2026 Plan Grids
Western PA plans
Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Huntingdon, Indiana, Jefferson, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, and Westmoreland counties
- HMO Premier Rx — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Fayette, Greene, Huntingdon, Indiana, Lawrence, Somerset, and Washington counties
- HMO Premier Rx — Cameron, Clarion, Clearfield, Crawford, McKean, Mercer, Venango, and Warren counties
- HMO Premier Rx — Erie County
- HMO Premier Rx — Westmoreland County
- PPO Essential Care Rx (PPO) — Allegheny, Armstrong, Beaver, Berks, Bradford, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Montour, Northampton, Perry, Potter, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- PPO Essential Care Rx (PPO) — Bedford, Blair, Cambria, Huntingdon, and Somerset
- PPO Premier Rx (PPO) — Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Cameron, Carbon, Clarion, Clearfield, Crawford, Erie, Fayette, Greene, Huntingdon, Indiana, Lawrence, McKean, Mercer, Somerset, Venango, Warren, Washington, and Westmoreland counties
- PPO Rx Choice (PPO) — Allegheny County
- PPO Rx Choice (PPO) — Armstrong, Beaver, Butler, Fayette, Greene, Indiana, Lawrence, and Washington counties
- PPO Rx Choice (PPO) — Cameron, Clarion, Clearfield, Crawford, Erie, McKean, Mercer, Venango, and Warren counties
- PPO Rx Choice (PPO) — Westmoreland County
- HMO Rx Choice (HMO) — Allegheny County
- HMO Rx Choice (HMO) — Armstrong, Beaver, Butler, Fayette, Greene, Indiana, Lawrence, and Washington counties
- HMO Rx Choice (HMO) — Bedford, Blair, Cambria, Huntingdon, and Somerset counties
- HMO Rx Choice (HMO) — Cameron, Clarion, Clearfield, Crawford, McKean, Mercer, Venango, and Warren counties
- HMO Rx Choice (HMO) — Erie County
- HMO Rx Choice (HMO) — Westmoreland County
- HMO Rx (HMO) — Allegheny, Armstrong, Beaver, Bradford, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Montour, Northampton, Perry, Potter, Susquehanna, Union, Venango, Warren, Washington, Wayne, Wyoming, and York counties
- HMO Rx (HMO) — Bedford, Blair, Cambria, Huntingdon, and Somerset counties
- HMO Rx (HMO) — Westmoreland County
- PPO Salute (PPO) — Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northampton, Perry, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- HMO No Rx (HMO)
- HMO Deductible Rx (HMO)
- HMO Rx Enhanced (HMO)
- PPO High Deductible with Rx (PPO)
- PPO Rx Enhanced (PPO)
South central and northeastern PA plans
Adams, Bradford, Cumberland, Dauphin, Fulton, Juniata, Lancaster, Lebanon, Lehigh, Mifflin, Northampton, Perry, Susquehanna, Wayne, Wyoming, and York counties
- HMO Premier Rx (HMO) — Cumberland, Dauphin, Lancaster, and Lycoming counties
- PPO Essential Care Rx (PPO) — Allegheny, Armstrong, Beaver, Berks, Bradford, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Montour, Northampton, Perry, Potter, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- PPO Rx Choice (PPO) — Carbon, Cumberland, Dauphin, Lancaster, Lebanon, Lycoming, Montour, Perry, Potter, Union, and York counties
- HMO Rx Choice (HMO) — Bradford, Carbon, Cumberland, Dauphin, Lancaster, Lebanon, Lehigh, Lycoming, Montour, Northampton, Perry, Potter, Susquehanna, Union, Wayne, Wyoming, and York counties
- HMO Rx (HMO) — Allegheny, Armstrong, Beaver, Bradford, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Montour, Northampton, Perry, Potter, Susquehanna, Union, Venango, Warren, Washington, Wayne, Wyoming, and York counties
- PPO Salute (PPO) — Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northampton, Perry, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- HMO No Rx (HMO)
- HMO Deductible Rx (HMO)
- HMO Rx Enhanced (HMO)
- PPO High Deductible with Rx (PPO)
- PPO Rx Enhanced (PPO)
North Central PA plans
Centre, Clinton, Lycoming, Montour, Potter, Snyder, Sullivan, Tioga, and Union counties
- PPO Essential Care Rx (PPO) — Allegheny, Armstrong, Beaver, Berks, Bradford, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Montour, Northampton, Perry, Potter, Susquehanna, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- PPO Rx Choice (PPO) — Carbon, Cumberland, Dauphin, Lancaster, Lebanon, Lycoming, Montour, Perry, Potter, Union, and York counties
- HMO Rx Choice (HMO) — Bradford, Carbon, Cumberland, Dauphin, Lancaster, Lebanon, Lehigh, Lycoming, Montour, Northampton, Perry, Potter, Susquehanna, Union, Wayne, Wyoming, and York counties
- HMO Rx (HMO) — Allegheny, Armstrong, Beaver, Bradford, Butler, Cameron, Carbon, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Erie, Fayette, Greene, Indiana, Lancaster, Lawrence, Lebanon, Lehigh, Lycoming, McKean, Mercer, Montour, Northampton, Perry, Potter, Susquehanna, Union, Venango, Warren, Washington, Wayne, Wyoming, and York counties
- PPO Salute (PPO) — Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Butler, Cambria, Cameron, Carbon, Centre, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Elk, Erie, Fayette, Forest, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montour, Northampton, Perry, Potter, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York counties
- HMO No Rx (HMO)
- HMO Deductible Rx (HMO)
- HMO Rx Enhanced (HMO)
Southeastern PA plan
Bucks, Chester, Delaware, Montgomery, and Philadelphia counties
2026 Plan comparison guides
- Allegheny – Allegheny county
- Cumberland/Dauphin – Cumberland, Dauphin, Lancaster, and Lycoming counties
- Johnstown/Altoona – Bedford, Blair, Cambria, Huntingdon, and Somerset counties
- Erie – Erie County
- Central PA – Lebanon, Montour, Perry, Potter, Union, and York counties
- Northwestern PA – Cameron, Clarion, Clearfield, Crawford, McKean, Mercer, Venango, and Warren counties
- Southwestern PA – Armstrong, Beaver, Butler, Fayette, Greene, Indianna, and Washington counties
- Westmoreland – Westmoreland County
2026 Summary of benefits
- HMO Premier Rx – Central PA
- HMO Premier Rx/HMO Rx Choice – Erie County
- HMO Premier Rx/HMO Rx Choice – Northwestern PA
- HMO Premier Rx – Southwestern PA
- HMO Premier Rx/HMO Rx Choice – Westmoreland County
- PPO Essential Care Rx
- PPO Essential Rx – Johnstown/Altoona
- PPO Premier Rx – Central PA
- PPO Premier Rx – Western PA
- PPO Rx Choice – Allegheny
- PPO Rx Choice – Central PA
- PPO Rx Choice – Northwestern PA
- PPO Rx Choice – Southwestern PA
- PPO Rx Choice – Westmoreland County
- HMO Rx Choice – Allegheny
- HMO Rx Choice – Central PA
- HMO Rx Choice/HMO Rx – Johnstown/Altoona
- HMO Rx Choice – Southwestern PA
- HMO Rx
- HMO Rx – Westmoreland County
- PPO Salute
- PPO Salute – Southeastern PA
- HMO No Rx
- HMO Rx Enhanced
- HMO Deductible Rx
- PPO Rx Enhanced – Central PA
- PPO High Deductible with Rx/PPO Rx Enhanced – Western PA
2026 Evidence of Coverage
- HMO Premier Rx – Erie County
- HMO Premier Rx – Southwestern PA
- HMO Premier Rx – Northwestern PA
- HMO Premier Rx – South Central PA
- HMO Premier Rx – Westmoreland County
- PPO Essential Care Rx
- PPO Essential Care Rx – Johnstown/Altoona
- PPO Premier Rx – Central PA
- PPO Premier Rx – Western PA
- PPO Rx Choice – Allegheny
- PPO Rx Choice – Central PA
- PPO Rx Choice – Northwestern PA
- PPO Rx Choice – Southwestern PA
- PPO Rx Choice – Westmoreland County
- HMO Rx Choice – Allegheny
- HMO Rx Choice – Central PA
- HMO Rx Choice – Erie County
- HMO Rx Choice – Northwestern PA
- HMO Rx Choice – Southwestern PA
- HMO Rx Choice – Johnstown/Altoona
- HMO Rx Choice – Westmoreland County
- HMO Rx
- HMO Rx – Johnstown/Altoona
- HMO Rx – Westmoreland County
- HMO No Rx
- HMO Rx Enhanced
- PPO Salute
- PPO Salute – Southeastern PA
- HMO Deductible Rx
- PPO Rx Enhanced – Western PA
- PPO Rx Enhanced – Central PA
- PPO High Deductible with Rx