Medicare Advantage Plans in Pittsburgh, PA

Looking for Medicare Advantage Plans in Allegheny County? Enter your ZIP below to compare affordable or $0 premium plans in your area.

Pennsylvania state

Allegheny County had more Medicare Advantage (Medicare Part C) enrollees in 2019 than any other county in Pennsylvania, with more than 163,000 Medicare Advantage beneficiaries.

60% of all Medicare beneficiaries in Pittsburgh and Allegheny County belonged to a Medicare Advantage plan in 2019.1

Learn more about Medicare Advantage in Pennsylvania.

2020 Medicare Advantage plans in Allegheny County and Pittsburgh

Number of unique plans 20
Weighted average premium $68
Average annual deductible $0.01
Average (in-network) out-of-pocket maximum $4,146
Number of $0 premium plans 5
Number of plans rated four stars or higher 20

Medicare beneficiaries in Allegheny County had their choice of 20 different Medicare Advantage plans in 2019, and all 20 plans were rated four stars or higher based on Medicare Star Ratings.2 Plans rated four stars or higher are considered top-rated Medicare plans.

The weighted average deductible for plans in the county came out to just one cent per year, and there were five available plans that featured $0 premiums.

Premiums, deductibles and other costs may vary. The numbers reported in the table above are taken from the Centers for Medicare and Medicaid Services (CMS). A licensed insurance agent will be able to help you review and compare costs for specific plans available in Allegheny County or wherever you may live.

List of Medicare Advantage plans in Pittsburgh and Allegheny County

Medicare Advantage plans can come in several different forms.

The majority Medicare Advantage enrollees in Pennsylvania belonged to an HMO plan in 2019.

  • HMO (Health Maintenance Organization) plans utilize a network of participating doctors and other health care providers. Care is typically not covered by the plan when received outside of the network. 

  • PPO (Preferred Provider Organization) plans are also available in Pennsylvania. These plans offer some more flexibility when choosing a doctor and allow for some coverage outside of the plan’s intended network.

Medical Savings Accounts and Private Fee-For-Service plans were also available in Pennsylvania in 2019. 

In the state of Pennsylvania, the breakdown of plan types in 2019 was as follows:

Plan type Percentage of Pennsylvania enrollees (2019)
HMO 62%
PPO 38%
MSA <1%
PFFS <1%

How to Sign up for a Medicare Advantage Plan in Allegheny County

There are different Medicare enrollment periods in the year during which you may able to sign up for a Medicare Advantage plan in Pittsburgh, depending on your eligibility. 

Medicare IEP graphic

Initial Enrollment Period (IEP)

When you first become eligible for Medicare, you will typically be granted an Initial Enrollment Period (IEP). This period begins three months before you turn 65 years old, includes the month of your birthday and continues for an additional three months. 

Medicare AEP graphic

Annual Enrollment Period (AEP)

The Annual Enrollment Period (AEP, also called the Medicare Open Enrollment Period for Medicare Advantage plans) takes place from October 15 to December 7 each year. This period is open to all eligible Medicare beneficiaries who wish to add, drop or change Medicare plans.  

Special Enrollment Period

If you experience a qualifying circumstance, you may be granted a Special Enrollment Period (SEP) at any time throughout the year to allow you to enroll in a Medicare Advantage plan.

Such circumstances may include situations like moving outside of your plan’s service area or losing your Medicare Advantage plan coverage through no fault of your own. A licensed insurance agent can help you determine if you are eligible for a Special Enrollment Period and what actions you may be able to take during that time. 

Find a Medicare Advantage plan where you live

Medicare Advantage plans can come in a variety of types and can include different benefits, networks, costs and more.

Connect with a licensed insurance agent today for help determining your eligibility and finding the best Medicare Advantage plan for you in Allegheny County. 

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1 MedicareAdvantage.com's internal analysis of CMS Medicare Advantage landscape source files, accessed May 2019. Data retrieved from www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn.

2 Every year, Medicare evaluates plans based on a 5-star rating system.