- Entity
- county:virginia-amherst-51009
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/virginia/amherst/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 22
- PPO Plans
- 11
- HMO Plans
- 2
- HMO-POS Plans
- 8
- PFFS Plans
- 1
- Average Monthly Premium
- 16.5
- Average MOOP
- 8484.09
- Average Part D Deductible
- 583.33
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 4
- Average CMS Star Rating
- 3.84
- $0 Premium Plan Share
- 72.73
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 68
- 3-Star Plan Share
- 32
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 25.82
- PPO Average MOOP
- 8881.82
- PPO Enrollment
- 743
- PPO $0 Premium Plans
- 7
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 9850
- HMO Enrollment
- 13
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 4.5
- HMO-POS Average MOOP
- 7425
- HMO-POS Enrollment
- 773
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 43
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:virginia-amherst-51009
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/virginia/amherst/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-virginia-amherst-51009-landscape-stats
- Plans Indexed
- 22
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC VA-0007
H2001-109-0 -
AARP Medicare Advantage Patriot No Rx VA-MA01
H2001-099-0 -
HumanaChoice H7617-125
H7617-125-0 -
AARP Medicare Advantage Direct Plus from UHC VA-25
H5253-247-0 -
AARP Medicare Advantage Essentials from UHC VA-11
H5253-258-0 -
AARP Medicare Advantage Extras from UHC VA-29
H5253-256-0 -
AARP Medicare Advantage from UHC VA-0012
H5253-259-0 -
AARP Medicare Advantage Giveback from UHC VA-13
H5253-119-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
Humana Gold Plus H5377-002
H5377-002-0 -
Humana Total Complete
H6622-083-0 -
Humana Total Complete
H6622-091-0 -
HumanaChoice H5216-152
H5216-152-0 -
HumanaChoice H5216-363
H5216-363-0 -
HumanaChoice H5216-408
H5216-408-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
UHC Medicare Advantage VA-0001
H1659-002-0 -
Anthem Medicare Advantage
H4909-014-0 -
Anthem Medicare Advantage 2
H3447-025-0 -
Anthem Medicare Advantage 3
H3447-050-0
-
AARP Medicare Advantage from UHC VA-0007
- Total Standard Medicare Advantage Enrollment
- 1529
2027 Medicare Advantage Plans in Amherst County, VA
Last update: .
For 2027, Amherst County, VA includes 22 Medicare Advantage plans. Enrollment across these plans totals approximately 1,529, with 16 $0 premium options and 68% rated 4 stars or higher.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 11
- Average Monthly Premium
- $25.82/mo
- Total PPO Enrollment
- 743
- $0 Premium PPO Plans
- 7
- Average MOOP
- $8,882
- Top PPO by Enrollment
- AARP Medicare Advantage from UHC VA-0007 (PPO) — 341 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC VA-0007 | $0 | $7,500 | $685 | H2001-109-0 | |
| AARP Medicare Advantage Patriot No Rx VA-MA01 | $0 | $8,900 | N/A | H2001-099-0 | |
| HumanaChoice H7617-125 | $58 | $9,850 | $450 | H7617-125-0 | |
| HumanaChoice H5216-152 | $0 | $3,400 | N/A | H5216-152-0 | |
| HumanaChoice H5216-363 | $0 | $9,850 | $700 | H5216-363-0 | |
| HumanaChoice H5216-408 | $0 | $9,850 | $700 | H5216-408-0 | |
| Humana Full Access | $158 | $9,850 | $700 | R0110-005-0 | |
| Humana USAA Honor Giveback | $0 | $9,850 | N/A | R0110-006-0 | |
| HumanaChoice R0110-004 | $0 | $9,850 | N/A | R0110-004-0 | |
| UHC Medicare Advantage VA-0001 | $38 | $9,850 | $685 | H1659-002-0 | |
| Anthem Medicare Advantage | $30 | $8,950 | $250 | H4909-014-0 |
What is the typical premium for PPO plans available in Amherst?
PPO plans in Amherst cost $25.82 per month on average.
Which PPO plan do most beneficiaries choose in Amherst?
The most popular PPO plan in Amherst is AARP Medicare Advantage from UHC VA-0007 (PPO), with 341 enrollees.
How many PPO options are offered without drug coverage in Amherst?
4 PPO plans in Amherst do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 2
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 13
- $0 Premium HMO Plans 2
- Average MOOP $9,850
- Top HMO by Enrollment Humana Total Complete (HMO) — 13 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Total Complete | $0 | $9,850 | $450 | H6622-083-0 | |
| Humana Total Complete | $0 | $9,850 | $700 | H6622-091-0 |
What is the total number of HMO plans offered in Amherst?
In 2027, Amherst County has 2 HMO plans with 13 enrollees.
How much do HMO plans cost in Amherst?
The typical HMO premium in Amherst is $0.00, and 2 plans have no monthly premium.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 8
- Average Monthly Premium
- $4.50/mo
- Total HMO-POS Enrollment
- 773
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $7,425
- Top HMO-POS by Enrollment
- Anthem Medicare Advantage 3 (HMO-POS) — 572 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Direct Plus from UHC VA-25 | $0 | $5,900 | $595 | H5253-247-0 | |
| AARP Medicare Advantage Essentials from UHC VA-11 | $0 | $5,900 | $685 | H5253-258-0 | |
| AARP Medicare Advantage Extras from UHC VA-29 | $0 | $6,900 | $685 | H5253-256-0 | |
| AARP Medicare Advantage from UHC VA-0012 | $36 | $5,900 | $685 | H5253-259-0 | |
| AARP Medicare Advantage Giveback from UHC VA-13 | $0 | $9,850 | $685 | H5253-119-0 | |
| Humana Gold Plus H5377-002 | $0 | $9,250 | $450 | H5377-002-0 | |
| Anthem Medicare Advantage 2 | $0 | $9,850 | $300 | H3447-025-0 | |
| Anthem Medicare Advantage 3 | $0 | $5,850 | $395 | H3447-050-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Amherst cost $4.50 per month on average.
- Which HMO-POS plan is most popular in Amherst?
- The most popular HMO-POS plan in Amherst is Anthem Medicare Advantage 3 (HMO-POS), with 572 enrollees.
- How many HMO-POS plans in Amherst do not include drug coverage?
- There are 0 HMO-POS plans in Amherst without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $43.00/mo
- Total PFFS Enrollment 0
- $0 Premium PFFS Plans 0
- Average MOOP $9,850
- Top PFFS by Enrollment — 0 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $43 | $9,850 | $700 | H8145-004-0 |
What is the total number of PFFS plans in Amherst?
There are 1 PFFS plans in 2027, covering 0 enrollees.
How much do PFFS plans cost in Amherst?
The average PFFS premium in Amherst is $43.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Amherst?
is the top PFFS in Amherst, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Amherst?
0 PFFS plans in Amherst do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Amherst County, VA (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 15 | 68% |
| 3 Stars | 7 | 32% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.84 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Amherst County, Virginia, including communities such as Amherst, Madison Heights, Monroe, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.