Medicare plans
Wayne County, PA
85 Medicare Advantage plans and 8 drug-only plans are offered in Wayne County, PA for 2027. 53 of the Advantage plans have a $0 monthly premium.
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Data only, not plan advice. Confirm on Medicare.gov Plan Finder or 1-800-MEDICARE.
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Plans by type
| Type | Plans |
|---|---|
| Advantage without drug coverage | 10 |
| Advantage with drugs | 75 |
| Drug only | 8 |
| All plans | 93 |
26 of these are Special Needs Plans (SNPs), open only to people who qualify: 18 D-SNP for people with both Medicare and Medicaid, 6 C-SNP for people with certain chronic conditions and 2 I-SNP for people who live in a nursing home or need that level of care at home. The 8 drug-only plans are listed for all of Pennsylvania.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
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Premiums and out-of-pocket limits
| Measure | 2027 |
|---|---|
| Advantage monthly premium | $0 to $295 |
| Advantage plans at $0 | 53 |
| Advantage out-of-pocket maximum (in network) | $3,450 to $9,850 |
| Drug-only monthly premium | $5.30 to $184.40 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Star Ratings
| Overall rating | Advantage plans |
|---|---|
| 3 stars | 5 |
| 3.5 stars | 24 |
| 4 stars | 30 |
| 4.5 stars | 25 |
| 5 stars | 1 |
56 Advantage plans in Wayne County, PA have an overall rating of 4 stars or more.
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Change from 2026
Wayne County, PA has 85 Advantage plans in 2027, 3 more than 2026 (82). 12 plans are new to the county and 9 plans offered here in 2026 are gone. $0 plans go from 36 to 53.
| Advantage plans | 2026 | 2027 |
|---|---|---|
| Offered in the county | 82 | 85 |
| At a $0 premium | 36 | 53 |
| New for 2027 | 12 | |
| Offered in 2026, gone in 2027 | 9 |
Offered here in 2026, not in 2027
- Wellcare Assist (HMO-POS) (H2915-011, Centene Corporation)
- Wellcare Patriot Giveback (HMO-POS) (H2915-013, Centene Corporation)
- UPMC for Life HMO Deductible Rx (HMO) (H3907-037, UPMC Health System)
- Complete Blue PPO Merit (PPO) (H3916-066, Highmark Health)
- Aetna Community HealthChoices (HMO D-SNP) (H3959-072, CVS Health Corporation)
- UPMC for Life Complete Care (HMO D-SNP) (H4279-004, UPMC Health System)
- Aetna Medicare Enhanced (PPO) (H5521-122, CVS Health Corporation)
- Humana Gold Choice H8145-055 (PFFS) (H8145-055, Humana Inc.)
- Humana Gold Choice H8145-163 (PFFS) (H8145-163, Humana Inc.)
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Plans by parent organization
| Parent organization | Advantage | Drug only | Total |
|---|---|---|---|
| Centene Corporation | 3 | 2 | 5 |
| CVS Health Corporation | 11 | 0 | 11 |
| Devoted Health, Inc. | 10 | 0 | 10 |
| Health Care Service Corporation | 0 | 1 | 1 |
| Highmark Health | 12 | 0 | 12 |
| Humana Inc. | 16 | 3 | 19 |
| Independence Health Group, Inc. | 1 | 0 | 1 |
| Risant Health, Inc. | 9 | 0 | 9 |
| Thomas Jefferson University | 1 | 0 | 1 |
| UnitedHealth Group, Inc. | 13 | 2 | 15 |
| UPMC Health System | 9 | 0 | 9 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Every 2027 plan in Wayne County, PA
93 plans, by plan name. Select a column to sort. Plan types: HMO (health maintenance organization) means you generally must use the plan's network of doctors and hospitals, except in an emergency; HMO-POS is an HMO with a point-of-service option that may cover some care outside the network, usually at a higher cost; PPO (preferred provider organization) means you can see doctors outside the network, usually at a higher cost; a Regional PPO is a PPO offered across a whole CMS region of one or more states; and PFFS (private fee-for-service) means the plan sets what it pays, and you can use any Medicare provider that accepts the plan's terms.
| Plan ↑ | Type | Premium | Out-of-pocket max | Drug deductible | Stars |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS)H5253-146-000 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS | $0 | $7,150 | $685 | 4 |
| AARP Medicare Advantage from UHC PA-0007 (PPO)H2406-046-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $57 | $6,300 | $595 | 4 |
| AARP Medicare Advantage from UHC PA-0008 (PPO)H2406-047-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $60 | $5,900 | $685 | 4 |
| AARP Medicare Advantage from UHC PA-0011 (PPO)H2406-072-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $0 | $7,150 | $685 | 4 |
| AARP Medicare Advantage from UHC PA-0015 (PPO)H2001-110-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $0 | $7,150 | $685 | 4.5 |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO)H2406-101-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $0 | $9,200 | $685 | 4 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)H5253-152-000 · UnitedHealth Group, Inc. | Advantage without drug coverageHMO-POS | $0 | $7,150 | n/a | 4 |
| AARP Medicare Rx Preferred from UHC (PDP)S5921-388-000 · UnitedHealth Group, Inc. | Drug onlyPDP | $184.40 | n/a | $300 | 3 |
| AARP Medicare Rx Saver from UHC (PDP)S5921-351-000 · UnitedHealth Group, Inc. | Drug onlyPDP | $140.60 | n/a | $700 | 3 |
| Aetna Medicare Advantra Eagle Plus (HMO-POS)H3959-041-000 · CVS Health Corporation | Advantage without drug coverageHMO-POS | $0 | $5,500 | n/a | 3.5 |
| Aetna Medicare Advantra Enhanced (HMO-POS)H3959-039-000 · CVS Health Corporation | Advantage with drugsHMO-POS | $58 | $7,500 | $700 | 3.5 |
| Aetna Medicare Advantra Premier (PPO)H5522-002-000 · CVS Health Corporation | Advantage with drugsPPO | $99 | $5,900 | $700 | 4.5 |
| Aetna Medicare Advantra Signature (HMO-POS)H3959-037-000 · CVS Health Corporation | Advantage with drugsHMO-POS | $0 | $7,500 | $400 | 3.5 |
| Aetna Medicare Advantra Signature (PPO)H5522-004-000 · CVS Health Corporation | Advantage with drugsPPO | $0 | $9,250 | $700 | 4.5 |
| Aetna Medicare Advantra Signature Giveback (PPO)H5522-017-000 · CVS Health Corporation | Advantage with drugsPPO | $0 | $9,850 | $700 | 4.5 |
| Aetna Medicare Dual (HMO D-SNP)H3959-036-000 · CVS Health Corporation | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3.5 |
| Aetna Medicare Full Dual Extra (HMO D-SNP)H3959-091-000 · CVS Health Corporation | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3.5 |
| Aetna Medicare Longevity (HMO I-SNP)H3959-066-000 · CVS Health Corporation | Advantage with drugsHMO I-SNP | $0 | $9,850 | $700 | 3.5 |
| Aetna Medicare Signature Extra (PPO)H5521-263-000 · CVS Health Corporation | Advantage with drugsPPO | $0 | $7,150 | $700 | 4 |
| Aetna Medicare Value Plus (PPO)H5522-013-000 · CVS Health Corporation | Advantage with drugsPPO | $35 | $7,500 | $700 | 4.5 |
| Amerihealth Caritas VIP Care (HMO D-SNP)H4227-002-000 · Independence Health Group, Inc. | Advantage with drugsHMO D-SNP | $9 | $9,850 | $700 | 3.5 |
| Community Blue Medicare HMO Distinct (HMO)H3957-049-006 · Highmark Health | Advantage with drugsHMO | $63 | $6,500 | $700 | 4.5 |
| Community Blue Medicare HMO Signature (HMO)H3957-042-005 · Highmark Health | Advantage with drugsHMO | $0 | $6,950 | $700 | 4.5 |
| Community Blue Medicare PPO Signature (PPO)H3916-065-000 · Highmark Health | Advantage with drugsPPO | $0 | $7,150 | $700 | 4.5 |
| Complete Blue PPO Distinct (PPO)H3916-060-006 · Highmark Health | Advantage with drugsPPO | $116 | $6,750 | $700 | 4.5 |
| Complete Blue PPO Merit (PPO)H3916-069-002 · Highmark Health | Advantage with drugsPPO | $0 | $8,300 | $700 | 4.5 |
| DEVOTED C-SNP ENHANCED 017 PA (HMO C-SNP)H6852-017-000 · Devoted Health, Inc. | Advantage with drugsHMO C-SNP | $0 | $7,250 | $461 | 3.5 |
| DEVOTED C-SNP GIVEBACK EXTRAS 028 PA (HMO C-SNP)H6852-028-000 · Devoted Health, Inc. | Advantage with drugsHMO C-SNP | $0 | $7,100 | $700 | 3.5 |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP)H6852-022-000 · Devoted Health, Inc. | Advantage with drugsHMO C-SNP | $0 | $9,850 | $461 | 3.5 |
| DEVOTED CHOICE 007 PA (PPO)H6018-007-000 · Devoted Health, Inc. | Advantage with drugsPPO | $0 | $7,100 | $650 | 3 |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO)H6018-008-000 · Devoted Health, Inc. | Advantage with drugsPPO | $0 | $9,850 | $461 | 3 |
| DEVOTED CORE 008 PA (HMO)H6852-008-000 · Devoted Health, Inc. | Advantage with drugsHMO | $0 | $6,750 | $650 | 3.5 |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP)H6852-025-000 · Devoted Health, Inc. | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3.5 |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP)H6852-005-000 · Devoted Health, Inc. | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3.5 |
| DEVOTED GIVEBACK 009 PA (HMO)H6852-009-000 · Devoted Health, Inc. | Advantage with drugsHMO | $0 | $8,000 | $461 | 3.5 |
| DEVOTED GIVEBACK EXTRAS 032 PA (HMO)H6852-032-000 · Devoted Health, Inc. | Advantage with drugsHMO | $0 | $7,100 | $700 | 3.5 |
| Freedom Blue PPO Basic (PPO)H3916-012-000 · Highmark Health | Advantage without drug coveragePPO | $5 | $5,900 | n/a | 4.5 |
| Freedom Blue PPO Deluxe (PPO)H3916-005-000 · Highmark Health | Advantage with drugsPPO | $239 | $4,500 | $0 | 4.5 |
| Freedom Blue PPO Standard (PPO)H3916-015-000 · Highmark Health | Advantage with drugsPPO | $135 | $5,000 | $0 | 4.5 |
| Freedom Blue PPO Valor (PPO)H3916-043-000 · Highmark Health | Advantage without drug coveragePPO | $0 | $6,000 | n/a | 4.5 |
| Freedom Blue PPO ValueRx (PPO)H3916-018-000 · Highmark Health | Advantage with drugsPPO | $84 | $5,500 | $700 | 4.5 |
| Geisinger Gold Classic Advantage Rx (HMO)H3954-157-022 · Risant Health, Inc. | Advantage with drugsHMO | $129 | $3,450 | $0 | 4 |
| Geisinger Gold Classic Complete Rx (HMO)H3954-158-013 · Risant Health, Inc. | Advantage with drugsHMO | $58 | $5,700 | $0 | 4 |
| Geisinger Gold Classic Essential Rx (HMO)H3954-161-000 · Risant Health, Inc. | Advantage with drugsHMO | $0 | $7,150 | $700 | 4 |
| Geisinger Gold Heritage (HMO)H3954-162-000 · Risant Health, Inc. | Advantage without drug coverageHMO | $0 | $6,700 | n/a | 4 |
| Geisinger Gold Preferred Advantage Rx (PPO)H3924-059-021 · Risant Health, Inc. | Advantage with drugsPPO | $123 | $4,450 | $0 | 4 |
| Geisinger Gold Preferred Balance Rx (PPO)H3924-067-000 · Risant Health, Inc. | Advantage with drugsPPO | $29 | $9,850 | $0 | 4 |
| Geisinger Gold Preferred Complete Rx (PPO)H3924-065-000 · Risant Health, Inc. | Advantage with drugsPPO | $0 | $9,850 | $700 | 4 |
| Geisinger Gold Secure Rx (HMO D-SNP)H3954-097-000 · Risant Health, Inc. | Advantage with drugsHMO D-SNP | $1 | $9,850 | $700 | 4 |
| Geisinger Gold Value Rx (HMO)H3954-163-000 · Risant Health, Inc. | Advantage with drugsHMO | $29 | $9,000 | $0 | 4 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
For pharmacies
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Neighboring counties
- Broome County, NY34 Advantage plans, 16 at $0
- Delaware County, NY23 Advantage plans, 12 at $0
- Lackawanna County75 Advantage plans, 50 at $0
- Monroe County84 Advantage plans, 53 at $0
- Pike County46 Advantage plans, 26 at $0
- Sullivan County, NY43 Advantage plans, 20 at $0
- Susquehanna County79 Advantage plans, 50 at $0
Health data for Wayne County, PA
About this data
Plans, premiums, out-of-pocket maximums, and drug deductibles come from the CMS CY2027 Medicare Advantage and Part D landscape file. Change from 2026 compares it with the CY2026 landscape. Stars are the 2027 Star Ratings CMS released October 8, 2026: the overall rating for Advantage plans and the Part D summary rating for drug-only plans, which have no overall rating.
Advantage counts include Special Needs Plans (SNPs), which are open only to people who qualify: D-SNPs for people with both Medicare and Medicaid, C-SNPs for people with certain chronic conditions, and I-SNPs for people who live in a nursing home or need that level of care at home. Drug-only plans are listed by CMS for a whole state, so every county page shows them. Employer group plans are not in the file. This page lists plans; it does not say which plan fits anyone, and Rivvi does not sell plans.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page