Want to learn more about Medicare?
We can help. Subscribe to our email list for the latest Medicare news and information.
Medicare Plans in
Blair County, PA
54Medicare Advantage Plans Found in Blair County. See Plans
Blair County, PA
Medicare Information
For Blair County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 54 private Medicare plans are available in Blair County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about some of the Medicare plans in Blair County, Pennsylvania, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
For Blair County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 54 private Medicare plans are available in Blair County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Average Cost of Medicare
Plans in Blair County
| Average Cost of Medicare Advantage Plans in Blair County, Pennsylvania | |
|---|---|
| Average Monthly Premium | $71.84 |
| Average in-network out-of-pocket spending limit | $6,951.02 |
| Average drug deductible in 2025 (weighted) | $580 |
| Percentage of plans rated 4 stars or higher | 68.4 % |
Learn More About Medicare
Prescription Drug Plans
Blair County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type
Description
Plan Type and Description
Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans
Aetna Inc. Medicare Plans in Blair County, PA
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Pennsylvania in 2025.
Scroll to the right to continue reading the chart
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Advantra Eagle Plus (HMO-POS) | H3959-041 | $0 | N/A | $5,500 | No | |
| Aetna Medicare Advantra Premier (PPO) | H5522-002 | $98 | $615 | $5,900 | Yes | |
| Aetna Medicare Enhanced (PPO) | H5521-122 | $183 | $615 | $7,500 | Yes | |
| Aetna Medicare Advantra Signature Giveback (PPO) | H5522-017 | $0 | $615 | $9,250 | Yes | |
| Aetna Medicare Advantra Dual (HMO D-SNP) | H3959-036 | $0 | $615 | $ | Yes | |
| Aetna Medicare Longevity (HMO I-SNP) | H3959-066 | $33 | $615 | $9,250 | Yes | |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | H3959-011 | $0 | $500 | $5,500 | Yes | |
| Aetna Medicare Value Care (PPO) | H5522-013 | $29 | $615 | $6,900 | Yes | |
| Aetna Medicare Advantra Signature (PPO) | H5522-004 | $0 | $615 | $9,250 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Devoted Health
Devoted Health Medicare Plans in Blair County, PA
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Pennsylvania in 2025.
Scroll to the right to continue reading the chart
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) | H6852-025 | $0 | $615 | $9,250 | Yes | |
| DEVOTED C-SNP PREMIUM 020 PA (HMO C-SNP) | H6852-020 | $33 | $615 | $7,000 | Yes | |
| DEVOTED CHOICE 010 PA (PPO) | H6018-010 | $0 | $375 | $6,500 | Yes | |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) | H6852-022 | $33 | $615 | $9,250 | Yes | |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) | H6852-005 | $0 | $615 | $9,250 | Yes | |
| DEVOTED CORE 014 PA (HMO) | H6852-014 | $0 | $375 | $5,900 | Yes | |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) | H6018-011 | $0 | $605 | $9,250 | Yes | |
| DEVOTED GIVEBACK 015 PA (HMO) | H6852-015 | $0 | $605 | $9,250 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Highmark Health Medicare Plans in Blair County, PA
The following table includes cost information and other plan details for Highmark Health private Medicare plans available in Pennsylvania in 2025.
Scroll to the right to continue reading the chart
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Freedom Blue PPO Classic (PPO) | H3916-002 | $220 | $0 | $4,500 | Yes | |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | H5932-009 | $0 | $615 | $8,000 | Yes | |
| Complete Blue PPO Distinct (PPO) | H3916-059 | $30 | $615 | $6,500 | Yes | |
| Security Blue HMO-POS Deluxe (HMO-POS) | H3957-046 | $138 | $0 | $4,500 | Yes | |
| Security Blue HMO-POS Basic (HMO-POS) | H3957-043 | $37 | N/A | $5,900 | No | |
| Complete Blue PPO Signature (PPO) | H3916-041 | $0 | $615 | $6,750 | Yes | |
| Freedom Blue PPO Valor (PPO) | H3916-067 | $0 | N/A | $6,000 | No | |
| Complete Blue PPO Merit (PPO) | H3916-057 | $0 | $615 | $8,300 | Yes | |
| Security Blue HMO-POS ValueRx (HMO-POS) | H3957-044 | $36 | $0 | $5,500 | Yes | |
| Complete Blue HMO Distinct (HMO) | H3957-050 | $20 | $615 | $5,900 | Yes | |
| Freedom Blue PPO ValueRx (PPO) | H3916-033 | $65 | $0 | $5,500 | Yes | |
| Security Blue HMO-POS Standard (HMO-POS) | H3957-045 | $104 | $0 | $5,000 | Yes | |
| Community Blue Medicare HMO Signature (HMO) | H3957-047 | $0 | $615 | $6,500 | Yes | |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | H5932-001 | $0 | $615 | $9,250 | Yes | |
| Freedom Blue PPO Select (PPO) | H3916-024 | $96 | $0 | $5,000 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Humana Inc. Medicare Plans in Blair County, PA
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Pennsylvania in 2025.
Scroll to the right to continue reading the chart
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| HumanaChoice H5216-120 (PPO) | H5216-120 | $94 | $615 | $7,600 | Yes | |
| HumanaChoice Giveback H5525-085 (PPO) | H5525-085 | $0 | $0 | $8,000 | Yes | |
| HumanaChoice R0110-007 (Regional PPO) | R0110-007 | $0 | N/A | $4,500 | No | |
| HumanaChoice H5525-051 (PPO) | H5525-051 | $0 | $615 | $7,500 | Yes | |
| HumanaChoice H5525-086 (PPO) | H5525-086 | $29 | $615 | $6,050 | Yes | |
| Humana Gold Choice H8145-163 (PFFS) | H8145-163 | $155 | N/A | $-1 | No | |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) | H5216-227 | $0 | $615 | $9,250 | Yes | |
| HumanaChoice Giveback H5216-116 (PPO) | H5216-116 | $0 | N/A | $4,150 | No | |
| HumanaChoice R0110-008 (Regional PPO) | R0110-008 | $52 | $615 | $6,700 | Yes | |
| Humana USAA Honor Giveback (PPO) | H5216-221 | $0 | N/A | $6,700 | No | |
| HumanaChoice H5525-006 (PPO) | H5525-006 | $27 | $615 | $6,700 | Yes | |
| Humana USAA Honor Giveback with Rx (PPO) | H5525-059 | $0 | $500 | $7,350 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
UnitedHealthcare Medicare Plans in Blair County, PA
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Pennsylvania in 2025.
Scroll to the right to continue reading the chart
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) | H3113-016 | $0 | $615 | $ | Yes | |
| AARP Medicare Advantage from UHC PA-0011 (PPO) | H2406-072 | $0 | $520 | $6,700 | Yes | |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) | H3113-009 | $0 | $615 | $ | Yes | |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) | H2406-101 | $0 | $600 | $8,900 | Yes | |
| UHC Complete Care PA-17 (HMO-POS C-SNP) | H5253-192 | $0 | $440 | $6,700 | Yes | |
| UHC Dual Complete PA-V001 (HMO-POS D-SNP) | H3113-014 | $30 | $615 | $6,700 | Yes | |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) | H5253-146 | $0 | $440 | $6,700 | Yes | |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) | H5253-152 | $0 | N/A | $6,700 | No | |
| UHC Dual Complete PA-S001 (PPO D-SNP) | H1889-007 | $0 | $615 | $ | Yes | |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) | H5253-147 | $39 | $440 | $5,900 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.