2026 Medicare Advantage Plans in Fairfax City County, VA
Last update: . Enrollment data updated: May 2, 2026
For 2026, Fairfax City County, VA includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 1,047, with 20 $0 premium options and 47% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Fairfax City County, VA are summarized separately. Visit Medicare Options in Fairfax City County, VA to see more options.
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
- 17
- Average Monthly Premium
- $18.09/mo
- Total PPO Enrollment
- 318
- $0 Premium PPO Plans
- 12
- Average MOOP
- $8,171
- Top PPO by Enrollment
- Humana Value Choice H7617-098 (PPO) — 71 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the average monthly premium for PPO plans in Fairfax City?
PPO plans in Fairfax City cost $18.09 per month on average.
Which PPO plan has the highest enrollment in Fairfax City?
The most popular PPO plan in Fairfax City is Humana Value Choice H7617-098 (PPO), with 71 enrollees.
How many PPO plans in Fairfax City do not include prescription drug coverage?
6 PPO plans in Fairfax City 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 6
- Average Monthly Premium $2.60/mo
- Total HMO Enrollment 142
- $0 Premium HMO Plans 5
- Average MOOP $8,417
- Top HMO by Enrollment Humana Total Complete H6622-091 (HMO) — 74 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Kaiser Permanente Medicare Advantage Liberty | $0 | $5,900 | N/A | H2172-005-0 | |
| 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 | |
| Johns Hopkins Advantage MD Select | $0 | $9,250 | $250 | H1339-001-0 |
What is the top HMO by enrollment in Fairfax City?
Humana Total Complete H6622-091 (HMO) is the top HMO in Fairfax City, with 74 enrollees.
What is the number of HMO plans without Part D coverage in Fairfax City?
1 HMO plans in Fairfax City do not include prescription drug coverage.
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
- 10
- Average Monthly Premium
- $33.60/mo
- Total HMO-POS Enrollment
- 587
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $6,755
- Top HMO-POS by Enrollment
- Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) — 165 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Kaiser Permanente Medicare Advantage Care Plus VA | $26 | $5,500 | $0 | H2172-013-0 | |
| Kaiser Permanente Medicare Advantage High VA | $137 | $5,700 | $0 | H2172-008-0 | |
| Kaiser Permanente Medicare Advantage Standard 1 VA | $15 | $5,900 | $0 | H2172-009-0 | |
| Kaiser Permanente Medicare Advantage Standard 2 VA | $25 | $5,900 | $0 | H2172-023-0 | |
| Kaiser Permanente Medicare Advantage Value 1 VA | $0 | $6,500 | $0 | H2172-010-0 | |
| 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 typical premium for HMO-POS plans in Fairfax City?
HMO-POS plans in Fairfax City cost $33.60 per month on average.
Which HMO-POS plan has the most members in Fairfax City?
The most popular HMO-POS plan in Fairfax City is Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS), with 165 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Fairfax City?
There are 0 HMO-POS plans in Fairfax City without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Fairfax City County, VA (2026) 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 | 47% |
| 3 Stars | 17 | 53% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.89 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.