Medicare Advantage · Pennsylvania · 2026 plan year

Medicare Advantage in Mercer, PA

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

87
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$31.64
Avg premium/mo
RSS updates for this county

The short answer

Mercer has 87 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 52 reach 4★ or higher, and 29 carry a $0 monthly premium.

87
plans to compare
5.0★
highest CMS rating here
29
$0-premium plans
52
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 Mercer, PA

Mercer, PA (FIPS 42085): 87 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: 36 Local PPO, 30 HMO, 20 HMO POS, 1 PFFS. Monthly plan premiums (Part C + D) range $0 – $295.00 (avg $31.64), with 29 $0-premium plans. 85 of 87 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 Mercer sits on CMS quality

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

4.04★ Top 10% higher than 90% 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 Mercer, 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★
6Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS-4.5★
7Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO-4.5★
8Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$04.5★
9Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$04.5★
10Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$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★
16Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$13.004.5★
17Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$20.004.5★
18Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$22.004.5★
19Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$25.004.5★
20Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$25.004.5★
21Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$30.004.5★
22Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS$30.004.5★
23Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.604.5★
24Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$33.004.5★
25Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$65.004.5★
26Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$90.004.5★
27Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$96.004.5★
28Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS$104.004.5★
29Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO POS$138.004.5★
30Upmc Health Network, Inc. (SNP)UPMC for LifeLocal PPO$140.004.5★
31Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$183.004.5★
32Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$220.004.5★
33Upmc Health Plan, Inc. (SNP)UPMC for LifeHMO$295.004.5★
34Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS-4.0★
35Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
36Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
37Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
38Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$04.0★
39Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$04.0★
40Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
41Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
42Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$13.804.0★
43Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$14.704.0★
44Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$16.004.0★
45Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$17.604.0★
46Upmc FOR YOU, Inc (SNP)UPMC for Life Complete CareHMO$26.504.0★
47Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$29.004.0★
48Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.704.0★
49Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$32.704.0★
50Vista Health Plan, Inc. (SNP)VISTA Health Plan Inc.HMO$32.704.0★
51Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$39.004.0★
52Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$60.004.0★
53Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS-3.5★
54Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
55Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
56Humana Insurance Company (SNP)HumanaPFFS-3.5★
57Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$03.5★
58Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
59Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
60Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
61Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
62Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
63Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
64Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
65Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
66Humana Medical Plan OF Pennsylvania, Inc. (SNP)HumanaHMO$2.603.5★
67Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$6.803.5★
68Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$18.503.5★
69Humana Insurance Company (SNP)HumanaLocal PPO$21.003.5★
70Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$26.003.5★
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★
77Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$03.0★
78Bravo Health Pennsylvania, Inc. (SNP)Cigna HealthCareHMO$03.0★
79Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
80Plan 001-Local PPO-N/R
81Plan 002-Local PPO-N/R
82Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
83Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
84Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$19.70N/R
85Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$22.50N/R
86Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$32.70N/R
87Devoted 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 (52 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 Mercer, PA?

There are 87 Medicare Advantage plans available in Mercer, PA for the 2026 plan year, including 36 Local PPO, 30 HMO, 20 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 Mercer?

The highest-rated plan in Mercer 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 Mercer?

Monthly plan premiums (Part C + D combined) in Mercer range from $0 to $295.00, averaging $31.64. 29 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 Mercer?

Mercer has 36 Local PPO, 30 HMO, 20 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