- Entity
- county:virginia-washington-51191
- 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/washington/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 27
- PPO Plans
- 11
- HMO Plans
- 7
- HMO-POS Plans
- 8
- PFFS Plans
- 1
- Average Monthly Premium
- 21.67
- Average MOOP
- 6350.93
- Average Part D Deductible
- 576.71
- $0 Premium Plans
- 18
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.77
- $0 Premium Plan Share
- 66.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 67
- 3-Star Plan Share
- 33
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 11
- PPO Average Monthly Premium
- 32.18
- PPO Average MOOP
- 7750
- PPO Enrollment
- 443
- PPO $0 Premium Plans
- 6
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 21.14
- HMO Average MOOP
- 4885.71
- HMO Enrollment
- 2707
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 6.88
- HMO-POS Average MOOP
- 5690.63
- HMO-POS Enrollment
- 2779
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 28
- PFFS Average MOOP
- 6500
- PFFS Enrollment
- 58
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:virginia-washington-51191
- 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/washington/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-virginia-washington-51191-landscape-stats
- Plans Indexed
- 27
- Standard Medicare Advantage Plans
-
-
UHC Medicare Advantage TC-0001
H2001-104-0 -
AARP Medicare Advantage Essentials from UHC TC-2
H5253-047-0 -
AARP Medicare Advantage Extras from UHC TC-7
H5253-255-0 -
AARP Medicare Advantage from UHC TC-0003
H5253-048-0 -
AARP Medicare Advantage Giveback from UHC TC-4
H5253-121-0 -
AARP Medicare Advantage Patriot No Rx TC-MA01
H5253-113-0 -
Aetna Medicare Eagle Giveback
H5521-322-0 -
Aetna Medicare Enhanced
H5521-084-0 -
Aetna Medicare Premier
H5521-652-0 -
Humana Gold Choice H8145-091
H8145-091-0 -
Humana Gold Plus H5619-090
H5619-090-0 -
Humana Gold Plus H5619-091
H5619-091-0 -
Humana Gold Plus H5619-095
H5619-095-0 -
Humana USAA Honor Giveback
H5619-151-0 -
HumanaChoice H5216-100
H5216-100-0 -
HumanaChoice H5216-271
H5216-271-0 -
Aetna Medicare Signature
H3931-101-0 -
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 2
H3447-025-0 -
Anthem Medicare Advantage 3
H3447-052-0 -
Anthem Veteran
H4909-020-0 -
DEVOTED CORE 001 VA
H6994-001-0 -
DEVOTED GIVEBACK 002 VA
H6994-002-0 -
DEVOTED GIVEBACK EXTRAS 029 VA
H6994-029-0
-
UHC Medicare Advantage TC-0001
- Total Standard Medicare Advantage Enrollment
- 5987
2027 Medicare Advantage Plans in Washington County, VA
Last update: .
For 2027, Washington County, VA includes 27 Medicare Advantage plans. Enrollment across these plans totals approximately 5,987, with 18 $0 premium options and 67% 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
- 11
- Average Monthly Premium
- $32.18/mo
- Total PPO Enrollment
- 443
- $0 Premium PPO Plans
- 6
- Average MOOP
- $7,750
- Top PPO by Enrollment
- HumanaChoice H5216-271 (PPO) — 204 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| UHC Medicare Advantage TC-0001 | $0 | $7,150 | $685 | H2001-104-0 | |
| Aetna Medicare Eagle Giveback | $0 | $6,750 | N/A | H5521-322-0 | |
| Aetna Medicare Enhanced | $41 | $6,900 | $700 | H5521-084-0 | |
| Aetna Medicare Premier | $79 | $6,750 | $700 | H5521-652-0 | |
| HumanaChoice H5216-100 | $46 | $6,500 | $700 | H5216-100-0 | |
| HumanaChoice H5216-271 | $0 | $5,900 | $700 | H5216-271-0 | |
| Humana Full Access | $158 | $9,850 | $700 | R0110-005-0 | |
| Humana USAA Honor Giveback | $0 | $9,850 | N/A | R0110-006-0 | |
| HumanaChoice R0110-004 | $0 | $9,850 | N/A | R0110-004-0 | |
| Anthem Medicare Advantage | $30 | $8,950 | $250 | H4909-014-0 | |
| Anthem Veteran | $0 | $6,800 | N/A | H4909-020-0 |
What is the average monthly premium for PPO plans in Washington?
PPO plans in Washington cost $32.18 per month on average.
Which PPO plan has the highest enrollment in Washington?
The most popular PPO plan in Washington is HumanaChoice H5216-271 (PPO), with 204 enrollees.
How many PPO plans in Washington do not include prescription drug coverage?
4 PPO plans in Washington 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 7
- Average Monthly Premium $21.14/mo
- Total HMO Enrollment 2,707
- $0 Premium HMO Plans 5
- Average MOOP $4,886
- Top HMO by Enrollment Humana Gold Plus H5619-091 (HMO) — 1,161 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H5619-090 | $106 | $2,250 | $250 | H5619-090-0 | |
| Humana Gold Plus H5619-091 | $42 | $3,100 | $700 | H5619-091-0 | |
| Humana Gold Plus H5619-095 | $0 | $4,450 | $700 | H5619-095-0 | |
| Humana USAA Honor Giveback | $0 | $3,500 | N/A | H5619-151-0 | |
| DEVOTED CORE 001 VA | $0 | $5,900 | $650 | H6994-001-0 | |
| DEVOTED GIVEBACK 002 VA | $0 | $8,200 | $461 | H6994-002-0 | |
| DEVOTED GIVEBACK EXTRAS 029 VA | $0 | $6,800 | $700 | H6994-029-0 |
What is the top HMO by enrollment in Washington?
Humana Gold Plus H5619-091 (HMO) is the top HMO in Washington, with 1,161 enrollees.
What is the number of HMO plans without Part D coverage in Washington?
1 HMO plans in Washington do not include prescription drug coverage.
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
- 8
- Average Monthly Premium
- $6.88/mo
- Total HMO-POS Enrollment
- 2,779
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,691
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC TC-2 (HMO-POS) — 1,616 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC TC-2 | $0 | $4,200 | $595 | H5253-047-0 | |
| AARP Medicare Advantage Extras from UHC TC-7 | $0 | $4,900 | $685 | H5253-255-0 | |
| AARP Medicare Advantage from UHC TC-0003 | $55 | $3,500 | $495 | H5253-048-0 | |
| AARP Medicare Advantage Giveback from UHC TC-4 | $0 | $7,150 | $685 | H5253-121-0 | |
| AARP Medicare Advantage Patriot No Rx TC-MA01 | $0 | $4,450 | N/A | H5253-113-0 | |
| Aetna Medicare Signature | $0 | $7,500 | $700 | H3931-101-0 | |
| Anthem Medicare Advantage 2 | $0 | $9,850 | $300 | H3447-025-0 | |
| Anthem Medicare Advantage 3 | $0 | $3,975 | $55 | H3447-052-0 |
What is the typical premium for HMO-POS plans in Washington?
HMO-POS plans in Washington cost $6.88 per month on average.
Which HMO-POS plan has the most members in Washington?
The most popular HMO-POS plan in Washington is AARP Medicare Advantage Essentials from UHC TC-2 (HMO-POS), with 1,616 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Washington?
There are 1 HMO-POS plans in Washington without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-091 | $28 | $6,500 | $700 | H8145-091-0 |
What is the total number of PFFS plans in Washington?
In 2027, Washington has 1 PFFS plans with 58 enrollees.
How much do PFFS plans cost in Washington?
The typical PFFS premium in Washington is $28.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Washington 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) | 16 | 67% |
| 3 Stars | 8 | 33% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 11% |
| Average Rating | 3.77 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Washington County, Virginia, including communities such as Bristol, Abingdon, Damascus, Glade Spring, Meadowview, 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: 2026-09
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, "Compare Original Medicare & Medicare Advantage" — 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.