2026 Medicare Advantage Plans in Lexington City County, VA
Last update: . Enrollment data updated: May 2, 2026
For 2026, Lexington City County, VA includes 27 Medicare Advantage plans. Enrollment across these plans totals approximately 357, with 20 $0 premium options and 44% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Lexington City County, VA are summarized separately. Visit Medicare Options in Lexington City County, VA to see more options.
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
- 19
- Average Monthly Premium
- $22.71/mo
- Total PPO Enrollment
- 170
- $0 Premium PPO Plans
- 14
- Average MOOP
- $7,821
- Top PPO by Enrollment
- Humana Value Choice H5216-266 (PPO) — 53 enrollees
- PPO Plans Without Drug Coverage
- 7
- What is the average monthly premium for PPO plans in Lexington City?
- PPO plans in Lexington City cost $22.71 per month on average.
- Which PPO plan has the highest enrollment in Lexington City?
- The most popular PPO plan in Lexington City is Humana Value Choice H5216-266 (PPO), with 53 enrollees.
- How many PPO plans in Lexington City do not include prescription drug coverage?
- 7 PPO plans in Lexington City do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| 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 |
What is the total number of HMO plans offered in Lexington City?
There are 3 HMO plans in 2026, covering 0 enrollees.
How much do HMO plans cost in Lexington City?
The average HMO premium in Lexington City is $5.20 per month, with 2 plans offering $0 premiums.
What is the top HMO by enrollment in Lexington City?
is the top HMO in Lexington City, with 0 enrollees.
What is the number of HMO plans without Part D coverage in Lexington City?
0 HMO plans in Lexington City 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
- 5
- Average Monthly Premium
- $7.20/mo
- Total HMO-POS Enrollment
- 187
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $6,775
- Top HMO-POS by Enrollment
- Anthem Medicare Advantage 3 (HMO-POS) — 87 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC VA-0011 | $0 | $5,900 | $440 | H5253-111-1 | |
| AARP Medicare Advantage from UHC VA-0012 | $36 | $5,400 | $355 | H5253-112-1 | |
| AARP Medicare Advantage Giveback from UHC VA-13 | $0 | $8,900 | $600 | H5253-119-0 | |
| Anthem Medicare Advantage 3 | $0 | $4,775 | $275 | H3447-050-0 | |
| Aetna Medicare Signature | $0 | $8,900 | $615 | H3931-101-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Lexington City cost $7.20 per month on average.
Which HMO-POS plan is most popular in Lexington City?
The most popular HMO-POS plan in Lexington City is Anthem Medicare Advantage 3 (HMO-POS), with 87 enrollees.
How many HMO-POS plans in Lexington City do not include drug coverage?
There are 0 HMO-POS plans in Lexington City without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Lexington 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) | 12 | 44% |
| 3 Stars | 15 | 56% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.87 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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 informational resource and has no affiliation with, or endorsement from, 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.