- Entity
- county:virginia-portsmouth-city-51740
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/virginia/portsmouth-city/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 40
- PPO Plans
- 23
- HMO Plans
- 8
- HMO-POS Plans
- 7
- PFFS Plans
- 2
- Average Monthly Premium
- 15.98
- Average MOOP
- 7397.5
- Average Part D Deductible
- 445
- $0 Premium Plans
- 29
- Plans Without Part D Coverage
- 9
- Average CMS Star Rating
- 3.81
- $0 Premium Plan Share
- 72.5
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 38
- 3-Star Plan Share
- 63
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 25.28
- PPO Average MOOP
- 7615.22
- PPO Enrollment
- 1357
- PPO $0 Premium Plans
- 15
- PPO Plans Without Part D Coverage
- 8
- HMO Average Monthly Premium
- 1.95
- HMO Average MOOP
- 7956.25
- HMO Enrollment
- 2107
- HMO $0 Premium Plans
- 7
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 5
- HMO-POS Average MOOP
- 6235.71
- HMO-POS Enrollment
- 2341
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 3.5
- PFFS Average MOOP
- 6725
- PFFS Enrollment
- 15
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 1
- Entity
- county:virginia-portsmouth-city-51740
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/virginia/portsmouth-city/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-virginia-portsmouth-city-51740-landscape-stats
- Plans Indexed
- 40
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage Access from UHC VA-20
H2001-115-0 -
AARP Medicare Advantage from UHC VA-0004
H2001-096-0 -
AARP Medicare Advantage Patriot No Rx VA-MA01
H2001-099-0 -
Aetna Medicare Eagle Giveback
H5521-322-0 -
Aetna Medicare Elite
H5521-395-0 -
Aetna Medicare Enhanced Plus
H5521-084-0 -
Aetna Medicare Premier
H5521-652-0 -
Humana Essentials Plus Giveback H7617-100
H7617-100-0 -
Humana Gold Plus Giveback H1036-334
H1036-334-0 -
Humana Gold Plus H1036-333
H1036-333-0 -
Humana USAA Honor Giveback
H7617-101-0 -
Humana Value Choice H7617-098
H7617-098-0 -
AARP Medicare Advantage from UHC VA-0008
H5253-087-0 -
AARP Medicare Advantage from UHC VA-0009
H5253-088-0 -
AARP Medicare Advantage Giveback from UHC VA-13
H5253-119-0 -
Anthem Medicare Advantage
H3447-013-0 -
Anthem Medicare Advantage
H4909-014-0 -
Anthem Medicare Advantage 2
H4909-026-0 -
Anthem Medicare Advantage 3
H3447-049-0 -
Anthem Medicare Advantage 4
H3447-039-0 -
Anthem Veteran
H4909-020-0 -
Humana Essentials Plus Giveback H5216-308
H5216-308-0 -
Humana Full Access R0110-005
R0110-005-0 -
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 H6622-004
H6622-004-0 -
Humana Gold Plus H6622-083
H6622-083-0 -
Humana Gold Plus H6622-085
H6622-085-0 -
Humana Total Complete H6622-091
H6622-091-0 -
Humana USAA Honor Giveback
H5216-310-0 -
Humana USAA Honor Giveback
R0110-006-0 -
Humana Value Choice H5216-266
H5216-266-0 -
HumanaChoice H5216-144
H5216-144-0 -
HumanaChoice H5216-152
H5216-152-0 -
HumanaChoice H5216-363
H5216-363-0 -
HumanaChoice H5216-408
H5216-408-0 -
HumanaChoice R0110-004
R0110-004-0 -
Aetna Medicare Signature Care
H3931-100-0 -
Humana Gold Plus H5619-157
H5619-157-0
-
AARP Medicare Advantage Access from UHC VA-20
- Total Standard Medicare Advantage Enrollment
- 5820
2026 Medicare Advantage Plans in Portsmouth City County, VA
Last update: .
In Portsmouth City County, VA, there are 40 Medicare Advantage plans available for 2026. Of these, 29 offer a $0 monthly premium, and about 38% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Portsmouth City County, VA. Or explore all Medicare Options available in Portsmouth City County, VA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Portsmouth City?
Portsmouth City County has 23 PPO plans for 2026, with 1,357 enrolled.
How much do PPO plans cost in Portsmouth City?
The typical PPO premium in Portsmouth City is $25.28, and 15 plans have no monthly premium.
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
- 8
- Average Monthly Premium
- $1.95/mo
- Total HMO Enrollment
- 2,107
- $0 Premium HMO Plans
- 7
- Average MOOP
- $7,956
- Top HMO by Enrollment
- Humana Gold Plus H6622-004 (HMO) — 923 enrollees
- HMO Plans Without Drug Coverage
- 0
| 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 | |
| Humana Gold Plus H5619-157 | $0 | $9,250 | $350 | H5619-157-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Portsmouth City cost $1.95 per month on average.
- Which HMO plan is most popular in Portsmouth City?
- The most popular HMO plan in Portsmouth City is Humana Gold Plus H6622-004 (HMO), with 923 enrollees.
- How many HMO plans in Portsmouth City do not include drug coverage?
- There are 0 HMO plans in Portsmouth 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 7
- Average Monthly Premium $5.00/mo
- Total HMO-POS Enrollment 2,341
- $0 Premium HMO-POS Plans 6
- Average MOOP $6,236
- Top HMO-POS by Enrollment Anthem Medicare Advantage 4 (HMO-POS) — 567 enrollees
- HMO-POS Plans Without Drug Coverage 0
| 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 | $0 | $8,550 | $250 | H3447-013-0 | |
| Anthem Medicare Advantage 3 | $0 | $4,250 | $295 | H3447-049-0 | |
| Anthem Medicare Advantage 4 | $0 | $5,900 | $250 | H3447-039-0 | |
| Aetna Medicare Signature Care | $0 | $6,750 | $615 | H3931-100-0 |
What is the total number of HMO-POS plans in Portsmouth City?
There are 7 HMO-POS plans in 2026, covering 2,341 enrollees.
How much do HMO-POS plans cost in Portsmouth City?
The average HMO-POS premium in Portsmouth City is $5.00 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Portsmouth City?
Anthem Medicare Advantage 4 (HMO-POS) is the top HMO-POS in Portsmouth City, with 567 enrollees.
What is the number of HMO-POS plans without Part D coverage in Portsmouth City?
0 HMO-POS plans in Portsmouth City do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 2
- Average Monthly Premium
- $3.50/mo
- Total PFFS Enrollment
- 15
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $6,725
- Top PFFS by Enrollment
- Humana Gold Choice H8145-004 (PFFS) — 15 enrollees
- PFFS Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 average monthly premium for PFFS plans?
PFFS plans in Portsmouth City cost $3.50 per month on average.
Which PFFS plan is most popular in Portsmouth City?
The most popular PFFS plan in Portsmouth City is Humana Gold Choice H8145-004 (PFFS), with 15 enrollees.
How many PFFS plans in Portsmouth City do not include drug coverage?
There are 1 PFFS plans in Portsmouth City without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Portsmouth City 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) | 15 | 38% |
| 3 Stars | 25 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.81 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — 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.