- Entity
- county:virginia-falls-church-city-51610
- Digest
- 2026-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
- 4
- HMO-POS Plans
- 10
- PFFS Plans
- 1
- Average Monthly Premium
- 21.94
- Average MOOP
- 7720.97
- Average Part D Deductible
- 388.7
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.88
- $0 Premium Plan Share
- 51.61
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 47
- 3-Star Plan Share
- 53
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 3
- PPO Average Monthly Premium
- 20.09
- PPO Average MOOP
- 8162.5
- PPO Enrollment
- 166
- PPO $0 Premium Plans
- 10
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 3.9
- HMO Average MOOP
- 8412.5
- HMO Enrollment
- 27
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 33.6
- HMO-POS Average MOOP
- 6755
- HMO-POS Enrollment
- 269
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 7
- PFFS Average MOOP
- 7550
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:virginia-falls-church-city-51610
- Digest
- 2026-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 -
Aetna Medicare Eagle Giveback
H5521-322-0 -
Aetna Medicare Elite
H5521-650-0 -
Humana Essentials Plus Giveback H7617-100
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 -
AARP Medicare Advantage from UHC VA-0014
H5253-120-0 -
Anthem Medicare Advantage
H4909-014-0 -
Anthem Medicare Advantage 3
H3447-051-0 -
Humana Direct Choice Giveback
H5216-406-0 -
Humana Essentials Plus Giveback H5216-308
H5216-308-0 -
Humana Full Access R0110-005
R0110-005-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
Humana Gold Plus H6622-085
H6622-085-0 -
Humana USAA Honor Giveback
R0110-006-0 -
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 -
HumanaChoice R0110-004
R0110-004-0 -
Aetna Medicare Elite
H3931-143-0 -
Aetna Medicare Elite
H3931-190-0 -
Humana Gold Plus H5619-047
H5619-047-0 -
Johns Hopkins Advantage MD Select
H1339-001-0
-
AARP Medicare Advantage from UHC VA-0003
- Total Standard Medicare Advantage Enrollment
- 462
2026 Medicare Advantage Plans in Falls Church City County, VA
Last update: .
For 2026, Falls Church City County, VA includes 31 Medicare Advantage plans. Enrollment across these plans totals approximately 462, with 16 $0 premium options and 47% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Falls Church City County, VA are provided separately. Or you can discover all Medicare Options in Falls Church City County, VA.
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
- 16
- Average Monthly Premium
- $20.09/mo
- Total PPO Enrollment
- 166
- $0 Premium PPO Plans
- 10
- Average MOOP
- $8,163
- Top PPO by Enrollment
- Humana Essentials Plus Giveback H7617-100 (PPO) — 69 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the typical premium for PPO plans available in Falls Church City?
PPO plans in Falls Church City cost $20.09 per month on average.
Which PPO plan do most beneficiaries choose in Falls Church City?
The most popular PPO plan in Falls Church City is Humana Essentials Plus Giveback H7617-100 (PPO), with 69 enrollees.
How many PPO options are offered without drug coverage in Falls Church City?
7 PPO plans in Falls Church 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 4
- Average Monthly Premium $3.90/mo
- Total HMO Enrollment 27
- $0 Premium HMO Plans 3
- Average MOOP $8,413
- Top HMO by Enrollment Humana Gold Plus H5619-047 (HMO) — 27 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 H6622-085 | $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 total number of HMO plans offered in Falls Church City?
In 2026, Falls Church City County has 4 HMO plans with 27 enrollees.
How much do HMO plans cost in Falls Church City?
The typical HMO premium in Falls Church City is $3.90, and 3 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
- 10
- Average Monthly Premium
- $33.60/mo
- Total HMO-POS Enrollment
- 269
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $6,755
- Top HMO-POS by Enrollment
- Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) — 93 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Falls Church City cost $33.60 per month on average.
- Which HMO-POS plan is most popular in Falls Church City?
- The most popular HMO-POS plan in Falls Church City is Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS), with 93 enrollees.
- How many HMO-POS plans in Falls Church City do not include drug coverage?
- There are 0 HMO-POS plans in Falls Church City 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 $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
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $7 | $7,550 | $615 | H8145-004-0 |
What is the total number of PFFS plans in Falls Church City?
There are 1 PFFS plans in 2026, covering 0 enrollees.
How much do PFFS plans cost in Falls Church City?
The average PFFS premium in Falls Church City is $7.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Falls Church City?
is the top PFFS in Falls Church City, with 0 enrollees.
What is the number of PFFS plans without Part D coverage in Falls Church City?
0 PFFS plans in Falls Church City do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Falls Church 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) | 14 | 47% |
| 3 Stars | 16 | 53% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.88 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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.