Tioga County, Pennsylvania — 2026 Medicare Advantage plans
63 individual Medicare Advantage plan segments from 9 parent organizations are filed for Tioga 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
63plans filed −14 vs prior year
30with a $0 premium −4 vs prior year
$6,750median in-network MOOP +$50 vs prior year
43on 4-star or better contracts
46report comprehensive dental
45report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| 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-0002 (HMO-POS) UnitedHealth Group, Inc. · H5253-146-000 · SoB ✓ | HMO-POS | $0 | $6,700 | $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-0011 (PPO) UnitedHealth Group, Inc. · H2406-072-000 · SoB ✓ | PPO | $0 | $6,700 | $520 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| AARP Medicare Advantage from UHC PA-0015 (PPO) UnitedHealth Group, Inc. · H2001-110-000 · SoB ✓ | PPO | $0 | $6,700 | $440 | 4.5out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Signature (HMO-POS) CVS Health Corporation · H3959-037-000 · SoB ✓ | HMO-POS | $0 | $7,500 | $615 | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Signature (PPO) CVS Health Corporation · H5522-004-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 4.5out of 5 stars, Above average | — | Comprehensive dental Vision exam Eyewear Hearing aids 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 Extra (PPO) CVS Health Corporation · H5521-263-000 · SoB ✓ | PPO | $0 | $6,750 | $615 | 4.5out of 5 stars, Above average | — | Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Community Blue Medicare HMO Signature (HMO) Highmark Health · H3957-042-006 · SoB ✓ | HMO | $0 | $6,500 | $615 | 4.5out of 5 stars, Above average | $40 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Geisinger Gold Classic Essential Rx (HMO) Risant Health, Inc. · H3954-161-000 · SoB | HMO | $0 | $6,750 | $0 | 4.5out of 5 stars, Above average | — | none reported |
| Geisinger Gold Preferred Complete Rx (PPO) Risant Health, Inc. · H3924-065-000 · SoB | PPO | $0 | $7,200 | $0 | 4.5out of 5 stars, Above average | — | none reported |
| Humana Gold Choice H8145-052 (PFFS) Humana Inc. · H8145-052-000 · SoB ✓ | PFFS | $0 | $7,100 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Gold Plus H6622-036 (HMO) Humana Inc. · H6622-036-000 · SoB ✓ | HMO | $0 | $8,250 | $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. · H6622-078-001 · 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 |
| 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 |
| Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) Humana Inc. · H5377-003-000 · SoB ✓ | HMO D-SNP | $2.60 | $9,250 | $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-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 |
| Aetna Medicare Advantra Dual (HMO D-SNP) CVS Health Corporation · H3959-036-000 · SoB ✓ | HMO D-SNP | $13.80 | $9,250 | $615 | 4.0out of 5 stars, Above average | $245 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Community HealthChoices (HMO D-SNP) CVS Health Corporation · H3959-072-000 · SoB | HMO D-SNP | $14.20 | $9,250 | $615 | 4.0out of 5 stars, Above average | $250 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Health · H5932-001-000 · SoB | HMO D-SNP | $16 | $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 · H5932-009-000 · SoB | HMO D-SNP | $17.60 | $8,000 | $615 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids 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 |
| UPMC for Life Complete Care (HMO D-SNP) UPMC Health System · H4279-001-000 · SoB | HMO D-SNP | $26.50 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Value Care (PPO) CVS Health Corporation · H5522-013-000 · SoB ✓ | PPO | $29 | $6,900 | $615 | 4.5out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids 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 |
| 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 |
| AmeriHealth Caritas VIP Care (HMO D-SNP) Independence Health Group, Inc. · H4227-002-000 · SoB | HMO D-SNP | $32.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $256 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| American Health Advantage of Pennsylvania (HMO I-SNP) Mitchell Family Office · H9968-001-000 · SoB ✓ | HMO I-SNP | $32.70 | $9,250 | $615 | Not rated | — | Vision exam Eyewear Hearing aids Transportation |
| 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 |
| 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 |
| 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-0003 (HMO-POS) UnitedHealth Group, Inc. · H5253-147-000 · SoB ✓ | HMO-POS | $39 | $5,900 | $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-0007 (PPO) UnitedHealth Group, Inc. · H2406-046-000 · SoB ✓ | PPO | $42 | $5,900 | $520 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Enhanced (HMO-POS) CVS Health Corporation · H3959-039-000 · SoB ✓ | HMO-POS | $48 | $7,500 | $615 | 4.0out of 5 stars, Above average | $90 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Geisinger Gold Classic Complete Rx (HMO) Risant Health, Inc. · H3954-158-013 · SoB | HMO | $48 | $5,700 | $0 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Community Blue Medicare HMO Distinct (HMO) Highmark Health · H3957-049-007 · SoB ✓ | HMO | $55 | $6,250 | $615 | 4.5out of 5 stars, Above average | $40 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| 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 |
| Freedom Blue PPO ValueRx (PPO) Highmark Health · H3916-018-000 · SoB ✓ | PPO | $66 | $5,500 | $0 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Transportation 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 Advantra Premier (PPO) CVS Health Corporation · H5522-002-000 · SoB ✓ | PPO | $98 | $5,900 | $615 | 4.5out of 5 stars, Above average | $45 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Geisinger Gold Preferred Advantage Rx (PPO) Risant Health, Inc. · H3924-059-021 · SoB | PPO | $114 | $4,000 | $0 | 4.5out of 5 stars, Above average | — | none reported |
| Geisinger Gold Classic Advantage Rx (HMO) Risant Health, Inc. · H3954-157-023 · SoB | HMO | $120 | $3,450 | $0 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Freedom Blue PPO Standard (PPO) Highmark Health · H3916-015-000 · SoB ✓ | PPO | $121 | $5,000 | $0 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Transportation Meals |
| 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 |
| Freedom Blue PPO Deluxe (PPO) Highmark Health · H3916-005-000 · SoB ✓ | PPO | $226 | $4,500 | $0 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Transportation Meals |
| 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 |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) CVS Health Corporation · H3959-041-000 · SoB ✓ | HMO-POS | — | $5,500 | — | 4.0out of 5 stars, Above average | $90 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Freedom Blue PPO Basic (PPO) Highmark Health · H3916-012-000 · SoB ✓ | PPO | — | $5,900 | — | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids Transportation Meals |
| Freedom Blue PPO Valor (PPO) Highmark Health · H3916-043-000 · 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 H8145-055 (PFFS) Humana Inc. · H8145-055-000 · SoB ✓ | PFFS | — | $6,700 | — | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| 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 |
| UPMC for Life HMO No Rx (HMO) UPMC Health System · H3907-002-000 · SoB ✓ | HMO | — | $6,000 | — | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| UPMC for Life PPO Salute (PPO) UPMC Health System · H5533-016-001 · SoB ✓ | PPO | — | $9,250 | — | 4.5out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation 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 Tioga County?
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 63 Tioga 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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