Berks County, Pennsylvania: health insurance
What Berks County residents should know about Medicare, marketplace plans and Medicaid.
Berks County at a glance
| State | Pennsylvania |
|---|---|
| Population (2023 est.) | 432,821 |
| Population rank in Pennsylvania | 9 of 67 |
| Land area | 856 square miles |
| Major cities | Reading |
Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).
Medicare plans leaving Berks County for 2027
18 Medicare plans from 9 companies are listed in Berks County for 2026 but not for 2027, covering at least 947 people enrolled in the plans below today.
- SilverScript Choice (PDP) (S5601-012, Aetna (CVS Health))
- Blue Rx PDP Complete (PDP) (S5593-003, Highmark Health)
- Blue Rx PDP Plus (PDP) (S5593-002, Highmark Health)
- HealthSpring Extra Rx (PDP) (S5617-356, Cigna HealthSpring (HCSC))
- HealthSpring Assurance Rx (PDP) (S5617-215, Cigna HealthSpring (HCSC))
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| UPMC for Life Complete Care (HMO D-SNP) H4279-004 | UPMC Health System | 293 |
| Capital Blue Cross Value (HMO) H3962-004 | CAPITAL BLUE CROSS | 237 |
| Complete Blue PPO Merit (PPO) H3916-066 | Highmark Health | 194 |
| Jefferson Health Plans Flex Pro (PPO) H1619-003 | Thomas Jefferson University | 104 |
| Humana Gold Choice H8145-055 (PFFS) H8145-055 | Humana | 47 |
| Wellcare Assist (HMO-POS) H2915-011 | Wellcare / Ambetter (Centene) | 31 |
| DEVOTED CHOICE PREMIUM 002 PA (PPO) H6018-002 | Devoted Health | 28 |
| Aetna Medicare Enhanced (PPO) H5521-122 | Aetna (CVS Health) | 13 |
| Aetna Community HealthChoices (HMO D-SNP) H3959-073 | Aetna (CVS Health) | 10 or fewer |
| Capital Blue Cross Basic (PPO) H3923-048 | CAPITAL BLUE CROSS | 10 or fewer |
| Humana Gold Choice H8145-163 (PFFS) H8145-163 | Humana | 10 or fewer |
| Jefferson Health Plans Flex Plus (PPO) H1619-002 | Thomas Jefferson University | 10 or fewer |
Show 1 more plan
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Wellcare Patriot Giveback (HMO-POS) H2915-013 | Wellcare / Ambetter (Centene) | 10 or fewer |
A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.
Is your plan on this list? Call 855-367-1095 and we will look at what is available where you live, with no obligation to enroll.
Why your county matters for coverage
In Pennsylvania, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Berks County means the options on this page apply to you, and plans in a neighboring county may differ.
- Medicare: PA MEDI (Pennsylvania Medicare Education and Decision Insight, formerly APPRISE) gives free, unbiased counseling at 1-800-783-7067. Ask which plans serve Berks County specifically.
- Marketplace plans: shop through Pennie; enter your Berks County ZIP code to see what is offered.
- Medicaid: apply through Pennsylvania Department of Human Services (DHS).
Pennsylvania note: Pennsylvania's Medicare counseling program changed its name from APPRISE to PA MEDI in July 2021 -- same program and services, run by the Department of Aging, just under a new name, so older references to APPRISE still point to the same free help.
Questions about Berks County
Are the same Medicare plans offered everywhere in Pennsylvania?
No. Plans are offered by service area. A plan available in one county may not be offered in Berks County, so check by county.
Where do Berks County residents get free Medicare counseling?
PA MEDI (Pennsylvania Medicare Education and Decision Insight, formerly APPRISE) (1-800-783-7067) is Pennsylvania's free SHIP program.
Do I have to enroll if I call?
No. Calling is a conversation about your options, and you are never required to enroll.
Berks County residents: call 855-367-1095
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095Other large counties
Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.