--- title: "Medicare Advantage plans in Philadelphia County, PA for 2027" description: "63 Medicare Advantage plans from 13 insurers in Philadelphia County, Pennsylvania for 2027: 40 with a $0 premium, out-of-pocket maximums $4,150 to $9,850. CMS data, local SHIP help and how to compare." url: https://seniortransitionassistance.com/medicare-advantage/counties/pa/philadelphia-county/ updated: 2026-10-16 site: Senior Transition Assistance --- Medicare Advantage ยท 2027 plan year # Medicare Advantage plans in Philadelphia County, Pennsylvania for 2027 2027 plan year Call a licensed agent Free, no obligation, no pressure. Have your doctors and prescriptions nearby. [(800) 614-8388](tel:+18006148388) TTY 711. Mon to Fri, 8 a.m. to 8 p.m. 63 plans from 13 insurers, with CMS numbers for Philadelphia County, Pennsylvania and free local help. Quick answer CMS lists 63 Medicare Advantage plans from 13 insurers that people with Medicare can join in Philadelphia County, Pennsylvania for 2027. 40 have a $0 monthly premium and 49 include drug coverage. In-network out-of-pocket maximums run from $4,150 to $9,850 a year. 39 of the 62 plans with a 2027 star rating have 4 or more stars. Data last updated September 22, 2026 (CMS landscape 202609.1); star ratings October 8, 2026. **We do not offer every plan available in your area.** Currently we represent a small number of insurance agencies and the plans they carry. Please contact Medicare.gov, 1-800-MEDICARE (TTY 1-877-486-2048), 24 hours a day / 7 days a week, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. We are an independent information and referral resource. We are not connected with, endorsed by, or acting on behalf of the United States government, the Centers for Medicare & Medicaid Services, or the federal Medicare program. Calling a number on this page connects you with a licensed insurance agent or a third-party marketing partner. ## 2027 plan numbers for Philadelphia County ### Philadelphia County at a glance Plans open to everyone 63 With a $0 monthly premium 40 With drug coverage 49 In-network out-of-pocket maximum $4,150 to $9,850 Insurers with plans 13 Plans rated 4+ stars 39 of 62 rated Special needs plans (qualifying members only) 35 Plans open to everyone means Medicare Advantage and Medicare Advantage with drug coverage plans that are not special needs plans. Premium means the plan premium; your Part B premium is separate. Philadelphia County ranks #25 among US counties by population (Census estimate for July 1, 2025: 1,574,281 people). By number of plans offered it ranks #15 of the 67 counties in Pennsylvania that have plans, and #26 of the 3,040 counties in the country that have plans. ### Plans by type | Plan type | Plans | What it generally means | |---|---|---| | HMO | 21 | Care usually has to come from the plan's network. | | HMO with point-of-service (HMO-POS) | 11 | An HMO that covers some out-of-network care. | | PPO | 29 | Out-of-network care is allowed, usually at a higher cost. | | Regional PPO | 2 | A PPO sold across a multi-county region. | ### Insurers with plans in Philadelphia County | Insurer | Plans in Philadelphia County | Share of plans | |---|---|---| | Independence Blue Cross | 12 | 19% | | Humana | 11 | 17% | | Aetna Medicare | 8 | 13% | | UnitedHealthcare | 8 | 13% | | HealthSpring | 5 | 8% | | Jefferson Health Plans | 5 | 8% | | Devoted Health | 4 | 6% | | Clover Health | 2 | 3% | | Geisinger Gold | 2 | 3% | | Highmark Blue Cross Blue Shield or Highmark Blue Shield | 2 | 3% | | UPMC for Life | 2 | 3% | | Perennial Advantage | 1 | 2% | | Wellcare | 1 | 2% | ## How Philadelphia County compares with the rest of Pennsylvania The state column is the average of the 67 Pennsylvania counties that have Medicare Advantage plans in the CMS file; each county counts once, whatever its population. | Measure | Philadelphia County | Average Pennsylvania county | |---|---|---| | Plans open to everyone | 63 | 57.2 | | Plans with a $0 premium | 63% | 57% | | Insurers with plans | 13 | 8.8 | | PPO and Regional PPO share of plans | 49% | 57% | | Lowest out-of-pocket maximum | $4,150 | $3,696 | | Highest out-of-pocket maximum | $9,850 | $9,850 | | Rated plans with 4+ stars | 63% | 76% | | Plans with drug coverage | 78% | 82% | - 13 insurers sell plans in Philadelphia County, above the Pennsylvania county average of 8.8. - 39 of the 62 plans with a star rating (63%) are rated 4 stars or higher, versus 76% in the average Pennsylvania county. - 14 of the 63 plans do not include drug coverage. - The plan count here (63) is close to the Pennsylvania county average of 57.2. ## What this means in Philadelphia County Philadelphia County has 63 plans from 13 insurers, in line with the Pennsylvania county average of 57.2. More insurers means more provider networks to check against your doctors. Fewer plans reach 4 stars than in the typical Pennsylvania county, so a plan's rating is a useful filter here. 40 of 63 plans have a $0 premium and the rest charge one, so weigh premium against the out-of-pocket maximum, which is $4,150 to $9,850. A $0 premium does not remove copays or coinsurance, and your Part B premium is separate. The list mixes 32 HMO-style and 31 PPO-style plans, so network rules differ from plan to plan; read each plan's provider rules. 39 of the 62 rated plans have 4 or more stars. CMS rates the insurer's contract, so look up the rating of the specific plan you are considering. ## How to compare plans in Philadelphia County - **Doctors and hospitals.** Ask each plan whether your doctors, your hospital and any specialists are in its network today. 32 of 63 plans here are HMO or HMO-POS and 31 are PPO-type, so the rules differ. - **Prescriptions.** 49 of 63 plans include drug coverage. For each drug, check the plan's formulary, the tier it sits on and the pharmacy you would use. - **Out-of-pocket cap.** The in-network maximum runs $4,150 to $9,850 a year depending on the plan, a gap of $5,700. The cap is what limits a hospital stay or a run of treatments. - **Extras and cost-sharing.** Compare copays for primary care, specialists and the emergency room, and any dental, vision and hearing benefits you would use. - **Star rating.** 39 of the 62 rated plans have 4 or more stars. Ask for the rating of the exact plan, then see how it handles the doctors and drugs above. Plan Finder at Medicare.gov shows every plan available at your address. If your ZIP code is in Philadelphia County, you can also [check plan counts for your ZIP code](https://seniortransitionassistance.com/medicare-advantage-zip/) on this site. ## Dates that matter for 2027 coverage - **Open enrollment runs October 15 to December 7, 2026.** You can join, switch or drop a Medicare Advantage plan in that window. - **Coverage changes take effect January 1, 2027.** Plans send an Annual Notice of Change in the fall listing what is different next year. ## Free local Medicare help in Pennsylvania The State Health Insurance Assistance Program (SHIP) gives free, unbiased Medicare counseling. In Pennsylvania it is run as PA MEDI (Pennsylvania Medicare Education and Decision Insight). ### PA MEDI in Pennsylvania Program PA MEDI (Pennsylvania Medicare Education and Decision Insight) Phone [1-800-783-7067](tel:18007837067) Website [pa.gov/agencies/aging/aging-programs-and-services/pa-medi-medicare-counseling](https://www.pa.gov/agencies/aging/aging-programs-and-services/pa-medi-medicare-counseling) Program name, number and website as listed by the [SHIP National Technical Assistance Center](https://www.shiphelp.org/ships/pennsylvania/), checked October 15, 2026. The PA Department of Aging page also lists your local PA MEDI program. You can also reach Medicare at 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048) or compare plans at [medicare.gov/plan-compare](https://www.medicare.gov/plan-compare/). ## Questions about Medicare Advantage in Philadelphia County ### How many Medicare Advantage plans are in Philadelphia County for 2027? CMS lists 63 general Medicare Advantage plans in Philadelphia County, Pennsylvania for 2027: 21 HMO, 11 HMO-POS, 29 PPO, and 2 Regional PPO. 49 of them include drug coverage. That count leaves out special needs plans (35 more, for people who qualify), cost plans and stand-alone drug plans. ### Are there $0 premium Medicare Advantage plans in Philadelphia County? Yes. 40 of the 63 plans (63%) have a $0 monthly plan premium. You still pay your Part B premium, and the plan may charge copays or coinsurance up to its out-of-pocket maximum. ### Which insurers offer Medicare Advantage plans in Philadelphia County? 13 insurers offer plans in Philadelphia County, Pennsylvania. The five with the most plans are Independence Blue Cross (12), Humana (11), Aetna Medicare (8), UnitedHealthcare (8), HealthSpring (5). ### What is the most I could pay out of pocket in Philadelphia County? In-network out-of-pocket maximums for the 63 plans run from $4,150 to $9,850 a year, depending on the plan. The maximum covers covered services in the plan's network; it does not include the plan's monthly premium. ### How many Medicare Advantage plans in Philadelphia County have 4 or more stars? 39 of the 62 plans with a 2027 star rating are rated 4 stars or higher. 1 plans are not yet rated or have too little data, and star ratings are given to the insurer's contract. ## Sources and what is counted Source: [CMS Medicare Advantage and Part D Landscape source file, contract year 2027, release 202609.1](https://www.cms.gov/files/zip/cy2027-landscape-202609-1.zip) (file cy2027-landscape-202609-1.zip, CY2027_Landscape_202609.csv), data last updated September 22, 2026; [CMS 2027 Part C and D Star Ratings data tables](https://www.cms.gov/files/zip/2027-star-ratings-data-tables-oct-8-2026.zip) (Summary Ratings table), October 8, 2026; [U.S. Census Bureau Vintage 2025 county population estimates](https://www2.census.gov/programs-surveys/popest/datasets/2020-2025/counties/totals/co-est2025-alldata.csv) (July 1, 2025). Plans counted by Senior Transition Assistance. A plan is one CMS contract and plan ID offered in Philadelphia County. Counts cover Medicare Advantage and Medicare Advantage with drug coverage plans that are open to everyone. Special needs plans, cost plans, employer-only plans and stand-alone Part D plans are not in the counts above. The $0-premium count uses the combined plan premium (Part C plus Part D) when the plan has drug coverage. Star ratings are CMS overall ratings for plans with drug coverage and Part C summary ratings for plans without. Out-of-pocket maximums are the in-network amounts CMS lists. Figures are for plan year 2027 and come from CMS files dated as shown; the CMS landscape can change before January 1. Confirm any plan's details on Medicare.gov or with the plan. ## Keep reading - [Medicare Advantage plans in 40 large US counties](https://seniortransitionassistance.com/medicare-advantage/counties/) - [Medicare open enrollment dates and changes](https://seniortransitionassistance.com/medicare-advantage/open-enrollment/) - [Medicare Advantage vs. Original Medicare](https://seniortransitionassistance.com/medicare-advantage/vs-original-medicare/) - [Medicare Advantage guide](https://seniortransitionassistance.com/medicare-advantage/) - [Plans in Allegheny County, PA](https://seniortransitionassistance.com/medicare-advantage/counties/pa/allegheny-county/) Other Pennsylvania counties with a page: [Allegheny County](https://seniortransitionassistance.com/medicare-advantage/counties/pa/allegheny-county/). --- Canonical page: https://seniortransitionassistance.com/medicare-advantage/counties/pa/philadelphia-county/