Pennsylvania Medicare plan changes for 2027
Pennsylvania Medicare plan changes for 2027
CMS's 2027 plan list does not show 63 Medicare plans from 12 companies in some Pennsylvania counties. See plan names and IDs, counties, member counts and what to check.
63
plans CMS's 2027 list does not show in some Pennsylvania counties
12
companies
364,067+
people CMS reports enrolled in those plans (September 2026)
169,525+
of them in counties where their company has no plan listed for 2027
What CMS's lists show for Pennsylvania
CMS's 2027 plan list does not show 63 plans from 12 companies in some Pennsylvania counties that CMS's 2026 plan list showed them in. CMS reports at least 364,067 people in Pennsylvania enrolled in those plans as of September 2026. CMS hides enrollment counts of 10 or fewer, so "at least" means the real number can be higher.
Of those, at least 169,525 people are enrolled in counties where their company has no plan listed at all for 2027. Those members would generally need to choose a new plan. For the others, the company still lists other plans in the county, and a member is often moved to another plan with the same company.
For 10 of the 12 companies below, CMS's 2027 plan list still shows other plans from the company in every county named for them. For the other 2, at least one plan has a county where the company has no plan listed. Each company's page shows which plans and counties.
Pennsylvania companies with plans CMS's 2027 list does not show
Sorted by the number of people CMS reports in counties where the company has no plan listed for 2027, then by total people.
- Aetna (CVS Health) 10 plans, at least 160,923 people, at least 156,649 in counties with no plan from the company for 2027
- Highmark Health 7 plans, at least 29,454 people, at least 12,876 in counties with no plan from the company for 2027
- UPMC Health System 13 plans, at least 121,198 people
- Cigna HealthSpring (HCSC) 6 plans, at least 30,274 people
- CAPITAL BLUE CROSS 4 plans, at least 9,911 people
- UnitedHealthcare 8 plans, at least 3,465 people
- Thomas Jefferson University 2 plans, at least 2,711 people
- Humana 6 plans, at least 2,565 people
- Independence Health Group 1 plan, 2,180 people
- Wellcare / Ambetter (Centene) 3 plans, at least 988 people
- Devoted Health 1 plan, 364 people
- Rifkin Managed Care Holding 2 plans, at least 34 people
The largest plans on the Pennsylvania list
- SilverScript Choice (PDP) (S5601-012, PDP) from Aetna (CVS Health): 156,649 people reported enrolled by CMS (September 2026).
- UPMC for Life Complete Care (HMO D-SNP) (H4279-001, HMO D-SNP) from UPMC Health System: At least 36,215 people reported enrolled by CMS (September 2026).
- UPMC for Life PPO Rx Choice (PPO) (H5533-015, PPO) from UPMC Health System: 34,450 people reported enrolled by CMS (September 2026).
- HealthSpring Extra Rx (PDP) (S5617-356, PDP) from Cigna HealthSpring (HCSC): At least 16,687 people reported enrolled by CMS (September 2026).
- UPMC for Life HMO Rx Choice (HMO) (H3907-057, HMO) from UPMC Health System: 14,144 people reported enrolled by CMS (September 2026).
- UPMC for Life HMO Premier Rx (HMO) (H3907-059, HMO) from UPMC Health System: 13,144 people reported enrolled by CMS (September 2026).
- HealthSpring Assurance Rx (PDP) (S5617-215, PDP) from Cigna HealthSpring (HCSC): At least 12,890 people reported enrolled by CMS (September 2026).
- UPMC for Life PPO Premier Rx (PPO) (H5533-011, PPO) from UPMC Health System: 8,634 people reported enrolled by CMS (September 2026).
Pennsylvania counties named on this list
67 counties in Pennsylvania have at least one plan CMS's 2027 list does not show. Stand-alone drug plans are listed by state, not by county.
Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, and 52 more.
Show the other 52 counties
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.
What you can do
- Find the written notice from your plan and read what it says. If you are not sure you have one, call the plan, using the number on your member card, and ask.
- Confirm with the plan which plan you would be in for 2027, and check that the doctors and drugs you use are covered before you decide anything.
- Check your dates. The Annual Enrollment Period generally runs October 15 to December 7, with new coverage starting January 1. People whose plan is not renewing generally get a Special Enrollment Period that runs from December 8 through the end of February. Confirm your own dates with your plan or with us.
- Or talk it through with a licensed agent here: leave your number below or call 855-367-1095. We do not offer every plan, so we will tell you plainly what we can and cannot help with.
Where this comes from, and its limits
This page was built from public CMS files: CMS CY2026 Landscape (Sept 2025 release), CMS CY2027 Landscape (Sept 2026 release), and CMS Monthly Enrollment by Contract/Plan/State/County, Sept 2026. A plan is listed when CMS's 2026 Landscape lists a plan in a county and CMS's 2027 Landscape does not list any segment of that plan there. Member counts are the people CMS reports enrolled in the plan in those counties in September 2026. CMS hides enrollment counts of 10 or fewer, so "at least" means the real number can be higher.
This is what CMS's files show. It is not a notice about any one person's coverage, and CMS can correct or update its files after we built this page. Your plan's written notice is what tells you what is happening to your coverage, so check it and confirm with the plan.
GetFastRates.com is not Medicare, not the Centers for Medicare & Medicaid Services (CMS) and not a health plan, and we are not connected with or endorsed by any of them.
GetFastRates.com is not connected with or endorsed by the U.S. government or the federal Medicare program. Calling connects you with licensed insurance help. Plan availability, costs, benefits, and enrollment rules can vary by state, carrier, and individual situation.
We do not offer every plan available in your area. We represent a limited number of organizations, which offer a limited number of products in your area. Please contact Medicare.gov, 1-800-MEDICARE (1-800-633-4227), or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options.
Want to talk through your options?
Leave your number and a licensed agent will call to talk through where you are and what fits. There is no obligation. Please don't put your Medicare or Social Security number in the form.
Look at plans yourself
Prefer to browse on your own? Use our plan comparison tool to look at the Medicare plans we can help with where you live, and enroll online if you decide to. You can also leave your number above and we will go through it with you.
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Related pages
Other states and territories
Common questions
If a plan is on this list, will it not be there next year?
Not necessarily, and this page cannot tell you that about your plan. It shows only that CMS's 2027 plan list does not show a plan in a Pennsylvania county where CMS's 2026 plan list showed it. Plans are sometimes renumbered or replaced, and a company often moves members to another of its plans. The written notice from your plan is what tells you what is happening to your coverage, so check it and confirm with the plan.
When can I choose a different plan?
The Annual Enrollment Period generally runs October 15 to December 7, with new coverage starting January 1. People whose plan is not renewing generally get a Special Enrollment Period that runs from December 8 through the end of February. Check your own dates with your plan or with us.
Who can help me compare my options?
Talk with us: leave your number below or call 855-367-1095. We do not offer every plan, so we will say plainly what we can and cannot help with.
Where do these numbers come from?
CMS CY2026 Landscape (Sept 2025 release), CMS CY2027 Landscape (Sept 2026 release), and CMS Monthly Enrollment by Contract/Plan/State/County, Sept 2026. CMS hides enrollment counts of 10 or fewer, so "at least" means the real number can be higher.
What does this list say about the companies in Pennsylvania?
Only what CMS's files show. This page lists plans CMS's 2027 plan list does not show in some Pennsylvania counties. Each company's page says whether CMS's 2027 list still shows other plans from that company in the same counties.
Questions about your 2027 plan are easier by phone.
Call 855-367-1095 to talk with a licensed agent, who will be honest about what we can and cannot offer.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
GetFastRates.com is not connected with or endorsed by the U.S. government or the federal Medicare program. Calling connects you with licensed insurance help. Plan availability, costs, benefits, and enrollment rules can vary by state, carrier, and individual situation.