2026 Medicare Advantage Plans in Gloucester County, VA
Last update: . Enrollment data updated: May 2, 2026
In Gloucester County, VA, there are 34 Medicare Advantage plans available for 2026. Of these, 27 offer a $0 monthly premium, and about 35% 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 Gloucester County, VA. Or explore all Medicare Options available in Gloucester County, VA.
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 Gloucester?
Gloucester County has 21 PPO plans for 2026, with 1,031 enrolled.
How much do PPO plans cost in Gloucester?
The typical PPO premium in Gloucester is $14.12, and 16 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
- 8
- Average Monthly Premium
- $1.95/mo
- Total HMO Enrollment
- 502
- $0 Premium HMO Plans
- 7
- Average MOOP
- $7,956
- Top HMO by Enrollment
- Humana Gold Plus H1036-333 (HMO) — 222 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-334 | $0 | $9,250 | $450 | H1036-334-0 | |
| Humana Gold Plus H1036-333 | $0 | $4,900 | $350 | H1036-333-0 | |
| Humana Gold Plus Giveback H6622-090 | $0 | $9,250 | $450 | H6622-090-0 | |
| Humana Gold Plus H6622-004 | $0 | $4,900 | $350 | H6622-004-0 | |
| 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 H5619-157 | $0 | $9,250 | $350 | H5619-157-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Gloucester cost $1.95 per month on average.
- Which HMO plan is most popular in Gloucester?
- The most popular HMO plan in Gloucester is Humana Gold Plus H1036-333 (HMO), with 222 enrollees.
- How many HMO plans in Gloucester do not include drug coverage?
- There are 0 HMO plans in Gloucester 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 3
- Average Monthly Premium $0.00/mo
- Total HMO-POS Enrollment 995
- $0 Premium HMO-POS Plans 3
- Average MOOP $6,517
- Top HMO-POS by Enrollment Anthem Medicare Advantage (HMO-POS) — 430 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Anthem Medicare Advantage | $0 | $8,550 | $250 | H3447-013-0 | |
| Anthem Medicare Advantage 3 | $0 | $4,250 | $295 | H3447-049-0 | |
| Aetna Medicare Signature Care | $0 | $6,750 | $615 | H3931-100-0 |
What is the total number of HMO-POS plans in Gloucester?
There are 3 HMO-POS plans in 2026, covering 995 enrollees.
How much do HMO-POS plans cost in Gloucester?
The average HMO-POS premium in Gloucester is $0.00 per month, with 3 plans offering $0 premiums.
What is the leading HMO-POS plan in Gloucester?
Anthem Medicare Advantage (HMO-POS) is the top HMO-POS in Gloucester, with 430 enrollees.
What is the number of HMO-POS plans without Part D coverage in Gloucester?
0 HMO-POS plans in Gloucester 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
- 2
- Average Monthly Premium
- $3.50/mo
- Total PFFS Enrollment
- 12
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,725
- Top PFFS by Enrollment
- Humana Gold Choice H8145-004 (PFFS) — 12 enrollees
- PFFS Plans Without Drug Coverage
- 1
| 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 | |
| Humana Gold Choice H8145-042 | $0 | $5,900 | N/A | H8145-042-0 |
What is the average monthly premium for PFFS plans?
PFFS plans in Gloucester cost $3.50 per month on average.
Which PFFS plan is most popular in Gloucester?
The most popular PFFS plan in Gloucester is Humana Gold Choice H8145-004 (PFFS), with 12 enrollees.
How many PFFS plans in Gloucester do not include drug coverage?
There are 1 PFFS plans in Gloucester without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Gloucester 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) | 12 | 35% |
| 3 Stars | 22 | 65% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.81 | |
* 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
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
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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.