- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Dauphin County
- state
- Pennsylvania
- label
- Total Medicare Advantage plans
- value
- 79
- label
- $0 premium plans
- value
- 44
- label
- HMO plans
- value
- 21
- label
- PPO plans
- value
- 47
- label
- HMO-POS plans
- value
- 8
- label
- PFFS plans
- value
- 3
- label
- Plans with drug coverage
- value
- 66
- label
- Lowest MOOP
- value
- $1,500
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $201.60
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Dauphin County
- state
- Pennsylvania
- label
- Total Part D plans
- value
- 12
- label
- $0 premium plans
- value
- 0
- label
- Basic coverage plans
- value
- 6
- label
- Enhanced coverage plans
- value
- 6
- label
- Lowest monthly premium
- value
- $6.60
- label
- Highest monthly premium
- value
- $193.20
- label
- Lowest deductible
- value
- $0
- label
- Highest deductible
- value
- $615
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Dauphin County
- state
- Pennsylvania
- label
- Participating Medigap carriers
- value
- 38
- label
- Lowest sample monthly premium
- value
- $34
- label
- Highest sample monthly premium
- value
- $1,226
- label
- Plan G lowest sample premium
- value
- $126
- label
- Plan G highest sample premium
- value
- $1,019
- label
- Plan N lowest sample premium
- value
- $97
- label
- Plan N highest sample premium
- value
- $764
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Dauphin County
- state
- Pennsylvania
- label
- Total Special Needs Plans
- value
- 24
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 19
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 2
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 3
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Dauphin County
- state
- Pennsylvania
- label
- Coverage area
- value
- Dauphin County, Pennsylvania
- label
- Medicare Advantage plans
- value
- 79
- label
- Part D plans
- value
- 12
- label
- Medigap carriers
- value
- 38
- label
- Special Needs Plans
- value
- 24
- label
- D-SNP plans
- value
- 19
- label
- C-SNP plans
- value
- 2
- label
- I-SNP plans
- value
- 3
- label
- CMS Enrollment Data Version
- value
- 2026-07
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Dauphin County
- state
- Pennsylvania
- name
- UPMC for Life HMO Rx Choice
- plan_id
- H3907-057-4
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3907-057-4/
- cms_rating
- 4.5
- enrollment
- 43,034
- name
- UPMC for Life HMO Rx
- plan_id
- H3907-058-1
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3907-058-1/
- cms_rating
- 4.5
- enrollment
- 29,358
- name
- UPMC for Life HMO Premier Rx
- plan_id
- H3907-059-3
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3907-059-3/
- cms_rating
- 4.5
- enrollment
- 27,647
- name
- Community Blue Medicare PPO Signature
- plan_id
- H3916-037-6
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3916-037-6/
- cms_rating
- 4.5
- enrollment
- 43,964
- name
- UPMC for Life PPO Rx Choice
- plan_id
- H5533-015-4
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5533-015-4/
- cms_rating
- 4.5
- enrollment
- 34,664
- name
- Aetna Medicare Advantra Signature
- plan_id
- H5522-004-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5522-004-0/
- cms_rating
- 4.5
- enrollment
- 26,704
- name
- Aetna Medicare Advantra Eagle Plus
- plan_id
- H3959-041-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3959-041-0/
- cms_rating
- 4.0
- enrollment
- 10,370
- name
- AARP Medicare Advantage from UHC PA-0002
- plan_id
- H5253-146-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5253-146-0/
- cms_rating
- 4.0
- enrollment
- 10,337
- name
- AARP Medicare Advantage Patriot No Rx PA-MA01
- plan_id
- H5253-152-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5253-152-0/
- cms_rating
- 4.0
- enrollment
- 5,453
- name
- Humana Gold Choice H8145-052
- plan_id
- H8145-052-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H8145-052-0/
- cms_rating
- 3.5
- enrollment
- 3,359
- name
- Humana Gold Choice H8145-055
- plan_id
- H8145-055-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H8145-055-0/
- cms_rating
- 3.5
- enrollment
- 214
- name
- Humana Gold Choice H8145-163
- plan_id
- H8145-163-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H8145-163-0/
- cms_rating
- 3.5
- enrollment
- 106
- name
- SilverScript Choice
- plan_id
- S5601-012-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5601-012-0/
- cms_rating
- 2.5
- enrollment
- 181,457
- name
- Wellcare Classic
- plan_id
- S4802-080-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S4802-080-0/
- cms_rating
- 3.5
- enrollment
- 80,403
- name
- Humana Basic Rx Plan
- plan_id
- S5884-104-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5884-104-0/
- cms_rating
- 3.5
- enrollment
- 33,191
- name
- Wellcare Value Script
- plan_id
- S4802-141-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S4802-141-0/
- cms_rating
- 3.5
- enrollment
- 337,303
- name
- AARP Medicare Rx Preferred from UHC
- plan_id
- S5921-388-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5921-388-0/
- cms_rating
- 2.0
- enrollment
- 74,501
- name
- Humana Value Rx Plan
- plan_id
- S5884-185-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5884-185-0/
- cms_rating
- 3.5
- enrollment
- 68,887
- name
- UPMC for Life Complete Care
- plan_id
- H4279-001-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H4279-001-0/
- cms_rating
- 4.0
- enrollment
- 36,240
- name
- Aetna Medicare Advantra Dual
- plan_id
- H3959-036-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3959-036-0/
- cms_rating
- 4.0
- enrollment
- 34,716
- name
- Highmark Wholecare Medicare Assured Diamond
- plan_id
- H5932-001-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H5932-001-0/
- cms_rating
- 4.0
- enrollment
- 32,620
- name
- UHC Complete Care PA-17
- plan_id
- H5253-192-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H5253-192-0/
- cms_rating
- 4.0
- enrollment
- 9,651
- name
- Aetna Medicare Chronic Care Value
- plan_id
- H3959-085-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3959-085-0/
- cms_rating
- 4.0
- enrollment
- 1,318
- name
- UHC Nursing Home Plan EX-F002
- plan_id
- H0710-017-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H0710-017-0/
- cms_rating
- 4.5
- enrollment
- 6,156
- name
- Aetna Medicare Longevity
- plan_id
- H3959-066-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3959-066-0/
- cms_rating
- 4.0
- enrollment
- 799
- name
- American Health Advantage of Pennsylvania
- plan_id
- H9968-001-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H9968-001-0/
- cms_rating
- 0.0
- enrollment
- 466
Understand Your 2026 Medicare Options in Dauphin County, PA
Last update: .
Choosing Medicare coverage starts with understanding your options. Learn how Original Medicare, Medicare Advantage, Part D, Medigap, and other coverage choices work for residents of Dauphin County, Pennsylvania.
Medicare Coverage Options at a Glance
Medicare coverage in Dauphin County, Pennsylvania can be structured in several ways. Understanding these coverage paths can help you decide which approach best matches how you want to receive care and manage your costs:
- Original Medicare: Provides Part A and Part B coverage with access to Medicare-participating providers nationwide.
- Medicare Advantage: Provides Part A and Part B benefits through a private plan and may include prescription drug coverage and additional benefits.
- Part D: Adds standalone prescription drug coverage for people using Original Medicare.
- Medigap: Works with Original Medicare to help pay certain out-of-pocket costs.
- SNPs: Medicare Advantage plans designed for people who meet specific health, Medicaid, or other eligibility requirements.
- Other Options: May include VA benefits, employer or retiree coverage, and local Medicare assistance programs.
These options work differently and can affect your provider access, prescription coverage, monthly costs, and out-of-pocket expenses. The sections below explain what is available in Dauphin County and what to consider with each coverage path.
Medicare Advantage Plan Options in Dauphin County
If you choose Medicare Advantage in Dauphin County, you receive your Medicare Part A and Part B benefits through a private plan instead of Original Medicare. Many plans also include Part D drug coverage and additional benefits, but provider networks, costs, and coverage rules can differ.
| Medicare Advantage Plan Snapshot | Dauphin County |
|---|---|
| Total Medicare Advantage plans | 79 |
| $0 premium plans | 44 |
| HMO plans | 21 |
| PPO plans | 47 |
| Plans with drug coverage | 66 |
| Lowest MOOP | $1,500 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $201.60 |
Highest-Enrollment PPO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Community Blue Medicare PPO Signature | 4.5 ★ | 43,964 |
| UPMC for Life PPO Rx Choice | 4.5 ★ | 34,664 |
| Aetna Medicare Advantra Signature | 4.5 ★ | 26,704 |
Highest-Enrollment HMO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UPMC for Life HMO Rx Choice | 4.5 ★ | 43,034 |
| UPMC for Life HMO Rx | 4.5 ★ | 29,358 |
| UPMC for Life HMO Premier Rx | 4.5 ★ | 27,647 |
Highest-Enrollment HMO-POS Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Advantra Eagle Plus | 4.0 ★ | 10,370 |
| AARP Medicare Advantage from UHC PA-0002 | 4.0 ★ | 10,337 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | 4.0 ★ | 5,453 |
Highest-Enrollment PFFS Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Advantra Eagle Plus | 4.0 ★ | 10,370 |
| AARP Medicare Advantage from UHC PA-0002 | 4.0 ★ | 10,337 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 | 4.0 ★ | 5,453 |
If Medicare Advantage fits the way you want to receive your coverage, look beyond the monthly premium when evaluating plans. Provider networks, prescription drug coverage, copayments, and the annual out-of-pocket limit can have a significant effect on your access to care and what you ultimately spend.
Medicare Part D Plan Options in Dauphin County, Pennsylvania
Original Medicare does not generally include outpatient prescription drug coverage, so many beneficiaries add a Medicare Part D plan. When reviewing options in Dauphin County, consider whether your prescriptions are covered and what they will cost at the pharmacies you use.
Highest-Enrollment Basic Part D Plans
| 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 |
Highest-Enrollment Enhanced Part D Plans
| 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 |
A Part D plan with a low premium is not necessarily the lowest-cost choice. Your total prescription costs depend on how the plan covers your medications and which pharmacies you use.
See Medicare Part D plans in Pennsylvania
Understanding Your Medicare Supplement (Medigap) Options in Dauphin County
If you choose Original Medicare, a Medicare Supplement (Medigap) policy can help make your share of covered medical costs more predictable. Medigap supplements rather than replaces Original Medicare, and prescription drug coverage generally requires a separate Part D plan.
Two insurers can charge different premiums for the same standardized Medigap plan. Across 38 insurers serving Dauphin County, sample premiums range from about $34 to more than $1,226 per month, making price an important part of comparing otherwise identical plan-letter benefits.
| Medigap Snapshot | Dauphin County |
|---|---|
| Works with Original Medicare | Yes |
| Includes prescription drug coverage | No |
| Requires separate Part D plan | Usually yes |
| Often considered by | Beneficiaries who want broad provider access and predictable cost sharing |
Medigap may appeal to people who want to keep Original Medicare's broad provider access. In most cases, you can use any doctor or hospital nationwide that participates in Medicare without choosing providers from a plan network.
Sample Medigap Plan G Premiums in Pennsylvania
Sample Plan G premiums in this data range from $126 to $1,019 per month.
| 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 Medigap Plan N Premiums in Pennsylvania
Sample Plan N premiums in this data range from $97 to $764 per month.
| 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.
Medicare Special Needs Plans (SNPs) in Dauphin County
Not everyone is eligible for a Medicare Special Needs Plan. SNPs are specialized Medicare Advantage plans for people who qualify based on Medicaid eligibility, certain chronic health conditions, or institutional care needs.
| SNP Snapshot | Dauphin County |
|---|---|
| Total SNP plans | 24 |
| D-SNP plans | 19 |
| C-SNP plans | 2 |
| I-SNP plans | 3 |
Highest-Enrollment D-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UPMC for Life Complete Care | 4.0 ★ | 36,240 |
| Aetna Medicare Advantra Dual | 4.0 ★ | 34,716 |
| Highmark Wholecare Medicare Assured Diamond | 4.0 ★ | 32,620 |
Highest-Enrollment C-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Complete Care PA-17 | 4.0 ★ | 9,651 |
| Aetna Medicare Chronic Care Value | 4.0 ★ | 1,318 |
Highest-Enrollment I-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Nursing Home Plan EX-F002 | 4.5 ★ | 6,156 |
| Aetna Medicare Longevity | 4.0 ★ | 799 |
| American Health Advantage of Pennsylvania | 0.0 ★ | 466 |
If you qualify for an SNP in Dauphin County, look beyond eligibility when reviewing your choices. Provider networks, prescription coverage, care coordination, benefits, and out-of-pocket costs can differ from one plan to another.
VA Benefits and Other Medicare Resources in Dauphin County
Medicare may be only one part of your health coverage. If you have VA benefits, employer or retiree coverage, or other health benefits, understanding how they work with Medicare can help you avoid unnecessary coverage and make better use of the benefits available to you.
| Additional Support Options | Dauphin County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | APPRISE |
| Local help resource | State Health Insurance Assistance Program |
Choosing Your Medicare Coverage Path
Have questions about your Medicare coverage options? Speak with a HealthCompare licensed insurance representative[1] about Medicare options available in Dauphin County. Call 1-833-748-3201 (TTY: 711), M-F 8AM-10PM, Sat 9AM-8PM EST. No obligation.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-07
Figures shown on this page (including plan availability, enrollment, premiums, CMS ratings, and other coverage data) are derived from published source datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "How to get prescription drug coverage" — Last accessed August 2, 2026
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed August 7, 2026
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed August 6, 2026
- Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed August 6, 2026
Medicare.org is a non-government website 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 Medicare coverage interpretation and resolution.