Medicare Advantage Plans in Schuylkill County, PA:
Your Complete 2025 Guide
For 2025, residents of Schuylkill County, PA can choose from 66 Medicare Advantage plan options. Of these, 35 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 11,868, with 67% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in Schuylkill County, PA.
Last update: . Enrollment data last updated: September 16, 2025
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. While using out-of-network doctors or hospitals usually means higher costs, PPOs may appeal to people who want more flexibility in how they access their healthcare.
- Total PPO Plans
- 44
- Average Premium
- $35.49/mo
- Beneficiaries Enrolled
- 8,244
- $0 Premium PPOs
- 21
- Average MOOP
- $6,628
- Most Popular PPO
- Geisinger Gold Preferred Enhanced Rx (PPO) with 1,934 enrollees
- PPOs Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Schuylkill?
- On average, PPO plans in Schuylkill cost $35.49 per month.
- Which PPO plan has the highest enrollment in Schuylkill?
- The most popular PPO in Schuylkill is Geisinger Gold Preferred Enhanced Rx (PPO), covering 1,934 beneficiaries.
- How many PPO plans in Schuylkill do not include prescription drug coverage?
- 5 PPO plans available in Schuylkill do not include Part D benefits.
Medicare Advantage HMO Plans
HMO plans are designed around a set network of doctors and hospitals. Staying within that network is usually required for coverage, but this arrangement often results in lower overall costs, including both premiums and out-of-pocket expenses, for plan members.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| Community Blue Medicare HMO Signature | $0 | $6,500 | $0 | |
| BlueJourney Premier | $84 | $4,700 | $0 | |
| BlueJourney Value | $53 | $6,000 | $0 | |
| Capital Blue Cross Essential | $0 | $6,000 | $250 | |
| Geisinger Gold Classic 360 Rx | $0 | $8,000 | $0 | |
| Geisinger Gold Classic Advantage Rx | $127 | $3,450 | $0 | |
| Geisinger Gold Classic Complete Rx | $43 | $4,400 | $0 | |
| Geisinger Gold Classic Essential Rx | $0 | $7,550 | $0 | |
| Geisinger Gold Heritage | $0 | $6,700 | N/A | |
| Geisinger Gold Value Rx | $23 | $8,850 | $0 | |
| Humana Gold Plus H6622-036 | $0 | $9,350 | $300 | |
| Jefferson Health Plans Complete | $0 | $5,700 | $0 | |
| Jefferson Health Plans Giveback | $0 | $8,300 | $590 | |
| Jefferson Health Plans Prime | $41 | $6,400 | $0 | |
| Wellcare Assist | $30 | $5,200 | $490 | |
| Wellcare Patriot Giveback | $0 | $7,550 | N/A | |
| Wellcare Simple | $0 | $5,900 | $420 | |
| Wellcare Simple | $0 | $5,900 | $420 |
What is the total number of HMO plans offered in Schuylkill?
There are 18 HMO plans in 2025, covering 3,327 beneficiaries.
How much do HMO plans cost on average in Schuylkill?
The average HMO premium is $22.28, with 11 costing $0.
What is the top HMO by enrollment in Schuylkill?
Geisinger Gold Classic 360 Rx (HMO) is the most popular HMO plan in Schuylkill, with 1,174 enrollees.
What is the number of HMO plans without Part D coverage in Schuylkill?
2 HMO plans in Schuylkill do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, but they also permit some use of out-of-network doctors and hospitals. Those services are generally more expensive, but the added access can be valuable for people who don’t want to be fully limited to a single network.
- Total HMO-POS Plans
- 3
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 297
- $0 Premium HMO-POS
- 3
- Average MOOP
- $6,300
- Most Popular HMO-POS
- AARP Medicare Advantage from UHC PA-0002 (HMO-POS) with 141 enrollees
- HMO-POS Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| Aetna Medicare Advantra Eagle | $0 | $5,500 | N/A | |
| AARP Medicare Advantage from UHC PA-0002 | $0 | $6,700 | $340 | |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | $0 | $6,700 | N/A |
What is the average monthly premium for HMO-POS plans?
On average, HMO-POS plans in Schuylkill cost $0.00 per month.
Which HMO-POS plan is most popular in Schuylkill?
The leading HMO-POS in Schuylkill is AARP Medicare Advantage from UHC PA-0002 (HMO-POS), with 141 members.
How many HMO-POS plans in Schuylkill do not include drug coverage?
There are 2 HMO-POS plans in Schuylkill without Part D benefits.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans let members visit any Medicare-approved provider that accepts the plan’s payment rules and terms. This structure gives you more flexibility in selecting doctors and hospitals, but it’s important to check provider acceptance before receiving care.
- Total PFFS Plans 1
- Average Premium $108.00/mo
- Beneficiaries Enrolled 0
- $0 Premium PFFS 0
- Average MOOP $1,500
- Most Popular PFFS with 0 enrollees
- PFFS Without Drug Coverage 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| Humana Gold Choice H8145-163 | $108 | $1,500 | N/A |
What is the top PFFS plan in Schuylkill?
is the most popular PFFS plan in Schuylkill, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Schuylkill?
1 PFFS plans in Schuylkill do not include prescription drug coverage.
The table below shows the quality ratings for Medicare Advantage plans offered in Schuylkill County, PA for 2025.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 1 | 2% |
| 4 Stars (includes 5 Stars) | 42 | 67% |
| 3 Stars | 21 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 5% |
| Average Rating | 4.1 | |
Medicare Advantage comes with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Outside the standard enrollment dates, you may qualify for a Special Enrollment Period if specific circumstances apply, including relocation or coverage loss. Learn more
Enrollment Options Explained
- Talk with a Licensed Agent: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Monday–Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment 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 Pottsville, Ashland, Auburn, Cressona, Frackville, Girardville, Hegins, Mahanoy City, Minersville, New Philadelphia, New Ringgold, Orwigsburg, Pine Grove, Port Carbon, Ringtown, Saint Clair, Schuylkill Haven, Shenandoah, Tower City, Tremont, Valley View, Zion Grove, Andreas, Barnesville, Coaldale, Mcadoo, Tamaqua, and all other areas of Schuylkill County, Pennsylvania.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, 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 13, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed September 13, 2025
- CMS.gov, Plan Benefits Package — Last accessed September 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed September 16, 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.
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — 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.