Medicare Advantage
Did Allegheny County's 2027 Medicare lineup change?
People in Pittsburgh can choose from 95 Medicare Advantage plans for 2027, against 96 this year. Nine of this year’s plans are gone, 8 are new to Allegheny County, and 46 that continue have changed their premium, deductible, plan type or name, 11 of them under a new name.
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Key takeaways
- The Annual Enrollment Period for 2027 coverage runs October 15 to December 7, 2026; if you do nothing, your current plan renews as described in its Annual Notice of Change.
- Allegheny County has 95 Medicare Advantage plans from 16 carriers for 2027, with 8 new plans, 9 not returning, and 85 that include drug coverage.
- Special Needs Plans in the county for 2027 include 20 D-SNPs (dual-eligible), 7 C-SNPs (chronic condition), and 8 I-SNPs (institutional).
- Compare any plan against your own doctors, hospitals, drugs and pharmacies using the Medicare Plan Finder at medicare.gov or by calling 1-800-MEDICARE.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Allegheny County (2026) | 96 | CMS |
| Medicare Advantage plans offered in Allegheny County (2027) | 95 | CMS |
| Plans not returning for 2027 / new for 2027 | 9 / 8 | CMS |
| Organizations offering Medicare Advantage in Allegheny County (2026) | 16 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Allegheny County | 69% | CMS |
| Residents age 65 and older, Allegheny County | 249,886 | U.S. Census Bureau |
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
PITTSBURGH — Fall 2026 is the one stretch of the year when every person on Medicare can take a fresh look at their coverage. The Annual Enrollment Period runs October 15 through December 7, 2026, and the plan you pick (or keep) takes effect January 1, 2027. In Allegheny County, where Pittsburgh sits, there is a lot to sort through: the CMS Landscape file shows 95 Medicare Advantage plans from 16 carriers available for 2027, including 8 new plans and 9 that will not return.
This guide walks through a plain, repeatable way to compare them — doctors, hospitals, prescriptions, pharmacies, your Annual Notice of Change, and the Medicare Plan Finder — without naming a "winner."
What is changing for Medicare Advantage in Pittsburgh for 2027?
For 2027, Allegheny County will have 95 Medicare Advantage plans from 16 carriers, with 8 new plans, 9 not returning, and some others renamed. By type, the 2027 lineup includes 42 HMO plans, 18 HMO-POS plans, and 35 PPO plans, and 85 of the 95 plans include Part D drug coverage.
That is a slight shift from the 2026 lineup of 96 plans from the same number of carriers. The practical point: even if your plan is returning, its costs, drug list, provider network or extra benefits may look different in 2027. The table below lists every plan available in the county for 2027.
Two program-level numbers are already confirmed for Part D in 2027: the out-of-pocket cap rises to $2,400 (from $2,100 in 2026), and the maximum deductible a plan can charge is $700 (from $615 in 2026). CMS has not yet released the 2027 Part B premium, Part B deductible, or IRMAA brackets; those usually come out in November.
How many Medicare Advantage carriers serve Allegheny County in 2027?
Sixteen carriers will offer Medicare Advantage plans in Allegheny County for 2027. In alphabetical order, they are:
- Aetna (CVS Health) — 11 plans (HMO, HMO-POS, PPO), including 2 D-SNPs
- American Health Advantage of Pennsylvania — 1 plan (HMO)
- Centene (WellCare) — 3 plans (HMO-POS), including 2 D-SNPs
- Devoted Health — 10 plans (HMO, PPO), including 2 D-SNPs
- Geisinger Gold — 3 plans (HMO), including 1 D-SNP
- HealthSpring — 4 plans (HMO, PPO), including 1 D-SNP
- Highmark Blue Cross Blue Shield or Highmark Blue Shield — 14 plans (HMO, HMO-POS, PPO)
- Highmark Wholecare Medicare Assured — 2 plans (HMO), both D-SNPs
- Humana — 12 plans (HMO, PPO), including 2 D-SNPs
- Jefferson Health Plans — 2 plans (HMO), both D-SNPs
- Perennial Advantage — 3 plans (HMO)
- Provider Partners Health Plans — 3 plans (HMO)
- UnitedHealthcare — 13 plans (HMO-POS, PPO), including 4 D-SNPs
- UPMC for Life — 12 plans (HMO, PPO)
- UPMC for Life Complete Care — 1 plan (HMO), a D-SNP
- VISTA Health Plan Inc. — 1 plan (HMO), a D-SNP
Carrier counts tell you how much choice exists; they do not tell you which plan fits your doctors, drugs or budget.
What plan types and Special Needs Plans are offered in Pittsburgh for 2027?
Three plan structures dominate the 2027 Allegheny County lineup: HMO (42), HMO-POS (18), and PPO (35). HMOs usually ask you to stay in network and pick a primary care doctor. HMO-POS plans add a limited "point of service" option to go out of network for certain services. PPO plans let you see out-of-network providers, usually at a higher cost.
Special Needs Plans (SNPs) serve people with specific situations. For 2027, Allegheny County will have:
- 20 D-SNPs for people with both Medicare and Medicaid (dual eligible),
- 7 C-SNPs for people living with certain chronic conditions, and
- 8 I-SNPs for people living in a nursing home or who need that level of care at home.
If you qualify for one of these, you may have more coordinated benefits available than a general-population plan offers.
How do I compare Medicare Advantage plans in Pittsburgh step by step?
Here is a straightforward way to work through the 2027 options, whether you are keeping your plan or shopping.
1. Read your Annual Notice of Change (ANOC). Every plan mails one by late September. It spells out exactly what will change on January 1, 2027 — premium, deductible, copays, drug tiers, pharmacy network, extra benefits. If your plan is in the "9 not returning" group, your ANOC (or a separate non-renewal letter) will say so.
2. List what you actually use. Write down your doctors and specialists, the hospitals you want access to (UPMC, Allegheny Health Network, St. Clair, Heritage Valley, VA, and so on), your current prescriptions with doses, and the pharmacy you prefer.
3. Go to the Medicare Plan Finder at medicare.gov. Enter your ZIP code and your drug list. Plan Finder will show every 2027 Medicare Advantage plan available to you, with the estimated yearly cost for your specific drugs at the pharmacy you choose.
4. Check the provider network for each plan you are serious about. Do not rely on the Plan Finder alone for networks — call the plan or check its online directory, and confirm your doctors and your preferred hospital system are in network for 2027.
5. Check the drug formulary and pharmacy tiers. The same drug can sit on different tiers at different plans, and "preferred" vs. "standard" pharmacy pricing can change your yearly cost.
6. Think about the plan type. If you travel or split time out of state, a PPO may fit better. If you want tight coordination and a single health system, an HMO may fit better.
7. Make the change before December 7, 2026. You can change plans as often as you want during the window; the last choice on file wins.
What happens if I do nothing before December 7, 2026?
If you do nothing, and your current Medicare Advantage plan is being offered again in 2027, you will stay on it — with the premium, deductible, copays, drug list and network described in the Annual Notice of Change. You do not need to re-enroll each year.
If your plan is one of the 9 Allegheny County plans not returning for 2027, your carrier will send a non-renewal notice and you will have a Special Enrollment Period to pick a new plan. Original Medicare also remains an option. There is also a Medicare Advantage Open Enrollment Period from January 1 to March 31, 2027, if you are already in an Advantage plan and want to switch once more or go back to Original Medicare.
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.
By the numbers
How people get Medicare in Allegheny County
(MA penetration in Allegheny 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.
2027 plan lineup
Medicare Advantage plans in Allegheny County for 2027
CMS lists 95 Medicare Advantage plans in Allegheny County for 2027 from 16 carriers, alphabetically by carrier.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Aetna (CVS Health) 11 plans | |||
| Aetna Medicare Advantra Eagle Plus (HMO-POS) | HMO-POS | No | Returning |
| Aetna Medicare Advantra Enhanced (HMO-POS) | HMO-POS | Yes | Returning |
| Aetna Medicare Advantra Signature Giveback (PPO) | PPO | Yes | Returning |
| Aetna Medicare Advantra Signature Plus (HMO-POS) | HMO-POS | Yes | Renamed |
| Aetna Medicare Chronic Care (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Aetna Medicare Chronic Care Value (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| Aetna Medicare Dual (HMO D-SNP) | HMO D-SNP | Yes | Renamed |
| Aetna Medicare Full Dual Extra (HMO D-SNP) | HMO D-SNP | Yes | New |
| Aetna Medicare Longevity (HMO I-SNP) | HMO I-SNP | Yes | Returning |
| Aetna Medicare Premier Plus (PPO) | PPO | Yes | Renamed |
| Aetna Medicare Signature (PPO) | PPO | Yes | Returning |
| American Health Advantage of Pennsylvania 1 plan | |||
| American Health Advantage of Pennsylvania (HMO I-SNP) | HMO I-SNP | Yes | Returning |
| Centene (WellCare) 3 plans | |||
| Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP) | HMO-POS D-SNP | Yes | Renamed |
| Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP) | HMO-POS D-SNP | Yes | Renamed |
| Wellcare Simple (HMO-POS) | HMO-POS | Yes | Returning |
| Devoted Health 10 plans | |||
| DEVOTED C-SNP ENHANCED 020 PA (HMO C-SNP) | HMO C-SNP | Yes | Renamed |
| DEVOTED C-SNP GIVEBACK EXTRAS 031 PA (HMO C-SNP) | HMO C-SNP | Yes | New |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) | HMO C-SNP | Yes | Returning |
| DEVOTED CHOICE 010 PA (PPO) | PPO | Yes | Returning |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) | PPO | Yes | Returning |
| DEVOTED CORE 014 PA (HMO) | HMO | Yes | Returning |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| DEVOTED GIVEBACK 015 PA (HMO) | HMO | Yes | Returning |
| DEVOTED GIVEBACK EXTRAS 035 PA (HMO) | HMO | Yes | New |
| Geisinger Gold 3 plans | |||
| Geisinger Gold Heritage (HMO) | HMO | No | Returning |
| Geisinger Gold Secure Rx (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Geisinger Gold Value Rx (HMO) | HMO | Yes | Returning |
| HealthSpring 4 plans | |||
| HealthSpring Preferred (HMO) | HMO | Yes | Returning |
| HealthSpring Preferred Plus (HMO) | HMO | Yes | Returning |
| HealthSpring TotalCare Plus (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| HealthSpring True Choice (PPO) | PPO | Yes | Returning |
| Highmark Blue Cross Blue Shield or Highmark Blue Shield 14 plans | |||
| Community Blue Medicare HMO Signature (HMO) | HMO | Yes | Returning |
| Complete Blue HMO Distinct (HMO) | HMO | Yes | Returning |
| Complete Blue PPO Distinct (PPO) | PPO | Yes | Returning |
| Complete Blue PPO Merit (PPO) | PPO | Yes | Returning |
| Complete Blue PPO Signature (PPO) | PPO | Yes | Returning |
| Freedom Blue PPO Classic (PPO) | PPO | Yes | Returning |
| Freedom Blue PPO Select (PPO) | PPO | Yes | Returning |
| Freedom Blue PPO Valor (PPO) | PPO | No | Returning |
| Freedom Blue PPO ValueRx (PPO) | PPO | Yes | Returning |
| Security Blue HMO-POS Basic (HMO-POS) | HMO-POS | No | Returning |
| Security Blue HMO-POS Deluxe (HMO-POS) | HMO-POS | Yes | Returning |
| Security Blue HMO-POS Standard (HMO-POS) | HMO-POS | Yes | Returning |
| Security Blue HMO-POS ValueRx (HMO-POS) | HMO-POS | Yes | Returning |
| Together Blue Medicare HMO with AHN Signature (HMO) | HMO | Yes | Renamed |
| Highmark Wholecare Medicare Assured 2 plans | |||
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Humana 12 plans | |||
| Humana Essentials Plus Giveback (PPO) | PPO | Yes | Renamed |
| Humana Gold Plus H6622-054 (HMO) | HMO | Yes | Returning |
| Humana USAA Honor Giveback (PPO) | PPO | No | Returning |
| Humana USAA Honor Giveback with Rx (PPO) | PPO | Yes | Returning |
| Humana Value Choice (PPO) | PPO | Yes | Renamed |
| HumanaChoice Giveback H5216-116 (PPO) | PPO | No | Returning |
| HumanaChoice H5216-120 (PPO) | PPO | Yes | Returning |
| HumanaChoice H5525-086 (PPO) | PPO | Yes | Returning |
| HumanaChoice R0110-007 (Regional PPO) | PPO | No | Returning |
| HumanaChoice R0110-008 (Regional PPO) | PPO | Yes | Returning |
| HumanaChoice SNP-DE H5216-227 (PPO D-SNP) | PPO D-SNP | Yes | Returning |
| HumanaChoice SNP-DE H7617-048 (PPO D-SNP) | PPO D-SNP | Yes | Returning |
| Jefferson Health Plans 2 plans | |||
| Jefferson Health Plans Dual Pearl (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Jefferson Health Plans Special (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Perennial Advantage 3 plans | |||
| Perennial Advantage Freedom (HMO) | HMO | Yes | Returning |
| Perennial Advantage Premier (HMO I-SNP) | HMO I-SNP | Yes | Returning |
| Perennial Advantage Strive (HMO I-SNP) | HMO I-SNP | Yes | Returning |
| Provider Partners Health Plans 3 plans | |||
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) | HMO I-SNP | Yes | Returning |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) | HMO I-SNP | Yes | New |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) | HMO I-SNP | Yes | New |
| UnitedHealthcare 13 plans | |||
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) | HMO-POS | Yes | Returning |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) | HMO-POS | Yes | Returning |
| AARP Medicare Advantage from UHC PA-0008 (PPO) | PPO | Yes | Returning |
| AARP Medicare Advantage from UHC PA-0011 (PPO) | PPO | Yes | Returning |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) | PPO | Yes | Returning |
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) | HMO-POS | No | Returning |
| UHC Complete Care PA-17 (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | Returning |
| UHC Complete Care Support PA-1A (HMO-POS C-SNP) | HMO-POS C-SNP | Yes | New |
| UHC Dual Advantage PA-V1 (HMO-POS D-SNP) | HMO-POS D-SNP | Yes | Renamed |
| UHC Dual Complete PA-S001 (PPO D-SNP) | PPO D-SNP | Yes | Returning |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) | HMO-POS D-SNP | Yes | Returning |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) | HMO-POS D-SNP | Yes | Returning |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) | PPO I-SNP | Yes | Returning |
| UPMC for Life 12 plans | |||
| UPMC for Life Essential Rx (PPO) | PPO | Yes | Renamed |
| UPMC for Life HMO Deductible Rx (HMO) | HMO | Yes | Returning |
| UPMC for Life HMO No Rx (HMO) | HMO | No | Returning |
| UPMC for Life HMO Premier Rx (HMO) | HMO | Yes | Returning |
| UPMC for Life HMO Rx (HMO) | HMO | Yes | Returning |
| UPMC for Life HMO Rx Choice (HMO) | HMO | Yes | Returning |
| UPMC for Life HMO Rx Enhanced (HMO) | HMO | Yes | Returning |
| UPMC for Life PPO High Deductible Rx (PPO) | PPO | Yes | Returning |
| UPMC for Life PPO Premier Rx (PPO) | PPO | Yes | Returning |
| UPMC for Life PPO Rx Choice (PPO) | PPO | Yes | New |
| UPMC for Life PPO Rx Enhanced (PPO) | PPO | Yes | Returning |
| UPMC for Life PPO Salute (PPO) | PPO | No | Returning |
| UPMC for Life Complete Care 1 plan | |||
| UPMC for Life Complete Care (HMO D-SNP) | HMO D-SNP | Yes | New |
| VISTA Health Plan Inc. 1 plan | |||
| AmeriHealth Caritas VIP Care (HMO D-SNP) | HMO D-SNP | Yes | Returning |
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 Allegheny County for 2027
- Aetna (CVS Health) 11 plans: HMO, HMO-POS, PPO
- American Health Advantage of Pennsylvania 1 plan: HMO
- Centene (WellCare) 3 plans: HMO-POS
- Devoted Health 10 plans: HMO, PPO
- Geisinger Gold 3 plans: HMO
- HealthSpring 4 plans: HMO, PPO
- Highmark Blue Cross Blue Shield or Highmark Blue Shield 14 plans: HMO, HMO-POS, PPO
- Highmark Wholecare Medicare Assured 2 plans: HMO
- Humana 12 plans: HMO, PPO
- Jefferson Health Plans 2 plans: HMO
- Perennial Advantage 3 plans: HMO
- Provider Partners Health Plans 3 plans: HMO
- UnitedHealthcare 13 plans: HMO-POS, PPO
- UPMC for Life 12 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.
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.
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The parts of Medicare
Good to know
Frequently asked questions
When is the deadline to pick a 2027 Medicare Advantage plan in Pittsburgh?
How do I know if my doctor or hospital is in a plan's 2027 network?
What is a Special Needs Plan, and do I qualify?
Where can I get free, personalized help comparing plans?
- 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 Pittsburgh
Sources and methodology
- CMS, Medicare Advantage and Part D Landscape Source Files
- CMS, Medicare Advantage state/county penetration and enrollment files
- U.S. Census Bureau, American Community Survey (table B01001, age 65 and older)
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
Figures cited in this article
- CMS Medicare Advantage Landscape Source Files (2026 and 2027): Allegheny County plan and carrier counts, plan types, Special Needs Plan counts, and the year-over-year changes (new, not returning).
- CMS: confirmed 2027 Part D parameters (out-of-pocket cap and maximum deductible).
- Medicare.gov: Annual Enrollment Period dates, Medicare Advantage Open Enrollment Period, and the Medicare Plan Finder tool.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
Content Integrity Standards
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This page was last updated: October 2026.