2026 Medicare Advantage Plans in Spotsylvania County, VA
Last update: . Enrollment data updated: May 2, 2026
For 2026, Spotsylvania County, VA includes 32 Medicare Advantage plans. Enrollment across these plans totals approximately 6,490, with 20 $0 premium options and 41% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Spotsylvania County, VA are provided separately. Or you can discover all Medicare Options in Spotsylvania County, VA.
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
- 20
- Average Monthly Premium
- $15.03/mo
- Total PPO Enrollment
- 4,692
- $0 Premium PPO Plans
- 15
- Average MOOP
- $7,935
- Top PPO by Enrollment
- Humana Value Choice H5216-266 (PPO) — 1,469 enrollees
- PPO Plans Without Drug Coverage
- 8
What is the typical premium for PPO plans available in Spotsylvania?
PPO plans in Spotsylvania cost $15.03 per month on average.
Which PPO plan do most beneficiaries choose in Spotsylvania?
The most popular PPO plan in Spotsylvania is Humana Value Choice H5216-266 (PPO), with 1,469 enrollees.
How many PPO options are offered without drug coverage in Spotsylvania?
8 PPO plans in Spotsylvania 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 4
- Average Monthly Premium $3.90/mo
- Total HMO Enrollment 708
- $0 Premium HMO Plans 3
- Average MOOP $8,000
- Top HMO by Enrollment Humana Gold Plus H6622-083 (HMO) — 529 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Kaiser Permanente Medicare Advantage Liberty | $0 | $5,900 | N/A | H2172-005-0 | |
| 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 total number of HMO plans offered in Spotsylvania?
In 2026, Spotsylvania County has 4 HMO plans with 708 enrollees.
How much do HMO plans cost in Spotsylvania?
The typical HMO premium in Spotsylvania is $3.90, and 3 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
- 7
- Average Monthly Premium
- $37.29/mo
- Total HMO-POS Enrollment
- 1,012
- $0 Premium HMO-POS Plans
- 2
- Average MOOP
- $6,921
- Top HMO-POS by Enrollment
- Anthem Medicare Advantage 3 (HMO-POS) — 471 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Kaiser Permanente Medicare Advantage High VA | $137 | $5,700 | $0 | H2172-008-0 | |
| Kaiser Permanente Medicare Advantage Standard 1 VA | $15 | $5,900 | $0 | H2172-009-0 | |
| Kaiser Permanente Medicare Advantage Standard 2 VA | $25 | $5,900 | $0 | H2172-023-0 | |
| Kaiser Permanente Medicare Advantage Value 2 VA | $0 | $7,500 | $0 | H2172-024-0 | |
| Anthem Medicare Advantage 3 | $24 | $6,300 | $250 | H3447-051-0 | |
| Aetna Medicare Elite | $0 | $9,250 | $615 | H3931-143-0 | |
| Aetna Medicare Elite | $60 | $7,900 | $615 | H3931-190-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Spotsylvania cost $37.29 per month on average.
- Which HMO-POS plan is most popular in Spotsylvania?
- The most popular HMO-POS plan in Spotsylvania is Anthem Medicare Advantage 3 (HMO-POS), with 471 enrollees.
- How many HMO-POS plans in Spotsylvania do not include drug coverage?
- There are 0 HMO-POS plans in Spotsylvania 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 1
- Average Monthly Premium $7.00/mo
- Total PFFS Enrollment 78
- $0 Premium PFFS Plans 0
- Average MOOP $7,550
- Top PFFS by Enrollment Humana Gold Choice H8145-004 (PFFS) — 78 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-004 | $7 | $7,550 | $615 | H8145-004-0 |
What is the total number of PFFS plans in Spotsylvania?
There are 1 PFFS plans in 2026, covering 78 enrollees.
How much do PFFS plans cost in Spotsylvania?
The average PFFS premium in Spotsylvania is $7.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Spotsylvania?
Humana Gold Choice H8145-004 (PFFS) is the top PFFS in Spotsylvania, with 78 enrollees.
What is the number of PFFS plans without Part D coverage in Spotsylvania?
0 PFFS plans in Spotsylvania do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Spotsylvania 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) | 13 | 41% |
| 3 Stars | 19 | 59% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.86 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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, "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
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