Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
American Health Advantage of Pennsylvania, 2027
H9968Contract001Plan
HMO I-SNP · special needs plan, institutional · 33 counties in Pennsylvania
Run by American Health Plan of Pennsylvania Inc (contract H9968), sold as American Health Advantage of Pennsylvania, owned by Mitchell Family Office
American Health Advantage of Pennsylvania (H9968-001) costs $12.80 a month in 2027, down $19.90 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $32.70 | $12.80 | ▼down $19.90 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit | 0% of the cost | 20% of the cost | changed |
| Counties served | 29 | 33 | ▲up 4 |
| 11 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Emergency room | 20% of the cost | 20% of the cost | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | not filed | not filed | no change |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $0 a day for days 21–100 | $0 a day for days 1–20, then $0 a day for days 21–100 | no change |
| Ground ambulance, in network | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $300 a year | $300 a year | no change |
| Hearing aids, yearly limit for both ears | $500 a year | $500 a year | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
How does it compare with plans sold where it is?
In the counties it serves, 8 institutional special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 5 the same. On the premium, 4 plans have a lower premium, 3 the same.
Out-of-pocket limits of the 8 institutional special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 33 counties: $12.80 a month and $9,850.
Pennsylvania
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H9968-001
- Legal name of the contract
- American Health Plan of Pennsylvania Inc
- Sold as
- American Health Advantage of Pennsylvania
- Parent company
- Mitchell Family Office
- Plan type
- HMO I-SNP
- 2026 star rating of the contract
- not rated (too new) overall; health plan not rated, drug plan not rated
- Members, September 2026
- 503
- Plan website, as filed with CMS
- pa.amhealthplans.com
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Erie, PAWhere most of its members live; premiums and limits side by side
- Every American Health Advantage of Pennsylvania plan for 2027Its contracts, counties and plans that end
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.