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  1. 🏠
  2. Medicare Advantage Plans
  3. Virginia
  4. Poquoson City County

2026 Medicare Advantage Plans in Poquoson City County, VA

Last update: May 3, 2026. Enrollment data updated: May 2, 2026

Poquoson City County, VA has 34 Medicare Advantage plans available in 2026. These include 25 plans with no monthly premium, and roughly 44% 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 Poquoson City County, VA. Or explore all Medicare Options available in Poquoson City County, VA.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

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

Average Monthly Premium: $18.18/mo
$0 Premium Plans: 25
Average MOOP: $7,347 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 44% · 3 Stars: 56% · Below 3: 0%
Average Part D Deductible: $464.62
Total MA/MAPD Enrollment: 438
Plans with the Highest Enrollment
(as of May 2, 2026)
1. Humana Gold Plus H1036-333 (HMO) — 78 enrollees
2. AARP Medicare Advantage from UHC VA-0008 (HMO-POS) — 73 enrollees
3. Anthem Medicare Advantage 3 (HMO-POS) — 64 enrollees

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 22
  • Average Monthly Premium $25.80/mo
  • Total PPO Enrollment 131
  • $0 Premium PPO Plans 15
  • Average MOOP $7,555
  • Top PPO by Enrollment AARP Medicare Advantage from UHC VA-0004 (PPO) — 41 enrollees
  • PPO Plans Without Drug Coverage 8

Comparison table of 2026 PPO Medicare Advantage Plans available in Poquoson City County, Virginia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage Access from UHC VA-20
☆☆☆☆☆
$255 $3,000 $600 H2001-115-0
AARP Medicare Advantage from UHC VA-0004
☆☆☆☆☆
$0 $6,700 $440 H2001-096-0
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
Anthem Medicare Advantage 2
☆☆☆☆☆
$16 $8,950 $215 H4909-026-0
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 most popular PPO plan in Poquoson City?

AARP Medicare Advantage from UHC VA-0004 (PPO) is the top PPO in Poquoson City, with 41 enrollees.

What is the number of PPO plans without Part D coverage in Poquoson City?

There are 8 PPO plans in Poquoson City 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
7
Average Monthly Premium
$2.23/mo
Total HMO Enrollment
138
$0 Premium HMO Plans
6
Average MOOP
$7,771
Top HMO by Enrollment
Humana Gold Plus H1036-333 (HMO) — 78 enrollees
HMO Plans Without Drug Coverage
0

Comparison table of 2026 HMO Medicare Advantage Plans available in Poquoson City County, Virginia
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

What is the typical premium for HMO plans in Poquoson City?

HMO plans in Poquoson City cost $2.23 per month on average.

Which HMO plan do most beneficiaries choose in Poquoson City?

The most popular HMO plan in Poquoson City is Humana Gold Plus H1036-333 (HMO), with 78 enrollees.

How many HMO options are offered without prescription drug coverage in Poquoson City?

There are 0 HMO plans in Poquoson City 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 5
  • Average Monthly Premium $7.00/mo
  • Total HMO-POS Enrollment 169
  • $0 Premium HMO-POS Plans 4
  • Average MOOP $5,840
  • Top HMO-POS by Enrollment AARP Medicare Advantage from UHC VA-0008 (HMO-POS) — 73 enrollees
  • HMO-POS Plans Without Drug Coverage 0

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Poquoson City County, Virginia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC VA-0008
☆☆☆☆☆
$0 $5,400 $355 H5253-087-0
AARP Medicare Advantage from UHC VA-0009
☆☆☆☆☆
$35 $3,900 $355 H5253-088-0
AARP Medicare Advantage Giveback from UHC VA-13
☆☆☆☆☆
$0 $8,900 $600 H5253-119-0
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 Poquoson City?

In 2026, Poquoson City has 5 HMO-POS plans with 169 enrollees.

How much do HMO-POS plans cost in Poquoson City?

The typical HMO-POS premium in Poquoson City is $7.00, and 4 plans have no monthly premium.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Poquoson City County, VA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Poquoson City County, VA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 15 44%
3 Stars 19 56%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.88

* 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

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

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 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.

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