isn’t just about benefits—it’s about timing. Learning the key enrollment periods ensures you don’t lose access to the coverage that works best for you.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage
- Consult a Licensed Agent: Call a licensed insurance agent at HealthCompare 1-833-748-3201 (TTY 711), available Monday through Friday 5am–6pm and Saturday 6am–5pm PST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Brackenridge, Bradfordwoods, Bridgeville, Cheswick, Clairton, Creighton, Dravosburg, East Mc Keesport, Elizabeth, Gibsonia, Glassport, Crescent, Leetsdale, Natrona Heights, Oakdale, Tarentum, Wexford, Allison Park, Bethel Park, Braddock, Carnegie, Coraopolis, Duquesne, East Pittsburgh, Glenshaw, Homestead, West Mifflin, Imperial, South Park, Mckeesport, Mc Kees Rocks, North Versailles, Oakmont, Pitcairn, Presto, Sewickley, Springdale, Turtle Creek, Monroeville, Verona, Wilmerding, Pittsburgh, and all other areas of Allegheny County, Pennsylvania.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
CMS Plan IDs Presented
The Medicare Advantage plan pages listed in the tables above include localization to assist beneficiaries with plans available in their service area. However, most Part C plans are available in more than one service area, which can lead to confusion. The following list of CMS IDs links to our master plan pages without localization.
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed October 13, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected 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 managed by David Bynon, Medicare Analyst.