Medicare Advantage in Philadelphia, Pennsylvania: What to Know for 2027
30 Medicare Advantage plans in Philadelphia County are changing for 2027, 12 plans are leaving and 13 plans are new. Use this guide to see how the plans work in Philadelphia, Pennsylvania and what to compare, in plain terms.
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Quick answer
In Philadelphia (Philadelphia County), 98 Medicare Advantage plans from 17 insurers are offered for 2027, compared with 97 from 17 insurers for 2026.
For 2027, 12 of the Medicare Advantage plans offered in Philadelphia County for 2026 are leaving and 13 are new, while 30 continuing plans change premium, drug deductible, plan type or name.
The 2027 Medicare Advantage plans in Philadelphia County include 47 HMO, 17 HMO-POS and 34 PPO plans, and 35 of them are Special Needs Plans.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Philadelphia County, 2027 | 98 | CMS MA Landscape Source Files, CY2026 and CY2027 |
| Medicare Advantage plans offered in Philadelphia County, 2026 | 97 | CMS MA Landscape Source Files, CY2026 and CY2027 |
| Insurers offering plans, 2027 | 17 | CMS MA Landscape Source Files, CY2026 and CY2027 |
| Plans leaving after 2026 | 12 | CMS MA Landscape Source Files, CY2026 and CY2027 |
| Plans new for 2027 | 13 | CMS MA Landscape Source Files, CY2026 and CY2027 |
| Continuing plans that change for 2027 | 30 | CMS MA Landscape Source Files, CY2026 and CY2027 |
| People with Medicare in Philadelphia County, 2026 | 268,770 | CMS county data and Census ACS (2026) |
| Share in Medicare Advantage in Philadelphia County, 2026 | 60% | CMS State/County MA Penetration (2026) |
Medicare Advantage chart
Philadelphia (Philadelphia County) Medicare Advantage plans comparison chart (2027)
How many Medicare Advantage plans are offered in Philadelphia (Philadelphia County), by plan type, for 2027 beside 2026. Counts only: no plan is ranked, and premiums and benefits are not shown (compare those for your ZIP code with the plan finder above or on Medicare.gov).
| Plan type | 2026 | 2027 |
|---|---|---|
| All Medicare Advantage plans | 97 | 98 |
| HMO | 42 | 47 |
| HMO-POS (HMO with a point-of-service option) | 18 | 17 |
| PPO | 36 | 34 |
| PFFS (private fee-for-service) | 1 | 0 |
| Special Needs Plans (SNPs), all kinds | 31 | 35 |
| Dual-eligible SNP (D-SNP) | 19 | 20 |
| Chronic-condition SNP (C-SNP) | 5 | 8 |
| Institutional SNP (I-SNP) | 7 | 7 |
| Insurers offering plans | 17 | 17 |
| Change | Count |
|---|---|
| Offered for 2026, not offered for 2027 (leaving) | 12 |
| New for 2027 | 13 |
| Continuing with a different premium, drug deductible, plan type or name | 30 |
| Continuing under a new name | 9 |
| Insurer | Plans 2026 | Plans 2027 |
|---|---|---|
| Aetna (CVS Health) | 12 | 12 |
| Blue Cross Blue Shield (HCSC) | 7 | 7 |
| Centene (WellCare) | 5 | 3 |
| Clover Health | 2 | 2 |
| Devoted Health | 8 | 9 |
| Geisinger Gold | 3 | 3 |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield | 2 | 2 |
| Highmark Wholecare Medicare Assured | 2 | 2 |
| Humana | 13 | 14 |
| Independence Blue Cross | 12 | 12 |
| Jefferson Health Plans | 9 | 8 |
| Perennial Advantage | 3 | 3 |
| Provider Partners Health Plans | 3 | 3 |
| UnitedHealthcare | 13 | 14 |
| UPMC for Life | 1 | 2 |
| UPMC for Life Complete Care | 1 | 1 |
| VISTA Health Plan Inc. | 1 | 1 |
Source: CMS MA Landscape Source Files, CY2026 and CY2027. — = not in the source data.
By ZIP code
Medicare plans by ZIP code in Philadelphia
Philadelphia covers 48 ZIP codes in Philadelphia County, where 98 Medicare Advantage plans are offered for 2027 (97 for 2026); 1 ZIP code in Delaware County, where 95 Medicare Advantage plans are offered for 2027 (100 for 2026); 1 ZIP code in Montgomery County, where 94 Medicare Advantage plans are offered for 2027 (91 for 2026). Medicare plans are offered county by county, so every ZIP code in a county has the same Medicare Advantage lineup. Enter your ZIP code in the plan finder at the top of this page to compare the plans offered there.
| ZIP code | County | Medicare Advantage plans changing or leaving for 2027 |
|---|---|---|
| 19102 | Philadelphia County | 42 |
| 19103 | Philadelphia County | 42 |
| 19104 | Philadelphia County | 42 |
| 19106 | Philadelphia County | 42 |
| 19107 | Philadelphia County | 42 |
| 19108 | Philadelphia County | 42 |
| 19109 | Philadelphia County | 42 |
| 19111 | Philadelphia County | 42 |
| 19112 | Philadelphia County | 42 |
| 19113 | Delaware County | 47 |
| 19114 | Philadelphia County | 42 |
| 19115 | Philadelphia County | 42 |
| 19116 | Philadelphia County | 42 |
| 19118 | Philadelphia County | 42 |
| 19119 | Philadelphia County | 42 |
| 19120 | Philadelphia County | 42 |
| 19121 | Philadelphia County | 42 |
| 19122 | Philadelphia County | 42 |
| 19123 | Philadelphia County | 42 |
| 19124 | Philadelphia County | 42 |
| 19125 | Philadelphia County | 42 |
| 19126 | Montgomery County | 42 |
| 19127 | Philadelphia County | 42 |
| 19128 | Philadelphia County | 42 |
| 19129 | Philadelphia County | 42 |
| 19130 | Philadelphia County | 42 |
| 19131 | Philadelphia County | 42 |
| 19132 | Philadelphia County | 42 |
| 19133 | Philadelphia County | 42 |
| 19134 | Philadelphia County | 42 |
| 19135 | Philadelphia County | 42 |
| 19136 | Philadelphia County | 42 |
| 19137 | Philadelphia County | 42 |
| 19138 | Philadelphia County | 42 |
| 19139 | Philadelphia County | 42 |
| 19140 | Philadelphia County | 42 |
| 19141 | Philadelphia County | 42 |
| 19142 | Philadelphia County | 42 |
| 19143 | Philadelphia County | 42 |
| 19144 | Philadelphia County | 42 |
Other Philadelphia ZIP codes: 19145, 19146, 19147, 19148, 19149, 19150, 19151, 19152, 19153, 19154.
Sources: ZIP codes, GeoNames US postal codes (CC BY 4.0), limited to Census ZCTAs; changes, CMS MA Landscape files, CY2026 vs CY2027 comparison, mapped to ZIP codes with the Census ZCTA-to-county file (a ZIP code that crosses a county line is counted with the county holding most of its land). Counts only; no plan is ranked.
Good to know
Medicare Advantage in Philadelphia: questions (2027)
How many Medicare Advantage plans are available in Philadelphia for 2027?
Are Medicare Advantage plans different by ZIP code in Philadelphia?
What does Medicare cost in Philadelphia for 2027?
When can I enroll or switch in Philadelphia?
98 Medicare Advantage plans are available for 2027. Because Philadelphia is served by Philadelphia County (part of Philadelphia area), those are the options on the table locally. About 60% of the county's Medicare members are in a Medicare Advantage plan rather than Original Medicare, among the roughly 232,118 residents who are 65 or older.
It surprises people, but Medicare plan availability is drawn up county by county rather than by city or state — which is why a guide like this attributes everything to the surrounding county.
Read on for the organizations offering coverage in the area, a plain-language tour of how Medicare works, 2027 costs, enrollment timing, and free places to get unbiased help. We don't rank or recommend specific plans.
Medicare Advantage companies in Philadelphia County
Answer 3 quick questions to see Medicare options near you from licensed partners.
| Company | Local enrollment | Plans offered | Local agents | Action |
|---|---|---|---|---|
| Independence Health Group IncRegional | — | Yes | ||
| Aetna (CVS Health)National | — | Yes | ||
| Blue Cross Blue Shield (HCSC)Regional | — | Yes | ||
| Thomas Jefferson UniversityRegional | — | Yes | ||
| HumanaNational | — | Yes | ||
| UnitedHealthcareNational | — | Yes |
Advantage or Original Medicare? The basic fork
Every Medicare decision in Philadelphia, Pennsylvania branches from one question: do you want your coverage delivered through a private Medicare Advantage plan, or do you want to stay with Original Medicare and build around it?
Go the Medicare Advantage route and a private plan (approved by Medicare) handles your Part A and Part B, typically folds in drug coverage — within a network and a county-based service area.
Stay with Original Medicare and you keep nationwide provider freedom, then usually add a stand-alone Part D drug plan and often a Medigap policy to cover what Original Medicare doesn't.
There's no single winner here — it comes down to your providers, your medications, and your budget. We explain the trade-offs and leave the choice to you; we don't rank plans.
By the numbers
How people get Medicare in Philadelphia County
(MA penetration in Philadelphia County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
What Medicare costs in 2027
It helps to separate the costs everyone shares from the costs that vary by plan. The program-level numbers here are set nationally — the same whether you're in a big city or a rural county.
Part B premium. Most people pay the standard Part B premium of $202.90 a month in 2026 (2026 amount; 2027 figure will be posted when CMS releases it). Part A is premium-free for most people who worked and paid Medicare taxes long enough.
Part D drug costs. In 2027, a Part D plan's yearly deductible can be no more than $700, and a $2,400 cap limits what you pay out of pocket for covered prescriptions across the year — a real change for anyone with high drug costs.
Higher earners pay more for Parts B and D through an income-related adjustment called IRMAA, which for 2026 starts above $109,000 in annual income for an individual and is based on your 2024 tax return. Most people fall below that line and pay the standard amounts. The 2027 brackets will be posted when CMS releases them.
Plan-specific costs. What an individual plan charges — its premium, deductible, copays, and what it covers — varies by plan and changes yearly. We don't publish those figures or rank plans; Medicare's Plan Finder shows the current details for your situation, and a licensed agent can walk you through them.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
When you can enroll or make changes
Medicare's enrollment windows are federal — the same nationwide — so the timing below applies wherever you live.
Your first window (IEP). When you're new to Medicare, your Initial Enrollment Period is the 7-month window around your 65th birthday month. Signing up on time helps you avoid late penalties that can follow you for years.
Annual Enrollment Period (AEP, also called Open Enrollment). Each fall, from October 15 – December 7, anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.
Medicare Advantage Open Enrollment. From January 1 – March 31, if you're already in an Advantage plan you get one chance to switch plans or return to Original Medicare.
Special Enrollment Periods can also open after certain life events, like moving or losing other coverage. The interactive calendar further down lays the year out visually.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
Where to get free, unbiased help near Philadelphia
Good Medicare help exists and it's free — you don't have to figure this out solo or pay for guidance.
For official specifics and the Plan Finder tool, go straight to Medicare.gov or 1-800-MEDICARE (TTY 1-877-486-2048). And a licensed agent can compare options and handle the paperwork with you.
One note on who we are: MyMedicarePlans.org is an independent, privately owned educational resource — not Medicare, not a government agency, and not affiliated with one. Our job is to help you get oriented, then hand you off to the official sources and licensed professionals for plan decisions.
Latest Medicare Advantage guides for Philadelphia
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- Wellcare in Pittsburgh for 2027: plan-by-plan changes
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- Does HealthSpring fit your Pittsburgh Medicare in 2027?
- Pittsburgh's 2027 Medicare Advantage map: 8 new plans in, 9 on the way out