- Entity
- county:virginia-middlesex-51119
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/virginia/middlesex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 32
- PPO Plans
- 21
- HMO Plans
- 6
- HMO-POS Plans
- 3
- PFFS Plans
- 2
- Average Monthly Premium
- 12.78
- Average MOOP
- 8876.56
- Average Part D Deductible
- 571.46
- $0 Premium Plans
- 26
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.92
- $0 Premium Plan Share
- 81.25
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 75
- 3-Star Plan Share
- 25
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 17.43
- PPO Average MOOP
- 8740.48
- PPO Enrollment
- 516
- PPO $0 Premium Plans
- 16
- PPO Plans Without Part D Coverage
- 7
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 9850
- HMO Enrollment
- 94
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 7233.33
- HMO-POS Enrollment
- 377
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 21.5
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 18
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:virginia-middlesex-51119
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/virginia/middlesex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-virginia-middlesex-51119-landscape-stats
- Plans Indexed
- 32
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage Essentials from UHC VA-6
H2001-098-0 -
AARP Medicare Advantage Patriot No Rx VA-MA01
H2001-099-0 -
Humana Essentials Plus Giveback
H7617-100-0 -
Humana Gold Plus Giveback H1036-334
H1036-334-0 -
Humana USAA Honor Giveback
H7617-101-0 -
Humana Value Choice
H7617-098-0 -
HumanaChoice H7617-125
H7617-125-0 -
AARP Medicare Advantage Extras from UHC VA-18
H2406-125-0 -
Aetna Medicare Eagle Giveback
H5521-322-0 -
Aetna Medicare Elite
H5521-395-0 -
Aetna Medicare Enhanced
H5521-084-0 -
Aetna Medicare Premier
H5521-652-0 -
Humana Essentials Plus Giveback
H5216-308-0 -
Humana Gold Choice H8145-004
H8145-004-0 -
Humana Gold Choice H8145-042
H8145-042-0 -
Humana Gold Plus Giveback H6622-090
H6622-090-0 -
Humana Gold Plus H5619-157
H5619-157-0 -
Humana Gold Plus H6622-085
H6622-085-0 -
Humana Total Complete
H6622-083-0 -
Humana Total Complete
H6622-091-0 -
Humana USAA Honor Giveback
H5216-310-0 -
Humana Value Choice
H5216-266-0 -
HumanaChoice H5216-363
H5216-363-0 -
HumanaChoice H5216-408
H5216-408-0 -
Aetna Medicare Signature Plus
H3931-100-0 -
Humana Full Access
R0110-005-0 -
Humana USAA Honor Giveback
R0110-006-0 -
HumanaChoice R0110-004
R0110-004-0 -
Anthem Medicare Advantage
H4909-014-0 -
Anthem Medicare Advantage
H3447-013-0 -
Anthem Medicare Advantage 3
H3447-049-0 -
Anthem Veteran
H4909-020-0
-
AARP Medicare Advantage Essentials from UHC VA-6
- Total Standard Medicare Advantage Enrollment
- 1005
2027 Medicare Advantage Plans in Middlesex County, VA
Last update: .
For 2027, Middlesex County, VA includes 32 Medicare Advantage plans. Enrollment across these plans totals approximately 1,005, with 26 $0 premium options and 75% rated 4 stars or higher.
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
- $17.43/mo
- Total PPO Enrollment
- 516
- $0 Premium PPO Plans
- 16
- Average MOOP
- $8,740
- Top PPO by Enrollment
- Humana Value Choice (PPO) — 106 enrollees
- PPO Plans Without Drug Coverage
- 7
What is the typical premium for PPO plans available in Middlesex?
PPO plans in Middlesex cost $17.43 per month on average.
Which PPO plan do most beneficiaries choose in Middlesex?
The most popular PPO plan in Middlesex is Humana Value Choice (PPO), with 106 enrollees.
How many PPO options are offered without drug coverage in Middlesex?
7 PPO plans in Middlesex 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 6
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 94
- $0 Premium HMO Plans 6
- Average MOOP $9,850
- Top HMO by Enrollment Humana Gold Plus Giveback H1036-334 (HMO) — 35 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H1036-334 | $0 | $9,850 | $700 | H1036-334-0 | |
| Humana Gold Plus Giveback H6622-090 | $0 | $9,850 | $700 | H6622-090-0 | |
| Humana Gold Plus H5619-157 | $0 | $9,850 | $450 | H5619-157-0 | |
| Humana Gold Plus H6622-085 | $0 | $9,850 | $400 | H6622-085-0 | |
| Humana Total Complete | $0 | $9,850 | $450 | H6622-083-0 | |
| Humana Total Complete | $0 | $9,850 | $700 | H6622-091-0 |
What is the total number of HMO plans offered in Middlesex?
In 2027, Middlesex County has 6 HMO plans with 94 enrollees.
How much do HMO plans cost in Middlesex?
The typical HMO premium in Middlesex is $0.00, and 6 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
- 3
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 377
- $0 Premium HMO-POS Plans
- 3
- Average MOOP
- $7,233
- Top HMO-POS by Enrollment
- Anthem Medicare Advantage (HMO-POS) — 152 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Signature Plus | $0 | $7,150 | $400 | H3931-100-0 | |
| Anthem Medicare Advantage | $0 | $8,650 | $250 | H3447-013-0 | |
| Anthem Medicare Advantage 3 | $0 | $5,900 | $395 | H3447-049-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Middlesex cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Middlesex?
- The most popular HMO-POS plan in Middlesex is Anthem Medicare Advantage (HMO-POS), with 152 enrollees.
- How many HMO-POS plans in Middlesex do not include drug coverage?
- There are 0 HMO-POS plans in Middlesex 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 2
- Average Monthly Premium $21.50/mo
- Total PFFS Enrollment 18
- $0 Premium PFFS Plans 1
- Average MOOP $9,850
- Top PFFS by Enrollment Humana Gold Choice H8145-004 (PFFS) — 18 enrollees
- PFFS Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $43 | $9,850 | $700 | H8145-004-0 | |
| Humana Gold Choice H8145-042 | $0 | $9,850 | N/A | H8145-042-0 |
What is the total number of PFFS plans in Middlesex?
There are 2 PFFS plans in 2027, covering 18 enrollees.
How much do PFFS plans cost in Middlesex?
The average PFFS premium in Middlesex is $21.50 per month, with 1 plans offering $0 premiums.
What is the top PFFS plan in Middlesex?
Humana Gold Choice H8145-004 (PFFS) is the top PFFS in Middlesex, with 18 enrollees.
What is the number of PFFS plans without Part D coverage in Middlesex?
1 PFFS plans in Middlesex do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Middlesex County, VA (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 24 | 75% |
| 3 Stars | 8 | 25% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.92 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Middlesex County, Virginia, including communities such as Deltaville, Hartfield, Saluda, Urbanna, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
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.