Medicare plans ending or leaving counties in Pennsylvania for 2027
CMS files show 29 plans ending and 22 plans leaving some counties in Pennsylvania for 2027. Find your 2026 plan below by name or plan ID (the ID is on your member card, for example H1234-001).
29plans ending
22plans leaving counties
67counties affected
2026 plans ending in Pennsylvania
These 2026 plans are not offered in 2027, and CMS lists no plan that their members move into.
| 2026 plan | Plan ID | Organization | Plan type | 2026 counties in Pennsylvania |
|---|---|---|---|---|
| Aetna Community HealthChoices (HMO D-SNP) | H3959-069 | CVS Health Corporation | HMO D-SNP; Dual Special Needs Plan (D-SNP) | Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Forest, Jefferson, McKean, Mercer, Potter, Venango, Warren |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-070 | CVS Health Corporation | HMO D-SNP; Dual Special Needs Plan (D-SNP) | Bucks, Chester, Delaware, Montgomery, Philadelphia |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-071 | CVS Health Corporation | HMO D-SNP; Dual Special Needs Plan (D-SNP) | Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Somerset, Washington, Westmoreland |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-072 | CVS Health Corporation | HMO D-SNP; Dual Special Needs Plan (D-SNP) | Bradford, Carbon, Centre, Clinton, Columbia, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Pike, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming |
| Aetna Community HealthChoices (HMO D-SNP) | H3959-073 | CVS Health Corporation | HMO D-SNP; Dual Special Needs Plan (D-SNP) | Adams, Berks, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Lancaster, Lebanon, Lehigh, Northampton, Perry, York |
| Aetna Medicare Enhanced (PPO) | H5521-122 | CVS Health Corporation | PPO | Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York |
| Aetna Medicare PinnacleHealth Prime (HMO-POS) | H3931-091 | CVS Health Corporation | HMO-POS | Cumberland, Dauphin, Juniata, Perry, York |
| Aetna Medicare PinnacleHealth Prime (PPO) | H5522-029 | CVS Health Corporation | PPO | Cumberland, Dauphin, Juniata, Perry, York |
| Aetna Medicare Premier (HMO-POS) | H3931-004 | CVS Health Corporation | HMO-POS | Bucks, Chester, Delaware, Montgomery, Philadelphia |
| SilverScript Choice (PDP) | S5601-012 | CVS Health Corporation | PDP | Statewide (all counties) |
| Wellcare Patriot Giveback (HMO-POS) | H2915-013 | Centene Corporation | HMO-POS | Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Perry, Philadelphia, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York |
| HealthSpring Preferred (HMO) | H3949-049 | Health Care Service Corporation | HMO | Crawford, Mercer, Venango |
| Blue Rx PDP Complete (PDP) | S5593-003 | Highmark Health | PDP | Statewide (all counties) |
| Blue Rx PDP Plus (PDP) | S5593-002 | Highmark Health | PDP | Statewide (all counties) |
| Complete Blue PPO Distinct (PPO) | H3916-059 | Highmark Health | PPO | Blair, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Forest, Greene, Huntingdon, Jefferson, McKean, Potter, Somerset, Venango |
| Humana Gold Choice H8145-055 (PFFS) | H8145-055 | Humana Inc. | PFFS | Adams, Berks, Bradford, Carbon, Centre, Chester, Clinton, Cumberland, Dauphin, Erie, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Luzerne, Lycoming, Mifflin, Perry, Susquehanna, Tioga, Wayne, Wyoming, York |
| Humana Gold Choice H8145-163 (PFFS) | H8145-163 | Humana Inc. | PFFS | Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York |
| Personal Choice 65 Plus Rx (PPO) | H3909-018 | Independence Health Group, Inc. | PPO | Bucks, Chester, Delaware, Montgomery, Philadelphia |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | H4093-004 | Rifkin Managed Care Holding, LLC | HMO I-SNP; Institutional Special Needs Plan (I-SNP) | Allegheny, Armstrong, Beaver, Bucks, Butler, Cambria, Chester, Crawford, Delaware, Fayette, Greene, Lancaster, Lawrence, Mercer, Montgomery, Philadelphia, Somerset, Westmoreland |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | H4093-008 | Rifkin Managed Care Holding, LLC | HMO I-SNP; Institutional Special Needs Plan (I-SNP) | Allegheny, Armstrong, Beaver, Bucks, Butler, Cambria, Chester, Crawford, Delaware, Fayette, Greene, Lancaster, Lawrence, Mercer, Montgomery, Philadelphia, Somerset, Westmoreland |
| Jefferson Health Plans Flex Plus (PPO) | H1619-002 | Thomas Jefferson University | PPO | Adams, Berks, Bradford, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Montgomery, Northampton, Perry, Philadelphia, Schuylkill, York |
| Jefferson Health Plans Flex Pro (PPO) | H1619-003 | Thomas Jefferson University | PPO | Adams, Berks, Bradford, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Montgomery, Northampton, Perry, Philadelphia, Schuylkill, York |
| UPMC for Life PPO Premier Rx (PPO) | H5533-011 | UPMC Health System | PPO | Cumberland, Dauphin, Lancaster, Lebanon, Lycoming, Montour, Perry, Potter, Union |
| Erickson Advantage Champion (HMO-POS C-SNP) | H5652-004 | UnitedHealth Group, Inc. | HMO-POS C-SNP; Chronic Condition Special Needs Plan (C-SNP) | Bucks, Delaware |
| Erickson Advantage Freedom (HMO-POS) | H5652-006 | UnitedHealth Group, Inc. | HMO-POS | Bucks, Delaware |
| Erickson Advantage Guardian (HMO-POS I-SNP) | H5652-003 | UnitedHealth Group, Inc. | HMO-POS I-SNP; Institutional Special Needs Plan (I-SNP) | Bucks, Delaware |
| Erickson Advantage Liberty (HMO-POS) | H5652-008 | UnitedHealth Group, Inc. | HMO-POS | Bucks, Delaware |
| Erickson Advantage Liberty no Rx (HMO-POS) | H5652-002 | UnitedHealth Group, Inc. | HMO-POS | Bucks, Delaware |
| Erickson Advantage Signature (HMO-POS) | H5652-001 | UnitedHealth Group, Inc. | HMO-POS | Bucks, Delaware |
2026 plans leaving some counties in Pennsylvania
In the counties listed, these plans end for 2027 and no 2027 plan that CMS links to them serves the county. In their other counties, members continue in or move to the 2027 plan shown.
| 2026 plan | Plan ID | Organization | Plan type | Counties where it ends in Pennsylvania | 2027 plan for other counties |
|---|---|---|---|---|---|
| Capital Blue Cross Complete (PPO) | H3923-047 | CAPITAL BLUE CROSS | PPO | Adams, Franklin, York | Capital Blue Cross Complete (PPO) (H3923-047) |
| Capital Blue Cross Enhanced (PPO) | H3923-046 | CAPITAL BLUE CROSS | PPO | Northampton, Schuylkill | Capital Blue Cross Enhanced (PPO) (H3923-046) |
| HealthSpring TotalCare Plus (HMO D-SNP) | H3949-009 | Health Care Service Corporation | HMO D-SNP; Dual Special Needs Plan (D-SNP) | Crawford, Mercer, Venango | HealthSpring TotalCare Plus (HMO D-SNP) (H3949-009) |
| HealthSpring True Choice (PPO) | H7849-106 | Health Care Service Corporation | PPO | Crawford, Mercer, Venango | HealthSpring True Choice (PPO) (H7849-106) |
| Community Blue Medicare HMO Signature (HMO) | H3957-042 | Highmark Health | HMO | Franklin, Fulton, Monroe, Schuylkill, Susquehanna, Tioga | Community Blue Medicare HMO Signature (HMO) (H3957-042) |
| Complete Blue PPO Merit (PPO) | H3916-057 | Highmark Health | PPO | Blair, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Forest, Greene, Huntingdon, Jefferson, McKean, Potter, Somerset, Venango | Complete Blue PPO Merit (PPO) (H3916-057) |
| Humana Gold Choice H8145-052 (PFFS) | H8145-052 | Humana Inc. | PFFS | Franklin, Susquehanna | Humana Gold Choice H8145-052 (PFFS) (H8145-052) |
| HumanaChoice Giveback H5525-085 (PPO) | H5525-085 | Humana Inc. | PPO | Tioga | Humana Essentials Plus Giveback (PPO) (H5525-085) |
| HumanaChoice H5525-086 (PPO) | H5525-086 | Humana Inc. | PPO | Adams, Bradford, Montgomery, Susquehanna | HumanaChoice H5525-086 (PPO) (H5525-086) |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) | H5216-227 | Humana Inc. | PPO D-SNP; Dual Special Needs Plan (D-SNP) | Potter | HumanaChoice SNP-DE H5216-227 (PPO D-SNP) (H5216-227) |
| UPMC for Life HMO Deductible Rx (HMO) | H3907-037 | UPMC Health System | HMO | Bradford, Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Cumberland, Dauphin, Indiana, Lancaster, Lebanon, Lehigh, Lycoming, Montour, Northampton, Perry, Potter, Susquehanna, Union, Wayne, Westmoreland, Wyoming, York | UPMC for Life HMO Deductible Rx (HMO) (H3907-037) |
| UPMC for Life HMO Premier Rx (HMO) | H3907-059 | UPMC Health System | HMO | Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Huntingdon, Indiana, Somerset, Westmoreland | UPMC for Life HMO Premier Rx (HMO) (H3907-059) |
| UPMC for Life HMO Rx (HMO) | H3907-058 | UPMC Health System | HMO | Cambria, Cameron, Clearfield, Huntingdon, Indiana | UPMC for Life HMO Rx (HMO) (H3907-058) |
| UPMC for Life HMO Rx Choice (HMO) | H3907-057 | UPMC Health System | HMO | Butler, Cambria, Cameron, Clarion, Clearfield, Indiana, Westmoreland | UPMC for Life HMO Rx Choice (HMO) (H3907-057) |
| UPMC for Life HMO Rx Enhanced (HMO) | H3907-006 | UPMC Health System | HMO | Cambria, Cameron, Clearfield | UPMC for Life HMO Rx Enhanced (HMO) (H3907-006) |
| UPMC for Life PPO Essential Care Rx (PPO) | H5533-017 | UPMC Health System | PPO | Cambria, Cameron, Clearfield, Indiana | UPMC for Life Essential Rx (PPO) (H5533-017) |
| UPMC for Life PPO High Deductible Rx (PPO) | H5533-003 | UPMC Health System | PPO | Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Indiana, Westmoreland | UPMC for Life PPO High Deductible Rx (PPO) (H5533-003) |
| UPMC for Life PPO Premier Rx (PPO) | H5533-013 | UPMC Health System | PPO | Bedford, Blair, Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Huntingdon, Indiana, Somerset, Westmoreland | UPMC for Life PPO Premier Rx (PPO) (H5533-013) |
| UPMC for Life PPO Rx Choice (PPO) | H5533-015 | UPMC Health System | PPO | Armstrong, Beaver, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lycoming, McKean, Mercer, Montour, Perry, Potter, Union, Venango, Warren, Washington, Westmoreland, York | UPMC for Life PPO Rx Choice (PPO) (H5533-019) |
| UPMC for Life PPO Rx Enhanced (PPO) | H5533-005 | UPMC Health System | PPO | Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Indiana, Westmoreland | UPMC for Life PPO Rx Enhanced (PPO) (H5533-005) |
| AARP Medicare Advantage from UHC PA-0011 (PPO) | H2406-072 | UnitedHealth Group, Inc. | PPO | Adams, Beaver, Blair, Bradford, Butler, Carbon, Clarion, Clinton, Crawford, Elk, Lawrence, Lebanon, McKean, Mercer, Mifflin, Northumberland, Pike, Potter, Snyder, Susquehanna, Tioga, Venango, Warren, Washington, Wyoming | AARP Medicare Advantage from UHC PA-0011 (PPO) (H2406-072) |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) | H0710-017 | UnitedHealth Group, Inc. | PPO I-SNP; Institutional Special Needs Plan (I-SNP) | Clarion, Jefferson, Mifflin, Northumberland | UHC Nursing Home Plan EX-F002 (PPO I-SNP) (H0710-017) |
If your Medicare Advantage plan is ending or leaving your county
- Your plan must mail you a notice. Check that notice for your plan’s exact status.
- You can choose a new plan during Medicare’s Annual Enrollment Period, October 15 to December 7.
- Because your plan is ending or leaving your county, you also get a Special Enrollment Period, from December 8 through the last day of February.
- If you do not choose a plan, you return to Original Medicare on January 1. If you get Extra Help paying for prescriptions, Medicare places you in a Part D drug plan, and you can still choose a different plan. If you do not get Extra Help, you need to join a Part D drug plan yourself to keep drug coverage.
- You may also have a guaranteed right to buy certain Medicare Supplement (Medigap) policies.
If your Part D drug plan (PDP) is ending
- Your plan must mail you a notice. Check that notice for your plan’s exact status.
- You can choose a new drug plan during Medicare’s Annual Enrollment Period, October 15 to December 7, and you also get a Special Enrollment Period from December 8 through the last day of February.
- Your Original Medicare coverage for doctors and hospitals does not change. Only your drug plan is ending.
- If you get Extra Help paying for prescriptions, Medicare places you in another drug plan. If you do not get Extra Help and do not join another drug plan, your drug coverage ends when the plan ends. Going without drug coverage can lead to a late enrollment penalty later.
For all of your options, contact Medicare.gov or 1-800-MEDICARE.
Sources: CMS CY2027 Part C and D Plan Crosswalk, file dated October 1, 2026 (which plans end or leave counties); CMS CY2026 Landscape Source File, September 2026 release (2026 service areas); CMS CY2027 Landscape Source File, November 2026 release (2027 service areas). Plans can still change. Enrollment rules: CMS CY2027 Medicare Advantage and Part D Enrollment and Disenrollment Guidance, section 30.6.10; CMS Low Income Subsidy reassignment rules. The notice your plan mails you (Annual Notice of Change or non-renewal letter) is the official notice for your plan.
Talk with a licensed agent about the plans in your area: call 1-866-340-3441.