Montgomery County, Pennsylvania — 2026 Medicare Advantage plans
89 individual Medicare Advantage plan segments from 12 parent organizations are filed for Montgomery County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS) UnitedHealth Group, Inc. · H5253-154-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $520 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage Extras from UHC PA-18 (HMO-POS) UnitedHealth Group, Inc. · H5253-203-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $600 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) UnitedHealth Group, Inc. · H2406-101-000 · SoB ✓ | PPO | $0 | $8,900 | $600 | 4.0out of 5 stars, Above average | — | Vision exam Hearing aids Meals |
| AARP Medicare Advantage from UHC PA-0010 (PPO) UnitedHealth Group, Inc. · H2406-071-000 · SoB ✓ | PPO | $0 | $6,700 | $600 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Signature (HMO-POS) CVS Health Corporation · H3959-052-000 · SoB ✓ | HMO-POS | $0 | $7,500 | $615 | 4.0out of 5 stars, Above average | $15 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Signature Giveback (PPO) CVS Health Corporation · H5522-017-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 4.5out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Signature (PPO) CVS Health Corporation · H5522-028-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids |
| DEVOTED CHOICE 007 PA (PPO) Devoted Health, Inc. · H6018-007-000 · SoB ✓ | PPO | $0 | $5,900 | $450 | 3.5out of 5 stars, Average | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED CHOICE GIVEBACK 003 PA (PPO) Devoted Health, Inc. · H6018-003-000 · SoB ✓ | PPO | $0 | $9,250 | $605 | 3.5out of 5 stars, Average | $91 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED CORE 023 PA (HMO) Devoted Health, Inc. · H6852-023-000 · SoB ✓ | HMO | $0 | $7,500 | $375 | Not rated | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| HealthSpring Achieve (HMO C-SNP) Health Care Service Corporation · H3949-024-000 · SoB ✓ | HMO C-SNP | $0 | $5,900 | $275 | 3.0out of 5 stars, Average | $35 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HealthSpring Preferred (HMO) Health Care Service Corporation · H3949-052-000 · SoB ✓ | HMO | $0 | $6,500 | $200 | 3.0out of 5 stars, Average | $60 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HealthSpring Preferred PA (HMO) Health Care Service Corporation · H3949-031-000 · SoB ✓ | HMO | $0 | $6,750 | $275 | 3.0out of 5 stars, Average | $80 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HealthSpring Preferred Savings (HMO) Health Care Service Corporation · H3949-053-000 · SoB ✓ | HMO | $0 | $9,000 | $590 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Hearing aids |
| HealthSpring TotalCare Plus (HMO D-SNP) Health Care Service Corporation · H3949-009-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | $300 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HealthSpring True Choice (PPO) Health Care Service Corporation · H7849-151-000 · SoB ✓ | PPO | $0 | $6,800 | $250 | 3.0out of 5 stars, Average | $35 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Gold Plus H6622-037 (HMO) Humana Inc. · H6622-037-000 · SoB ✓ | HMO | $0 | $7,800 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) Humana Inc. · H6622-078-002 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H5525-059-000 · SoB ✓ | PPO | $0 | $7,350 | $500 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation Meals |
| HumanaChoice Giveback H5525-085 (PPO) Humana Inc. · H5525-085-002 · SoB ✓ | PPO | $0 | $8,000 | $0 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| HumanaChoice H5525-051 (PPO) Humana Inc. · H5525-051-002 · SoB ✓ | PPO | $0 | $7,800 | $615 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Jefferson Health Plans Complete (HMO) Thomas Jefferson University · H9207-012-000 · SoB | HMO | $0 | $6,500 | $0 | 3.5out of 5 stars, Average | $125 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Jefferson Health Plans Flex (PPO) Thomas Jefferson University · H1619-001-000 · SoB | PPO | $0 | $7,000 | $0 | Not rated | $160 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Jefferson Health Plans Giveback (HMO) Thomas Jefferson University · H9207-015-000 · SoB | HMO | $0 | $9,250 | $300 | 3.5out of 5 stars, Average | $30 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Keystone 65 Basic Rx (HMO) Independence Health Group, Inc. · H3952-055-000 · SoB | HMO | $0 | $8,500 | $0 | 4.0out of 5 stars, Above average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Personal Choice 65 Achieve Rx (PPO) Independence Health Group, Inc. · H3909-020-000 · SoB | PPO | $0 | $6,750 | $375 | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) Rifkin Managed Care Holding, LLC · H4093-004-000 · SoB | HMO I-SNP | $0 | $2,600 | $615 | Not rated | $150 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| UHC Complete Care PA-17 (HMO-POS C-SNP) UnitedHealth Group, Inc. · H5253-192-000 · SoB ✓ | HMO-POS C-SNP | $0 | $6,700 | $440 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Simple (HMO-POS) Centene Corporation · H2915-003-000 · SoB ✓ | HMO-POS | $0 | $6,200 | $615 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3113-009-000 · SoB ✓ | HMO-POS D-SNP | $6.80 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Health · H5932-012-000 · SoB | HMO D-SNP | $8.90 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Highmark Health · H5932-013-000 · SoB | HMO D-SNP | $13.10 | $8,000 | $615 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Keystone 65 Focus Rx (HMO-POS) Independence Health Group, Inc. · H3952-054-000 · SoB | HMO-POS | $15 | $6,750 | $0 | 4.0out of 5 stars, Above average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED DUAL PLUS 007 PA (HMO D-SNP) Devoted Health, Inc. · H6852-007-000 · SoB ✓ | HMO D-SNP | $16.90 | $9,250 | $615 | Not rated | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Jefferson Health Plans Flex Pro (PPO) Thomas Jefferson University · H1619-003-000 · SoB | PPO | $18 | $6,000 | $0 | Not rated | $150 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3113-016-000 · SoB ✓ | HMO-POS D-SNP | $18.50 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| DEVOTED DUAL FULL 026 PA (HMO D-SNP) Devoted Health, Inc. · H6852-026-000 · SoB ✓ | HMO D-SNP | $19.50 | $9,250 | $615 | Not rated | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Community HealthChoices (HMO D-SNP) CVS Health Corporation · H3959-070-000 · SoB | HMO D-SNP | $21.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $220 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Geisinger Gold Value Rx (HMO) Risant Health, Inc. · H3954-163-000 · SoB | HMO | $23 | $9,250 | $0 | 4.5out of 5 stars, Above average | $70 | Preventive dental Comprehensive dental Vision exam Eyewear OTC allowance |
| HumanaChoice H5525-005 (PPO) Humana Inc. · H5525-005-000 · SoB ✓ | PPO | $26 | $8,300 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H5525-086 (PPO) Humana Inc. · H5525-086-002 · SoB ✓ | PPO | $29 | $6,050 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Dual Complete PA-V001 (HMO-POS D-SNP) UnitedHealth Group, Inc. · H3113-014-000 · SoB ✓ | HMO-POS D-SNP | $30.40 | $6,700 | $615 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HealthSpring Preferred Plus (HMO) Health Care Service Corporation · H3949-030-000 · SoB ✓ | HMO | $31 | $6,750 | $250 | 3.0out of 5 stars, Average | $80 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Keystone 65 Essential Rx (HMO-POS) Independence Health Group, Inc. · H3952-060-000 · SoB | HMO-POS | $31 | $8,500 | $0 | 4.0out of 5 stars, Above average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Aetna Medicare Advantra Dual Care (HMO D-SNP) CVS Health Corporation · H3959-035-000 · SoB ✓ | HMO D-SNP | $31.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | $220 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) UnitedHealth Group, Inc. · H0710-017-000 · SoB ✓ | PPO I-SNP | $32.60 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Aetna Medicare Chronic Care Value (HMO C-SNP) CVS Health Corporation · H3959-074-000 · SoB ✓ | HMO C-SNP | $32.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $55 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Longevity (HMO I-SNP) CVS Health Corporation · H3959-066-000 · SoB ✓ | HMO I-SNP | $32.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $255 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Value Care (HMO-POS) CVS Health Corporation · H3959-033-000 · SoB ✓ | HMO-POS | $32.70 | $7,500 | $615 | 4.0out of 5 stars, Above average | $50 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| DEVOTED C-SNP PLUS 021 PA (HMO C-SNP) Devoted Health, Inc. · H6852-021-000 · SoB ✓ | HMO C-SNP | $32.70 | $9,250 | $615 | Not rated | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED C-SNP PREMIUM 016 PA (HMO C-SNP) Devoted Health, Inc. · H6852-016-000 · SoB ✓ | HMO C-SNP | $32.70 | $7,800 | $615 | Not rated | $50 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| DEVOTED CHOICE PREMIUM 002 PA (PPO) Devoted Health, Inc. · H6018-002-000 · SoB ✓ | PPO | $32.70 | $7,550 | $615 | 3.5out of 5 stars, Average | $115 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Geisinger Gold Secure Rx (HMO D-SNP) Risant Health, Inc. · H3954-097-000 · SoB | HMO D-SNP | $32.70 | $9,250 | $615 | 4.5out of 5 stars, Above average | $150 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) Thomas Jefferson University · H9207-016-000 · SoB | HMO D-SNP | $32.70 | $9,250 | $615 | 3.5out of 5 stars, Average | $200 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Jefferson Health Plans Flex Plus (PPO) Thomas Jefferson University · H1619-002-000 · SoB | PPO | $32.70 | $6,500 | $0 | Not rated | $165 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Jefferson Health Plans Prime (HMO) Thomas Jefferson University · H9207-002-000 · SoB | HMO | $32.70 | $6,000 | $0 | 3.5out of 5 stars, Average | $130 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Jefferson Health Plans Select (HMO D-SNP) Thomas Jefferson University · H9207-017-000 · SoB | HMO D-SNP | $32.70 | $9,250 | $615 | 3.5out of 5 stars, Average | $300 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Jefferson Health Plans Special (HMO D-SNP) Thomas Jefferson University · H9207-004-000 · SoB | HMO D-SNP | $32.70 | $9,250 | $615 | 3.5out of 5 stars, Average | $250 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Keystone First VIP Choice (HMO D-SNP) Independence Health Group, Inc. · H4227-001-000 · SoB ✓ | HMO D-SNP | $32.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $55 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Rifkin Managed Care Holding, LLC · H4093-001-000 · SoB | HMO I-SNP | $32.70 | $9,250 | $615 | Not rated | $105 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Rifkin Managed Care Holding, LLC · H4093-008-000 · SoB | HMO I-SNP | $32.70 | $9,250 | $615 | Not rated | $120 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| UHC Dual Complete PA-S001 (PPO D-SNP) UnitedHealth Group, Inc. · H1889-007-000 · SoB ✓ | PPO D-SNP | $32.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| UPMC for Life Complete Care (HMO D-SNP) UPMC Health System · H7123-001-000 · SoB | HMO D-SNP | $32.70 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Assist (HMO-POS) Centene Corporation · H2915-011-000 · SoB ✓ | HMO-POS | $32.70 | $5,500 | $475 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Liberty Sync (HMO-POS D-SNP) Centene Corporation · H2915-002-000 · SoB ✓ | HMO-POS D-SNP | $32.70 | $9,250 | $490 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Dual Select (HMO-POS D-SNP) Centene Corporation · H2915-018-000 · SoB ✓ | HMO-POS D-SNP | $32.70 | $5,400 | $615 | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| AARP Medicare Advantage from UHC PA-0001 (HMO-POS) UnitedHealth Group, Inc. · H5253-145-000 · SoB ✓ | HMO-POS | $49 | $5,400 | $440 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage from UHC PA-0008 (PPO) UnitedHealth Group, Inc. · H2406-047-000 · SoB ✓ | PPO | $60 | $4,900 | $520 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Keystone 65 Select Rx (HMO) Independence Health Group, Inc. · H3952-051-000 · SoB | HMO | $74 | $6,750 | $0 | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage from UHC PA-0009 (PPO) UnitedHealth Group, Inc. · H2406-048-000 · SoB ✓ | PPO | $79 | $6,300 | $520 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice H5216-120 (PPO) Humana Inc. · H5216-120-000 · SoB ✓ | PPO | $94 | $7,600 | $615 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Aetna Medicare Premier (HMO-POS) CVS Health Corporation · H3931-004-000 · SoB ✓ | HMO-POS | $104 | $6,900 | $615 | 3.0out of 5 stars, Average | $90 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Advantra Premier (PPO) CVS Health Corporation · H5522-014-000 · SoB ✓ | PPO | $106 | $6,750 | $615 | 4.5out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Complete Blue PPO Distinct (PPO) Highmark Health · H3916-062-000 · SoB | PPO | $109 | $6,750 | $615 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Keystone 65 Preferred Rx (HMO) Independence Health Group, Inc. · H3952-045-000 · SoB | HMO | $158 | $4,200 | $0 | 4.0out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Enhanced (PPO) CVS Health Corporation · H5521-122-000 · SoB ✓ | PPO | $183 | $7,500 | $615 | 4.5out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Personal Choice 65 Rx (PPO) Independence Health Group, Inc. · H3909-009-000 · SoB | PPO | $187 | $5,950 | $0 | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Personal Choice 65 Plus Rx (PPO) Independence Health Group, Inc. · H3909-018-000 · SoB | PPO | $214 | $4,201 | $0 | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) UnitedHealth Group, Inc. · H5253-152-000 · SoB ✓ | HMO-POS | — | $6,700 | — | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Freedom Blue PPO Valor (PPO) Highmark Health · H3916-056-000 · SoB | PPO | — | $6,000 | — | 4.5out of 5 stars, Above average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Geisinger Gold Heritage (HMO) Risant Health, Inc. · H3954-162-000 · SoB | HMO | — | $6,700 | — | 4.5out of 5 stars, Above average | $40 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Humana Gold Choice H8145-163 (PFFS) Humana Inc. · H8145-163-000 · SoB ✓ | PFFS | — | $1,500 | — | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-221-000 · SoB ✓ | PPO | — | $6,700 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HumanaChoice Giveback H5216-116 (PPO) Humana Inc. · H5216-116-000 · SoB ✓ | PPO | — | $4,150 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Keystone 65 Liberty Medical Only (HMO) Independence Health Group, Inc. · H3952-059-000 · SoB | HMO | — | $6,750 | — | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Keystone 65 Preferred Medical Only (HMO) Independence Health Group, Inc. · H3952-008-000 · SoB | HMO | — | $4,200 | — | 4.0out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids OTC allowance |
| Keystone 65 Select Medical Only (HMO) Independence Health Group, Inc. · H3952-050-000 · SoB | HMO | — | $6,750 | — | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| UPMC for Life PPO Salute (PPO) UPMC Health System · H5533-016-002 · SoB ✓ | PPO | — | $9,250 | — | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Wellcare Patriot Giveback (HMO-POS) Centene Corporation · H2915-013-000 · SoB ✓ | HMO-POS | — | $7,550 | — | 3.5out of 5 stars, Average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Montgomery County?
Download all 89 Montgomery County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.
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