- 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
- Pike County
- state
- Pennsylvania
- label
- Total Medicare Advantage plans
- value
- 34
- label
- $0 premium plans
- value
- 19
- label
- HMO plans
- value
- 6
- label
- PPO plans
- value
- 22
- label
- HMO-POS plans
- value
- 5
- label
- PFFS plans
- value
- 1
- label
- Plans with drug coverage
- value
- 27
- label
- Lowest MOOP
- value
- $1,500
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $155.00
- 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
- Pike 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
- Pike 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
- Pike County
- state
- Pennsylvania
- label
- Total Special Needs Plans
- value
- 12
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 10
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 1
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 1
- 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
- Pike County
- state
- Pennsylvania
- label
- Coverage area
- value
- Pike County, Pennsylvania
- label
- Medicare Advantage plans
- value
- 34
- label
- Part D plans
- value
- 12
- label
- Medigap carriers
- value
- 38
- label
- Special Needs Plans
- value
- 12
- label
- D-SNP plans
- value
- 10
- label
- C-SNP plans
- value
- 1
- label
- I-SNP plans
- value
- 1
- 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
- Pike County
- state
- Pennsylvania
- name
- Geisinger Gold Classic 360 Rx
- plan_id
- H3954-160-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3954-160-0/
- cms_rating
- 4.5
- enrollment
- 23,045
- name
- Geisinger Gold Classic Complete Rx
- plan_id
- H3954-158-13
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3954-158-13/
- cms_rating
- 4.5
- enrollment
- 17,379
- name
- Geisinger Gold Classic Advantage Rx
- plan_id
- H3954-157-22
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3954-157-22/
- cms_rating
- 4.5
- enrollment
- 10,479
- 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
- Geisinger Gold Preferred Complete Rx
- plan_id
- H3924-065-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3924-065-0/
- cms_rating
- 4.5
- enrollment
- 21,855
- name
- Aetna Medicare Value Care
- plan_id
- H5522-013-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5522-013-0/
- cms_rating
- 4.5
- enrollment
- 21,539
- 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
- Aetna Medicare Advantra Signature
- plan_id
- H3959-037-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3959-037-0/
- cms_rating
- 4.0
- enrollment
- 7,080
- 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
- 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
- UHC Dual Complete PA-S002
- plan_id
- H3113-009-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3113-009-0/
- cms_rating
- 3.5
- enrollment
- 10,674
- name
- Wellcare Dual Liberty Sync
- plan_id
- H2915-002-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H2915-002-0/
- cms_rating
- 3.5
- enrollment
- 9,318
- 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 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
Understand Your 2026 Medicare Options in Pike 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 Pike County, Pennsylvania.
Medicare Coverage Options at a Glance
Medicare coverage in Pike 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 Pike County and what to consider with each coverage path.
Medicare Advantage Plan Options in Pike County
If you choose Medicare Advantage in Pike 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 | Pike County |
|---|---|
| Total Medicare Advantage plans | 34 |
| $0 premium plans | 19 |
| HMO plans | 6 |
| PPO plans | 22 |
| Plans with drug coverage | 27 |
| Lowest MOOP | $1,500 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $155.00 |
Highest-Enrollment PPO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Advantra Signature | 4.5 ★ | 26,704 |
| Geisinger Gold Preferred Complete Rx | 4.5 ★ | 21,855 |
| Aetna Medicare Value Care | 4.5 ★ | 21,539 |
Highest-Enrollment HMO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Geisinger Gold Classic 360 Rx | 4.5 ★ | 23,045 |
| Geisinger Gold Classic Complete Rx | 4.5 ★ | 17,379 |
| Geisinger Gold Classic Advantage Rx | 4.5 ★ | 10,479 |
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 |
| Aetna Medicare Advantra Signature | 4.0 ★ | 7,080 |
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 |
| Aetna Medicare Advantra Signature | 4.0 ★ | 7,080 |
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 Pike 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 Pike 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 Pike 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 Pike 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 | Pike 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 Pike 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 | Pike County |
|---|---|
| Total SNP plans | 12 |
| D-SNP plans | 10 |
| C-SNP plans | 1 |
| I-SNP plans | 1 |
Highest-Enrollment D-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Advantra Dual | 4.0 ★ | 34,716 |
| UHC Dual Complete PA-S002 | 3.5 ★ | 10,674 |
| Wellcare Dual Liberty Sync | 3.5 ★ | 9,318 |
Highest-Enrollment C-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Complete Care PA-17 | 4.0 ★ | 9,651 |
Highest-Enrollment I-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Longevity | 4.0 ★ | 799 |
If you qualify for an SNP in Pike 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 Pike 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 | Pike 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 Pike 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.