Medicare options in Upper Southampton, Bucks County
If you live in Upper Southampton (18966) and Medicare is on your radar — whether you just turned 65, are approaching retirement, or are reviewing what you already have — you are in the right place. This page walks you through what matters most for Medicare in this part of Bucks County, PA. Some people want to dig in and research independently. Others want a licensed agent to walk them through it. Both paths are valid, and we support either one.
Two ways to handle this — pick the one that fits you
Research yourself
The Medicare Plan Finder at Medicare.gov lets you compare every plan available in your ZIP — costs, networks, drug coverage. It's free, no account required.
Start comparing plans →Talk it through with us
Bring your doctors, prescriptions, and questions. We pull what's in your ZIP, check your providers against each plan's real network, and walk through the tradeoffs. No scripts, no pressure.
Book a free review →What's worth knowing about Medicare in Upper Southampton
St. Mary Medical Center Is Your Anchor Hospital St. Mary Medical Center in Langhorne — part of Jefferson Health — is the primary hospital system serving Upper Southampton residents. Before you choose or change a Medicare Advantage plan, it is worth confirming that St. Mary and your specific physicians are in-network. Network participation changes annually, and what was in-network last year may not be this year.
Plan Availability Varies by Your ZIP Code Even within Bucks County, plan availability and benefits differ by ZIP code. In 18966, certain Medicare Advantage and Part D plans will be available that are not offered in neighboring ZIPs — and vice versa. We do not offer every plan available in your area. For a complete list of plans, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).
Original Medicare vs. Medicare Advantage: Two Different Structures Original Medicare (Parts A and B) gives you broad flexibility to see almost any provider nationwide who accepts Medicare. Medicare Advantage (Part C) bundles your coverage through a private insurer — often adding dental, vision, and hearing benefits, but restricting you to a network. Neither is universally better. The right choice depends on your health, your doctors, and how you use care.
Medigap (Supplement) Plans Can Change Your Out-of-Pocket Story If Original Medicare is your base, a Medigap supplement plan can cover costs Medicare does not — like coinsurance, copays, and the Part A deductible. Carriers we represent include Mutual of Omaha, Ameritas, Wellabe, and others. Medigap plans are standardized by letter (Plan G, Plan N, etc.), so the benefit structure is identical across carriers — what differs is the premium.
Prefer to Research on Your Own? That Is Completely Fine. Medicare.gov's Plan Finder tool lets you compare every plan available in your ZIP code side by side. You do not need an agent to use it. If you run into questions — about what a benefit category really means, whether a plan's drug formulary covers your medications, or how network tiers work — that is where we come in. No pressure, no obligation.
Hospital systems we check for Upper Southampton residents
St. Mary Medical Center (Jefferson Health, Langhorne)
Hospital networks, affiliations, and Medicare Advantage participation change. We verify your plan's current network against the facilities you actually use — not just the system name.
More carriers, more choices — and growing.
We're actively adding carriers as new plans and benefits emerge that our Medicare beneficiaries ask for. If a carrier starts offering something worth knowing about, we add them. Ask us what's currently available in your ZIP.
Common questions about Medicare in Upper Southampton, PA
Is St. Mary Medical Center covered under Medicare Advantage plans in Upper Southampton?
St. Mary Medical Center (Jefferson Health) participates in many Medicare Advantage networks in this area, but not all of them. Coverage also depends on your specific plan tier — some plans list Jefferson Health facilities as preferred providers, which affects your cost-sharing. We verify current network status before making any recommendation. You can also check directly on the plan's website or by calling the plan's member services line.
I just turned 65 and live in the 18966 ZIP. When can I enroll?
Your Initial Enrollment Period (IEP) is a 7-month window: 3 months before the month you turn 65, your birthday month, and 3 months after. Enrolling during the first 3 months typically means coverage starts on the 1st of your birthday month. Waiting until the 4th month or later can delay your start date. If you are still covered by employer insurance, different rules may apply — worth a conversation before you act.
What Medicare Advantage carriers are available near Upper Southampton?
Carriers we represent that have historically offered plans in Bucks County include Humana, Aetna, UnitedHealthcare, Anthem, WellCare, Cigna, Devoted Health, and Molina. Availability in your specific ZIP can shift year to year. We are also expanding our carrier portfolio as beneficiaries in the area ask. We do not offer every plan available — Medicare.gov lists all options.
Can I keep my current primary care doctor if I switch plans?
That depends entirely on whether your doctor participates in the new plan's network. This is one of the most important checks to run before switching. We pull the provider directory for any plan we discuss — not just at the hospital level, but at the individual physician level. Directory data can lag, so we also recommend calling your doctor's billing office to confirm.
Is there a cost to use The Right Choice Agency?
No. As an independent licensed Medicare agency, we are compensated by insurance carriers when you enroll in a plan through us. Your premium is the same whether you enroll through an agent or directly. There is no fee to meet with us, ask questions, or compare options.
Medicare Guidance for Upper Southampton — On Your Terms
Whether you want to sit down together and walk through your options, or you just want to know someone is available when a question comes up — that is what we are here for. Upper Southampton is part of the community we serve, and we take that seriously. We are not connected with or endorsed by the U.S. government or the federal Medicare program. To see every plan available in your area, visit Medicare.gov or call 1-800-MEDICARE. When you are ready to talk, schedule a call with Sergio Kuik at The Right Choice Agency.
We offer in-person Medicare reviews across Bucks County, PA — including Upper Southampton. Free, no-obligation review of plans available in your ZIP.
Also serving nearby Bucks County communities
For the full Bucks County overview, see Medicare in Bucks County, PA.
For the full Pennsylvania overview, see Medicare in Pennsylvania.
Required disclosures. We are not connected with or endorsed by the United States government or the federal Medicare program. 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 or 1-800-MEDICARE to get information on all of your options. Plan availability, premiums, and benefits vary by county, ZIP code, and plan year. This is not a complete description of benefits. For a complete list of available plans in your area, contact Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.