2026 Medicare Advantage Plans in Clarke County, VA
Last update: . Enrollment data updated: May 2, 2026
In Clarke County, VA, there are 30 Medicare Advantage plans available for 2026. Of these, 21 offer a $0 monthly premium, and about 33% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Clarke County, VA. Or explore all Medicare Options available in Clarke County, VA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 21
- Average Monthly Premium $14.31/mo
- Total PPO Enrollment 566
- $0 Premium PPO Plans 16
- Average MOOP $7,998
- Top PPO by Enrollment Humana Value Choice H5216-266 (PPO) — 136 enrollees
- PPO Plans Without Drug Coverage 8
What is the total number of PPO plans offered in Clarke?
There are 21 PPO plans in 2026, covering 566 beneficiaries.
How much do PPO plans cost in Clarke?
The average PPO premium in Clarke is $14.31 per month, with 16 plans offering $0 premiums.
What is the most popular PPO plan in Clarke?
Humana Value Choice H5216-266 (PPO) is the top PPO in Clarke, with 136 enrollees.
What is the number of PPO plans without Part D coverage in Clarke?
There are 8 PPO plans in Clarke without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 4
- Average Monthly Premium
- $3.90/mo
- Total HMO Enrollment
- 20
- $0 Premium HMO Plans
- 3
- Average MOOP
- $8,838
- Top HMO by Enrollment
- Humana Total Complete H6622-091 (HMO) — 20 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H6622-083 | $0 | $8,950 | $350 | H6622-083-0 | |
| Humana Gold Plus H6622-085 | $16 | $9,250 | $615 | H6622-085-0 | |
| Humana Total Complete H6622-091 | $0 | $7,900 | $450 | H6622-091-0 | |
| Humana Gold Plus H5619-047 | $0 | $9,250 | $350 | H5619-047-0 |
What is the average monthly premium for HMO plans?
HMO plans in Clarke cost $3.90 per month on average.
Which HMO plan is most popular in Clarke?
The most popular HMO plan in Clarke is Humana Total Complete H6622-091 (HMO), with 20 enrollees.
How many HMO plans in Clarke do not include drug coverage?
There are 0 HMO plans in Clarke without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC VA-0010 | $49 | $6,700 | $520 | H5253-089-0 | |
| AARP Medicare Advantage from UHC VA-0014 | $0 | $7,900 | $600 | H5253-120-0 | |
| Anthem Medicare Advantage 3 | $24 | $6,300 | $250 | H3447-051-0 | |
| Aetna Medicare Elite | $0 | $9,250 | $615 | H3931-143-0 | |
| Aetna Medicare Elite | $60 | $7,900 | $615 | H3931-190-0 |
What is the leading HMO-POS plan in Clarke?
AARP Medicare Advantage from UHC VA-0010 (HMO-POS) is the top HMO-POS in Clarke, with 51 enrollees.
What is the number of HMO-POS plans without Part D coverage in Clarke?
0 HMO-POS plans in Clarke do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Clarke County, VA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 10 | 33% |
| 3 Stars | 20 | 67% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.73 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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