County guide · Schuylkill County, PA · 2027 plan year
Original Medicare vs Medicare Advantage in Schuylkill County, PA
This guide lists 59 Medicare Advantage plans for 2027 in Schuylkill 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
- 59
- $0 premium
- 33 plans
- Lowest in-network limit
- $3,450
- 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 009 PA (HMO)HMO from Devoted Health · Plan ID H6852-009 · Medicare.govIts page is set for Berks County, PA | $0 plan + Part B $209.50 (the plan pays back $184.70 of Part B) | $8,000 in network | 3.5 of 5 | 24 services | $537 | $3,643 | $10,541 |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO)PPO from Devoted Health · Plan ID H6018-008 · Medicare.govIts page is set for Lancaster County, PA | $0 plan + Part B $209.50 (the plan pays back $149.70 of Part B) | $9,850 in network; $14,500 in and out of network | 3 of 5 | 24 services | $980 | $4,106 | $10,694 |
| Jefferson Health Plans Giveback (HMO)HMO from Jefferson Health Plans · Plan ID H9207-015 · Medicare.govIts page is set for Philadelphia County, PA | $0 plan + Part B $209.50 (the plan pays back $132 of Part B) | $9,850 in network | 3 of 5 | 17 services | $995 | $4,335 | $10,530 |
| Aetna Medicare Signature (HMO-POS)HMO-POS from Aetna Medicare · Plan ID H3959-101 · Medicare.govIts page is set for Lehigh County, PA | $0 plan + Part B $209.50 | $9,850 in network | 3.5 of 5 | 19 services | $2,589 | $5,075 | $10,739 |
| Jefferson Health Plans Prime (HMO)HMO from Jefferson Health Plans · Plan ID H9207-002 · Medicare.govIts page is set for Philadelphia County, PA | $12.80 plan + Part B $209.50 | $6,500 in network | 3 of 5 | 17 services | $2,698 | $5,368 | $9,858 |
| Jefferson Health Plans Complete (HMO)HMO from Jefferson Health Plans · Plan ID H9207-012 · Medicare.govIts page is set for Philadelphia County, PA | $0 plan + Part B $209.50 | $7,500 in network | 3 of 5 | 17 services | $2,559 | $5,424 | $10,354 |
| Aetna Medicare Advantra Signature (PPO)PPO from Aetna Medicare · Plan ID H5522-004 · Medicare.govIts page is set for Lancaster County, PA | $0 plan + Part B $209.50 | $9,250 in network; $11,300 in and out of network | 4.5 of 5 | 19 services | $2,594 | $5,482 | $10,419 |
| Jefferson Health Plans Preferred (PPO)PPO from Jefferson Health Plans · Plan ID H1619-004 · Medicare.govIts page is set for Philadelphia County, PA | $40 plan + Part B $209.50 | $6,500 in network; $10,000 in and out of network | 3 of 5 | 18 services | $3,024 | $5,529 | $8,784 |
| Jefferson Health Plans Flex (PPO)PPO from Jefferson Health Plans · Plan ID H1619-001 · Medicare.govIts page is set for Philadelphia County, PA | $0 plan + Part B $209.50 | $8,000 in network; $10,000 in and out of network | 3 of 5 | 18 services | $2,574 | $5,547 | $10,590 |
| Capital Blue Cross Essential (HMO)HMO from Capital Blue Cross · Plan ID H3962-022 · Medicare.govIts page is set for Berks County, PA | $0 plan + Part B $209.50 | $7,100 in network | 4 of 5 | 13 services | $2,584 | $5,595 | $10,199 |
| Geisinger Gold Value Rx (HMO)HMO from Geisinger Gold · Plan ID H3954-163 · Medicare.govIts page is set for Allegheny County, PA | $29 plan + Part B $209.50 | $9,000 in network | 4 of 5 | 21 services | $2,897 | $5,637 | $10,107 |
| Humana Essentials Plus Giveback (PPO)PPO from Humana · Plan ID H5525-085 · Medicare.govIts page is set for Philadelphia County, PA | $0 plan + Part B $209.50 (the plan pays back $110 of Part B) | $8,250 in network; $12,000 in and out of network | 4 of 5 | 24 services | $1,543 | $5,666 | $11,844 |
| DEVOTED GIVEBACK EXTRAS 032 PA (HMO)HMO from Devoted Health · Plan ID H6852-032 · Medicare.govIts page is set for Berks County, PA | $0 plan + Part B $209.50 (the plan pays back $70 of Part B) | $7,100 in network | 3.5 of 5 | 24 services | $1,860 | $5,683 | $11,174 |
| Freedom Blue PPO Standard (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-015 · Medicare.govIts page is set for Lancaster County, PA | $135 plan + Part B $209.50 | $5,000 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $4,214 | $5,709 | $10,044 |
| Capital Blue Cross Value (PPO)PPO from Capital Blue Cross · Plan ID H3923-045 · Medicare.govIts page is set for Berks County, PA | $0 plan + Part B $209.50 (the plan pays back $24 of Part B) | $9,000 in network; $9,000 in and out of network | 4 of 5 | 13 services | $2,659 | $5,801 | $10,937 |
| Capital Blue Cross Premier (HMO)HMO from Capital Blue Cross · Plan ID H3962-001 · Medicare.govIts page is set for Lancaster County, PA | $90 plan + Part B $209.50 | $5,000 in network | 4 of 5 | 13 services | $3,639 | $5,842 | $9,139 |
| Capital Blue Cross Select (PPO)PPO from Capital Blue Cross · Plan ID H3923-044 · Medicare.govIts page is set for Berks County, PA | $0 plan + Part B $209.50 | $9,850 in network; $9,850 in and out of network | 4 of 5 | 13 services | $2,594 | $5,845 | $11,294 |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO)PPO from UnitedHealthcare · Plan ID H2406-101 · Medicare.govIts page is set for Allegheny County, PA | $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 |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-146 · Medicare.govIts page is set for Allegheny County, PA | $0 plan + Part B $209.50 | $7,150 in network | 4 of 5 | 24 services | $2,514 | $5,890 | $11,504 |
| DEVOTED CORE 008 PA (HMO)HMO from Devoted Health · Plan ID H6852-008 · Medicare.govIts page is set for Berks County, PA | $0 plan + Part B $209.50 | $6,750 in network | 3.5 of 5 | 24 services | $2,544 | $5,917 | $10,499 |
| Humana USAA Honor Giveback with Rx (PPO)PPO from Humana · Plan ID H5525-059 · Medicare.govIts page is set for Allegheny County, PA | $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 |
| Geisinger Gold Classic Essential Rx (HMO)HMO from Geisinger Gold · Plan ID H3954-161 · Medicare.govIts page is set for Bucks County, PA | $0 plan + Part B $209.50 | $7,150 in network | 4 of 5 | 21 services | $2,623 | $6,040 | $10,054 |
| Capital Blue Cross Complete (PPO)PPO from Capital Blue Cross · Plan ID H3923-047 · Medicare.govIts page is set for Berks County, PA | $44 plan + Part B $209.50 | $7,100 in network; $7,100 in and out of network | 4 of 5 | 13 services | $3,102 | $6,108 | $10,457 |
| Community Blue Medicare HMO Signature (HMO)HMO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-051 · Medicare.govIts page is set for Monroe County, PA | $0 plan + Part B $209.50 | $7,150 in network | 4.5 of 5 | 17 services | $2,609 | $6,127 | $11,394 |
| Geisinger Gold Classic Complete Rx (HMO)HMO from Geisinger Gold · Plan ID H3954-158 · Medicare.govIts page is set for Luzerne County, PA | $56 plan + Part B $209.50 | $5,700 in network | 4 of 5 | 21 services | $3,290 | $6,157 | $10,246 |
| AARP Medicare Advantage from UHC PA-0011 (PPO)PPO from UnitedHealthcare · Plan ID H2406-072 · Medicare.govIts page is set for Allegheny County, PA | $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 |
| Aetna Medicare Signature Giveback (PPO)PPO from Aetna Medicare · Plan ID H5522-022 · Medicare.govIts page is set for Lancaster County, PA | $0 plan + Part B $209.50 (the plan pays back $26 of Part B) | $7,150 in network; $10,750 in and out of network | 4.5 of 5 | 19 services | $2,917 | $6,215 | $11,706 |
| DEVOTED CHOICE 007 PA (PPO)PPO from Devoted Health · Plan ID H6018-007 · Medicare.govIts page is set for Philadelphia County, PA | $0 plan + Part B $209.50 | $7,100 in network; $10,750 in and out of network | 3 of 5 | 24 services | $2,601 | $6,275 | $11,937 |
| Capital Blue Cross Value (HMO)HMO from Capital Blue Cross · Plan ID H3962-023 · Medicare.govIts page is set for Berks County, PA | $63 plan + Part B $209.50 | $6,500 in network | 4 of 5 | 13 services | $3,330 | $6,282 | $9,880 |
| Aetna Medicare Advantra Premier (PPO)PPO from Aetna Medicare · Plan ID H5522-002 · Medicare.govIts page is set for Lancaster County, PA | $99 plan + Part B $209.50 | $5,900 in network; $9,550 in and out of network | 4.5 of 5 | 19 services | $3,752 | $6,285 | $10,392 |
| Geisinger Gold Preferred Complete Rx (PPO)PPO from Geisinger Gold · Plan ID H3924-065 · Medicare.govIts page is set for Bucks County, PA | $0 plan + Part B $209.50 | $9,850 in network; $9,850 in and out of network | 4 of 5 | 21 services | $2,653 | $6,290 | $10,864 |
| Humana Gold Plus H6622-036 (HMO)HMO from Humana · Plan ID H6622-036 · Medicare.govIts page is set for Lehigh County, PA | $0 plan + Part B $209.50 | $8,250 in network | 4 of 5 | 24 services | $2,579 | $6,317 | $12,354 |
| AARP Medicare Advantage from UHC PA-0007 (PPO)PPO from UnitedHealthcare · Plan ID H2406-046 · Medicare.govIts page is set for Lancaster County, PA | $57 plan + Part B $209.50 | $6,300 in network; $10,750 in and out of network | 4 of 5 | 24 services | $3,198 | $6,379 | $10,113 |
| Geisinger Gold Preferred Balance Rx (PPO)PPO from Geisinger Gold · Plan ID H3924-067 · Medicare.govIts page is set for Bucks County, PA | $29 plan + Part B $209.50 | $9,850 in network; $9,850 in and out of network | 4 of 5 | 21 services | $3,258 | $6,426 | $11,938 |
| Aetna Medicare Enhanced (PPO)PPO from Aetna Medicare · Plan ID H5522-032 · Medicare.govIts page is set for Lehigh County, PA | $76 plan + Part B $209.50 | $9,850 in network; $14,800 in and out of network | 4.5 of 5 | 19 services | $3,501 | $6,434 | $11,376 |
| Aetna Medicare Signature Extra (PPO)PPO from Aetna Medicare · Plan ID H5521-263 · Medicare.govIts page is set for Philadelphia County, PA | $0 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4 of 5 | 19 services | $3,229 | $6,450 | $12,064 |
| Capital Blue Cross Classic (PPO)PPO from Capital Blue Cross · Plan ID H3923-013 · Medicare.govIts page is set for Lancaster County, PA | $77 plan + Part B $209.50 | $6,700 in network; $6,700 in and out of network | 4 of 5 | 13 services | $3,503 | $6,567 | $11,058 |
| Capital Blue Cross Basic (PPO)PPO from Capital Blue Cross · Plan ID H3923-049 · Medicare.govIts page is set for Berks County, PA | $28 plan + Part B $209.50 | $9,800 in network; $9,800 in and out of network | 4 of 5 | 13 services | $3,417 | $6,572 | $12,070 |
| Community Blue Medicare HMO Distinct (HMO)HMO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3957-049 · Medicare.govIts page is set for Monroe County, PA | $72 plan + Part B $209.50 | $6,500 in network | 4.5 of 5 | 17 services | $3,453 | $6,666 | $11,233 |
| Humana Value Choice (PPO)PPO from Humana · Plan ID H5525-051 · Medicare.govIts page is set for Allegheny County, PA | $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 H3916-018 · Medicare.govIts page is set for Lancaster County, PA | $84 plan + Part B $209.50 | $5,500 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $3,607 | $6,735 | $10,772 |
| Freedom Blue PPO Deluxe (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-005 · Medicare.govIts page is set for Lancaster County, PA | $239 plan + Part B $209.50 | $4,500 in network; $8,950 in and out of network | 4.5 of 5 | 17 services | $5,457 | $6,772 | $10,697 |
| Geisinger Gold Classic Advantage Rx (HMO)HMO from Geisinger Gold · Plan ID H3954-157 · Medicare.govIts page is set for Luzerne County, PA | $151 plan + Part B $209.50 | $3,450 in network | 4 of 5 | 21 services | $4,400 | $6,922 | $10,176 |
| Geisinger Gold Preferred Advantage Rx (PPO)PPO from Geisinger Gold · Plan ID H3924-059 · Medicare.govIts page is set for Luzerne County, PA | $123 plan + Part B $209.50 | $4,450 in network; $4,450 in and out of network | 4 of 5 | 21 services | $4,114 | $6,956 | $10,840 |
| AARP Medicare Advantage from UHC PA-0015 (PPO)PPO from UnitedHealthcare · Plan ID H2001-110 · Medicare.govIts page is set for Luzerne County, PA | $0 plan + Part B $209.50 | $7,150 in network; $10,750 in and out of network | 4.5 of 5 | 24 services | $3,229 | $7,067 | $11,685 |
| HumanaChoice H5525-086 (PPO)PPO from Humana · Plan ID H5525-086 · Medicare.govIts page is set for Philadelphia County, PA | $38 plan + Part B $209.50 | $6,050 in network; $10,750 in and out of network | 4 of 5 | 24 services | $3,045 | $7,088 | $11,420 |
| HumanaChoice H5525-005 (PPO)PPO from Humana · Plan ID H5525-005 · Medicare.govIts page is set for Philadelphia County, PA | $39 plan + Part B $209.50 | $8,300 in network; $11,300 in and out of network | 4 of 5 | 24 services | $3,062 | $7,125 | $13,682 |
| AARP Medicare Advantage from UHC PA-0008 (PPO)PPO from UnitedHealthcare · Plan ID H2406-047 · Medicare.govIts page is set for Allegheny County, PA | $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 |
| Capital Blue Cross Prime (PPO)PPO from Capital Blue Cross · Plan ID H3923-017 · Medicare.govIts page is set for Lancaster County, PA | $184 plan + Part B $209.50 | $6,700 in network; $6,700 in and out of network | 4 of 5 | 13 services | $4,782 | $7,739 | $11,797 |
| HumanaChoice H5216-120 (PPO)PPO from Humana · Plan ID H5216-120 · Medicare.govIts page is set for Allegheny County, PA | $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.govIts page is set for Allegheny County, PA | $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 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-152 · No drug coverage · Medicare.govIts page is set for Allegheny County, PA | $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.govIts page is set for Allegheny County, PA | $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 H3916-043 · No drug coverage · Medicare.govIts page is set for Lancaster County, PA | $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 | $8,996 | $26,170 |
| Geisinger Gold Heritage (HMO)HMO from Geisinger Gold · Plan ID H3954-162 · No drug coverage · Medicare.govIts page is set for Allegheny County, PA | $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 |
| Freedom Blue PPO Basic (PPO)PPO from Highmark Blue Cross Blue Shield or Highmark Blue Shield · Plan ID H3916-012 · No drug coverage · Medicare.govIts page is set for Lancaster County, PA | $5 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 | $2,714 | $10,398 | $27,537 |
| 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.govIts page is set for Allegheny County, PA | $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 Schuylkill County, PA. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 17963 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Medigap prices for ZIP 17963 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.