Medicare Advantage · Pennsylvania · 2026 plan year

Medicare Advantage in Fayette, PA

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

79
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$37.62
Avg premium/mo
RSS updates for this county

The short answer

Fayette has 79 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 58 reach 4★ or higher, and 22 carry a $0 monthly premium.

79
plans to compare
5.0★
highest CMS rating here
22
$0-premium plans
58
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 Fayette, PA

Fayette, PA (FIPS 42051): 79 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 5.0/5 via PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC. Plan-type mix: 34 Local PPO, 25 HMO, 19 HMO POS, 1 PFFS. Monthly plan premiums (Part C + D) range $0 – $295.00 (avg $37.62), with 22 $0-premium plans. 76 of 79 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 Fayette sits on CMS quality

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

4.15★ Top 5% higher than 95% 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 Fayette, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Provider Partners Health Plan OF Pennsylvania, Inc (SNP)Provider Partners Health PlansHMO$05.0★
2Provider Partners Health Plan OF Pennsylvania, Inc (SNP)Provider Partners Health PlansHMO$32.705.0★
3Provider Partners Health Plan OF Pennsylvania, Inc (SNP)Provider Partners Health PlansHMO$32.705.0★
4Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO-4.5★
5Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO-4.5★
6Geisinger Health Plan (SNP)Geisinger GoldHMO-4.5★
7Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS-4.5★
8Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO-4.5★
9Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$04.5★
10Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
11Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
12Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$04.5★
13Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
14Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
15Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$04.5★
16Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$04.5★
17Peak Health Insurance Corporation (SNP)Peak HealthLocal PPO$04.5★
18Emphesys Insurance Company (SNP)HumanaLocal PPO$11.504.5★
19Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$13.004.5★
20Peak Health Insurance Corporation (SNP)Peak HealthLocal PPO$16.004.5★
21Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$20.004.5★
22Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$22.004.5★
23Geisinger Health Plan (SNP)Geisinger GoldHMO$23.004.5★
24Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$25.004.5★
25Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$30.004.5★
26Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$30.004.5★
27Geisinger Health Plan (SNP)Geisinger GoldHMO$32.704.5★
28Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$33.004.5★
29Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS$35.004.5★
30Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$79.004.5★
31Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$90.004.5★
32Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS$122.004.5★
33Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$139.004.5★
34Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$140.004.5★
35Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS$179.004.5★
36Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$183.004.5★
37Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$248.004.5★
38Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$295.004.5★
39Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS-4.0★
40Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
41Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
42Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
43Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$04.0★
44Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$04.0★
45Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
46Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
47Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$13.804.0★
48Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$16.004.0★
49Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$16.104.0★
50Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$17.604.0★
51Upmc FOR YOU, Inc (SNP)UPMC for Life Complete CareHMO$26.504.0★
52Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$28.804.0★
53Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$29.004.0★
54Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$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★
57Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$39.004.0★
58Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$60.004.0★
59Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS-3.5★
60Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
61Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
62Humana Insurance Company (SNP)HumanaPFFS-3.5★
63Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$03.5★
64Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
65Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$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 WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
69Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$6.803.5★
70Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$18.503.5★
71Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$26.003.5★
72Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$30.403.5★
73Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
74Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
75Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
76Humana Insurance Company (SNP)HumanaLocal PPO$94.003.5★
77Plan 003-Local PPO-N/R
78Plan 004-Local PPO-N/R
79American 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 (58 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 Fayette, PA?

There are 79 Medicare Advantage plans available in Fayette, PA for the 2026 plan year, including 34 Local PPO, 25 HMO, 19 HMO POS, 1 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 Fayette?

The highest-rated plan in Fayette has a CMS star rating of 5.0 out of 5 - PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Fayette?

Monthly plan premiums (Part C + D combined) in Fayette range from $0 to $295.00, averaging $37.62. 22 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 Fayette?

Fayette has 34 Local PPO, 25 HMO, 19 HMO POS, 1 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