Local Medicare county guide
Medicare in Monroe County, Pennsylvania
Medicare options, doctor networks, hospital access, drug coverage, and local help can vary by county. This page shows the fields available for Monroe County. If a field was missing, we say so.
Where these numbers come from, and what they can't tell you
Use this page for local context. It doesn't rank, rate, recommend, or endorse any Medicare plan, carrier, doctor, pharmacy, hospital, facility, drug, or public figure. Before you enroll, confirm current benefits, drug coverage, and provider and pharmacy networks with Medicare.gov, the carrier, or a licensed agent.
What should you know first about Medicare in Monroe County?
Medicare population of approximately 37900 in Monroe County, PA
Around 5 healthcare providers serving the county
Access to 216 Medicare Advantage and prescription drug plans
Beneficiaries often choose Medicare Advantage plans with bundled benefits like vision and dental coverage
Transportation and rural access considerations affect healthcare choices and provider reach
Local programs and resources help residents navigate Medicare enrollment and coverage decisions
Multiple healthcare networks and systems provide coordinated care options across the county
What Medicare facts are reported for Monroe County?
- State
- Pennsylvania (PA)
- County FIPS / code
- 42089
- Urban vs rural
- Suburban
- Provider density
- Low
- Medicare population
- 37,900
- City count
- 5
- Plan count
- 216
- CMS Medicare clinicians/providers
- 1,039
- Primary care clinicians/providers
- 120
- Specialist clinicians/providers
- 357
- Surgical clinicians/providers
- 131
- Advanced practice clinicians/providers
- 431
- Nursing home facilities
- 4
- Hospital facilities
- 2
- Home health facilities
- 5
- Dialysis facilities
- 5
- Hospice care facilities
- 1
Count sources
| Metric | Value | Source | As of | Status |
|---|---|---|---|---|
| Advanced practice clinicians/providers | 431 | National Downloadable File | July 9, 2026 | reported |
| Dialysis facilities | 5 | Dialysis Facility - Listing by Facility | July 15, 2026 | reported |
| Home health agencies | 5 | Home Health Care Agencies | July 15, 2026 | reported |
| Hospice facilities | 1 | Hospice - General Information | May 20, 2026 | reported |
| Hospital facilities | 2 | Hospital General Information | May 13, 2026 | reported |
| Nursing home facilities | 4 | Provider Information | July 29, 2026 | reported |
| Primary care clinicians/providers | 120 | National Downloadable File | July 9, 2026 | reported |
| Specialist clinicians/providers | 357 | National Downloadable File | July 9, 2026 | reported |
| Surgical clinicians/providers | 131 | National Downloadable File | July 9, 2026 | reported |
What demographic context matters in Monroe County?
Monroe County Pennsylvania sits in the Pocono Mountains region with a population of approximately 168000 residents. The Medicare aged population totals around 35000 individuals reflecting significant growth over the past decade. This demographic shift stems from both natural aging of longtime residents and an influx of retirees drawn to the area's natural beauty affordability compared to neighboring New Jersey and New York and relatively mild four season climate. The county presents a distinct mix of landscapes and communities. Eastern townships like Tunkhannock and Paradise feature more rural character with larger lots and winding roads while the Stroudsburg East Stroudsburg corridor functions as the commercial hub with denser development. Towns such as Mount Pocono and Tobyhanna blend residential areas with tourism infrastructure catering to the region's ski resorts lakes and hiking trails. This blend creates unique challenges for Medicare beneficiaries. Many retirees settled here decades ago often on fixed incomes while others are newer arrivals with potentially higher resources. Income levels vary dramatically. ZIP codes near Marshalls Creek and Analomink show median household incomes exceeding 75000 while areas around Bartonsville and Saylorsburg dip below 55000. This economic diversity directly impacts plan choices. Lower income beneficiaries often prioritize Medicare Savings Programs and Extra Help to manage premiums and out of pocket costs making Original Medicare with a Supplement and Part D plan a common consideration. Medicare plan networks, drug coverage, and costs can change each year. Before you enroll, check your doctors, prescriptions, pharmacies, and current plan documents. Medicare Advantage penetration sits at about 58 percent countywide notably higher than the Pennsylvania average driven partly by aggressive marketing in retirement communities and the practical appeal of integrated benefits for seniors managing multiple health needs. The seasonal nature of tourism also affects healthcare access. Some providers experience staffing fluctuations during peak summer and winter months potentially impacting appointment availability for beneficiaries especially in more remote townships. What truly sets Monroe County apart is the tension between its growing senior population and the geographic spread of services. Beneficiaries living in western townships like Barrett or Paradise face longer drives to major medical facilities compared to those near the I 80 corridor. This reality makes network adequacy and transportation support critical factors when selecting a Medicare plan particularly Advantage plans where out of network coverage can be severely limited.
What does the healthcare landscape look like in Monroe County?
Monroe County relies primarily on two major integrated health systems serving Medicare beneficiaries. St. Luke's University Health Network operates St. Luke's Monroe Campus in East Stroudsburg a 139 bed facility offering comprehensive services including a 24 hour emergency department cardiac care orthopedics and cancer treatment through its affiliation with the St. Luke's Cancer Center in Bethlehem. St. Luke's participates broadly with Medicare Advantage plans though specific provider inclusion varies by contract year requiring careful verification during enrollment. Lehigh Valley Health Network LVHN holds a dominant position following its 2017 acquisition of Pocono Health System. LVHN now operates Lehigh Valley Hospital Pocono in East Stroudsburg a 330 bed tertiary care center providing advanced services notably a Level II trauma center comprehensive stroke care neonatal intensive care and robust orthopedic and surgical programs. LVHN's network is extensive but its participation with Advantage plans fluctuates significantly. Medicare plan networks, drug coverage, and costs can change each year. Before you enroll, check your doctors, prescriptions, pharmacies, and current plan documents. Beneficiaries must scrutinize plan directories as LVHN specialists especially in cardiology and neurology are frequently sought after. Community providers like the Monroe Community Hospital Urgent Care centers in Stroudsburg and Mount Pocono offer convenient access for minor issues but their inclusion in Advantage networks is inconsistent. The Geisinger system maintains a growing presence with primary care clinics in Mount Pocono and Stroudsburg and recently opened a multispecialty center in Mount Pocono focusing on cardiology and endocrinology though its hospital services require travel to Wilkes Barre. Practical implications are substantial. A beneficiary choosing an Advantage plan must confirm that their preferred LVHN or St. Luke's primary care physician and key specialists like cardiologists at the Heart Center of the Poconos are in network. Out of network emergency care is covered under Medicare rules but non emergency care outside the plan's network can lead to very high out of pocket costs. The distance to alternative major hospitals in Wilkes Barre or Allentown further underscores the necessity of selecting a plan with robust local network access to avoid disruptive and costly travel for routine care.
Where can Monroe County residents get Medicare help?
Local support resources for Medicare beneficiaries in Monroe County are coordinated through key agencies ensuring access to critical assistance programs. The Monroe County Office of Aging serves as the designated Area Agency on Aging AAA administering federal and state funded services. Located on Route 611 in Stroudsburg the AAA provides essential navigation help for Medicare beneficiaries connecting them with home care personal care assistance and caregiver support programs. Seniors can access the State Health Insurance Assistance Program SHIP known locally as OSHIIP through the AAA. Certified counselors offer free personalized Medicare counseling at the Stroudsburg Senior Center on Tuesdays and at the Mount Pocono Senior Center on Thursdays by appointment. Call 570 517 1800 to schedule. These counselors help beneficiaries compare Part D prescription drug plans understand Medicare Advantage options and resolve billing issues. Financial assistance programs are vital given the income diversity among seniors. The Pennsylvania Department of Aging manages Medicare Savings Programs MSPs which help pay Medicare Part B premiums and sometimes other costs for those with limited resources. Monroe County residents apply through the Department of Human Services PATH system with local support available from AAA case managers. Similarly the federal Extra Help program Low Income Subsidy LIS for Part D drug costs is accessible with local SHIP counselors guiding applicants through the process. Beyond Medicare specific aid the county sustains a network of community support. Monroe County Senior Services administers the Meals on Wheels program delivering approximately 400 nutritious meals daily to homebound seniors across all townships. Volunteer drivers through the AAA's Senior Transportation Program provide rides to medical appointments grocery stores and senior centers for those without reliable transportation a crucial service in rural areas where public transit is sparse. Senior centers in Stroudsburg Mount Pocono and Tannersville offer congregate meals social activities and health screenings fostering community connection. The Pennsylvania Department of Aging's PACE and PACENET prescription drug assistance programs remain important supplements for eligible seniors not qualifying for full Extra Help. Beneficiaries should proactively contact the Monroe County Office of Aging to explore all available resources as eligibility requirements and program details can change.
What Medicare and healthcare trends affect Monroe County?
Healthcare in Monroe County has evolved significantly shaped by demographic shifts and institutional changes. Historically the county relied on smaller independent hospitals and clinics catering to a more dispersed rural population. The pivotal moment came with the 2017 acquisition of Pocono Health System by Lehigh Valley Health Network LVHN transforming LVH Pocono into the region's primary tertiary care hub. This consolidation aimed to improve service breadth but also concentrated control raising concerns about pricing and access particularly for Medicare beneficiaries navigating complex network rules. St. Luke's expansion through its Monroe Campus acquisition around the same period created a competitive dynamic though LVHN's larger footprint generally dominates. Demographic trends heavily influence current Medicare dynamics. The county's population aged 65 and older grew by over 25 percent between 2010 and 2022 driven by retirees seeking affordability near urban centers. This surge strains existing infrastructure. Current challenges are acute. Geographic barriers persist especially in western townships where seniors may face 30 to 45 minute drives to reach major hospitals or specialists. Workforce shortages plague the region; recruiting and retaining physicians nurses and home health aides remains difficult leading to longer appointment wait times particularly in primary care and mental health services. The opioid crisis has also impacted the senior population increasing dual eligible enrollment those with both Medicare and Medicaid by nearly 18 percent since 2019 creating complex care management needs. Transportation gaps compound these issues limiting access to routine care and contributing to avoidable hospitalizations. Looking ahead the next five years present both challenges and opportunities. LVHN and St. Luke's are expanding telehealth services which could mitigate some access issues for follow up care though broadband limitations in rural areas hinder universal adoption. The recent opening of Geisinger's Mount Pocono multispecialty clinic offers potential relief for cardiology and endocrinology needs reducing trips to Wilkes Barre. However sustained workforce recruitment and addressing transportation deserts remain critical hurdles. Medicare beneficiaries must stay informed about how hospital affiliations and plan networks evolve as these directly impact their ability to receive timely local care. The county's trajectory hinges on whether healthcare systems and policymakers can effectively address these access barriers while accommodating the continued growth of its senior population.
Who are some noteworthy people connected to Monroe County?
Monroe County, transformed over the decades from a quiet mountain retreat to a booming Pocono Mountains resort and residential corridor, has connections to a broad range of notable figures. Buck Henry (1930-2020), the acclaimed screenwriter and actor who co-created the television series Get Smart and wrote the screenplay for The Graduate, had a longtime home in the Pocono Mountains region and was a familiar face in Monroe County communities. Nat King Cole (1919-1965), the legendary singer and jazz pianist, owned a vacation home in the Pocono Mountains region of Monroe County, and many jazz and entertainment greats spent leisure time at resorts in the area during the mid-20th century. Abraham Lincoln did not visit Monroe County per se, but Union Army encampments near Stroudsburg during the Civil War era made Monroe County part of the broader wartime history of the North. Joe Namath (born 1943), the legendary Hall of Fame quarterback who guaranteed and delivered a Super Bowl victory for the New York Jets in Super Bowl III, has long maintained a home in the Pocono Mountains of Monroe County and is a beloved figure in the region. Steve Martin (born 1945), the actor, comedian, playwright, and musician, spent time at Pocono Mountain resorts during his career rise and has cited the peaceful Pennsylvania mountain landscape as an important creative refuge. Phyllis Diller (1917-2012), the pioneering comedienne who blazed trails for women in stand-up comedy, performed many times at Pocono Mountains resort venues in Monroe County throughout the 1960s and 1970s. Mohamed Ali (1942-2016) trained and relaxed at his Deer Lake, Pennsylvania camp, which sat on the Monroe-Schuylkill county line, and the Pocono Mountains region was central to some of his most famous training periods before major fights. Carol Burnett (born 1933), the legendary comedic performer and television pioneer, has frequently vacationed in the Pocono Mountains region of Monroe County. Clarence Darrow (1857-1938), the famed defense attorney known for the Scopes Monkey Trial, spent leisure time in the Pocono Mountains and appreciated the region's natural beauty.
What Medicare questions do Monroe County residents ask?
Which counties border Monroe County?
Monroe County is one of Pennsylvania's fastest-growing counties, anchored by the Pocono Mountains resort region, and it sits at an important geographic crossroads bordered by both Pennsylvania counties and New Jersey. Starting to the west, Carbon County shares Monroe's western flank. Carbon County is served by smaller medical facilities, and many Carbon County residents travel east into Monroe County for hospital services at Lehigh Valley Hospital-Pocono. To the northwest, Luzerne County and the Wilkes-Barre metro area border Monroe. Geisinger Wyoming Valley Medical Center in Plains Township (Luzerne County) is accessible from northwestern Monroe County, and residents in communities like Tannersville or Tobyhanna sometimes make that drive. Lackawanna County is also a northwestern neighbor, and some northern Monroe County communities are equidistant from Scranton and the Poconos hospital. To the north, Wayne County runs along Monroe's northern border. Wayne Memorial Hospital in Honesdale is a well-regarded community hospital, and northern Monroe County communities near Hawley sometimes use it as well as Lehigh Valley Hospital-Pocono. To the northeast, Pike County borders Monroe and then meets New Jersey. Pike County is largely served by hospitals in Monroe County and New York state, given its proximity to the Port Jervis, NY area. To the east, Monroe County meets Warren County, New Jersey, across the Delaware Water Gap. Warren County, NJ residents on the opposite bank sometimes use Monroe County's Lehigh Valley Hospital-Pocono, while Monroe County residents in the eastern portion near Stroudsburg have easy access to Hackettstown Medical Center and Morristown Medical Center in New Jersey. Sussex County, New Jersey, lies to the northeast, and its major medical resources include Newton Medical Center. To the south, Northampton County borders Monroe along the Lehigh Valley's northern edge. St. Luke's facilities and Lehigh Valley Health Network's footprint in southern Monroe County are significant. Within Monroe County, Lehigh Valley Hospital-Pocono in East Stroudsburg is the county's primary hospital.
Carbon County
View county Medicare pageLehigh County
View county Medicare pageLuzerne County
View county Medicare pageWyoming County
View county Medicare pageLackawanna County
View county Medicare pageWayne County
View county Medicare pagePike County
View county Medicare pageYork County
View county Medicare pageWarren County
View county Medicare pageDelaware County
View county Medicare pageNorthampton County
View county Medicare pageWhich cities are in Monroe County?
Mount Pocono
View city Medicare pageStroudsburg
View city Medicare pageEast Stroudsburg
View city Medicare pageWhat prescription data is reported for Monroe County?
These are the most-prescribed drugs among Medicare beneficiaries in Monroe County, ranked by 2022 Part D claim volume.
| Rank | Drug | Claims | Beneficiaries | Drug cost | Year |
|---|---|---|---|---|---|
| 1 | Atorvastatin Calcium | 44,575 | 10,349 | $699,267 | 2022 |
| 12 | Rosuvastatin Calcium | 16,242 | 4,250 | $420,253 | 2022 |
What are the main takeaways for Monroe County?
Medicare beneficiaries in Monroe County have several enrollment options. With 216 plans available, comparing Original Medicare, Medicare Advantage, and Medigap coverage makes sense based on your health needs and budget. Rural location affects provider choice and transportation, so check network access before enrolling. Local counseling services and enrollment assistance are available to help you choose the right coverage for your situation.
What should you check before choosing a plan in Monroe County?
Start with the doctors, prescriptions, pharmacies, and hospitals you already use. Then compare premiums, copays, out-of-pocket maximums, drug tiers, and network rules. If a field above says "Not reported," it means the county record did not provide a reliable value for that item.
Last reviewed: April 10, 2026.
County guide
How can Monroe County connect you to the wider Medicare map?
Start with Monroe County, then move up to the Pennsylvania guide or the state ZIP guide when you need the wider view.