- Entity
- county:virginia-falls-church-city-51610
- 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/falls-church-city/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 31
- PPO Plans
- 16
- HMO Plans
- 6
- HMO-POS Plans
- 8
- PFFS Plans
- 1
- Average Monthly Premium
- 25.26
- Average MOOP
- 8450
- Average Part D Deductible
- 481.09
- $0 Premium Plans
- 18
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 4
- $0 Premium Plan Share
- 58.06
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 73
- 3-Star Plan Share
- 27
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 3
- PPO Average Monthly Premium
- 23.44
- PPO Average MOOP
- 8771.88
- PPO Enrollment
- 157
- PPO $0 Premium Plans
- 11
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 9091.67
- HMO Enrollment
- 50
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 45.63
- HMO-POS Average MOOP
- 7150
- HMO-POS Enrollment
- 217
- HMO-POS $0 Premium Plans
- 1
- 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-falls-church-city-51610
- 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/falls-church-city/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-virginia-falls-church-city-51610-landscape-stats
- Plans Indexed
- 31
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC VA-0003
H2001-095-0 -
AARP Medicare Advantage Patriot No Rx VA-MA01
H2001-099-0 -
Humana Essentials Plus Giveback
H7617-100-0 -
Humana USAA Honor Giveback
H7617-101-0 -
Kaiser Permanente Medicare Advantage Care Plus VA
H2172-013-0 -
Kaiser Permanente Medicare Advantage High VA
H2172-008-0 -
Kaiser Permanente Medicare Advantage Liberty
H2172-005-0 -
Kaiser Permanente Medicare Advantage Standard 1 VA
H2172-009-0 -
Kaiser Permanente Medicare Advantage Standard 2 VA
H2172-023-0 -
Kaiser Permanente Medicare Advantage Value 1 VA
H2172-010-0 -
AARP Medicare Advantage from UHC VA-0010
H5253-089-0 -
Aetna Medicare Eagle Giveback
H5521-322-0 -
Aetna Medicare Elite
H5521-650-0 -
Humana Direct Choice Giveback
H5216-406-0 -
Humana Essentials Plus Giveback
H5216-308-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
Humana Gold Plus H5619-047
H5619-047-0 -
Humana Gold Plus H6622-085
H6622-085-0 -
Humana USAA Honor Giveback
H5216-310-0 -
HumanaChoice H5216-027
H5216-027-0 -
HumanaChoice H5216-152
H5216-152-0 -
HumanaChoice H5216-363
H5216-363-0 -
Aetna Medicare Elite
H3931-190-0 -
Aetna Medicare Elite Extra
H3931-143-0 -
Aetna Medicare Prime Elite
H3931-198-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
Anthem Medicare Advantage
H4909-014-0 -
Anthem Medicare Advantage 3
H3447-051-0 -
Johns Hopkins Advantage MD Select
H1339-001-0
-
AARP Medicare Advantage from UHC VA-0003
- Total Standard Medicare Advantage Enrollment
- 424
2027 Medicare Advantage Plans in Falls Church City County, VA
Last update: .
In Falls Church City County, VA, there are 31 Medicare Advantage plans available for 2027. Of these, 18 offer a $0 monthly premium, and about 73% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Falls Church City?
Falls Church City County has 16 PPO plans for 2027, with 157 enrolled.
How much do PPO plans cost in Falls Church City?
The typical PPO premium in Falls Church City is $23.44, and 11 plans have no monthly premium.
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
- 6
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 50
- $0 Premium HMO Plans
- 6
- Average MOOP
- $9,092
- Top HMO by Enrollment
- Humana Gold Plus H5619-047 (HMO) — 25 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 H5619-047 | $0 | $9,850 | $700 | H5619-047-0 | |
| Humana Gold Plus H6622-085 | $0 | $9,850 | $400 | H6622-085-0 | |
| Aetna Medicare Elite Extra | $0 | $9,850 | $700 | H3931-143-0 | |
| Aetna Medicare Prime Elite | $0 | $9,850 | $700 | H3931-198-0 | |
| 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 $0.00 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 25 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 requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 8
- Average Monthly Premium $45.63/mo
- Total HMO-POS Enrollment 217
- $0 Premium HMO-POS Plans 1
- Average MOOP $7,150
- Top HMO-POS by Enrollment Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) — 93 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Medicare Advantage Care Plus VA | $30 | $6,900 | $0 | H2172-013-0 | |
| Kaiser Permanente Medicare Advantage High VA | $145 | $6,200 | $0 | H2172-008-0 | |
| Kaiser Permanente Medicare Advantage Standard 1 VA | $15 | $7,150 | $0 | H2172-009-0 | |
| Kaiser Permanente Medicare Advantage Standard 2 VA | $25 | $7,400 | $0 | H2172-023-0 | |
| Kaiser Permanente Medicare Advantage Value 1 VA | $0 | $7,900 | $0 | H2172-010-0 | |
| AARP Medicare Advantage from UHC VA-0010 | $51 | $7,150 | $685 | H5253-089-0 | |
| Aetna Medicare Elite | $70 | $8,200 | $700 | H3931-190-0 | |
| Anthem Medicare Advantage 3 | $29 | $6,300 | $395 | H3447-051-0 |
What is the total number of HMO-POS plans in Falls Church City?
There are 8 HMO-POS plans in 2027, covering 217 enrollees.
How much do HMO-POS plans cost in Falls Church City?
The average HMO-POS premium in Falls Church City is $45.63 per month, with 1 plans offering $0 premiums.
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 93 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
- $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
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $43 | $9,850 | $700 | H8145-004-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Falls Church City cost $43.00 per month on average.
Which PFFS plan is most popular in Falls Church City?
The most popular PFFS plan in Falls Church City is , with 0 enrollees.
How many PFFS plans in Falls Church City do not include drug coverage?
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 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 22 | 73% |
| 3 Stars | 8 | 27% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 4 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Falls Church City County, Virginia, including communities such as Falls Church, 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: 2026-09
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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 documentation is maintained in alignment 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.