Medicare Advantage HMO plans in Pennsylvania
There are 200 Medicare Advantage HMO plans in Pennsylvania from 18 carriers, averaging 3.85 out of 5 stars across the 196 plans CMS has rated. 58% of those with a published premium charge $0 a month (117 of 200); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 200 HMO plans in Pennsylvania that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,467, which sits above the median — the spread is not symmetric, so the median is the better guide.
Pennsylvania has 1 five-star Medicare Advantage HMO plan.
Of the 200 HMO plans here, 1 carry CMS's top overall rating of 5 stars and 103 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
Pennsylvania HMO plans rank 14th of 49 on star rating.
Across the 196 rated plans here the average overall rating is 3.85 stars, 14th highest of the 49 states with HMO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated HMO plans in Pennsylvania
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| AARP Medicare Advantage from UHC PA-19 (HMO-POS)UnitedHealthcare | 5★ | $9,850 | $160 |
| Security Blue HMO-POS Deluxe (HMO-POS)Highmark Blue Cross Blue Shield or Highmark Blue S | 4.5★ | $4,500 | $188 |
| UPMC for Life HMO Rx (HMO)UPMC for Life | 4.5★ | $4,500 | $90 |
| Security Blue HMO-POS Standard (HMO-POS)Highmark Blue Cross Blue Shield or Highmark Blue S | 4.5★ | $5,000 | $118 |
| Security Blue HMO-POS ValueRx (HMO-POS)Highmark Blue Cross Blue Shield or Highmark Blue S | 4.5★ | $5,500 | $53 |
Showing 5 of 200. See all PennsylvaniaMedicare Advantage plans →
HMO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Highmark Blue Cross Blue Shield or Highmark Blue SHighmark Health | 33 | 4.5 | — |
| Devoted HealthDevoted Health, Inc. | 30 | 3.5 | 16 |
| Aetna MedicareCVS Health Corporation | 28 | 3.5 | 14 |
| UPMC for LifeUPMC Health System | 18 | 4.5 | — |
| Independence Blue CrossIndependence Health Group, Inc. | 13 | 4.0 | — |
| UnitedHealthcareUnitedHealth Group, Inc. | 13 | 3.9 | 6 |
| Capital Blue CrossCAPITAL BLUE CROSS | 11 | 4.0 | — |
| Geisinger GoldRisant Health, Inc. | 10 | 4.0 | 1 |
| HealthSpringHealth Care Service Corporation | 9 | 3.0 | 2 |
| HumanaHumana Inc. | 8 | 4.0 | 4 |
| Jefferson Health PlansThomas Jefferson University | 6 | 3.0 | 3 |
| UPMC for Life Complete CareUPMC Health System | 5 | 3.4 | 5 |
How HMO compares
States with similar HMO star ratings
Pennsylvania Medicare Advantage HMO plans, answered
How much do Medicare Advantage HMO plans cost in Pennsylvania?
What are the star ratings for Pennsylvania HMO plans?
How many Medicare Advantage HMO plans are available in Pennsylvania?
Do Pennsylvania HMO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in Pennsylvania?
A $0 premium is not the whole cost.
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