2026 Medicare Advantage Plans in Falls Church City County, VA
Last update: . Enrollment data updated: May 2, 2026
In Falls Church City County, VA, there are 31 Medicare Advantage plans available for 2026. Of these, 16 offer a $0 monthly premium, and about 47% 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 Falls Church City County, VA. Or explore all Medicare Options available in Falls Church City 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 16
- Average Monthly Premium $20.09/mo
- Total PPO Enrollment 134
- $0 Premium PPO Plans 10
- Average MOOP $8,163
- Top PPO by Enrollment Humana Essentials Plus Giveback H7617-100 (PPO) — 48 enrollees
- PPO Plans Without Drug Coverage 7
What is the total number of PPO plans offered in Falls Church City?
There are 16 PPO plans in 2026, covering 134 beneficiaries.
How much do PPO plans cost in Falls Church City?
The average PPO premium in Falls Church City is $20.09 per month, with 10 plans offering $0 premiums.
What is the most popular PPO plan in Falls Church City?
Humana Essentials Plus Giveback H7617-100 (PPO) is the top PPO in Falls Church City, with 48 enrollees.
What is the number of PPO plans without Part D coverage in Falls Church City?
There are 7 PPO plans in Falls Church City 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
- 23
- $0 Premium HMO Plans
- 3
- Average MOOP
- $8,413
- Top HMO by Enrollment
- Humana Gold Plus H5619-047 (HMO) — 23 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Medicare Advantage Liberty | $0 | $5,900 | N/A | H2172-005-0 | |
| Humana Gold Plus H6622-085 | $16 | $9,250 | $615 | H6622-085-0 | |
| 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 average monthly premium for HMO plans?
HMO plans in Falls Church City cost $3.90 per month on average.
Which HMO plan is most popular in Falls Church City?
The most popular HMO plan in Falls Church City is Humana Gold Plus H5619-047 (HMO), with 23 enrollees.
How many HMO plans in Falls Church City do not include drug coverage?
There are 1 HMO plans in Falls Church City 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 |
|---|---|---|---|---|---|
| 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 leading HMO-POS plan in Falls Church City?
Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) is the top HMO-POS in Falls Church City, with 94 enrollees.
What is the number of HMO-POS plans without Part D coverage in Falls Church City?
0 HMO-POS plans in Falls Church City do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $7.00/mo
- Total PFFS Enrollment
- 0
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $7,550
- Top PFFS by Enrollment
- — 0 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $7 | $7,550 | $615 | H8145-004-0 |
What is the typical premium for PFFS plans in Falls Church City?
PFFS plans in Falls Church City cost $7.00 per month on average.
Which PFFS plan has the most enrollment in Falls Church City?
The most popular PFFS plan in Falls Church City is , with 0 enrollees.
How many PFFS options are available without prescription drug coverage in Falls Church City?
There are 0 PFFS plans in Falls Church City without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Falls Church City 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) | 14 | 47% |
| 3 Stars | 16 | 53% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.88 | |
* 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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