Medicare Advantage Plans in Wayne County, PA:
Your Complete 2026 Guide
Wayne County, PA offers 61 Medicare Advantage plans in 2026. This includes 36 with $0 monthly premiums. Currently, about 3,549 beneficiaries in the County are enrolled, and 69% 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 Wayne County, PA here.
Page last revised:
Enrollment data refreshed: May 2, 2026
* 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 36
- Average Premium $36.00/mo
- Beneficiaries Enrolled 2,239
- $0 Premium PPOs 21
- Average MOOP $6,849
- Most Popular PPO Geisinger Gold Preferred Complete Rx (PPO) with 469 enrollees
- PPOs Without Drug Coverage 6
What is the most popular PPO plan in Wayne?
Geisinger Gold Preferred Complete Rx (PPO) is the top PPO in Wayne, with 469 enrollees.
What is the number of PPO plans without Part D coverage in Wayne?
There are 6 PPO plans in Wayne 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
- 14
- Average Premium
- $48.71/mo
- Beneficiaries Enrolled
- 824
- $0 Premium HMOs
- 6
- Average MOOP
- $6,329
- Most Popular HMO
- Geisinger Gold Classic Complete Rx (HMO) with 255 enrollees
- HMOs Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Community Blue Medicare HMO Distinct | $50 | $6,250 | $615 | H3957 049 6 | |
| Community Blue Medicare HMO Signature | $0 | $6,750 | $615 | H3957 042 5 | |
| Geisinger Gold Classic Advantage Rx | $114 | $3,450 | $0 | H3954 157 22 | |
| 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 | |
| DEVOTED CORE 008 PA | $0 | $6,700 | $375 | H6852 008 0 | |
| DEVOTED GIVEBACK 009 PA | $0 | $7,000 | $605 | H6852 009 0 |
What is the typical premium for HMO plans in Wayne?
On average, HMO plans in Wayne cost $48.71 per month.
Which HMO plan do most beneficiaries choose in Wayne?
The leading HMO in Wayne is Geisinger Gold Classic Complete Rx (HMO), with 255 members.
How many HMO options are offered without prescription drug coverage in Wayne?
There are 2 HMO plans available in Wayne 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 8
- Average Premium $10.09/mo
- Beneficiaries Enrolled 399
- $0 Premium HMO-POS 6
- Average MOOP $6,644
- Most Popular HMO-POS Aetna Medicare Advantra Signature (HMO-POS) with 264 enrollees
- HMO-POS Without Drug Coverage 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC PA-0002 | $0 | $6,700 | $440 | H5253 146 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 Wayne?
In 2026, Wayne has 8 HMO-POS plans, with 399 enrollees.
How much do HMO-POS plans cost on average in Wayne?
The mean monthly HMO-POS premium is $10.09, and 6 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
- 3
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 87
- $0 Premium PFFS
- 3
- Average MOOP
- $5,100
- Most Popular PFFS
- Humana Gold Choice H8145-052 (PFFS) with 87 enrollees
- PFFS Without Drug Coverage
- 2
| 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 H8145-055 | $0 | $6,700 | N/A | H8145 055 0 | |
| Humana Gold Choice H8145-163 | $0 | $1,500 | N/A | H8145 163 0 |
- What is the average monthly premium for PFFS plans?
- On average, PFFS plans in Wayne cost $0.00 per month.
- Which PFFS plan is most popular in Wayne?
- The leading PFFS plan in Wayne is Humana Gold Choice H8145-052 (PFFS), with 87 members.
- How many PFFS plans in Wayne do not include drug coverage?
- There are 2 PFFS plans in Wayne without Part D benefits.
The table below shows the quality ratings for Medicare Advantage plans offered in Wayne 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 | 69% |
| 3 Stars | 18 | 31% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 3% |
| Average Rating | 4.12 | |
For residents of Wayne 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 Beach Lake, Damascus, Equinunk, Honesdale, Lake Ariel, Lakeville, Newfoundland, Pleasant Mount, Waymart, and all other areas of Wayne 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.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 May 2, 2026
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
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 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.
To explore how 2026 Medicare Advantage plans available in Wayne County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
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 independently curated and maintained by David W. Bynon, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.