Medicare Advantage plans in Somerset, PA, 2027
Somerset, Pennsylvania has 57 Medicare Advantage plans open to everyone for 2027 (61 in 2026) and 30 special needs plans, according to the CMS landscape files; 30 of the open plans have a $0 premium. 10 plans that served the county in 2026 end or leave it, with 2,110 members living here in September 2026.
What changes in Somerset for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 61 | 57 | ▼down 4 |
| Special needs plans | 26 | 30 | ▲up 4 |
| Plans with a $0 premium | 32 | 30 | ▼down 2 |
| Plans that lower the Part B premium | 26 | 20 | ▼down 6 |
| Median out-of-pocket limit | $6,200 | $6,700 | ▲up $500 |
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 Somerset 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 |
| 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 |
| Devoted Core 014 PAH6852-014 · HMO | $0 | $6,550 | none | not rated (too little data) |
| Devoted Choice 010 PAH6018-010 · PPO | $0 | $6,600 | none | 3.5 of 5 |
| Geisinger Gold HeritageH3954-162 · HMO | $0 | $6,700 | $70 | 4.5 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 |
| AARP Medicare Advantage from UHC PA-0011H2406-072 · PPO | $0 | $7,150 | none | 4 of 5 |
| UPMC for Life HMO Premier RxH3907-061 · HMO | $0 | $7,150 | none | 4.5 of 5 |
| Complete Blue PPO SignatureH3916-041 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| Geisinger Gold Classic Essential RxH3954-161 · HMO | $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 |
| Humana USAA Honor Giveback with RxH5525-059 · PPO | $0 | $7,350 | $84 | 3.5 of 5 |
| Devoted Giveback Extras 035 PAH6852-035 · HMO | $0 | $7,950 | $70 | not rated (too little data) |
Show the other 37 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Humana Value ChoiceH5525-051 · PPO | $0 | $8,000 | none | 3.5 of 5 |
| 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 |
| 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 |
| Geisinger Gold Preferred Complete RxH3924-065 · PPO | $0 | $9,850 | none | 4.5 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 015 PAH6852-015 · 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 |
| Geisinger Gold Value RxH3954-163 · HMO | $29 | $9,000 | none | 4.5 of 5 |
| Geisinger Gold Preferred Balance RxH3924-067 · PPO | $29 | $9,850 | 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 |
| Complete Blue HMO DistinctH3957-050 · HMO | $47 | $6,450 | none | 4.5 of 5 |
| UPMC for Life HMO Rx ChoiceH3907-057 · HMO | $48 | $6,500 | none | 4.5 of 5 |
| Security Blue HMO-POS ValueRxH3957-044 · HMO-POS | $54 | $5,500 | $16 | 4.5 of 5 |
| AARP Medicare Advantage from UHC PA-0003H5253-147 · HMO-POS | $54 | $6,700 | none | 4 of 5 |
| Geisinger Gold Classic Complete RxH3954-158 · HMO | $58 | $5,700 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC PA-0008H2406-047 · PPO | $60 | $5,900 | none | 4 of 5 |
| Complete Blue PPO DistinctH3916-035 · PPO | $63 | $7,150 | none | 4.5 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 | $100 | $5,000 | 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 |
| Geisinger Gold Preferred Advantage RxH3924-059 · PPO | $123 | $4,450 | none | 4.5 of 5 |
| Geisinger Gold Classic Advantage RxH3954-157 · HMO | $135 | $3,450 | none | 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 Somerset 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 HMO Premier RxH3907-059 | 1,318 | Leaves the county |
| Complete Blue PPO DistinctH3916-059 | 390 | Not offered |
| UPMC for Life PPO Premier RxH5533-013 | 380 | Leaves the county |
| Complete Blue PPO MeritH3916-057 | 22 | Leaves the county |
| Wellcare Patriot GivebackH2915-013 | fewer than 11 | Not offered |
| Aetna Community HealthChoicesH3959-071 | fewer than 11 | Not offered |
| Provider Partners Pennsylvania Community PlanH4093-004 | 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 020 PAH6852-020 | Chronic or Disabling Condition | $0 |
| Aetna Medicare Chronic CareH3959-076 | Chronic or Disabling Condition | $0 |
| UHC Complete Care PA-17H5253-192 | Chronic or Disabling Condition | $0 |
| Devoted C-SNP Giveback Extras 031 PAH6852-031 | Chronic or Disabling Condition | $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 ExtraH3959-090 | Dual-Eligible | $0 |
| UPMC for Life Complete CareH4279-007 | Dual-Eligible | $0 |
| HumanaChoice SNP-DEH5216-227 | Dual-Eligible | $0 |
| UHC Complete Care Support PA-1AH5253-234 | Chronic or Disabling Condition | $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 |
| HumanaChoice SNP-DEH7617-048 | Dual-Eligible | $0 |
| Geisinger Gold Secure RxH3954-097 | Dual-Eligible | $1 |
Show the other 10 special needs plans
| Plan | Who can join | Premium |
|---|---|---|
| Amerihealth Caritas VIP CareH4227-002 | Dual-Eligible | $9 |
| 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 |
| Aetna Medicare Chronic Care ValueH3959-075 | Chronic or Disabling Condition | $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 |
| American Health Advantage of PennsylvaniaH9968-001 | Institutional | $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 Somerset use Medicare Advantage?
14,969 of the county's 21,060 people with Medicare were in a Medicare Advantage plan in September 2026, 71.1%; 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