Medicare and Medicare Supplement help in Pennsylvania

Pennsylvania beneficiaries choose between Original Medicare, often with a Medicare Supplement (Medigap) and Part D, or a Medicare Advantage plan offered in their county. The state also runs PACE and PACENET, prescription assistance programs for older residents that can work alongside Part D. Rolando Gutierrez of RGI Group is licensed in Pennsylvania and helps residents compare options by phone or video, in English or Spanish.

Two main paths in Pennsylvania

Original Medicare works with providers nationwide that accept Medicare, and many people add Medigap and a Part D plan. Medicare Advantage plans combine coverage through a network tied to your county. Options differ between Philadelphia, Pittsburgh and rural counties.

PACE and PACENET prescription help

Pennsylvania's PACE and PACENET programs help eligible residents 65 and older with prescription costs and coordinate with Part D. Eligibility is based on income limits set by the state, and the program decides who qualifies.

Medical Assistance and Medicare

People with both Medicare and Pennsylvania Medical Assistance may have plans designed for dual-eligible members. The Department of Human Services decides Medical Assistance eligibility, not an agent.

2027 Annual Enrollment Period

The Annual Enrollment Period runs October 15 through December 7, 2026, for changes that generally start January 1, 2027. It is different from your Initial Enrollment Period around age 65 and from Medigap open enrollment.

Questions to ask before you choose

  • Do I want a local network, or nationwide access through Original Medicare?
  • Might I qualify for PACE or PACENET prescription help?
  • Are my doctors and pharmacy covered by the plan I am considering?
  • Do I have retiree or union coverage that must be coordinated first?

Frequently asked questions

  • Does RGI Group have an office in Pennsylvania? No. RGI Group's only office is in Austin, Texas. Pennsylvania residents are served by phone or video by a Pennsylvania-licensed agent.
  • Can I have PACE and a Part D plan? Yes. PACE and PACENET are designed to coordinate with Part D coverage. The program explains how enrollment works for its members.

Important notice

  • Plan availability and benefits vary by county, plan, and individual circumstances. The Annual Enrollment Period (Oct 15 – Dec 7, 2026) is different from your Initial Enrollment Period around your 65th birthday and from Medigap open enrollment.
  • We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (PA MEDI) to get information on all of your options. We are not affiliated with or endorsed by the U.S. government or the federal Medicare program.
  • RGI Group is an independent insurance agency based in Austin, Texas; Rolando Gutierrez is licensed in Pennsylvania. We are not Medicare or CMS. Consultations are by phone or video, at no cost and with no obligation. A request is not a confirmed appointment, enrollment, or Medicare permission-to-contact or scope-of-appointment. Do not submit Medicare or Social Security numbers or medical details.

Talk with a licensed Texas agent

Call 346-888-0811. Office: 5900 Balcones Drive, Ste 100, Austin, TX 78731. Monday–Sunday, 8:00 AM–11:00 PM. Licensed in Texas. Guidance available in English and Spanish.