Medicare Advantage · Pennsylvania · 2026 plan year

Medicare Advantage in Berks, PA

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Berks, PA for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

105
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$33.21
Avg premium/mo
RSS updates for this county

The short answer

Berks has 105 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 59 reach 4★ or higher, and 34 carry a $0 monthly premium.

105
plans to compare
4.5★
highest CMS rating here
34
$0-premium plans
59
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Berks, PA

Berks, PA (FIPS 42011): 105 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Plan-type mix: 50 Local PPO, 39 HMO, 13 HMO POS, 3 PFFS. Monthly plan premiums (Part C + D) range $0 – $295.00 (avg $33.21), with 34 $0-premium plans. 102 of 105 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Berks sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

4.02★ Top 12% higher than 88% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). Below this entry. 4★–4.25★: 351 US counties (11%). This entry sits in this band. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Berks, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO-4.5★
2Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO-4.5★
3Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO-4.5★
4Geisinger Health Plan (SNP)Geisinger GoldHMO-4.5★
5Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO-4.5★
6Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
7Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
8Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$04.5★
9Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$04.5★
10Geisinger Indemnity Insurance Company (SNP)Geisinger GoldLocal PPO$04.5★
11Geisinger Health Plan (SNP)Geisinger GoldHMO$04.5★
12Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$04.5★
13Keystone Health Plan Central, Inc. (SNP)Capital Blue CrossHMO$04.5★
14Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
15Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
16Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
17Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
18Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$04.5★
19Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$20.004.5★
20Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$22.004.5★
21Geisinger Health Plan (SNP)Geisinger GoldHMO$23.004.5★
22Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$29.004.5★
23Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.604.5★
24Geisinger Health Plan (SNP)Geisinger GoldHMO$32.704.5★
25Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$35.004.5★
26Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$40.004.5★
27Geisinger Health Plan (SNP)Geisinger GoldHMO$48.004.5★
28Keystone Health Plan Central, Inc. (SNP)Capital Blue CrossHMO$58.004.5★
29Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$58.004.5★
30Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$66.004.5★
31Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$72.004.5★
32Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$72.004.5★
33Keystone Health Plan Central, Inc. (SNP)Capital Blue CrossHMO$86.004.5★
34Geisinger Indemnity Insurance Company (SNP)Geisinger GoldLocal PPO$96.004.5★
35Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$98.004.5★
36Geisinger Health Plan (SNP)Geisinger GoldHMO$120.004.5★
37Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$121.004.5★
38Capital Advantage Insurance Company (SNP)Capital Blue CrossLocal PPO$177.004.5★
39Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$183.004.5★
40Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$226.004.5★
41Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$295.004.5★
42Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS-4.0★
43Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
44Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
45Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
46Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
47Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
48Upmc FOR YOU, Inc (SNP)UPMC for Life Complete CareHMO$8.104.0★
49Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$13.804.0★
50Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$14.404.0★
51Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$16.004.0★
52Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$17.604.0★
53Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.704.0★
54Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$32.704.0★
55Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$32.704.0★
56Vista Health Plan, Inc. (SNP)VISTA Health Plan Inc.HMO$32.704.0★
57Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$42.004.0★
58Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$48.004.0★
59Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$60.004.0★
60Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS-3.5★
61Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
62Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
63Humana Insurance Company (SNP)HumanaPFFS-3.5★
64Humana Insurance Company (SNP)HumanaPFFS-3.5★
65Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$03.5★
66Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
67Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
68Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
69Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
70Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
71Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
72Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
73Humana Insurance Company (SNP)HumanaPFFS$03.5★
74Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$03.5★
75Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$03.5★
76Humana Medical Plan OF Pennsylvania, Inc. (SNP)HumanaHMO$2.603.5★
77Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$6.803.5★
78Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$18.503.5★
79Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$27.003.5★
80Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$29.003.5★
81Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$30.403.5★
82Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
83Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
84Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
85Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$32.703.5★
86Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
87Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
88Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
89Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
90Humana Insurance Company (SNP)HumanaLocal PPO$94.003.5★
91Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$03.0★
92Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$03.0★
93Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
94Plan 001-Local PPO-N/R
95Plan 002-Local PPO-N/R
96Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$0N/R
97Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
98Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
99Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$18.00N/R
100Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$19.70N/R
101Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$22.50N/R
102Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$32.70N/R
103Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$32.70N/R
104Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$32.70N/R
105American Health Plan OF Pennsylvania Inc (SNP)American Health Advantage of PennsylvaniaHMO$32.70N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (59 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Berks, PA?

There are 105 Medicare Advantage plans available in Berks, PA for the 2026 plan year, including 50 Local PPO, 39 HMO, 13 HMO POS, 3 PFFS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Berks?

The highest-rated plan in Berks has a CMS star rating of 4.5 out of 5 - CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Berks?

Monthly plan premiums (Part C + D combined) in Berks range from $0 to $295.00, averaging $33.21. 34 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Berks?

Berks has 50 Local PPO, 39 HMO, 13 HMO POS, 3 PFFS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare