2026 Medicare Advantage Plans in Sussex County, VA
Last update: . Enrollment data updated: May 2, 2026
In Sussex County, VA, there are 31 Medicare Advantage plans available for 2026. Of these, 24 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 Sussex County, VA. Or explore all Medicare Options available in Sussex 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 21
- Average Monthly Premium $14.79/mo
- Total PPO Enrollment 445
- $0 Premium PPO Plans 15
- Average MOOP $7,919
- Top PPO by Enrollment Humana Value Choice H5216-266 (PPO) — 82 enrollees
- PPO Plans Without Drug Coverage 7
What is the total number of PPO plans offered in Sussex?
There are 21 PPO plans in 2026, covering 445 beneficiaries.
How much do PPO plans cost in Sussex?
The average PPO premium in Sussex is $14.79 per month, with 15 plans offering $0 premiums.
What is the most popular PPO plan in Sussex?
Humana Value Choice H5216-266 (PPO) is the top PPO in Sussex, with 82 enrollees.
What is the number of PPO plans without Part D coverage in Sussex?
There are 7 PPO plans in Sussex 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
- 8
- Average Monthly Premium
- $1.95/mo
- Total HMO Enrollment
- 179
- $0 Premium HMO Plans
- 7
- Average MOOP
- $7,194
- Top HMO by Enrollment
- Humana Gold Plus H1036-333 (HMO) — 83 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H1036-333 | $0 | $4,900 | $350 | H1036-333-0 | |
| 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 | |
| DEVOTED CORE 008 VA | $0 | $5,400 | $270 | H6994-008-0 | |
| DEVOTED GIVEBACK 009 VA | $0 | $7,000 | $605 | H6994-009-0 |
What is the average monthly premium for HMO plans?
HMO plans in Sussex cost $1.95 per month on average.
Which HMO plan is most popular in Sussex?
The most popular HMO plan in Sussex is Humana Gold Plus H1036-333 (HMO), with 83 enrollees.
How many HMO plans in Sussex do not include drug coverage?
There are 0 HMO plans in Sussex without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 leading HMO-POS plan in Sussex?
Anthem Medicare Advantage 3 (HMO-POS) is the top HMO-POS in Sussex, with 124 enrollees.
What is the number of HMO-POS plans without Part D coverage in Sussex?
0 HMO-POS plans in Sussex do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Sussex 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) | 11 | 38% |
| 3 Stars | 18 | 62% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 6% |
| Average Rating | 3.83 | |
* 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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.
This page follows data provenance practices aligned with the 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.