Medicare in
Dauphin
County,
Pennsylvania
Rural
Provider Density:
Low
62309
Medicare Population
Heading
Cities
Doctors
Heading
Plans
Medicare Facilities in
Dauphin
Total Provdrs
Primary Care
Specialists
Advnced Practice
404
404
404
404
404
Cities in
Dauphin
County
Medicare Advantage Plans
in
Dauphin
County
for 2026
Plan Name
Carrier
Premium
Max Out-of-Pocket
Rating
Aetna Medicare PinnacleHealth Prime (PPO)
Aetna
$0.00
$7,500.00
Aetna Medicare PinnacleHealth Prime (HMO-POS)
Aetna
$0.00
$6,900.00
Humana Gold Choice H8145-052 (PFFS)
Humana
$0.00
$7,100.00
Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)
Humana
$0.00
$9,250.00
Humana Gold Plus H6622-035 (HMO)
Humana
$0.00
$8,300.00
Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP)
Humana
$2.60
$9,250.00
Capital Blue Cross Enhanced (PPO)
Capital Blue Cross
$22.00
$6,800.00
Capital Blue Cross Select (PPO)
Capital Blue Cross
$0.00
$8,100.00
American Health Advantage of Pennsylvania (HMO I-SNP)
American Health Advantage of Utah
$32.70
$9,250.00
UPMC for Life PPO Essential Care Rx (PPO)
UPMC
$0.00
$8,000.00
UPMC for Life PPO Rx Choice (PPO)
UPMC
$25.00
$5,500.00
UPMC for Life HMO Premier Rx (HMO)
UPMC
$0.00
$6,000.00
UPMC for Life HMO Rx (HMO)
UPMC
$90.00
$4,500.00
UPMC for Life HMO Rx Choice (HMO)
UPMC
$30.00
$5,000.00
UPMC for Life HMO Deductible Rx (HMO)
UPMC
$22.00
$6,000.00
UPMC for Life HMO Rx Enhanced (HMO)
UPMC
$295.00
$7,550.00
UHC Dual Complete PA-S3 (HMO-POS D-SNP)
UnitedHealthcare
$18.50
$9,250.00
HumanaChoice R0110-008 (Regional PPO)
Humana
$52.00
$6,700.00
HumanaChoice R0110-007 (Regional PPO)
Humana
Not Applicable
$4,500.00
Jefferson Health Plans Select (HMO D-SNP)
Jefferson Health Plans
$32.70
$9,250.00
Jefferson Health Plans Dual Pearl (HMO D-SNP)
Jefferson Health Plans
$32.70
$9,250.00
Jefferson Health Plans Giveback (HMO)
Jefferson Health Plans
$0.00
$9,250.00
Jefferson Health Plans Complete (HMO)
Jefferson Health Plans
$0.00
$6,500.00
Jefferson Health Plans Special (HMO D-SNP)
Jefferson Health Plans
$32.70
$9,250.00
Jefferson Health Plans Prime (HMO)
Jefferson Health Plans
$32.70
$6,000.00
Humana Gold Choice H8145-163 (PFFS)
Humana
Not Applicable
$1,500.00
Humana Gold Choice H8145-055 (PFFS)
Humana
Not Applicable
$6,700.00
HealthSpring True Choice (PPO)
HealthSpring
$0.00
$6,000.00
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)
Highmark
$17.60
$8,000.00
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)
Highmark
$16.00
$9,250.00
UPMC for Life PPO Salute (PPO)
UPMC
Not Applicable
$9,250.00
HumanaChoice H5525-086 (PPO)
Humana
$29.00
$6,050.00
HumanaChoice Giveback H5525-085 (PPO)
Humana
$0.00
$8,000.00
Humana USAA Honor Giveback with Rx (PPO)
Humana
$0.00
$7,350.00
HumanaChoice H5525-051 (PPO)
Humana
$0.00
$7,500.00
HumanaChoice H5525-006 (PPO)
Humana
$27.00
$6,700.00
Aetna Medicare Signature Giveback (PPO)
Aetna
$0.00
$6,750.00
Aetna Medicare Advantra Signature Giveback (PPO)
Aetna
$0.00
$9,250.00
Aetna Medicare Value Care (PPO)
Aetna
$29.00
$6,900.00
Aetna Medicare Advantra Signature (PPO)
Aetna
$0.00
$9,250.00
Aetna Medicare Advantra Premier (PPO)
Aetna
$98.00
$5,900.00
Aetna Medicare Signature Extra (PPO)
Aetna
$0.00
$6,750.00
Aetna Medicare Enhanced (PPO)
Aetna
$183.00
$7,500.00
UHC Complete Care PA-17 (HMO-POS C-SNP)
UnitedHealthcare
$0.00
$6,700.00
AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)
UnitedHealthcare
Not Applicable
$6,700.00
AARP Medicare Advantage from UHC PA-0002 (HMO-POS)
UnitedHealthcare
$0.00
$6,700.00
Humana USAA Honor Giveback (PPO)
Humana
Not Applicable
$6,700.00
HumanaChoice H5216-120 (PPO)
Humana
$94.00
$7,600.00
HumanaChoice Giveback H5216-116 (PPO)
Humana
Not Applicable
$4,150.00
UPMC for Life Complete Care (HMO D-SNP)
UPMC
$26.50
$9,250.00
AmeriHealth Caritas VIP Care (HMO D-SNP)
AmeriHealth
$32.70
$9,250.00
Capital Blue Cross Essential (HMO)
Capital Blue Cross
$0.00
$6,000.00
Capital Blue Cross Value (HMO)
Capital Blue Cross
$58.00
$6,500.00
Capital Blue Cross Premier (HMO)
Capital Blue Cross
$86.00
$5,000.00
Aetna Medicare Chronic Care Value (HMO C-SNP)
Aetna
$29.70
$9,250.00
Aetna Community HealthChoices (HMO D-SNP)
Aetna
$14.40
$9,250.00
Aetna Medicare Longevity (HMO I-SNP)
Aetna
$32.70
$9,250.00
Aetna Medicare Advantra Eagle Plus (HMO-POS)
Aetna
Not Applicable
$5,500.00
Aetna Medicare Advantra Enhanced (HMO-POS)
Aetna
$48.00
$7,500.00
Aetna Medicare Advantra Dual (HMO D-SNP)
Aetna
$13.80
$9,250.00
Community Blue Medicare HMO Distinct (HMO)
Highmark
$50.00
$6,250.00
Community Blue Medicare HMO Signature (HMO)
Highmark
$0.00
$6,750.00
Geisinger Gold Value Rx (HMO)
Geisinger
$23.00
$9,250.00
Geisinger Gold Heritage (HMO)
Geisinger
Not Applicable
$6,700.00
Geisinger Gold Classic Essential Rx (HMO)
Geisinger
$0.00
$6,750.00
Geisinger Gold Classic Complete Rx (HMO)
Geisinger
$48.00
$5,700.00
Geisinger Gold Classic Advantage Rx (HMO)
Geisinger
$120.00
$3,450.00
Geisinger Gold Secure Rx (HMO D-SNP)
Geisinger
$32.70
$9,250.00
HealthSpring Preferred (HMO)
HealthSpring
$0.00
$6,600.00
HealthSpring TotalCare Plus (HMO D-SNP)
HealthSpring
$0.00
$9,250.00
Geisinger Gold Preferred Complete Rx (PPO)
Geisinger
$0.00
$7,200.00
Geisinger Gold Preferred Advantage Rx (PPO)
Geisinger
$96.00
$4,000.00
Capital Blue Cross Complete (PPO)
Capital Blue Cross
$49.00
$6,600.00
Capital Blue Cross Value (PPO)
Capital Blue Cross
$0.00
$9,000.00
Capital Blue Cross Prime (PPO)
Capital Blue Cross
$177.00
$6,700.00
Capital Blue Cross Classic (PPO)
Capital Blue Cross
$72.00
$6,700.00
Complete Blue PPO Merit (PPO)
Highmark
$0.00
$8,300.00
Complete Blue PPO Distinct (PPO)
Highmark
$98.00
$6,750.00
Freedom Blue PPO Valor (PPO)
Highmark
Not Applicable
$6,000.00
Freedom Blue PPO ValueRx (PPO)
Highmark
$66.00
$5,500.00
Freedom Blue PPO Standard (PPO)
Highmark
$121.00
$5,000.00
Freedom Blue PPO Basic (PPO)
Highmark
Not Applicable
$5,900.00
Freedom Blue PPO Deluxe (PPO)
Highmark
$226.00
$4,500.00
UPMC for Life HMO No Rx (HMO)
UPMC
Not Applicable
$6,000.00
UHC Dual Complete PA-V001 (HMO-POS D-SNP)
UnitedHealthcare
$30.40
$6,700.00
UHC Dual Complete PA-S002 (HMO-POS D-SNP)
UnitedHealthcare
$6.80
$9,250.00
Wellcare Dual Select (HMO-POS D-SNP)
Wellcare
$32.70
$5,400.00
Wellcare Patriot Giveback (HMO-POS)
Wellcare
Not Applicable
$7,550.00
Wellcare Assist (HMO-POS)
Wellcare
$32.70
$5,500.00
Wellcare Simple (HMO-POS)
Wellcare
$0.00
$6,200.00
Wellcare Dual Liberty Sync (HMO-POS D-SNP)
Wellcare
$32.70
$9,250.00
AARP Medicare Advantage Giveback from UHC PA-12 (PPO)
UnitedHealthcare
$0.00
$8,900.00
AARP Medicare Advantage from UHC PA-0011 (PPO)
UnitedHealthcare
$0.00
$6,700.00
AARP Medicare Advantage from UHC PA-0008 (PPO)
UnitedHealthcare
$60.00
$4,900.00
AARP Medicare Advantage from UHC PA-0007 (PPO)
UnitedHealthcare
$42.00
$5,900.00
UHC Dual Complete PA-S001 (PPO D-SNP)
UnitedHealthcare
$32.70
$9,250.00
Jefferson Health Plans Flex Pro (PPO)
Jefferson Health Plans
$18.00
$6,000.00
Jefferson Health Plans Flex Plus (PPO)
Jefferson Health Plans
$32.70
$6,500.00
Jefferson Health Plans Flex (PPO)
Jefferson Health Plans
$0.00
$7,000.00
UHC Nursing Home Plan EX-F002 (PPO I-SNP)
UnitedHealthcare
$32.60
$9,250.00
Medicare Questions
for
Dauphin
County
Residents
How do Part D formularies and drug tiers work?
What happens if I take COBRA instead of Medicare?
What kind of person is usually better off with Medigap?
What if I pick Medicare Advantage and later cannot get a supplement?
How do Medicare and Medicaid work together in Utah?
See which Medicare plans are available in your area
Utah has 14 Medicare Advantage plans for 2026.Availability varies by county.
Most Prescribed Drugs in
Dauphin
County
Rank
Drug Name
Claims
Beneficiaries
Year
23
Dauphin-rank-23-pa
119
67
2022
22
Dauphin-rank-22-pa
1090
1085
2022
21
Dauphin-rank-21-pa
4403
846
2022
20
Dauphin-rank-20-pa
4853
3321
2022
19
Dauphin-rank-19-pa
6166
6158
2022
18
Dauphin-rank-18-pa
6166
6158
2022
17
Dauphin-rank-17-pa
7255
1662
2022
16
Dauphin-rank-16-pa
9824
2718
2022
15
Dauphin-rank-15-pa
12835
3866
2022
14
Dauphin-rank-14-pa
14580
3181
2022
13
Dauphin-rank-13-pa
20421
4791
2022
12
Dauphin-rank-12-pa
26702
6987
2022
11
Dauphin-rank-11-pa
26840
4680
2022
10
Dauphin-rank-10-pa
27599
6149
2022
9
Dauphin-rank-9-pa
29455
7044
2022
8
Dauphin-rank-8-pa
30435
7319
2022
7
Dauphin-rank-7-pa
32946
7967
2022
6
Dauphin-rank-6-pa
34592
6926
2022
5
Dauphin-rank-5-pa
34848
7979
2022
4
Dauphin-rank-4-pa
40618
9491
2022
3
Dauphin-rank-3-pa
48840
11288
2022
2
Dauphin-rank-2-pa
50283
9956
2022
1
Dauphin-rank-1-pa
73283
17014
2022