Medicare Advantage plans in Mercer, PA, 2027
Mercer, Pennsylvania has 55 Medicare Advantage plans open to everyone for 2027 (62 in 2026) and 27 special needs plans, according to the CMS landscape files; 31 of the open plans have a $0 premium. 11 plans that served the county in 2026 end or leave it, with 752 members living here in September 2026.
What changes in Mercer for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 62 | 55 | ▼down 7 |
| Special needs plans | 25 | 27 | ▲up 2 |
| Plans with a $0 premium | 34 | 31 | ▼down 3 |
| Plans that lower the Part B premium | 30 | 21 | ▼down 9 |
| Median out-of-pocket limit | $6,100 | $6,700 | ▲up $600 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Mercer join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| HumanaChoice GivebackH5216-116 · PPO | $0 | $4,150 | $69 | 3.5 of 5 |
| HumanaChoiceR0110-007 · Regional PPO | $0 | $4,750 | none | 3.5 of 5 |
| Aetna Medicare Signature PlusH3959-011 · HMO-POS | $0 | $5,500 | none | 4 of 5 |
| Aetna Medicare Advantra Eagle PlusH3959-041 · HMO-POS | $0 | $5,500 | $135 | 4 of 5 |
| Aetna Medicare SignatureH5521-261 · PPO | $0 | $5,500 | none | 4.5 of 5 |
| Aetna Medicare Signature Extra PlusH3959-032 · HMO-POS | $0 | $5,900 | none | 4 of 5 |
| Devoted Core 010 PAH6852-010 · HMO | $0 | $5,900 | none | not rated (too little data) |
| Freedom Blue PPO ValorH3916-067 · PPO | $0 | $6,000 | $125 | 4.5 of 5 |
| UPMC for Life HMO No RxH3907-002 · HMO | $0 | $6,500 | $140 | 4.5 of 5 |
| UPMC for Life HMO Premier RxH3907-059 · HMO | $0 | $6,500 | $0.50 | 4.5 of 5 |
| Devoted Choice 010 PAH6018-010 · PPO | $0 | $6,600 | none | 3.5 of 5 |
| Humana USAA Honor GivebackH5216-221 · PPO | $0 | $6,700 | $145 | 3.5 of 5 |
| Community Blue Medicare HMO SignatureH3957-047 · HMO | $0 | $6,950 | none | 4.5 of 5 |
| Complete Blue PPO SignatureH3916-041 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC PA-0002H5253-146 · HMO-POS | $0 | $7,150 | none | 4 of 5 |
| AARP Medicare Advantage Patriot No Rx PA-MA01H5253-152 · HMO-POS | $0 | $7,150 | $200 | 4 of 5 |
| UPMC for Life PPO Premier RxH5533-013 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| Humana USAA Honor Giveback with RxH5525-059 · PPO | $0 | $7,350 | $84 | 3.5 of 5 |
| Devoted Giveback Extras 033 PAH6852-033 · HMO | $0 | $7,600 | $70 | not rated (too little data) |
| Humana Value ChoiceH5525-051 · PPO | $0 | $8,000 | none | 3.5 of 5 |
Show the other 35 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Humana Essentials Plus GivebackH5525-085 · PPO | $0 | $8,000 | $110 | 3.5 of 5 |
| UPMC for Life Essential RxH5533-017 · PPO | $0 | $8,000 | $100 | 4.5 of 5 |
| Humana Gold PlusH6622-054 · HMO | $0 | $8,260 | none | 3.5 of 5 |
| Complete Blue PPO MeritH3916-057 · PPO | $0 | $8,300 | $82 | 4.5 of 5 |
| Humana Gold PlusH6622-035 · HMO | $0 | $8,300 | none | 3.5 of 5 |
| AARP Medicare Advantage Giveback from UHC PA-12H2406-101 · PPO | $0 | $9,200 | $55 | 4 of 5 |
| Wellcare SimpleH2915-003 · HMO-POS | $0 | $9,850 | none | 3.5 of 5 |
| Aetna Medicare Advantra Signature GivebackH5522-017 · PPO | $0 | $9,850 | $42 | 4.5 of 5 |
| UPMC for Life PPO SaluteH5533-016 · PPO | $0 | $9,850 | $50 | 4.5 of 5 |
| Devoted Choice Giveback 011 PAH6018-011 · PPO | $0 | $9,850 | $148.10 | 3.5 of 5 |
| Devoted Giveback 011 PAH6852-011 · HMO | $0 | $9,850 | $184.70 | not rated (too little data) |
| UPMC for Life HMO Deductible RxH3907-037 · HMO | $25 | $6,000 | none | 4.5 of 5 |
| UPMC for Life HMO Rx ChoiceH3907-057 · HMO | $33 | $6,000 | none | 4.5 of 5 |
| UPMC for Life PPO High Deductible RxH5533-003 · PPO | $33 | $7,550 | none | 4.5 of 5 |
| Security Blue HMO-POS BasicH3957-043 · HMO-POS | $37 | $5,900 | $19 | 4.5 of 5 |
| Aetna Medicare Advantra EnhancedH3959-002 · HMO-POS | $39 | $5,500 | none | 4 of 5 |
| HumanaChoiceH5525-086 · PPO | $39 | $5,800 | none | 3.5 of 5 |
| Aetna Medicare Premier PlusH5522-005 · PPO | $39 | $7,150 | none | 4.5 of 5 |
| HumanaChoiceH5525-005 · PPO | $39 | $8,300 | none | 3.5 of 5 |
| Complete Blue PPO DistinctH3916-035 · PPO | $41 | $6,950 | none | 4.5 of 5 |
| Complete Blue HMO DistinctH3957-050 · HMO | $42 | $6,450 | none | 4.5 of 5 |
| HumanaChoiceH5216-023 · PPO | $44 | $6,000 | none | 3.5 of 5 |
| Security Blue HMO-POS ValueRxH3957-044 · HMO-POS | $48 | $5,500 | $16 | 4.5 of 5 |
| AARP Medicare Advantage from UHC PA-0003H5253-147 · HMO-POS | $54 | $6,700 | none | 4 of 5 |
| AARP Medicare Advantage from UHC PA-0008H2406-047 · PPO | $60 | $5,900 | none | 4 of 5 |
| HumanaChoiceR0110-008 · Regional PPO | $75 | $7,150 | none | 3.5 of 5 |
| Freedom Blue PPO ValueRxH3916-033 · PPO | $83 | $5,500 | none | 4.5 of 5 |
| UPMC for Life HMO RxH3907-058 · HMO | $90 | $4,500 | none | 4.5 of 5 |
| HumanaChoiceH5216-120 · PPO | $107 | $7,600 | none | 3.5 of 5 |
| Freedom Blue PPO SelectH3916-024 · PPO | $114 | $5,000 | none | 4.5 of 5 |
| Security Blue HMO-POS StandardH3957-045 · HMO-POS | $118 | $5,000 | $20 | 4.5 of 5 |
| Security Blue HMO-POS DeluxeH3957-046 · HMO-POS | $119 | $4,500 | $41 | 4.5 of 5 |
| UPMC for Life PPO Rx EnhancedH5533-005 · PPO | $155 | $7,550 | none | 4.5 of 5 |
| Freedom Blue PPO ClassicH3916-002 · PPO | $238 | $4,500 | none | 4.5 of 5 |
| UPMC for Life HMO Rx EnhancedH3907-006 · HMO | $295 | $7,550 | none | 4.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Mercer in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| UPMC for Life PPO Rx ChoiceH5533-015 | 549 | Leaves the county |
| AARP Medicare Advantage from UHC PA-0011H2406-072 | 87 | Leaves the county |
| HealthSpring PreferredH3949-049 | 82 | Not offered |
| Provider Partners Pennsylvania Community PlanH4093-004 | 22 | Not offered |
| HealthSpring True ChoiceH7849-106 | 12 | Leaves the county |
| Wellcare Patriot GivebackH2915-013 | fewer than 11 | Not offered |
| HealthSpring TotalCare PlusH3949-009 | fewer than 11 | Leaves the county |
| Aetna Community HealthChoicesH3959-069 | fewer than 11 | Not offered |
| Provider Partners Pennsylvania Essential PlanH4093-008 | fewer than 11 | Not offered |
| Aetna Medicare EnhancedH5521-122 | fewer than 11 | Not offered |
| Humana Gold ChoiceH8145-163 | fewer than 11 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| Provider Partners Pennsylvania Community PlanH4093-009 | Institutional | $0 |
| Wellcare PA Health & Wellness Dual SelectH2915-018 | Dual-Eligible | $0 |
| Devoted C-SNP Enhanced 018 PAH6852-018 | Chronic or Disabling Condition | $0 |
| UHC Complete Care PA-17H5253-192 | Chronic or Disabling Condition | $0 |
| Devoted C-SNP Giveback Extras 029 PAH6852-029 | Chronic or Disabling Condition | $0 |
| Humana Dual SelectH6622-103 | Dual-Eligible | $0 |
| Wellcare PA Health & Wellness Dual Liberty SyncH2915-002 | Dual-Eligible | $0 |
| UHC Dual Complete PA-S002H3113-009 | Dual-Eligible | $0 |
| UHC Dual Complete PA-S3H3113-016 | Dual-Eligible | $0 |
| Aetna Medicare DualH3959-036 | Dual-Eligible | $0 |
| Aetna Medicare LongevityH3959-066 | Institutional | $0 |
| Aetna Medicare Full Dual ExtraH3959-088 | Dual-Eligible | $0 |
| UPMC for Life Complete CareH4279-007 | Dual-Eligible | $0 |
| UHC Complete Care Support PA-1AH5253-234 | Chronic or Disabling Condition | $0 |
| Humana Gold Plus SNP-DEH5377-003 | Dual-Eligible | $0 |
| Humana Gold Plus SNP-DEH6622-078 | Dual-Eligible | $0 |
| Devoted Dual Plus 005 PAH6852-005 | Dual-Eligible | $0 |
| Devoted C-SNP Plus 022 PAH6852-022 | Chronic or Disabling Condition | $0 |
| Devoted Dual Full 025 PAH6852-025 | Dual-Eligible | $0 |
| Amerihealth Caritas VIP CareH4227-002 | Dual-Eligible | $9 |
Show the other 7 special needs plans
| Plan | Who can join | Premium |
|---|---|---|
| UHC Dual Complete PA-S001H1889-007 | Dual-Eligible | $11.70 |
| UHC Nursing Home Plan EX-F002H0710-017 | Institutional | $12.50 |
| Highmark Wholecare Medicare Assured RubyH5932-009 | Dual-Eligible | $12.80 |
| UHC Dual Advantage PA-V1H3113-014 | Dual-Eligible | $12.80 |
| Provider Partners Pennsylvania Advantage PlanH4093-001 | Institutional | $12.80 |
| Provider Partners Pennsylvania Essential PlanH4093-010 | Institutional | $12.80 |
| Highmark Wholecare Medicare Assured DiamondH5932-001 | Dual-Eligible | $12.80 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Mercer use Medicare Advantage?
21,236 of the county's 30,600 people with Medicare were in a Medicare Advantage plan in September 2026, 69.4%; in Pennsylvania as a whole the share is 54.5%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in PennsylvaniaEvery county of the state
- 8 stand-alone drug plans in PennsylvaniaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027