Medicare plans in Carbon County, PA
92 plans are approved for Carbon County, and 39 of them have no monthly premium. 92 carry a CMS star rating.
43.4% of the 17,874 people eligible for Medicare in Carbon County are already in a Medicare Advantage plan (September 2026). Across Pennsylvania it is 54.5%, and across the country 51.6% — summed by us from the county counts CMS published.
All plans · Medicare Advantage · Special Needs Plans · Part D drug plans
Across these 92 plans the median monthly premium here is $17.80, the median out-of-pocket cap $7,000, and the median star rating 4.0 (medians are ours; every figure in the table is as CMS published it).
| Plan | Premium a month | Most you can pay a year | Drug deductible | Stars | Enrolled here |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC PA-0015 (PPO) UnitedHealthcare · PPO |
$0 | $6,700 | $440 | 4.5/5 | 78 |
| UPMC for Life HMO No Rx (HMO) UPMC for Life · HMO |
$0 | $6,000 | Not published | 4.5/5 | Fewer than 11 |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$0 | $6,000 | Not published | 4.5/5 | 30 |
| Community Blue Medicare PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$0 | $7,950 | $615 | 4.5/5 | 363 |
| Complete Blue PPO Merit (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$0 | $8,300 | $615 | 4.5/5 | 447 |
| Geisinger Gold Preferred Complete Rx (PPO) Geisinger Gold · PPO |
$0 | $7,200 | $0 | 4.5/5 | 376 |
| Geisinger Gold Classic Essential Rx (HMO) Geisinger Gold · HMO |
$0 | $6,750 | $0 | 4.5/5 | 91 |
| Geisinger Gold Heritage (HMO) Geisinger Gold · HMO |
$0 | $6,700 | Not published | 4.5/5 | 33 |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · HMO |
$0 | $6,750 | $615 | 4.5/5 | 267 |
| Aetna Medicare Advantra Signature (PPO) Aetna Medicare · PPO |
$0 | $9,250 | $615 | 4.5/5 | 239 |
| Aetna Medicare Signature Giveback (PPO) Aetna Medicare · PPO |
$0 | $6,750 | $615 | 4.5/5 | 471 |
| UPMC for Life PPO Premier Rx (PPO) UPMC for Life · PPO |
$0 | $6,500 | $500 | 4.5/5 | 38 |
| UPMC for Life PPO Salute (PPO) UPMC for Life · PPO |
$0 | $9,250 | Not published | 4.5/5 | Fewer than 11 |
| UPMC for Life PPO Essential Care Rx (PPO) UPMC for Life · PPO |
$0 | $8,000 | $500 | 4.5/5 | Fewer than 11 |
| AARP Medicare Advantage from UHC PA-0011 (PPO) UnitedHealthcare · PPO |
$0 | $6,700 | $520 | 4.0/5 | 106 |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) UnitedHealthcare · PPO |
$0 | $8,900 | $600 | 4.0/5 | 81 |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) Aetna Medicare · HMO-POS |
$0 | $5,500 | Not published | 4.0/5 | 42 |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $6,700 | $440 | 4.0/5 | 91 |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) UnitedHealthcare · HMO-POS |
$0 | $6,700 | Not published | 4.0/5 | 51 |
| UHC Complete Care PA-17 (HMO-POS C-SNP) UnitedHealthcare · HMO-POS C-SNP |
$0 | $6,700 | $440 | 4.0/5 | 128 |
| Wellcare Simple (HMO-POS) Wellcare · HMO-POS |
$0 | $6,200 | $615 | 3.5/5 | 30 |
| Wellcare Patriot Giveback (HMO-POS) Wellcare · HMO-POS |
$0 | $7,550 | Not published | 3.5/5 | Fewer than 11 |
| HumanaChoice Giveback H5216-116 (PPO) Humana · PPO |
$0 | $4,150 | Not published | 3.5/5 | Fewer than 11 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $6,700 | Not published | 3.5/5 | 52 |
| HumanaChoice H5525-051 (PPO) Humana · PPO |
$0 | $7,500 | $615 | 3.5/5 | 179 |
| Humana USAA Honor Giveback with Rx (PPO) Humana · PPO |
$0 | $7,350 | $500 | 3.5/5 | 52 |
| HumanaChoice Giveback H5525-085 (PPO) Humana · PPO |
$0 | $8,000 | $0 | 3.5/5 | 124 |
| DEVOTED CHOICE 007 PA (PPO) Devoted Health · PPO |
$0 | $5,900 | $450 | 3.5/5 | 11 |
| DEVOTED CHOICE GIVEBACK 008 PA (PPO) Devoted Health · PPO |
$0 | $9,250 | $605 | 3.5/5 | 61 |
| Humana Gold Plus H6622-036 (HMO) Humana · HMO |
$0 | $8,250 | $615 | 3.5/5 | 322 |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) Humana · HMO D-SNP |
$0 | $9,250 | $615 | 3.5/5 | 36 |
| Humana Gold Choice H8145-052 (PFFS) Humana · PFFS |
$0 | $7,100 | $615 | 3.5/5 | 70 |
| Humana Gold Choice H8145-055 (PFFS) Humana · PFFS |
$0 | $6,700 | Not published | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Complete (HMO) Jefferson Health Plans · HMO |
$0 | $6,500 | $0 | 3.5/5 | 66 |
| Jefferson Health Plans Giveback (HMO) Jefferson Health Plans · HMO |
$0 | $9,250 | $300 | 3.5/5 | 51 |
| HumanaChoice R0110-007 (Regional PPO) Humana · Regional PPO |
$0 | $4,500 | Not published | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Flex (PPO) Jefferson Health Plans · PPO |
$0 | $7,000 | $0 | 3.5/5 Part D | 31 |
| DEVOTED CORE 008 PA (HMO) Devoted Health · HMO |
$0 | $6,700 | $375 | 3.0/5 Part D | Fewer than 11 |
| DEVOTED GIVEBACK 009 PA (HMO) Devoted Health · HMO |
$0 | $7,000 | $605 | 3.0/5 Part D | 33 |
| Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) Humana · HMO D-SNP |
$2.60 | $9,250 | $615 | 3.5/5 | 101 |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$6.80 | $9,250 | $615 | 3.5/5 | 137 |
| UPMC for Life Complete Care (HMO D-SNP) UPMC for Life Complete Care · HMO D-SNP |
$8.10 | $9,250 | $615 | 4.0/5 | 31 |
| Aetna Medicare Advantra Dual (HMO D-SNP) Aetna Medicare · HMO D-SNP |
$13.80 | $9,250 | $615 | 4.0/5 | 341 |
| Aetna Community HealthChoices (HMO D-SNP) Aetna Medicare · HMO D-SNP |
$14.20 | $9,250 | $615 | 4.0/5 | Fewer than 11 |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Wholecare Medicare Assured · HMO D-SNP |
$16.00 | $9,250 | $615 | 4.0/5 | 100 |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Highmark Wholecare Medicare Assured · HMO D-SNP |
$17.60 | $8,000 | $615 | 4.0/5 | 19 |
| Jefferson Health Plans Flex Pro (PPO) Jefferson Health Plans · PPO |
$18.00 | $6,000 | $0 | 3.5/5 Part D | 34 |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) Devoted Health · HMO D-SNP |
$19.70 | $9,250 | $615 | 3.0/5 Part D | 11 |
| UPMC for Life HMO Deductible Rx (HMO) UPMC for Life · HMO |
$22.00 | $6,000 | $175 | 4.5/5 | Fewer than 11 |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) Devoted Health · HMO D-SNP |
$22.50 | $9,250 | $615 | 3.0/5 Part D | Fewer than 11 |
| Geisinger Gold Value Rx (HMO) Geisinger Gold · HMO |
$23.00 | $9,250 | $0 | 4.5/5 | 156 |
| HumanaChoice H5525-005 (PPO) Humana · PPO |
$26.00 | $8,300 | $615 | 3.5/5 | 27 |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life · PPO |
$30.00 | $6,000 | $400 | 4.5/5 | 27 |
| UHC Dual Complete PA-V001 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$30.40 | $6,700 | $615 | 3.5/5 | Fewer than 11 |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) UnitedHealthcare · PPO I-SNP |
$32.60 | $9,250 | $615 | 4.5/5 | 19 |
| Geisinger Gold Secure Rx (HMO D-SNP) Geisinger Gold · HMO D-SNP |
$32.70 | $9,250 | $615 | 4.5/5 | 59 |
| UHC Dual Complete PA-S001 (PPO D-SNP) UnitedHealthcare · PPO D-SNP |
$32.70 | $9,250 | $615 | 4.0/5 | 21 |
| Aetna Medicare Longevity (HMO I-SNP) Aetna Medicare · HMO I-SNP |
$32.70 | $9,250 | $615 | 4.0/5 | Fewer than 11 |
| Aetna Medicare Chronic Care Value (HMO C-SNP) Aetna Medicare · HMO C-SNP |
$32.70 | $9,250 | $615 | 4.0/5 | 76 |
| AmeriHealth Caritas VIP Care (HMO D-SNP) VISTA Health Plan Inc. · HMO D-SNP |
$32.70 | $9,250 | $615 | 4.0/5 | 174 |
| Wellcare Dual Liberty Sync (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$32.70 | $9,250 | $490 | 3.5/5 | 17 |
| Wellcare Assist (HMO-POS) Wellcare · HMO-POS |
$32.70 | $5,500 | $475 | 3.5/5 | Fewer than 11 |
| Wellcare Dual Select (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$32.70 | $5,400 | $615 | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Prime (HMO) Jefferson Health Plans · HMO |
$32.70 | $6,000 | $0 | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Special (HMO D-SNP) Jefferson Health Plans · HMO D-SNP |
$32.70 | $9,250 | $615 | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) Jefferson Health Plans · HMO D-SNP |
$32.70 | $9,250 | $615 | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Select (HMO D-SNP) Jefferson Health Plans · HMO D-SNP |
$32.70 | $9,250 | $615 | 3.5/5 | Fewer than 11 |
| Jefferson Health Plans Flex Plus (PPO) Jefferson Health Plans · PPO |
$32.70 | $6,500 | $0 | 3.5/5 Part D | Fewer than 11 |
| DEVOTED C-SNP PREMIUM 017 PA (HMO C-SNP) Devoted Health · HMO C-SNP |
$32.70 | $7,000 | $615 | 3.0/5 Part D | 12 |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) Devoted Health · HMO C-SNP |
$32.70 | $9,250 | $615 | 3.0/5 Part D | Fewer than 11 |
| UPMC for Life PPO High Deductible Rx (PPO) UPMC for Life · PPO |
$33.00 | $7,550 | $175 | 4.5/5 | Fewer than 11 |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life · HMO |
$40.00 | $6,000 | $175 | 4.5/5 | Fewer than 11 |
| Freedom Blue PPO Basic (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$41.00 | $5,900 | Not published | 4.5/5 | Fewer than 11 |
| AARP Medicare Advantage from UHC PA-0007 (PPO) UnitedHealthcare · PPO |
$42.00 | $5,900 | $520 | 4.0/5 | 101 |
| Geisinger Gold Classic Complete Rx (HMO) Geisinger Gold · HMO |
$48.00 | $5,700 | $0 | 4.5/5 | 144 |
| Community Blue Medicare HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · HMO |
$50.00 | $6,250 | $615 | 4.5/5 | Fewer than 11 |
| HumanaChoice R0110-008 (Regional PPO) Humana · Regional PPO |
$52.00 | $6,700 | $615 | 3.5/5 | Fewer than 11 |
| AARP Medicare Advantage from UHC PA-0008 (PPO) UnitedHealthcare · PPO |
$60.00 | $4,900 | $520 | 4.0/5 | Fewer than 11 |
| Freedom Blue PPO ValueRx (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$66.00 | $5,500 | $0 | 4.5/5 | 394 |
| Aetna Medicare Enhanced (PPO) Aetna Medicare · PPO |
$66.00 | $7,500 | $615 | 4.5/5 | 25 |
| UPMC for Life HMO Rx (HMO) UPMC for Life · HMO |
$90.00 | $4,500 | $0 | 4.5/5 | Fewer than 11 |
| HumanaChoice H5216-120 (PPO) Humana · PPO |
$94.00 | $7,600 | $615 | 3.5/5 | Fewer than 11 |
| Geisinger Gold Preferred Advantage Rx (PPO) Geisinger Gold · PPO |
$96.00 | $4,000 | $0 | 4.5/5 | 51 |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$98.00 | $6,750 | $615 | 4.5/5 | 17 |
| Aetna Medicare Advantra Premier (PPO) Aetna Medicare · PPO |
$98.00 | $5,900 | $615 | 4.5/5 | 45 |
| Geisinger Gold Classic Advantage Rx (HMO) Geisinger Gold · HMO |
$113.90 | $3,450 | $0 | 4.5/5 | 111 |
| Freedom Blue PPO Standard (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$121.00 | $5,000 | $0 | 4.5/5 | 46 |
| UPMC for Life PPO Rx Enhanced (PPO) UPMC for Life · PPO |
$140.00 | $7,550 | $0 | 4.5/5 | Fewer than 11 |
| Humana Gold Choice H8145-163 (PFFS) Humana · PFFS |
$155.00 | $1,500 | Not published | 3.5/5 | Fewer than 11 |
| Aetna Medicare Enhanced (PPO) Aetna Medicare · PPO |
$183.00 | $7,500 | $615 | 4.5/5 | Fewer than 11 |
| Freedom Blue PPO Deluxe (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · PPO |
$226.00 | $4,500 | $0 | 4.5/5 | 28 |
| UPMC for Life HMO Rx Enhanced (HMO) UPMC for Life · HMO |
$295.00 | $7,550 | $0 | 4.5/5 | Fewer than 11 |
Plan types: HMO: Health Maintenance Organization — you use the plan's own network of doctors and hospitals, and usually need a referral to see a specialist. HMO-POS: HMO with a point-of-service option — an HMO that also lets you use some services out of network, at a higher cost. PPO: Preferred Provider Organization — you can see any Medicare provider, and pay less inside the plan's network. Regional PPO: Regional PPO — a PPO that serves a whole CMS region rather than a set of counties, with the same premium and benefits across it. PFFS: Private Fee-for-Service — the plan decides how much it pays; you can see any provider that agrees to the plan's terms. D-SNP: Dual-eligible Special Needs Plan — only for people who have both Medicare and Medicaid. C-SNP: Chronic-condition Special Needs Plan — only for people with a specific condition the plan names, such as diabetes or heart failure. I-SNP: Institutional Special Needs Plan — only for people living in a nursing facility, or who need that level of care at home.
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Plans arriving in or leaving Carbon County, and premiums moving, when CMS republishes.
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Nearby and related
Largest Pennsylvania counties by plans on offer: Lancaster County (114) · Lebanon County (109) · Bucks County (107) · Perry County (106) · Berks County (105) · York County (105)
Counties selling the same plans: Northampton County (82 of these 92 plans) · Lehigh County (77 of these 92 plans) · Monroe County (75 of these 92 plans) · Perry County (75 of these 92 plans) · Berks County (74 of these 92 plans) · Lancaster County (74 of these 92 plans) · Lebanon County (74 of these 92 plans) · Bradford County (73 of these 92 plans)
All Pennsylvania counties · What changed recently
CMS files as loaded on 17 September 2026. Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file as published in the September 2026 release. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. The only figures we calculate are the averages and medians marked as ours, from those same files. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.