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Philadelphia County, Pennsylvania — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

95 individual Medicare Advantage plan segments from 14 parent organizations are filed for Philadelphia County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
95plans filed −4 vs prior year
47with a $0 premium −3 vs prior year
$7,499median in-network MOOP +$249 vs prior year
43on 4-star or better contracts
83report comprehensive dental
86report an OTC allowance

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
AARP Medicare Advantage Essentials from UHC PA-5 (HMO-POS)
UnitedHealth Group, Inc. · H5253-154-000 · SoB ✓
HMO-POS$0$6,700$5204.0out of 5 stars, Above averageReportedVision 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$6004.0out of 5 stars, Above averageReportedPreventive 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$6004.0out 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$6004.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Advantra Prime Plus (HMO-POS)
CVS Health Corporation · H3959-053-000 · SoB ✓
HMO-POS$0$6,900$6154.0out of 5 stars, Above average$25Comprehensive dental 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$6154.0out of 5 stars, Above average$15Comprehensive 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$6154.5out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Aetna Medicare Signature (PPO)
CVS Health Corporation · H5522-028-000 · SoB ✓
PPO$0$9,250$6154.5out of 5 stars, Above average—Vision exam Eyewear Hearing aids
Clover Health Choice (PPO)
Clover Health Holdings, Inc. · H5141-038-000 · SoB
PPO$0$7,499$03.5out of 5 stars, Average$115Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
DEVOTED CHOICE 007 PA (PPO)
Devoted Health, Inc. · H6018-007-000 · SoB ✓
PPO$0$5,900$4503.5out of 5 stars, Average$75Preventive 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$6053.5out of 5 stars, Average$91Preventive 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$375Not rated$75Preventive 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$2753.0out of 5 stars, Average$35Preventive 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$2003.0out of 5 stars, Average$60Preventive 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$2753.0out of 5 stars, Average$80Preventive 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$5903.0out 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$6153.0out of 5 stars, Average$300Preventive 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$2503.0out of 5 stars, Average$35Preventive 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$6153.5out of 5 stars, AverageReportedPreventive 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$6153.5out of 5 stars, AverageReportedPreventive 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$5003.5out 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$03.5out of 5 stars, Average—Vision exam Eyewear Hearing aids
HumanaChoice H5525-051 (PPO)
Humana Inc. · H5525-051-002 · SoB ✓
PPO$0$7,800$6153.5out 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$03.5out of 5 stars, Average$125Preventive 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$0Not rated$160Preventive 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$3003.5out of 5 stars, Average$30Preventive 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$04.0out of 5 stars, Above average$60Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Keystone 65 Focus Rx (HMO-POS)
Independence Health Group, Inc. · H3952-053-000 · SoB
HMO-POS$0$6,750$04.0out of 5 stars, Above average$60Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Perennial Advantage Freedom (HMO)
Perennial Consortium, LLC · H3419-006-000 · SoB
HMO$0$5,900$400Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Perennial Advantage Premier (HMO I-SNP)
Perennial Consortium, LLC · H3419-007-000 · SoB
HMO I-SNP$0$5,900$400Not ratedReportedPreventive dental 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$3754.0out of 5 stars, Above average$30Comprehensive 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$615Not rated$150Preventive 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$4404.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
Wellcare Simple (HMO-POS)
Centene Corporation · H2915-003-000 · SoB ✓
HMO-POS$0$6,200$6153.5out of 5 stars, AverageReportedComprehensive 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$6153.5out of 5 stars, AverageReportedPreventive 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$6154.0out of 5 stars, Above averageReportedPreventive 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$6154.0out of 5 stars, Above averageReportedComprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
DEVOTED DUAL PLUS 007 PA (HMO D-SNP)
Devoted Health, Inc. · H6852-007-000 · SoB ✓
HMO D-SNP$16.90$9,250$615Not rated$50Preventive 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$0Not rated$150Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
DEVOTED DUAL FULL 026 PA (HMO D-SNP)
Devoted Health, Inc. · H6852-026-000 · SoB ✓
HMO D-SNP$19.50$9,250$615Not rated$50Preventive 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$6154.0out of 5 stars, Above average$220Preventive 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$04.5out of 5 stars, Above average$70Preventive dental Comprehensive dental Vision exam Eyewear OTC allowance
HumanaChoice H5525-005 (PPO)
Humana Inc. · H5525-005-000 · SoB ✓
PPO$26$8,300$6153.5out of 5 stars, AverageReportedPreventive 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$6153.5out of 5 stars, AverageReportedPreventive 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$6153.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids Transportation OTC allowance Meals
HealthSpring Preferred Plus (HMO)
Health Care Service Corporation · H3949-030-000 · SoB ✓
HMO$31$6,750$2503.0out of 5 stars, Average$80Preventive 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$04.0out of 5 stars, Above average$60Comprehensive 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$6154.0out of 5 stars, Above average$220Preventive 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$6154.5out of 5 stars, Above averageReportedPreventive 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$6154.0out of 5 stars, Above average$55Comprehensive 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$6154.0out of 5 stars, Above average$255Preventive 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$6154.0out of 5 stars, Above average$50Comprehensive 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$615Not rated$50Preventive 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$615Not rated$50Preventive 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$6153.5out of 5 stars, Average$115Preventive 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$6154.5out of 5 stars, Above average$150Preventive 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$6153.5out of 5 stars, Average$200Comprehensive 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$0Not rated$165Preventive 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$03.5out of 5 stars, Average$130Preventive 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$6153.5out of 5 stars, Average$300Preventive 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$6153.5out of 5 stars, Average$250Comprehensive 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$6154.0out of 5 stars, Above average$55Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Perennial Advantage Strive (HMO I-SNP)
Perennial Consortium, LLC · H3419-005-000 · SoB
HMO I-SNP$32.70$9,250$615Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)
Rifkin Managed Care Holding, LLC · H4093-001-000 · SoB
HMO I-SNP$32.70$9,250$615Not rated$105Preventive 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$615Not rated$120Preventive 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$6154.0out of 5 stars, Above averageReportedPreventive 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$6153.5out of 5 stars, AverageReportedComprehensive 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$4753.5out of 5 stars, AverageReportedComprehensive 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$4903.5out of 5 stars, AverageReportedVision 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$6153.5out of 5 stars, AverageReportedComprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Keystone 65 Select Rx (HMO)
Independence Health Group, Inc. · H3952-049-000 · SoB
HMO$47$6,750$04.0out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
AARP Medicare Advantage from UHC PA-0001 (HMO-POS)
UnitedHealth Group, Inc. · H5253-145-000 · SoB ✓
HMO-POS$49$5,400$4404.0out of 5 stars, Above averageReportedPreventive 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$5204.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
AARP Medicare Advantage from UHC PA-0009 (PPO)
UnitedHealth Group, Inc. · H2406-048-000 · SoB ✓
PPO$79$6,300$5204.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
HumanaChoice H5216-120 (PPO)
Humana Inc. · H5216-120-000 · SoB ✓
PPO$94$7,600$6153.5out 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$6153.0out of 5 stars, Average$90Preventive 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$6154.5out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Complete Blue PPO Distinct (PPO)
Highmark Health · H3916-062-000 · SoB
PPO$109$6,750$6154.5out of 5 stars, Above average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation
Aetna Medicare Enhanced (PPO)
CVS Health Corporation · H5521-122-000 · SoB ✓
PPO$183$7,500$6154.5out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Keystone 65 Preferred Rx (HMO)
Independence Health Group, Inc. · H3952-020-000 · SoB
HMO$188$4,200$04.0out of 5 stars, Above average$30Vision exam Eyewear Hearing aids OTC allowance
Personal Choice 65 Plus Rx (PPO)
Independence Health Group, Inc. · H3909-018-000 · SoB
PPO$214$4,201$04.0out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Personal Choice 65 Rx (PPO)
Independence Health Group, Inc. · H3909-001-000 · SoB
PPO$227$5,950$04.0out of 5 stars, Above average$30Comprehensive 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 averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Clover Health Valor (PPO)
Clover Health Holdings, Inc. · H5141-061-000 · SoB
PPO—$9,250—3.5out of 5 stars, Average$100Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Freedom Blue PPO Valor (PPO)
Highmark Health · H3916-056-000 · SoB
PPO—$6,000—4.5out of 5 stars, Above average$100Preventive 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$40Preventive 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, AverageReportedPreventive 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, AverageReportedPreventive 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$30Comprehensive 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$30Vision exam Eyewear Hearing aids OTC allowance
Keystone 65 Select Medical Only (HMO)
Independence Health Group, Inc. · H3952-048-000 · SoB
HMO—$6,750—4.0out of 5 stars, Above average$30Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
Personal Choice 65 Medical Only (PPO)
Independence Health Group, Inc. · H3909-007-000 · SoB
PPO—$5,950—4.0out of 5 stars, Above average$30Comprehensive 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 averageReportedComprehensive 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, AverageReportedComprehensive 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 Philadelphia County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 12 stand-alone Part D plans in the Pennsylvania, West Virginia region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 95 Philadelphia County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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