Pennsylvania › Lawrence County
Medicare plans in Lawrence County, Pennsylvania
2027 plans. Other years: 2026 · 2027
Where to start
This page lists every Medicare plan sold in Lawrence County for 2027, sorted from the lowest cost each month. They're in four tables below, by the kind of coverage. Jump to the one that fits you. Under each table, Compare these plans opens the same plans in our plan list, where you can add your prescriptions, narrow the list and compare plans side by side.
- Medicare Advantage with drug coverage (50 plans)
- Part D drug plans (8 plans)
- Special needs plans (31 plans)
- Medicare Advantage without drug coverage (9 plans)
- Medigap (Medicare Supplement) prices
Not sure which you need? Most people choose either a Medicare Advantage plan, which usually includes drug coverage, or Original Medicare with a Part D drug plan and often a Medigap policy to pay what Medicare leaves.
What would these plans cost you? Try the calculator → It's set to Lawrence County. Add your age, health and drugs to see what each kind of plan would cost you next year and over the years ahead.
The best plan here for…
- A low monthly premium
- Money back on your Part B premium
- The lowest cost in a bad year
- Dental coverage
- A high star rating
- Seeing doctors outside a network
- The lowest-priced Medigap Plan G
No plan is best for everyone, so we pick one for each of these and explain why. All our picks in Lawrence County
At a glance
- 59 Medicare Advantage plans are open to anyone with Medicare here; 32 charge no monthly premium.
- 20 give back part of your Part B premium, up to $200 a month.
- The lowest yearly limit on what you pay for in-network care is $4,150.
- 8 Part D drug plans, from $5.30 to $184.40 a month.
Medicare Advantage plans with drug coverage 50
Medical and drug coverage in one plan, open to anyone with Medicare who lives here. This is what most people mean by a Medicare Advantage plan.
| Plan | Network | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| DEVOTED GIVEBACK 011 PA (HMO) Devoted Health · H6852-011-000 | HMO | $0/moGives back $184.70/mo of your Part B premium | $9,850 | 3.5★ |
| DEVOTED CHOICE GIVEBACK 011 PA (PPO) Devoted Health · H6018-011-000 | PPO | $0/moGives back $148.10/mo of your Part B premium | $9,850 | 3.0★ |
| Humana Essentials Plus Giveback (PPO) Humana · H5525-085-001 | PPO | $0/moGives back $107/mo of your Part B premium | $8,000 | 4.0★ |
| UPMC for Life Essential Rx (PPO) UPMC for Life · H5533-017-001 | PPO | $0/moGives back $100/mo of your Part B premium | $8,000 | 4.5★ |
| Humana USAA Honor Giveback with Rx (PPO) Humana · H5525-059-000 | PPO | $0/moGives back $84/mo of your Part B premium | $7,350 | 4.0★ |
| Complete Blue PPO Merit (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-057-000 | PPO | $0/moGives back $82/mo of your Part B premium | $8,300 | 4.5★ |
| DEVOTED GIVEBACK EXTRAS 033 PA (HMO) Devoted Health · H6852-033-000 | HMO | $0/moGives back $70/mo of your Part B premium | $7,600 | 3.5★ |
| AARP Medicare Advantage Giveback from UHC PA-12 (PPO) UnitedHealthcare · H2406-101-000 | PPO | $0/moGives back $55/mo of your Part B premium | $9,200 | 4.0★ |
| Aetna Medicare Advantra Signature Giveback (PPO) Aetna Medicare · H5522-017-000 | PPO | $0/moGives back $42/mo of your Part B premium | $9,850 | 4.5★ |
| UPMC for Life HMO Premier Rx (HMO) UPMC for Life · H3907-059-001 | HMO | $0/moGives back $0.50/mo of your Part B premium | $6,500 | 4.5★ |
| Wellcare Simple (HMO-POS) Wellcare · H2915-003-000 | HMO-POS | $0/mo | $9,850 | 3.5★ |
| Perennial Advantage Freedom (HMO) Perennial Advantage · H3419-006-000 | HMO | $0/mo | $4,500 | Not yet rated |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-041-002 | PPO | $0/mo | $7,150 | 4.5★ |
| HealthSpring Preferred (HMO) HealthSpring · H3949-047-000 | HMO | $0/mo | $7,150 | 3.0★ |
| Community Blue Medicare HMO Signature (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3957-047-002 | HMO | $0/mo | $6,950 | 4.5★ |
| Aetna Medicare Signature Plus (HMO-POS) Aetna Medicare · H3959-011-000 | HMO-POS | $0/mo | $5,500 | 3.5★ |
| AARP Medicare Advantage from UHC PA-0002 (HMO-POS) UnitedHealthcare · H5253-146-000 | HMO-POS | $0/mo | $7,150 | 4.0★ |
| Aetna Medicare Signature (PPO) Aetna Medicare · H5521-261-000 | PPO | $0/mo | $5,500 | 4.0★ |
| Humana Value Choice (PPO) Humana · H5525-051-001 | PPO | $0/mo | $8,000 | 4.0★ |
| UPMC for Life PPO Premier Rx (PPO) UPMC for Life · H5533-013-000 | PPO | $0/mo | $7,150 | 4.5★ |
| DEVOTED CHOICE 010 PA (PPO) Devoted Health · H6018-010-000 | PPO | $0/mo | $6,600 | 3.0★ |
| Humana Gold Plus H6622-035 (HMO) Humana · H6622-035-000 | HMO | $0/mo | $8,300 | 4.0★ |
| Humana Gold Plus H6622-054 (HMO) Humana · H6622-054-000 | HMO | $0/mo | $8,260 | 4.0★ |
| DEVOTED CORE 010 PA (HMO) Devoted Health · H6852-010-000 | HMO | $0/mo | $5,900 | 3.5★ |
| HealthSpring True Choice (PPO) HealthSpring · H7849-106-000 | PPO | $7/mo | $7,500 | 3.0★ |
| UPMC for Life HMO Deductible Rx (HMO) UPMC for Life · H3907-037-000 | HMO | $25/mo | $6,000 | 4.5★ |
| HealthSpring Preferred Plus (HMO) HealthSpring · H3949-048-000 | HMO | $32/mo | $5,700 | 3.0★ |
| UPMC for Life HMO Rx Choice (HMO) UPMC for Life · H3907-057-002 | HMO | $33/mo | $6,000 | 4.5★ |
| UPMC for Life PPO High Deductible Rx (PPO) UPMC for Life · H5533-003-000 | PPO | $33/mo | $7,550 | 4.5★ |
| Aetna Medicare Advantra Enhanced (HMO-POS) Aetna Medicare · H3959-002-000 | HMO-POS | $39/mo | $5,500 | 3.5★ |
| Aetna Medicare Premier Plus (PPO) Aetna Medicare · H5522-005-000 | PPO | $39/mo | $7,150 | 4.5★ |
| HumanaChoice H5525-005 (PPO) Humana · H5525-005-000 | PPO | $39/mo | $8,300 | 4.0★ |
| HumanaChoice H5525-086 (PPO) Humana · H5525-086-001 | PPO | $39/mo | $5,800 | 4.0★ |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-035-002 | PPO | $41/mo | $6,950 | 4.5★ |
| Complete Blue HMO Distinct (HMO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3957-050-002 | HMO | $42/mo | $6,450 | 4.5★ |
| UPMC for Life PPO Rx Choice (PPO) UPMC for Life · H5533-020-000 | PPO | $43/mo | $7,000 | 4.5★ |
| HumanaChoice H5216-023 (PPO) Humana · H5216-023-000 | PPO | $44/mo | $6,000 | 4.0★ |
| Security Blue HMO-POS ValueRx (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3957-031-000 | HMO-POS | $53/mo | $5,500 | 4.5★ |
| AARP Medicare Advantage from UHC PA-0003 (HMO-POS) UnitedHealthcare · H5253-147-000 | HMO-POS | $54/mo | $6,700 | 4.0★ |
| AARP Medicare Advantage from UHC PA-0008 (PPO) UnitedHealthcare · H2406-047-000 | PPO | $60/mo | $5,900 | 4.0★ |
| HumanaChoice R0110-008 (Regional PPO) Humana · R0110-008-000 | Regional PPO | $75/mo | $7,150 | 3.5★ |
| UPMC for Life HMO Rx (HMO) UPMC for Life · H3907-058-001 | HMO | $90/mo | $4,500 | 4.5★ |
| Freedom Blue PPO ValueRx (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-032-000 | PPO | $97/mo | $5,500 | 4.5★ |
| HumanaChoice H5216-120 (PPO) Humana · H5216-120-000 | PPO | $107/mo | $7,600 | 4.0★ |
| Security Blue HMO-POS Standard (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3957-045-001 | HMO-POS | $132/moGives back $19/mo of your Part B premium | $5,000 | 4.5★ |
| UPMC for Life PPO Rx Enhanced (PPO) UPMC for Life · H5533-005-000 | PPO | $155/mo | $7,550 | 4.5★ |
| Freedom Blue PPO Select (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-022-000 | PPO | $157/mo | $5,000 | 4.5★ |
| Security Blue HMO-POS Deluxe (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3957-046-001 | HMO-POS | $188/moGives back $19/mo of your Part B premium | $4,500 | 4.5★ |
| Freedom Blue PPO Classic (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-001-000 | PPO | $266/mo | $4,500 | 4.5★ |
| UPMC for Life HMO Rx Enhanced (HMO) UPMC for Life · H3907-006-000 | HMO | $295/mo | $7,550 | 4.5★ |
Part D drug plans 8
Standalone drug coverage, for people who keep Original Medicare (often with a Medigap policy). Drug plans are sold for a whole region, so the same plans are sold throughout Pennsylvania, West Virginia.
| Plan | Premium | Drug deductible | Stars |
|---|---|---|---|
| Wellcare Value Script (PDP) Wellcare · S4802-141-000 | $5.30/mo | $700 | 3★ |
| Wellcare Classic (PDP) Wellcare · S4802-080-000 | $7.30/mo | $700 | 3★ |
| Humana Basic Rx Plan (PDP) Humana · S5884-104-000 | $16.30/mo | $700 | 4.5★ |
| Humana Value Rx Plan (PDP) Humana · S5884-185-000 | $31.70/mo | $687 | 4.5★ |
| HealthSpring Assurance Rx (PDP) Blue Cross and Blue Shield of IL, NM, OK, TX · S5715-027-000 | $98.40/mo | $700 | 2.5★ |
| AARP Medicare Rx Saver from UHC (PDP) UnitedHealthcare · S5921-351-000 | $140.60/mo | $700 | 3★ |
| Humana Premier Rx Plan (PDP) Humana · S5884-152-000 | $142.80/mo | $350 | 4.5★ |
| AARP Medicare Rx Preferred from UHC (PDP) UnitedHealthcare · S5921-388-000 | $184.40/mo | $300 | 3★ |
Special needs plans 31
Medicare Advantage plans built for people with particular needs, and open only to people who have them. If one of the three below describes you, these are often worth a look before a general plan. Each row says who can join.
Who special needs plans are for
- D-SNP: you have Medicaid as well as Medicare (sometimes called "dual eligible" or "Medi-Medi").
- C-SNP: you have a chronic condition the plan is built around, such as diabetes, heart failure, chronic lung disease or dementia. The plan checks with your doctor.
- I-SNP: you live in a nursing home or similar facility, or need that level of care at home.
Why people choose them
- Care built around you. Most assign a care coordinator, and many run clinical programs for the condition they serve: diabetes education and supplies, heart or lung monitoring, medication reviews, or doctors who visit you in a facility.
- Often more generous extras. Many offer larger allowances than general plans for groceries, over-the-counter items, transportation, meals or utilities. Compare the figures; they vary widely from plan to plan.
- Lower costs for many members. With full Medicaid, a D-SNP member usually pays nothing for care Medicare covers.
The catch: you have to qualify, and the plan will check, for example your Medicaid status or a doctor's confirmation of your condition. If you're not sure, your State Health Insurance Assistance Program (SHIP) gives free, unbiased advice.
| Plan | Network | Who can join | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|---|
| DEVOTED C-SNP GIVEBACK EXTRAS 029 PA (HMO C-SNP) Devoted Health · H6852-029-000 | HMO | Only for people with certain chronic conditionsDiabetes, Heart | $0/moGives back $90/mo of your Part B premium | $7,600 | 3.5★ |
| Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP) Wellcare · H2915-002-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.5★ |
| Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP) Wellcare · H2915-018-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $0/mo | $5,400 | 3.5★ |
| UHC Dual Complete PA-S002 (HMO-POS D-SNP) UnitedHealthcare · H3113-009-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.0★ |
| UHC Dual Complete PA-S3 (HMO-POS D-SNP) UnitedHealthcare · H3113-016-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.0★ |
| Perennial Advantage Premier (HMO I-SNP) Perennial Advantage · H3419-007-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $0/mo | $4,500 | Not yet rated |
| Aetna Medicare Dual (HMO D-SNP) Aetna Medicare · H3959-036-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.5★ |
| Aetna Medicare Longevity (HMO I-SNP) Aetna Medicare · H3959-066-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $0/mo | $9,850 | 3.5★ |
| Aetna Medicare Full Dual Extra (HMO D-SNP) Aetna Medicare · H3959-090-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.5★ |
| Provider Partners Pennsylvania Community Plan (HMO I-SNP) Provider Partners Health Plans · H4093-009-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $0/mo | $2,600 | 3.5★ |
| UPMC for Life Complete Care (HMO D-SNP) UPMC for Life Complete Care · H4279-007-001 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.5★ |
| UHC Complete Care PA-17 (HMO-POS C-SNP) UnitedHealthcare · H5253-192-000 | HMO-POS | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $7,150 | 4.0★ |
| UHC Complete Care Support PA-1A (HMO-POS C-SNP) UnitedHealthcare · H5253-234-001 | HMO-POS | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $9,850 | 4.0★ |
| Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP) Humana · H5377-003-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 4.0★ |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) Humana · H6622-078-001 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 4.0★ |
| Humana Dual Select H6622-103 (HMO D-SNP) Humana · H6622-103-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,250 | 4.0★ |
| DEVOTED DUAL PLUS 005 PA (HMO D-SNP) Devoted Health · H6852-005-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.5★ |
| DEVOTED C-SNP ENHANCED 018 PA (HMO C-SNP) Devoted Health · H6852-018-000 | HMO | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $7,000 | 3.5★ |
| DEVOTED C-SNP PLUS 022 PA (HMO C-SNP) Devoted Health · H6852-022-000 | HMO | Only for people with certain chronic conditionsDiabetes, Heart | $0/mo | $9,850 | 3.5★ |
| DEVOTED DUAL FULL 025 PA (HMO D-SNP) Devoted Health · H6852-025-000 | HMO | Only for people who have Medicaid as well as Medicare | $0/mo | $9,850 | 3.5★ |
| Amerihealth Caritas VIP Care (HMO D-SNP) VISTA Health Plan Inc. · H4227-002-000 | HMO | Only for people who have Medicaid as well as Medicare | $9/mo | $9,850 | 3.5★ |
| UHC Dual Complete PA-S001 (PPO D-SNP) UnitedHealthcare · H1889-007-000 | PPO | Only for people who have Medicaid as well as Medicare | $11.70/mo | $9,850 | 3.5★ |
| UHC Nursing Home Plan EX-F002 (PPO I-SNP) UnitedHealthcare · H0710-017-000 | PPO | Only for people who live in a nursing home, or need that level of care at home | $12.50/mo | $9,850 | 5.0★ |
| UHC Dual Advantage PA-V1 (HMO-POS D-SNP) UnitedHealthcare · H3113-014-000 | HMO-POS | Only for people who have Medicaid as well as Medicare | $12.80/mo | $7,150 | 3.0★ |
| Perennial Advantage Strive (HMO I-SNP) Perennial Advantage · H3419-005-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $12.80/mo | $9,850 | Not yet rated |
| HealthSpring TotalCare Plus (HMO D-SNP) HealthSpring · H3949-009-000 | HMO | Only for people who have Medicaid as well as Medicare | $12.80/mo | $9,850 | 3.0★ |
| Provider Partners Pennsylvania Advantage Plan (HMO I-SNP) Provider Partners Health Plans · H4093-001-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $12.80/mo | $9,850 | 3.5★ |
| Provider Partners Pennsylvania Essential Plan (HMO I-SNP) Provider Partners Health Plans · H4093-010-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $12.80/mo | $9,850 | 3.5★ |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) Highmark Wholecare Medicare Assured · H5932-001-000 | HMO | Only for people who have Medicaid as well as Medicare | $12.80/mo | $9,850 | 3.5★ |
| Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) Highmark Wholecare Medicare Assured · H5932-009-000 | HMO | Only for people who have Medicaid as well as Medicare | $12.80/mo | $6,500 | 3.5★ |
| American Health Advantage of Pennsylvania (HMO I-SNP) American Health Advantage of Pennsylvania · H9968-001-000 | HMO | Only for people who live in a nursing home, or need that level of care at home | $12.80/mo | $9,850 | Not yet rated |
PACE
PACE isn't a special needs plan, but it isn't open to everyone either: it is for people 55 and older who need a nursing-home level of care and can live safely at home with its help. Sold here: VieCare Beaver, LLC dba LIFE Beaver and Lawrence C (PACE), VieCare Beaver, LLC dba LIFE Beaver and Lawrence C (PACE).
Medicare Advantage plans without drug coverage 9
Medical coverage only. These suit people who get their drugs elsewhere, such as from the VA or an employer, since you generally can't add a separate Part D plan to them.
| Plan | Network | Premium | Out-of-pocket limit | Stars |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) UnitedHealthcare · H5253-152-000 | HMO-POS | $0/moGives back $200/mo of your Part B premium | $7,150 | 4.0★ |
| Humana USAA Honor Giveback (PPO) Humana · H5216-221-000 | PPO | $0/moGives back $145/mo of your Part B premium | $6,700 | 4.0★ |
| UPMC for Life HMO No Rx (HMO) UPMC for Life · H3907-002-000 | HMO | $0/moGives back $140/mo of your Part B premium | $6,500 | 4.5★ |
| Aetna Medicare Advantra Eagle Plus (HMO-POS) Aetna Medicare · H3959-041-000 | HMO-POS | $0/moGives back $135/mo of your Part B premium | $5,500 | 3.5★ |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3916-067-000 | PPO | $0/moGives back $125/mo of your Part B premium | $6,000 | 4.5★ |
| HumanaChoice Giveback H5216-116 (PPO) Humana · H5216-116-000 | PPO | $0/moGives back $69/mo of your Part B premium | $4,150 | 4.0★ |
| UPMC for Life PPO Salute (PPO) UPMC for Life · H5533-016-001 | PPO | $0/moGives back $50/mo of your Part B premium | $9,850 | 4.5★ |
| Security Blue HMO-POS Basic (HMO-POS) Highmark Blue Cross Blue Shield or Highmark Blue Shield · H3957-043-001 | HMO-POS | $7/moGives back $19/mo of your Part B premium | $5,900 | 4.5★ |
| HumanaChoice R0110-007 (Regional PPO) Humana · R0110-007-000 | Regional PPO | $0/mo | $4,750 | 3.5★ |
Medigap (Medicare Supplement)
A Medigap policy pays some or all of what Original Medicare leaves you owing, and works with any doctor who takes Medicare. The coverage of each plan letter is the same whichever company sells it; only the price differs.
- Plan G: $138–$1,012/mo from 38 companies, at age 65.
- Plan N: $115–$862/mo from 37 companies, at age 65.
Discussion
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