2026 Medicare Advantage Plans in Madison County, VA
Last update: . Enrollment data updated: August 15, 2026
Madison County, VA has 25 Medicare Advantage plans available in 2026. These include 18 plans with no monthly premium, and roughly 40% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Madison County, VA. Or explore all Medicare Options available in Madison County, VA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 20
- Average Monthly Premium $13.83/mo
- Total PPO Enrollment 717
- $0 Premium PPO Plans 15
- Average MOOP $8,073
- Top PPO by Enrollment Humana Value Choice H5216-266 (PPO) — 136 enrollees
- PPO Plans Without Drug Coverage 7
What is the most popular PPO plan in Madison?
Humana Value Choice H5216-266 (PPO) is the top PPO in Madison, with 136 enrollees.
What is the number of PPO plans without Part D coverage in Madison?
There are 7 PPO plans in Madison without prescription drug coverage.
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
- 3
- Average Monthly Premium
- $5.20/mo
- Total HMO Enrollment
- 70
- $0 Premium HMO Plans
- 2
- Average MOOP
- $8,700
- Top HMO by Enrollment
- Humana Gold Plus H6622-083 (HMO) — 33 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 typical premium for HMO plans in Madison?
HMO plans in Madison cost $5.20 per month on average.
Which HMO plan do most beneficiaries choose in Madison?
The most popular HMO plan in Madison is Humana Gold Plus H6622-083 (HMO), with 33 enrollees.
How many HMO options are offered without prescription drug coverage in Madison?
There are 0 HMO plans in Madison 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 2
- Average Monthly Premium $12.00/mo
- Total HMO-POS Enrollment 79
- $0 Premium HMO-POS Plans 1
- Average MOOP $7,600
- Top HMO-POS by Enrollment Anthem Medicare Advantage 3 (HMO-POS) — 56 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 3 | $24 | $6,300 | $250 | H3447-051-0 | |
| Aetna Medicare Signature | $0 | $8,900 | $615 | H3931-101-0 |
What is the total number of HMO-POS plans in Madison?
In 2026, Madison has 2 HMO-POS plans with 79 enrollees.
How much do HMO-POS plans cost in Madison?
The typical HMO-POS premium in Madison is $12.00, and 1 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Madison 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) | 10 | 40% |
| 3 Stars | 15 | 60% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.86 | |
* 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 August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — 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.