Medicare Advantage · Pennsylvania · 2026 plan year

Medicare Advantage in Carbon, PA

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

90
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$35.30
Avg premium/mo
RSS updates for this county

The short answer

Carbon has 90 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 53 reach 4★ or higher, and 28 carry a $0 monthly premium.

90
plans to compare
4.5★
highest CMS rating here
28
$0-premium plans
53
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 Carbon, PA

Carbon, PA (FIPS 42025): 90 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: 40 Local PPO, 36 HMO, 11 HMO POS, 3 PFFS. Monthly plan premiums (Part C + D) range $0 – $295.00 (avg $35.30), with 28 $0-premium plans. 90 of 90 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 Carbon sits on CMS quality

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

4.05★ Top 9% higher than 91% 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 Carbon, 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★
6Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$04.5★
7Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
8Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
9Geisinger Indemnity Insurance Company (SNP)Geisinger GoldLocal PPO$04.5★
10Geisinger Health Plan (SNP)Geisinger GoldHMO$04.5★
11Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$04.5★
12Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
13Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
14Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$04.5★
15Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$04.5★
16Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$22.004.5★
17Geisinger Health Plan (SNP)Geisinger GoldHMO$23.004.5★
18Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$30.004.5★
19Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.604.5★
20Geisinger Health Plan (SNP)Geisinger GoldHMO$32.704.5★
21Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$33.004.5★
22Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$40.004.5★
23Geisinger Health Plan (SNP)Geisinger GoldHMO$48.004.5★
24Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$50.004.5★
25Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$66.004.5★
26Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$66.004.5★
27Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$90.004.5★
28Geisinger Indemnity Insurance Company (SNP)Geisinger GoldLocal PPO$96.004.5★
29Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$98.004.5★
30Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$98.004.5★
31Geisinger Health Plan (SNP)Geisinger GoldHMO$113.904.5★
32Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$121.004.5★
33Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$140.004.5★
34Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$183.004.5★
35Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$226.004.5★
36Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$295.004.5★
37Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS-4.0★
38Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
39Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
40Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
41Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
42Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
43Upmc FOR YOU, Inc (SNP)UPMC for Life Complete CareHMO$8.104.0★
44Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$13.804.0★
45Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$14.204.0★
46Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$16.004.0★
47Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$17.604.0★
48Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.704.0★
49Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$32.704.0★
50Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$32.704.0★
51Vista Health Plan, Inc. (SNP)VISTA Health Plan Inc.HMO$32.704.0★
52Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$42.004.0★
53Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$60.004.0★
54Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS-3.5★
55Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
56Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
57Humana Insurance Company (SNP)HumanaPFFS-3.5★
58Humana Insurance Company (SNP)HumanaPFFS-3.5★
59Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$03.5★
60Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
61Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
62Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
63Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
64Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
65Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
66Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
67Humana Insurance Company (SNP)HumanaPFFS$03.5★
68Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$03.5★
69Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$03.5★
70Humana Medical Plan OF Pennsylvania, Inc. (SNP)HumanaHMO$2.603.5★
71Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$6.803.5★
72Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$26.003.5★
73Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$30.403.5★
74Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
75Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
76Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
77Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
78Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
79Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
80Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
81Humana Insurance Company (SNP)HumanaLocal PPO$94.003.5★
82Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$0N/R
83Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
84Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
85Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$18.00N/R
86Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$19.70N/R
87Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$22.50N/R
88Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$32.70N/R
89Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$32.70N/R
90Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$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 (53 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 Carbon, PA?

There are 90 Medicare Advantage plans available in Carbon, PA for the 2026 plan year, including 40 Local PPO, 36 HMO, 11 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 Carbon?

The highest-rated plan in Carbon 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 Carbon?

Monthly plan premiums (Part C + D combined) in Carbon range from $0 to $295.00, averaging $35.30. 28 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 Carbon?

Carbon has 40 Local PPO, 36 HMO, 11 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