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  1. 🏠
  2. Medicare Advantage Plans
  3. Virginia
  4. Gloucester County

2026 Medicare Advantage Plans in Gloucester County, VA

Last update: September 2, 2026.

For 2026, Gloucester County, VA includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 2,557, with 27 $0 premium options and 35% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Gloucester County, VA are summarized separately. Visit Medicare Options in Gloucester County, VA to see more options.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $9.39/mo
  • $0 Premium Plans: 27
  • Average MOOP: $7,671 ($9,250 max. in 2026)
  • Star Ratings (Plan Mix): 4+ Stars: 35% · 3 Stars: 65% · Below 3: 0%
  • Average Part D Deductible: $470.80
  • Total MA/MAPD Enrollment: 2,557
  • Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Anthem Medicare Advantage (HMO-POS) — 410 enrollees
    2. Anthem Medicare Advantage 3 (HMO-POS) — 341 enrollees
    3. Humana Gold Plus H1036-333 (HMO) — 230 enrollees

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
21
Average Monthly Premium
$14.12/mo
Total PPO Enrollment
1,064
$0 Premium PPO Plans
16
Average MOOP
$7,817
Top PPO by Enrollment
Humana Value Choice H5216-266 (PPO) — 202 enrollees
PPO Plans Without Drug Coverage
8

2026 PPO Medicare Advantage plans in Gloucester County, Virginia (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC VA-0006
☆☆☆☆☆
$0 $8,300 $520 H2001-098-0
AARP Medicare Advantage Patriot No Rx VA-MA01
☆☆☆☆☆
$0 $8,900 N/A H2001-099-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $6,750 N/A H5521-322-0
Aetna Medicare Elite
☆☆☆☆☆
$0 $7,900 $615 H5521-395-0
Aetna Medicare Enhanced Plus
☆☆☆☆☆
$26 $6,500 $615 H5521-084-0
Aetna Medicare Premier
☆☆☆☆☆
$100 $6,750 $615 H5521-652-0
Humana Essentials Plus Giveback H7617-100
☆☆☆☆☆
$0 $9,250 $360 H7617-100-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $8,700 N/A H7617-101-0
Humana Value Choice H7617-098
☆☆☆☆☆
$0 $5,900 $350 H7617-098-0
AARP Medicare Advantage from UHC VA-0018
☆☆☆☆☆
$0 $8,300 $520 H2406-125-0
Anthem Veteran
☆☆☆☆☆
$0 $6,800 N/A H4909-020-0
Humana Essentials Plus Giveback H5216-308
☆☆☆☆☆
$0 $9,250 $390 H5216-308-0
Humana Full Access R0110-005
☆☆☆☆☆
$117 $9,250 $615 R0110-005-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A R0110-006-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $8,700 N/A H5216-310-0
Humana Value Choice H5216-266
☆☆☆☆☆
$0 $5,900 $350 H5216-266-0
HumanaChoice H5216-144
☆☆☆☆☆
$34 $9,250 $615 H5216-144-0
HumanaChoice H5216-152
☆☆☆☆☆
$0 $3,400 N/A H5216-152-0
HumanaChoice H5216-363
☆☆☆☆☆
$20 $9,250 $615 H5216-363-0
HumanaChoice H5216-408
☆☆☆☆☆
$0 $8,850 $450 H5216-408-0
HumanaChoice R0110-004
☆☆☆☆☆
$0 $7,000 N/A R0110-004-0

What is the average monthly premium for PPO plans in Gloucester?

PPO plans in Gloucester cost $14.12 per month on average.

Which PPO plan has the highest enrollment in Gloucester?

The most popular PPO plan in Gloucester is Humana Value Choice H5216-266 (PPO), with 202 enrollees.

How many PPO plans in Gloucester do not include prescription drug coverage?

8 PPO plans in Gloucester 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 8
  • Average Monthly Premium $1.95/mo
  • Total HMO Enrollment 506
  • $0 Premium HMO Plans 7
  • Average MOOP $7,956
  • Top HMO by Enrollment Humana Gold Plus H1036-333 (HMO) — 230 enrollees
  • HMO Plans Without Drug Coverage 0

2026 HMO Medicare Advantage plans in Gloucester County, Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 top HMO by enrollment in Gloucester?

Humana Gold Plus H1036-333 (HMO) is the top HMO in Gloucester, with 230 enrollees.

What is the number of HMO plans without Part D coverage in Gloucester?

0 HMO plans in Gloucester 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
3
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
974
$0 Premium HMO-POS Plans
3
Average MOOP
$6,517
Top HMO-POS by Enrollment
Anthem Medicare Advantage (HMO-POS) — 410 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Gloucester County, Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 typical premium for HMO-POS plans in Gloucester?

HMO-POS plans in Gloucester cost $0.00 per month on average.

Which HMO-POS plan has the most members in Gloucester?

The most popular HMO-POS plan in Gloucester is Anthem Medicare Advantage (HMO-POS), with 410 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Gloucester?

There are 0 HMO-POS plans in Gloucester without prescription drug coverage.

Medicare Advantage PFFS Plans

PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.

Total PFFS Plans
2
Average Monthly Premium
$3.50/mo
Beneficiaries Enrolled
13
$0 Premium PFFS
1
Average MOOP
$6,725
PFFS with the Highest Enrollment
Humana Gold Choice H8145-004 (PFFS) with 13 enrollees
PFFS Without Drug Coverage
1

2026 PFFS Medicare Advantage plans in Gloucester County, Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 total number of PFFS plans in Gloucester?

In 2026, Gloucester has 2 PFFS plans with 13 enrollees.

How much do PFFS plans cost in Gloucester?

The typical PFFS premium in Gloucester is $3.50, and 1 plans have no monthly premium.

CMS quality ratings for Medicare Advantage plans in Gloucester County, VA (2026) are summarized below.

Medicare Advantage Plan Ratings in Gloucester County, VA (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

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

  • 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, "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

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.

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