Medicare Advantage · Pennsylvania · 2026 plan year

Medicare Advantage in Monroe, PA

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

78
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$30.23
Avg premium/mo
RSS updates for this county

The short answer

Monroe has 78 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 41 reach 4★ or higher, and 24 carry a $0 monthly premium.

78
plans to compare
4.5★
highest CMS rating here
24
$0-premium plans
41
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 Monroe, PA

Monroe, PA (FIPS 42089): 78 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: 33 Local PPO, 32 HMO, 12 HMO POS, 1 PFFS. Monthly plan premiums (Part C + D) range $0 – $226.00 (avg $30.23), with 24 $0-premium plans. 78 of 78 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 Monroe sits on CMS quality

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

3.98★ Top 16% higher than 84% 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%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 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 Monroe, 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★
7Geisinger Indemnity Insurance Company (SNP)Geisinger GoldLocal PPO$04.5★
8Geisinger Health Plan (SNP)Geisinger GoldHMO$04.5★
9Geisinger Health Plan (SNP)Geisinger GoldHMO$04.5★
10Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$04.5★
11Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
12Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
13Geisinger Health Plan (SNP)Geisinger GoldHMO$23.004.5★
14Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.604.5★
15Geisinger Health Plan (SNP)Geisinger GoldHMO$32.704.5★
16Geisinger Health Plan (SNP)Geisinger GoldHMO$48.004.5★
17Highmark Choice Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SHMO$55.004.5★
18Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$66.004.5★
19Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$66.004.5★
20Geisinger Indemnity Insurance Company (SNP)Geisinger GoldLocal PPO$96.004.5★
21Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$98.004.5★
22Geisinger Health Plan (SNP)Geisinger GoldHMO$113.904.5★
23Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$121.004.5★
24Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$183.004.5★
25Highmark Senior Health Company (SNP)Highmark Blue Cross Blue Shield or Highmark Blue SLocal PPO$226.004.5★
26Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS-4.0★
27Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS-4.0★
28Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
29Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
30Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
31Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
32Upmc FOR YOU, Inc (SNP)UPMC for Life Complete CareHMO$8.104.0★
33Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$13.804.0★
34Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$14.204.0★
35Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$16.004.0★
36Gateway Health Plan, Inc. (SNP)Highmark Wholecare Medicare AssuredHMO$17.604.0★
37Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$32.704.0★
38Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO$32.704.0★
39Vista Health Plan, Inc. (SNP)VISTA Health Plan Inc.HMO$32.704.0★
40Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$42.004.0★
41Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$60.004.0★
42Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS-3.5★
43Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
44Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
45Humana Insurance Company (SNP)HumanaPFFS-3.5★
46Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$03.5★
47Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
48Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
49Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$03.5★
50Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
51Devoted Health Insurance Company OF Pennsylvania I (SNP)Devoted HealthLocal PPO$03.5★
52Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
53Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
54Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$03.5★
55Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$03.5★
56Humana Medical Plan OF Pennsylvania, Inc. (SNP)HumanaHMO$2.603.5★
57Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$6.803.5★
58Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$18.503.5★
59Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$26.003.5★
60Humana Benefit Plan OF Illinois, Inc. (SNP)HumanaLocal PPO$29.003.5★
61Oxford Health Plans (NJ), Inc. (SNP)UnitedHealthcareHMO POS$30.403.5★
62Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
63Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
64Pennsylvania Health & Wellness, Inc. (SNP)Wellcare By AllwellHMO POS$32.703.5★
65Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
66Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
67Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
68Health Partners Plans, Inc. (SNP)Jefferson Health PlansHMO$32.703.5★
69Humana Insurance Company (SNP)HumanaLocal PPO$94.003.5★
70Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$0N/R
71Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
72Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$0N/R
73Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$18.00N/R
74Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$19.70N/R
75Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$22.50N/R
76Partners Insurance Company Inc (SNP)Jefferson Health PlansLocal PPO$32.70N/R
77Devoted Health Plan OF Pennsylvania Inc (SNP)Devoted HealthHMO$32.70N/R
78Devoted 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 (41 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 Monroe, PA?

There are 78 Medicare Advantage plans available in Monroe, PA for the 2026 plan year, including 33 Local PPO, 32 HMO, 12 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 Monroe?

The highest-rated plan in Monroe 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 Monroe?

Monthly plan premiums (Part C + D combined) in Monroe range from $0 to $226.00, averaging $30.23. 24 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 Monroe?

Monroe has 33 Local PPO, 32 HMO, 12 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