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Medicare Advantage Plans in Cressona, Pennsylvania

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While there are 162 Medicare Advantage plans in Pennsylvania, there are 69 plans available to you in Cressona, Pennsylvania. Cressona is located in Schuylkill County. Connie Health gathered the plan cost and coverage information that matters most to you. Continue reading to discover the Medicare Advantage plan right for your health & budget and when to enroll.

2025 Medicare Advantage Plan Facts for Cressona

Why Choose a Medicare Advantage Plan?

There are three primary reasons you may choose to enroll in a Medicare Advantage plan:

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1. Low or no-cost monthly premiums

You have access to a Medicare Advantage plan as low as $0 monthly. If you don't qualify for a $0 premium plan, the average is $73.01 per month. This premium is low, especially compared to a Medicare Supplement plan or your Part B premiums.

2. Lower out-of-pocket costs

Original Medicare doesn't cap their out-of-pocket costs, so you could end up with unexpectedly high medical bills. With Original Medicare Part B, you must pay the premium, deductible, and 20% coinsurance for Medicare-approved services and procedures. The 20% can add up.

3. Additional benefits not available with Original Medicare

Want routine dental coverage? Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) don't offer comprehensive dental, vision, or hearing coverage. These services would be entirely out-of-pocket for you.

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Medicare Advantage Companies in Cressona

9 insurance companies offer Medicare Advantage plans in Cressona.

Medicare Advantage Insurance Companies in Cressona
Aetna Medicare
Capital Blue Cross
Geisinger Gold
Highmark Blue Cross Blue Shield or Highmark Blue S
Humana
Jefferson Health Plans
UnitedHealthcare
Wellcare
Wellcare by Allwell

Top 5 Medicare Advantage Insurance Companies in Cressona

These 5 Medicare Advantage insurance companies enroll the largest amount of Medicare beneficiaries in Cressona. They offer the most popular plans.

# Medicare Advantage Insurance Companies in Cressona
1 Aetna Life Insurance Company
2 Geisinger Health Plan
3 Geisinger Indemnity Insurance Company
4 Highmark Senior Health Company
5 Aetna Health Inc. (Pa)

2025 Cressona Medicare Advantage Plans

There are 69 Medicare Advantage plans to choose from in Cressona. Below are the many available options. Click on any of the links to review additional plan details.

Medicare Advantage Plan Name Plan Type Monthly Plan Premium Maximum Out-of-Pocket Rx Deductible Medicare Star Rating
Community Blue Medicare HMO Signature (HMO) Local HMO $0.00 $6,500.00 $0.00 5
Freedom Blue PPO Deluxe (PPO) Local PPO $278.00 $4,500.00 $0.00 4.5
Freedom Blue PPO Basic (PPO) Local PPO $64.00 $5,900.00 - 4.5
Freedom Blue PPO Standard (PPO) Local PPO $164.00 $5,000.00 $0.00 4.5
Freedom Blue PPO ValueRx (PPO) Local PPO $58.00 $5,500.00 $0.00 4.5
Community Blue Medicare PPO Distinct (PPO) Local PPO $27.00 $5,500.00 $0.00 4.5
Community Blue Medicare PPO Signature (PPO) Local PPO $0.00 $7,950.00 $0.00 4.5
Freedom Blue PPO Valor (PPO) Local PPO $0.00 $6,000.00 - 4.5
Community Blue Medicare PPO Premier (PPO) Local PPO $46.00 $4,900.00 $0.00 4.5
Aetna Medicare Advantra Gold (HMO-POS) Local HMO $0.00 $7,550.00 $0.00 4.5
Aetna Medicare Advantra Premier (HMO-POS) Local HMO $21.00 $7,550.00 $0.00 4.5
Aetna Medicare Advantra Eagle (HMO-POS) Local HMO $0.00 $3,900.00 - 4.5
HumanaChoice H5216-116 (PPO) Local PPO $0.00 $3,900.00 - 4.5
Humana Value Plus H5216-117 (PPO) Local PPO $40.20 $7,800.00 $545.00 4.5
HumanaChoice H5216-120 (PPO) Local PPO $123.00 $7,600.00 $0.00 4.5
Humana USAA Honor (PPO) Local PPO $0.00 $6,700.00 - 4.5
Aetna Medicare Advantra Premier Plus (PPO) Local PPO $67.00 $5,900.00 $0.00 4.5
Aetna Medicare Advantra Silver (PPO) Local PPO $0.00 $7,550.00 $0.00 4.5
Aetna Medicare Value Plus (PPO) Local PPO $14.60 $6,900.00 $0.00 4.5
Aetna Medicare Advantra Credit Value (PPO) Local PPO $0.00 $7,550.00 $0.00 4.5
Aetna Medicare Silver Back (PPO) Local PPO $0.00 $6,351.00 $0.00 4.5
Aetna Medicare Deluxe Plan (PPO) Local PPO $0.00 $7,550.00 $0.00 4.5
Aetna Medicare Essentials Plan (PPO) Local PPO $0.00 $4,850.00 $300.00 4.5
AARP Medicare Advantage from UHC PA-0007 (PPO) Local PPO $25.00 $5,900.00 $0.00 4
AARP Medicare Advantage from UHC PA-0011 (PPO) Local PPO $0.00 $6,700.00 $0.00 4
AARP Medicare Advantage from UHC PA-0012 (PPO) Local PPO $0.00 $8,300.00 $295.00 4
BlueJourney Classic (PPO) Local PPO $60.00 $7,500.00 $0.00 4
BlueJourney Prime (PPO) Local PPO $177.00 $5,000.00 $0.00 4
Capital Blue Cross Select (PPO) Local PPO $0.00 $7,000.00 $0.00 4
Capital Blue Cross Value (PPO) Local PPO $0.00 $8,500.00 $0.00 4
Capital Blue Cross Enhanced (PPO) Local PPO $22.00 $6,000.00 $0.00 4
Geisinger Gold Preferred Advantage Rx (PPO) Local PPO $94.00 $4,000.00 $0.00 4
Geisinger Gold Preferred Enhanced Rx (PPO) Local PPO $0.00 $7,550.00 $0.00 4
Geisinger Gold Preferred Complete Rx (PPO) Local PPO $0.00 $8,000.00 $0.00 4
Aetna Medicare Silver (HMO-POS) Local HMO $37.00 $7,550.00 $250.00 4
Geisinger Gold Classic Advantage Rx (HMO) Local HMO $124.00 $3,450.00 $0.00 4
Geisinger Gold Classic Complete Rx (HMO) Local HMO $38.00 $4,900.00 $0.00 4
Geisinger Gold Classic 360 Rx (HMO) Local HMO $0.00 $8,000.00 $0.00 4
Geisinger Gold Classic Essential Rx (HMO) Local HMO $0.00 $7,550.00 $0.00 4
Geisinger Gold Heritage (HMO) Local HMO $0.00 $6,700.00 - 4
BlueJourney Premier (HMO) Local HMO $117.00 $3,700.00 $0.00 4
BlueJourney Value (HMO) Local HMO $65.00 $5,500.00 $0.00 4
BlueJourney Essential (HMO) Local HMO $0.00 $6,500.00 $0.00 4
Aetna Medicare Gold Plan (PPO) Local PPO $145.00 $7,550.00 $250.00 4
Aetna Medicare Value (PPO) Local PPO $0.00 $7,550.00 $0.00 4
Aetna Medicare The Valley Plan (PPO) Local PPO $0.00 $7,550.00 $0.00 4
HumanaChoice H5525-005 (PPO) Local PPO $53.00 $8,300.00 $0.00 4
HumanaChoice H5525-017 (PPO) Local PPO $26.00 $6,300.00 $0.00 4
HumanaChoice H5525-051 (PPO) Local PPO $0.00 $7,800.00 $0.00 4
HumanaChoice H5525-058 (PPO) Local PPO $0.00 $7,000.00 $505.00 4
Humana USAA Honor with Rx (PPO) Local PPO $0.00 $7,850.00 $250.00 4
HumanaChoice H5525-060 (PPO) Local PPO $0.00 $8,050.00 $0.00 4
Humana Gold Plus H6622-036 (HMO) Local HMO $0.00 $8,050.00 $0.00 4
Humana Gold Choice H8145-163 (PFFS) PFFS $75.00 - - 4
HumanaChoice R0923-001 (Regional PPO) Regional PPO $0.00 $4,500.00 - 4
HumanaChoice R0923-002 (Regional PPO) Regional PPO $46.00 $6,700.00 $0.00 4
AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) Local HMO $0.00 $6,700.00 - 3.5
AARP Medicare Advantage from UHC PA-0006 (HMO-POS) Local HMO $0.00 $6,700.00 $0.00 3.5
AARP Medicare Advantage from UHC PA-0015 (PPO) Local PPO $0.00 $6,700.00 $0.00 3.5
Wellcare No Premium (HMO) Local HMO $0.00 $6,700.00 $0.00 3.5
Wellcare Assist (HMO) Local HMO $21.30 $7,550.00 $435.00 3.5
Wellcare Patriot Giveback (HMO) Local HMO $0.00 $7,550.00 - 3.5
Wellcare No Premium (HMO) Local HMO $0.00 $7,000.00 $0.00 3.5
Jefferson Health Plans Prime (HMO-POS) Local HMO $40.20 $7,900.00 $0.00 3.5
Jefferson Health Plans Complete (HMO-POS) Local HMO $0.00 $4,000.00 $0.00 3.5
Wellcare No Premium Open (PPO) Local PPO $0.00 $6,700.00 $160.00 2.5
Wellcare Giveback Open (PPO) Local PPO $0.00 $7,550.00 $545.00 2.5

Top 56 Medicare Advantage Plans with the Highest Star Ratings in Cressona

The Centers for Medicare and Medicaid Services (CMS) rates all Medicare Advantage plans on a scale of 1 to 5 stars. Plans with one star are considered “poor,” while those with five stars are considered “excellent.” Any plan that is four stars and higher is a “top-rated” plan. These are the plans with the highest star ratings in Cressona.

# Plan Name Plan Type Monthly Plan Premium Maximum Out-of-Pocket Rx Deductible Medicare Star Rating
1 Community Blue Medicare HMO Signature (HMO) Local HMO $0.00 $6,500.00 $0.00 5
2 Freedom Blue PPO Deluxe (PPO) Local PPO $278.00 $4,500.00 $0.00 4.5
3 Freedom Blue PPO Basic (PPO) Local PPO $64.00 $5,900.00 - 4.5
4 Freedom Blue PPO Standard (PPO) Local PPO $164.00 $5,000.00 $0.00 4.5
5 Freedom Blue PPO ValueRx (PPO) Local PPO $58.00 $5,500.00 $0.00 4.5
6 Community Blue Medicare PPO Distinct (PPO) Local PPO $27.00 $5,500.00 $0.00 4.5
7 Community Blue Medicare PPO Signature (PPO) Local PPO $0.00 $7,950.00 $0.00 4.5
8 Freedom Blue PPO Valor (PPO) Local PPO $0.00 $6,000.00 - 4.5
9 Community Blue Medicare PPO Premier (PPO) Local PPO $46.00 $4,900.00 $0.00 4.5
10 Aetna Medicare Advantra Gold (HMO-POS) Local HMO $0.00 $7,550.00 $0.00 4.5
11 Aetna Medicare Advantra Premier (HMO-POS) Local HMO $21.00 $7,550.00 $0.00 4.5
12 Aetna Medicare Advantra Eagle (HMO-POS) Local HMO $0.00 $3,900.00 - 4.5
13 HumanaChoice H5216-116 (PPO) Local PPO $0.00 $3,900.00 - 4.5
14 Humana Value Plus H5216-117 (PPO) Local PPO $40.20 $7,800.00 $545.00 4.5
15 HumanaChoice H5216-120 (PPO) Local PPO $123.00 $7,600.00 $0.00 4.5
16 Humana USAA Honor (PPO) Local PPO $0.00 $6,700.00 - 4.5
17 Aetna Medicare Advantra Premier Plus (PPO) Local PPO $67.00 $5,900.00 $0.00 4.5
18 Aetna Medicare Advantra Silver (PPO) Local PPO $0.00 $7,550.00 $0.00 4.5
19 Aetna Medicare Value Plus (PPO) Local PPO $14.60 $6,900.00 $0.00 4.5
20 Aetna Medicare Advantra Credit Value (PPO) Local PPO $0.00 $7,550.00 $0.00 4.5
21 Aetna Medicare Silver Back (PPO) Local PPO $0.00 $6,351.00 $0.00 4.5
22 Aetna Medicare Deluxe Plan (PPO) Local PPO $0.00 $7,550.00 $0.00 4.5
23 Aetna Medicare Essentials Plan (PPO) Local PPO $0.00 $4,850.00 $300.00 4.5
24 AARP Medicare Advantage from UHC PA-0007 (PPO) Local PPO $25.00 $5,900.00 $0.00 4
25 AARP Medicare Advantage from UHC PA-0011 (PPO) Local PPO $0.00 $6,700.00 $0.00 4
26 AARP Medicare Advantage from UHC PA-0012 (PPO) Local PPO $0.00 $8,300.00 $295.00 4
27 BlueJourney Classic (PPO) Local PPO $60.00 $7,500.00 $0.00 4
28 BlueJourney Prime (PPO) Local PPO $177.00 $5,000.00 $0.00 4
29 Capital Blue Cross Select (PPO) Local PPO $0.00 $7,000.00 $0.00 4
30 Capital Blue Cross Value (PPO) Local PPO $0.00 $8,500.00 $0.00 4
31 Capital Blue Cross Enhanced (PPO) Local PPO $22.00 $6,000.00 $0.00 4
32 Geisinger Gold Preferred Advantage Rx (PPO) Local PPO $94.00 $4,000.00 $0.00 4
33 Geisinger Gold Preferred Enhanced Rx (PPO) Local PPO $0.00 $7,550.00 $0.00 4
34 Geisinger Gold Preferred Complete Rx (PPO) Local PPO $0.00 $8,000.00 $0.00 4
35 Aetna Medicare Silver (HMO-POS) Local HMO $37.00 $7,550.00 $250.00 4
36 Geisinger Gold Classic Advantage Rx (HMO) Local HMO $124.00 $3,450.00 $0.00 4
37 Geisinger Gold Classic Complete Rx (HMO) Local HMO $38.00 $4,900.00 $0.00 4
38 Geisinger Gold Classic 360 Rx (HMO) Local HMO $0.00 $8,000.00 $0.00 4
39 Geisinger Gold Classic Essential Rx (HMO) Local HMO $0.00 $7,550.00 $0.00 4
40 Geisinger Gold Heritage (HMO) Local HMO $0.00 $6,700.00 - 4
41 BlueJourney Premier (HMO) Local HMO $117.00 $3,700.00 $0.00 4
42 BlueJourney Value (HMO) Local HMO $65.00 $5,500.00 $0.00 4
43 BlueJourney Essential (HMO) Local HMO $0.00 $6,500.00 $0.00 4
44 Aetna Medicare Gold Plan (PPO) Local PPO $145.00 $7,550.00 $250.00 4
45 Aetna Medicare Value (PPO) Local PPO $0.00 $7,550.00 $0.00 4
46 Aetna Medicare The Valley Plan (PPO) Local PPO $0.00 $7,550.00 $0.00 4
47 HumanaChoice H5525-005 (PPO) Local PPO $53.00 $8,300.00 $0.00 4
48 HumanaChoice H5525-017 (PPO) Local PPO $26.00 $6,300.00 $0.00 4
49 HumanaChoice H5525-051 (PPO) Local PPO $0.00 $7,800.00 $0.00 4
50 HumanaChoice H5525-058 (PPO) Local PPO $0.00 $7,000.00 $505.00 4
51 Humana USAA Honor with Rx (PPO) Local PPO $0.00 $7,850.00 $250.00 4
52 HumanaChoice H5525-060 (PPO) Local PPO $0.00 $8,050.00 $0.00 4
53 Humana Gold Plus H6622-036 (HMO) Local HMO $0.00 $8,050.00 $0.00 4
54 Humana Gold Choice H8145-163 (PFFS) PFFS $75.00 - - 4
55 HumanaChoice R0923-001 (Regional PPO) Regional PPO $0.00 $4,500.00 - 4
56 HumanaChoice R0923-002 (Regional PPO) Regional PPO $46.00 $6,700.00 $0.00 4

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Types of Medicare Advantage Plans Available in Cressona

There are 4 Medicare Advantage plan types you can choose from in Cressona. These include: Local PPO, Local HMO, PFFS, Regional PPO. Not sure which is the best plan for your health needs and budget? We'll walk you through the most popular plan types: Local PPO, Local HMO, PFFS, Regional PPO. At the end of this section, you'll understand the difference between these three most popular plan types.

Medicare Advantage HMO Plans

You have 22 Medicare Advantage HMO plans to choose from in Cressona. An HMO, or Health Maintenance Organization, is a type of health plan that limits coverage to in-network care from doctors who work for or contract with the HMO. Typically, HMO plans won't cover out-of-network care except in an emergency.

Medicare Advantage PPO Plans

There are 46 Medicare Advantage PPO plans in Cressona. A PPO, or Preferred Provider Organization, is a type of health plan where you pay less to use doctors in the plan's network. Unlike an HMO, you can see doctors and specialists and use a hospital outside the network without a referral for an additional cost.

PPO plan comparison Connie Health

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Medicare Advantage Special Needs Plans (SNPs)

Special Needs Plans, or SNPs, are a type of Medicare Advantage plan. There are two types of Special Needs Plans that may be available to you: Chronic Special Needs Plans (C-SNP) and Dual Special Needs Plans (D-SNP).

Chronic Special Needs Plans (C-SNP) are limited to people with specific illnesses or characteristics. For example, you may qualify for a C-SNP if you have diabetes, End-Stage Renal Disease (ESRD), HIV/AIDS, dementia, chronic heart failure, or other qualifying illness. Medicare C-SNPs tailor benefits, provider choices, and drug formularies to meet the needs of the special needs groups they serve.

You may qualify for a Dual Special Needs Plan (D-SNP) if you are eligible for Medicare and Medicaid. With a D-SNP, the State of Pennsylvania may cover your Medicare costs, depending on your eligibility.

Veteran Benefits & Medicare

If you or your spouse are veterans, you likely have VA benefits. However, the U.S. Department of Veteran Affairs encourages you to sign up for Medicare as soon as you are eligible. Here are three reasons you should speak to a local licensed agent about how VA benefits and Medicare work together:

When to Enroll in a Medicare Advantage Plan in Cressona

Knowing when to enroll or make plan changes can help you save money.

Enrolling in a Medicare Advantage plan for the first time, or are you interested in making a plan change? Skip to the section that applies to you - and mark the dates in your calendar.

Enroll for the First Time

If you're new to Medicare, the best time to enroll in a Medicare Advantage plan is during your Initial Enrollment Period. If you miss that, you can still enroll during the General Enrollment Period (January 1 - March 31) or Special Enrollment Period, but likely with penalties.

Birth Graphic Connie Health

Make a Plan Change

The best time to make a plan change is during the Medicare Annual Enrollment Period (October 15 - December 7). During this time, anyone enrolled in Medicare can review their plan options for the coming year and ensure that their plan choice meets their health and budget needs.

Annual Enrollment Period Connie Health

If you need to make a plan change because you moved to a new service area or lost coverage, among other reasons, you could qualify for a Special Enrollment Period.

Whether you're enrolling for the first time or making a plan change, a Medicare Advantage plan could fit your health and budget needs. Medicare in Pennsylvania can be confusing, and you don't have to sift through your options alone.

Medicare Advantage Special Needs Plans (SNPs)

Special Needs Plans, or SNPs, are a type of Medicare Advantage plan. There are two types of Special Needs Plans that may be available to you: Chronic Special Needs Plans (C-SNP) and Dual Special Needs Plans (D-SNP).

Chronic Special Needs Plans (C-SNP) are limited to people with specific illnesses or characteristics. For example, you may qualify for a C-SNP if you have diabetes, End-Stage Renal Disease (ESRD), HIV/AIDS, dementia, chronic heart failure, or other qualifying illness. Medicare C-SNPs tailor benefits, provider choices, and drug formularies to meet the needs of the special needs groups they serve.

You may qualify for a Dual Special Needs Plan (D-SNP) if you are eligible for Medicare and Medicaid. With a D-SNP, the State of Pennsylvania may cover your Medicare costs, depending on your eligibility.

Veteran Benefits & Medicare

If you or your spouse are veterans, you likely have VA benefits. However, the U.S. Department of Veteran Affairs encourages you to sign up for Medicare as soon as you are eligible. Here are three reasons you should speak to a local licensed agent about how VA benefits and Medicare work together:

Medicare Doctors Near Me in Cressona, Pennsylvania

Struggling to find a trustworthy doctor who accepts your Medicare plan? It can be a daunting task but don't worry. With Connie Health, you can easily locate Medicare doctors near you.

No more endless phone calls or web searches. Our platform lets you enter your address and plan information (if you have it), and we'll do the rest. Let us help you eliminate the stress of finding a physician who accepts Medicare.

Need help deciding the right Medicare Coverage for you?

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Frequently Asked Questions

Which doctors near me accept Medicare in Cressona?

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How many people are enrolled in a Medicare Advantage plan in Cressona?

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Who is eligible for Medicare Advantage plans in Cressona?

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Can I buy a Medicare Advantage plan in Cressona?

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What is the best time to enroll in a Medicare Advantage plan in Cressona?

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Can I enroll in a Medicare Advantage plan anytime?

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What is the best Medicare Advantage plan in Cressona?

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How much does a Medicare Advantage plan cost in Cressona?

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How much does Medicare cost in Cressona?

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What is the difference between a Medicare Advantage and Medicare Supplement?

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Can I switch Medicare Advantage plans in Cressona?

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Can I keep my Medicare Advantage plan if I move to a different city in Pennsylvania?

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Is Humana Gold Plus a Medicare Advantage plan?

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Does Medicare Advantage cover dental in Cressona?

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How to choose a Medicare Advantage plan in Cressona?

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Is Humana Choice PPO a Medicare Advantage plan?

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Does Medicare Advantage cover hearing aids in Cressona?

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How to compare Medicare Advantage plans in Cressona?

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Is Medicare Part C the same as Medicare Advantage?

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What doctors near me accept Medicare in Cressona?

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How do I compare Medicare Advantage plans in Cressona, Pennsylvania?

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Where can I get more information about Medicare Advantage plans in Cressona, Pennsylvania?

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Medicare Part D plans may be available in the following zip codes in the Cressona, Pennsylvania. 17929

Sources:

“Explore your Medicare coverage options.” Medicare.gov.

“MA State/County Penetration.” CMS.gov.

“Monthly MA Enrollment by State/County/Contract.” CMS.gov.7

“Prescription Drug Coverage - General Information.” CMS.gov.

“VA healthcare and other insurance.” U.S. Department of Veterans Affairs (VA.gov).

Last updated: December 11, 2025

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