County guide · Allegheny County, PA · 2027 plan year
Original Medicare vs Medicare Advantage in Allegheny County, PA
This guide lists 60 Medicare Advantage plans for 2027 in Allegheny County, with the yearly cost of each one next to Original Medicare with Medigap. Special needs plans are not on this list.
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- Plans
- 60
- $0 premium
- 34 plans
- Lowest in-network limit
- $4,150
- Highest in-network limit
- $9,850
In most states, including Pennsylvania, you cannot count on getting Medigap later
You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Pennsylvania can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later.
One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.
Read about Medigap rights on Medicare.govYearly cost of each plan
Totals include premiums, the Part B premium, copays, and drug costs for three levels of care. A light year is checkups and a few visits. A regular year has ongoing specialist care. A heavy year has frequent care and a 5-day hospital stay.
| Plan | Monthly premiums | Yearly limit on medical costs | Stars | Prior authorization | Light year | Regular year | Heavy year |
|---|---|---|---|---|---|---|---|
| Original Medicare with Medigap Plan Gand the lowest-cost drug plan | Part B $209.50 + Plan G + a drug plan from $5.30 | $292 Part B deductible, then Plan G pays | Not rated | Short list of services | We have no checked Medigap price for this county yet. Check Medigap prices on Medicare.gov | ||
| DEVOTED GIVEBACK 015 PA (HMO)HMO from Devoted Health · Plan ID H6852-015 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $184.70 of Part B) | $9,850 in network | 3.5 of 5 | 24 services | $537 | $3,595 | $10,163 |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO)PPO from Devoted Health · Plan ID H6018-011 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $148.10 of Part B) | $9,850 in network; $14,500 in and out of network | 3 of 5 | 24 services | $999 | $4,101 | $10,564 |
| Aetna Medicare Advantra Signature Plus (HMO-POS)HMO-POS from Aetna Medicare · Plan ID H3959-010 · Medicare.gov | $0 plan + Part B $209.50 | $5,500 in network | 3.5 of 5 | 19 services | $2,594 | $4,865 | $9,679 |
| Complete Blue PPO Merit (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-057 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $82 of Part B) | $8,300 in network; $14,800 in and out of network | 4.5 of 5 | 17 services | $1,788 | $5,138 | $10,275 |
| Aetna Medicare Advantra Enhanced (HMO-POS)HMO-POS from Aetna Medicare · Plan ID H3959-001 · Medicare.gov | $34 plan + Part B $209.50 | $5,500 in network | 3.5 of 5 | 19 services | $3,002 | $5,243 | $9,107 |
| Together Blue Medicare HMO with AHN Signature (HMO)HMO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-048 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $19 of Part B) | $6,250 in network | 4.5 of 5 | 17 services | $2,346 | $5,303 | $8,156 |
| Security Blue HMO-POS Standard (HMO-POS)HMO-POS from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-045 · Medicare.gov | $132 plan + Part B $209.50 (the plan pays back $19 of Part B) | $5,000 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $3,945 | $5,333 | $9,461 |
| DEVOTED CHOICE 010 PA (PPO)PPO from Devoted Health · Plan ID H6018-010 · Medicare.gov | $0 plan + Part B $209.50 | $6,600 in network; $10,200 in and out of network | 3 of 5 | 24 services | $2,549 | $5,356 | $10,979 |
| Perennial Advantage Freedom (HMO)HMO from Perennial Advantage · Plan ID H3419-006 · Medicare.gov | $0 plan + Part B $209.50 | $4,500 in network | Not enough data available | 19 services | $2,589 | $5,364 | $8,819 |
| UPMC for Life Essential Rx (PPO)PPO from UPMC for Life · Plan ID H5533-017 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $100 of Part B) | $8,000 in network; $11,500 in and out of network | 4.5 of 5 | 16 services | $1,846 | $5,385 | $10,571 |
| Aetna Medicare Signature (PPO)PPO from Aetna Medicare · Plan ID H5521-261 · Medicare.gov | $0 plan + Part B $209.50 | $5,500 in network; $10,100 in and out of network | 4 of 5 | 19 services | $3,038 | $5,591 | $9,178 |
| DEVOTED GIVEBACK EXTRAS 035 PA (HMO)HMO from Devoted Health · Plan ID H6852-035 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $70 of Part B) | $7,950 in network | 3.5 of 5 | 24 services | $1,864 | $5,614 | $11,109 |
| HealthSpring Preferred (HMO)HMO from HealthSpring · Plan ID H3949-047 · Medicare.gov | $0 plan + Part B $209.50 | $7,150 in network | 3 of 5 | 24 services | $2,599 | $5,619 | $10,549 |
| Geisinger Gold Value Rx (HMO)HMO from Geisinger Gold · Plan ID H3954-163 · Medicare.gov | $29 plan + Part B $209.50 | $9,000 in network | 4 of 5 | 21 services | $2,897 | $5,637 | $10,107 |
| Community Blue Medicare HMO Signature (HMO)HMO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-047 · Medicare.gov | $0 plan + Part B $209.50 | $6,950 in network | 4.5 of 5 | 17 services | $2,579 | $5,647 | $9,734 |
| HealthSpring Preferred Plus (HMO)HMO from HealthSpring · Plan ID H3949-048 · Medicare.gov | $32 plan + Part B $209.50 | $5,700 in network | 3 of 5 | 24 services | $2,973 | $5,698 | $9,693 |
| Aetna Medicare Premier Plus (PPO)PPO from Aetna Medicare · Plan ID H5522-001 · Medicare.gov | $49 plan + Part B $209.50 | $5,500 in network; $9,550 in and out of network | 4.5 of 5 | 19 services | $3,152 | $5,715 | $8,777 |
| Complete Blue PPO Signature (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-041 · Medicare.gov | $0 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4.5 of 5 | 17 services | $2,589 | $5,744 | $10,344 |
| Security Blue HMO-POS Deluxe (HMO-POS)HMO-POS from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-046 · Medicare.gov | $188 plan + Part B $209.50 (the plan pays back $19 of Part B) | $4,500 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $4,612 | $5,806 | $9,600 |
| HealthSpring True Choice (PPO)PPO from HealthSpring · Plan ID H7849-106 · Medicare.gov | $7 plan + Part B $209.50 | $7,500 in network; $11,000 in and out of network | 3 of 5 | 24 services | $2,781 | $5,816 | $10,775 |
| Humana Essentials Plus Giveback (PPO)PPO from Humana · Plan ID H5525-085 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $107 of Part B) | $8,000 in network; $12,500 in and out of network | 4 of 5 | 24 services | $1,756 | $5,827 | $11,630 |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO)PPO from UnitedHealthcare · Plan ID H2406-101 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $55 of Part B) | $9,200 in network; $14,800 in and out of network | 4 of 5 | 24 services | $2,569 | $5,853 | $11,724 |
| Freedom Blue PPO Select (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-022 · Medicare.gov | $157 plan + Part B $209.50 | $5,000 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $4,473 | $5,878 | $9,983 |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-146 · Medicare.gov | $0 plan + Part B $209.50 | $7,150 in network | 4 of 5 | 24 services | $2,514 | $5,890 | $11,504 |
| DEVOTED CORE 014 PA (HMO)HMO from Devoted Health · Plan ID H6852-014 · Medicare.gov | $0 plan + Part B $209.50 | $6,550 in network | 3.5 of 5 | 24 services | $2,549 | $5,907 | $10,479 |
| UPMC for Life PPO Rx Choice (PPO)PPO from UPMC for Life · Plan ID H5533-019 · Medicare.gov | $33 plan + Part B $209.50 (the plan pays back $1 of Part B) | $5,500 in network; $9,000 in and out of network | 4.5 of 5 | 16 services | $2,968 | $5,983 | $8,863 |
| Complete Blue HMO Distinct (HMO)HMO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-050 · Medicare.gov | $40 plan + Part B $209.50 | $6,450 in network | 4.5 of 5 | 17 services | $3,054 | $5,988 | $9,134 |
| Aetna Medicare Advantra Signature Giveback (PPO)PPO from Aetna Medicare · Plan ID H5522-017 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $42 of Part B) | $9,850 in network; $14,800 in and out of network | 4.5 of 5 | 19 services | $2,725 | $6,008 | $11,579 |
| Humana USAA Honor Giveback with Rx (PPO)PPO from Humana · Plan ID H5525-059 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $84 of Part B) | $7,350 in network; $10,600 in and out of network | 4 of 5 | 24 services | $1,917 | $6,024 | $11,256 |
| Complete Blue PPO Distinct (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-035 · Medicare.gov | $43 plan + Part B $209.50 | $6,950 in network; $10,750 in and out of network | 4.5 of 5 | 17 services | $3,100 | $6,025 | $9,655 |
| UPMC for Life HMO Premier Rx (HMO)HMO from UPMC for Life · Plan ID H3907-059 · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $0.50 of Part B) | $6,500 in network | 4.5 of 5 | 16 services | $2,608 | $6,049 | $9,508 |
| Wellcare Simple (HMO-POS)HMO-POS from Wellcare · Plan ID H2915-003 · Medicare.gov | $0 plan + Part B $209.50 | $9,850 in network | 3.5 of 5 | 20 services | $2,778 | $6,051 | $11,055 |
| UPMC for Life PPO Premier Rx (PPO)PPO from UPMC for Life · Plan ID H5533-013 · Medicare.gov | $0 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4.5 of 5 | 16 services | $2,624 | $6,071 | $10,669 |
| AARP Medicare Advantage from UHC PA-0011 (PPO)PPO from UnitedHealthcare · Plan ID H2406-072 · Medicare.gov | $0 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4 of 5 | 24 services | $2,514 | $6,185 | $12,064 |
| UPMC for Life HMO Rx (HMO)HMO from UPMC for Life · Plan ID H3907-058 · Medicare.gov | $90 plan + Part B $209.50 | $4,500 in network | 4.5 of 5 | 16 services | $3,669 | $6,234 | $9,434 |
| UPMC for Life HMO Rx Choice (HMO)HMO from UPMC for Life · Plan ID H3907-057 · Medicare.gov | $25 plan + Part B $209.50 | $6,000 in network | 4.5 of 5 | 16 services | $2,899 | $6,244 | $9,124 |
| Security Blue HMO-POS ValueRx (HMO-POS)HMO-POS from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-031 · Medicare.gov | $53 plan + Part B $209.50 | $5,500 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $3,230 | $6,244 | $10,100 |
| Humana Gold Plus H6622-054 (HMO)HMO from Humana · Plan ID H6622-054 · Medicare.gov | $0 plan + Part B $209.50 | $8,260 in network | 4 of 5 | 24 services | $2,584 | $6,347 | $12,439 |
| HumanaChoice H5525-086 (PPO)PPO from Humana · Plan ID H5525-086 · Medicare.gov | $39 plan + Part B $209.50 | $5,800 in network; $5,800 in and out of network | 4 of 5 | 24 services | $3,057 | $6,490 | $10,772 |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-147 · Medicare.gov | $54 plan + Part B $209.50 | $6,700 in network | 4 of 5 | 24 services | $3,162 | $6,543 | $10,422 |
| Humana Value Choice (PPO)PPO from Humana · Plan ID H5525-051 · Medicare.gov | $0 plan + Part B $209.50 | $8,000 in network; $10,500 in and out of network | 4 of 5 | 24 services | $2,589 | $6,702 | $12,914 |
| Freedom Blue PPO ValueRx (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-032 · Medicare.gov | $97 plan + Part B $209.50 | $5,500 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $3,763 | $6,827 | $10,768 |
| UPMC for Life HMO Deductible Rx (HMO)HMO from UPMC for Life · Plan ID H3907-037 · Medicare.gov | $25 plan + Part B $209.50 | $6,000 in network | 4.5 of 5 | 16 services | $3,529 | $6,865 | $9,462 |
| Freedom Blue PPO Classic (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-001 · Medicare.gov | $266 plan + Part B $209.50 | $4,500 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $5,776 | $7,031 | $10,846 |
| AARP Medicare Advantage from UHC PA-0008 (PPO)PPO from UnitedHealthcare · Plan ID H2406-047 · Medicare.gov | $60 plan + Part B $209.50 | $5,900 in network; $10,750 in and out of network | 4 of 5 | 24 services | $3,949 | $7,234 | $11,534 |
| UPMC for Life PPO High Deductible Rx (PPO)PPO from UPMC for Life · Plan ID H5533-003 · Medicare.gov | $33 plan + Part B $209.50 | $7,550 in network; $11,300 in and out of network | 4.5 of 5 | 16 services | $3,625 | $7,356 | $9,778 |
| UPMC for Life PPO Rx Enhanced (PPO)PPO from UPMC for Life · Plan ID H5533-005 · Medicare.gov | $155 plan + Part B $209.50 | $7,550 in network; $11,300 in and out of network | 4.5 of 5 | 16 services | $4,901 | $7,472 | $10,593 |
| HumanaChoice H5216-120 (PPO)PPO from Humana · Plan ID H5216-120 · Medicare.gov | $107 plan + Part B $209.50 | $7,600 in network; $10,500 in and out of network | 4 of 5 | 24 services | $3,868 | $7,881 | $13,223 |
| HumanaChoice R0110-008 (Regional PPO)Regional PPO from Humana · Plan ID R0110-008 · Medicare.gov | $75 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 3.5 of 5 | 24 services | $3,943 | $7,973 | $12,964 |
| UPMC for Life HMO Rx Enhanced (HMO)HMO from UPMC for Life · Plan ID H3907-006 · Medicare.gov | $295 plan + Part B $209.50 | $7,550 in network | 4.5 of 5 | 16 services | $6,104 | $8,224 | $10,439 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-152 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $200 of Part B) | $7,150 in network | 4 of 5 | 24 services | $402 | $8,261 | $27,105 |
| Aetna Medicare Advantra Eagle Plus (HMO-POS)HMO-POS from Aetna Medicare · Plan ID H3959-041 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $135 of Part B) | $5,500 in network | 3.5 of 5 | 19 services | $1,242 | $8,781 | $25,855 |
| Freedom Blue PPO Valor (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-067 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $125 of Part B) | $6,000 in network; $10,750 in and out of network | 4.5 of 5 | 17 services | $1,352 | $8,956 | $26,070 |
| UPMC for Life HMO No Rx (HMO)HMO from UPMC for Life · Plan ID H3907-002 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $140 of Part B) | $6,500 in network | 4.5 of 5 | 16 services | $1,212 | $9,116 | $26,575 |
| Geisinger Gold Heritage (HMO)HMO from Geisinger Gold · Plan ID H3954-162 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $70 of Part B) | $6,700 in network | 4 of 5 | 21 services | $1,997 | $9,541 | $26,630 |
| Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H5216-221 · No drug coverage · Medicare.govIts page is set for Camden County, NJ | $0 plan + Part B $209.50 (the plan pays back $145 of Part B) | $6,700 in network; $6,700 in and out of network | 4 of 5 | 24 services | $1,152 | $10,096 | $29,050 |
| Security Blue HMO-POS Basic (HMO-POS)HMO-POS from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-043 · No drug coverage · Medicare.gov | $7 plan + Part B $209.50 (the plan pays back $19 of Part B) | $5,900 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $2,733 | $10,302 | $27,291 |
| UPMC for Life PPO Salute (PPO)PPO from UPMC for Life · Plan ID H5533-016 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 (the plan pays back $50 of Part B) | $9,850 in network; $14,800 in and out of network | 4.5 of 5 | 16 services | $2,327 | $10,328 | $28,952 |
| HumanaChoice Giveback H5216-116 (PPO)PPO from Humana · Plan ID H5216-116 · No drug coverage · Medicare.govIts page is set for Camden County, NJ | $0 plan + Part B $209.50 (the plan pays back $69 of Part B) | $4,150 in network; $6,200 in and out of network | 4 of 5 | 24 services | $2,064 | $11,168 | $27,412 |
| HumanaChoice R0110-007 (Regional PPO)Regional PPO from Humana · Plan ID R0110-007 · No drug coverage · Medicare.gov | $0 plan + Part B $209.50 | $4,750 in network; $5,900 in and out of network | 3.5 of 5 | 24 services | $2,887 | $12,021 | $28,840 |
A plan with no drug coverage counts drugs at full price, unless its members can add a separate drug plan. A plan name with a link opens a page where you can change the care level, the Medigap plan, your age, and your drugs.
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. We do not have a Medigap price for Allegheny County, PA. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 15108 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Medigap prices for ZIP 15108 on Medicare.gov
- CMS Plan Benefit Package files, 2027
- CMS 2027 landscape files (premiums and limits)
- CMS 2027 plan crosswalk
- CMS 2027 Star Ratings
- 2026 Medicare Trustees Report: projected 2027 Part A and Part B amounts (Tables V.E1 and V.E2)
- CMS 2026 Part A and Part B amounts
- Medicare.gov: Medigap guaranteed issue rights
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.