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HomeMedicare AdvantagePennsylvaniaPhiladelphia13 new Medicare Advantage plans join Philadelphia's 2027 lineup — how to check one before you switch

Medicare Advantage

13 new Medicare Advantage plans join Philadelphia's 2027 lineup — how to check one before you switch

People in Philadelphia can choose from 98 Medicare Advantage plans for 2027, against 97 this year. Twelve of this year’s plans are gone, 13 are new to Philadelphia County, and 39 that continue have changed their premium, deductible, plan type or name, 9 of them under a new name.

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2027 PLAN ALERT

Medicare Advantage plans in your area are changing or leaving for 2027.

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Annual Enrollment: Oct 15 – Dec 7

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BEFORE YOU ENROLL

Found a plan you like online?

One free call confirms it's actually right for you — online directories are wrong more often than you'd think.

  • Your doctors — confirmed in-network for 2027
  • Your prescriptions — checked against the plan's 2027 drug tiers
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New for 2027Philadelphia, PA
Video: NickyPe Video by NickyPe on Pixabay

Key takeaways

  • 13 Medicare Advantage plans are new to Philadelphia County for 2027, offered by 8 carriers; all include drug coverage.
  • A new plan has no Star Rating yet, because CMS rates plans based on past performance — that is a program fact, not a verdict on the plan.
  • Before you enroll, confirm each of your doctors and prescriptions on that specific plan's 2027 directory and formulary at medicare.gov.
  • Doing nothing is a choice: if your current plan is offered in 2027, it renews automatically with the changes in your Annual Notice of Change.

PHILADELPHIA — As the Annual Enrollment Period runs through Dec. 7, 2026, Philadelphia County residents shopping for 2027 Medicare Advantage coverage will see 13 plans on the Medicare Plan Finder that were not sold here this year. They come from eight carriers, and each one is new enough that it has no local track record for a shopper to lean on.

That is not a reason to skip them. It is a reason to check them carefully — against your own doctors, hospitals and prescriptions — before you pick.

What "new for 2027" actually means in Philadelphia

Medicare Advantage plans are approved county by county, so when we say a plan is new, we mean new on the Philadelphia County menu — it was not sold here for 2026. For 2027, CMS's Landscape files show the county has 13 new plans, alongside plans that are renewing, 9 that are renamed, and 12 that are not returning.

All 13 of the new plans include Part D drug coverage. Several are Special Needs Plans (SNPs), designed for people with specific situations: D-SNPs for people with both Medicare and Medicaid, C-SNPs for people with certain chronic conditions (such as diabetes or heart conditions), and I-SNPs for people who live in a nursing home or need that level of care. SNPs have eligibility rules — you cannot simply pick one because you like it.

The 13 new plans, by carrier

Here are the plans listed in CMS's 2027 Landscape file as new to Philadelphia County, in alphabetical order by carrier. The full table on this page shows every plan sold in the county, new or returning.

Every one of these includes prescription drug coverage, except where the plan name itself tells you otherwise (the UPMC for Life HMO No Rx is a medical-only plan — if you enroll in it, you would need to arrange Part D separately, and the Plan Finder will walk you through what that means).

How a new plan is different from a renewing one

The practical difference is history. A renewing plan has a Star Rating from CMS — a 1-to-5 score built from the plan's past performance on things like member experience, customer service and managing chronic conditions. A brand-new plan does not have one yet, because there is nothing to measure. That is a program fact, not a warning sign.

A renewing plan also comes with an Annual Notice of Change (ANOC), the document your current carrier mailed in September telling you what is changing for 2027. A new plan has no ANOC because it had no prior year here. You have to read the plan materials from scratch — the Summary of Benefits, the formulary (drug list), and the provider directory — rather than compare "last year vs. this year."

That is not better or worse. It just means the homework is different.

How to vet a new plan before Dec. 7

The steps are the same ones you would use for any Medicare Advantage plan, but they matter a little more when there is no track record to fall back on.

1. Go to medicare.gov and sign in. The Plan Finder will pull up every Medicare Advantage plan in Philadelphia County for 2027, including the new ones. 2. Enter every prescription you take, with the dose and how often. The tool will show how each plan handles your specific drugs on its 2027 formulary — including which tier, any prior authorization, and estimated full-year costs. 3. Check every doctor and hospital you use against the plan's 2027 provider directory. If a doctor is important to you, call that office and confirm they will be in-network for the specific plan you are considering in 2027. Directories can lag; a phone call takes five minutes. 4. Read the Summary of Benefits for the plan, not just the marketing flyer. Look at how the plan handles the things you actually use — primary care, specialists, imaging, physical therapy, hospital stays. 5. Check SNP eligibility. If the plan is a D-SNP, C-SNP or I-SNP, confirm you qualify. If you are not sure, call 1-800-MEDICARE. 6. If you want to talk it through, call 1-800-MEDICARE (24/7) for a neutral walk-through of your options.

A few 2027 numbers worth knowing

Two Part D figures are already confirmed for 2027 and apply to every Medicare drug plan, new or returning:

The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, had not yet been announced by CMS at the time of writing; CMS typically publishes those figures later in the fall.

If you do nothing before Dec. 7 and your current plan is being offered in 2027, you stay in it — with the changes described in your ANOC. If your plan is one of the 12 not returning in Philadelphia County, your carrier is required to tell you, and you will have time to pick a replacement.

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.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Philadelphia County

60% are on Medicare Advantage
(MA penetration in Philadelphia County)
60%
40%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

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.

New for 2027

Medicare Advantage plans new in Philadelphia County for 2027

CMS lists 13 Medicare Advantage plans in Philadelphia County for 2027 that were not offered for 2026, alphabetically by carrier.

PlanTypeDrug coverageFor 2027
Aetna (CVS Health) 3 plans
Aetna Medicare Advantra Eagle (HMO-POS)HMO-POSYesNew
Aetna Medicare Full Dual Care (HMO D-SNP)HMO D-SNPYesNew
Aetna Medicare Signature Extra (PPO)PPOYesNew
Devoted Health 2 plans
DEVOTED C-SNP GIVEBACK EXTRAS 027 PA (HMO C-SNP)HMO C-SNPYesNew
DEVOTED GIVEBACK EXTRAS 036 PA (HMO)HMOYesNew
Humana 2 plans
Humana Dual Select H6622-103 (HMO D-SNP)HMO D-SNPYesNew
HumanaChoice - Diabetes and Heart (PPO C-SNP)PPO C-SNPYesNew
Independence Blue Cross 1 plan
Keystone 65 Assured Rx (HMO)HMOYesNew
Jefferson Health Plans 1 plan
Jefferson Health Plans Preferred (PPO)PPOYesNew
Provider Partners Health Plans 2 plans
Provider Partners Pennsylvania Community Plan (HMO I-SNP)HMO I-SNPYesNew
Provider Partners Pennsylvania Essential Plan (HMO I-SNP)HMO I-SNPYesNew
UnitedHealthcare 1 plan
UHC Complete Care Support PA-1A (HMO-POS C-SNP)HMO-POS C-SNPYesNew
UPMC for Life 1 plan
UPMC for Life HMO No Rx (HMO)HMOYesNew

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

The 2027 choices, by type

HMO, PPO and Special Needs Plans in Philadelphia County for 2027

98
Medicare Advantage plans
17
Carriers
47
HMO plans
17
HMO-POS plans
34
PPO plans
20
Dual Special Needs (D-SNP)
8
Chronic-condition (C-SNP)
  • Aetna (CVS Health) 12 plans: HMO, HMO-POS, PPO
  • Centene (WellCare) 3 plans: HMO-POS
  • Clover Health 2 plans: PPO
  • Devoted Health 9 plans: HMO, PPO
  • Geisinger Gold 3 plans: HMO
  • HealthSpring 7 plans: HMO, PPO
  • Highmark Blue Cross Blue Shield or Highmark Blue Shield 2 plans: PPO
  • Highmark Wholecare Medicare Assured 2 plans: HMO
  • Humana 14 plans: HMO, PPO
  • Independence Blue Cross 12 plans: HMO, HMO-POS, PPO
  • Jefferson Health Plans 8 plans: HMO, PPO
  • Perennial Advantage 3 plans: HMO
  • Provider Partners Health Plans 3 plans: HMO
  • UnitedHealthcare 14 plans: HMO-POS, PPO
  • UPMC for Life 2 plans: HMO, PPO
  • UPMC for Life Complete Care 1 plan: HMO
  • VISTA Health Plan Inc. 1 plan: HMO

HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

Compare with a licensed agent

See Medicare options serving Philadelphia & speak with a licensed agent

Medicare Advantage companies in Philadelphia County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
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
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Are all 13 new plans available to anyone with Medicare in Philadelphia?
No. Several of the new plans are Special Needs Plans, which have eligibility rules — D-SNPs are for people with both Medicare and Medicaid, C-SNPs are for people with specific chronic conditions, and I-SNPs are generally for people who need a nursing-home level of care. The Plan Finder on medicare.gov will show you which plans you qualify for based on the information you enter.
Does a new plan with no Star Rating mean it is risky?
Not by itself. CMS Star Ratings are built from past performance data, and a brand-new plan simply does not have that history yet. It is a reason to read the plan documents carefully and confirm your doctors and drugs are covered, not a reason to avoid new plans as a category.
What happens if I do nothing by Dec. 7?
If your current Medicare Advantage plan is being offered in Philadelphia County for 2027, you will stay in it automatically, with whatever changes are described in your Annual Notice of Change. If your plan is not returning, your carrier is required to notify you so you can choose a new one.
Where can I get help comparing plans?
The Medicare Plan Finder at medicare.gov is the official tool, and it is the only place that will price plans against your own drug list and check your doctors against each plan's directory. You can also call 1-800-MEDICARE (TTY 1-877-486-2048), which is available 24 hours a day, 7 days a week. ## Where to go next Start at **medicare.gov/plan-compare**, where you can enter your ZIP code, your prescriptions and your doctors, and see every 2027 Medicare Advantage plan in Philadelphia County — new and returning — compared side by side. For questions a website cannot answer, call **1-800-MEDICARE**. And whatever you decide, give yourself time before Dec. 7, 2026 — not because anything bad happens if you wait, but because a careful hour now is easier than a mid-year surprise later.
Sources & further reading
  • CMS — MA Landscape Source File (plan-level availability by county)
  • CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
  • CMS — Medicare enrollment periods (medicare.gov)

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Also for Philadelphia

Content Integrity Standards

  • No invented figures. Program-level numbers come from CMS / Medicare.gov; we never use placeholder data.
  • No plan rankings or recommendations. This is educational content. We don't rank, score, or recommend specific plans.
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  • Inline sourcing. Facts and figures are cited to primary sources — CMS, SSA, and Medicare.gov.
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This page was last updated: October 2026.

Medicare plans in your area changing for 2027 — check yoursCall