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  1. 🏠
  2. Medicare Advantage Plans
  3. Virginia
  4. Wise County

2026 Medicare Advantage Plans in Wise County, VA

Last update: September 1, 2026.

In Wise County, VA, there are 25 Medicare Advantage plans available for 2026. Of these, 17 offer a $0 monthly premium, and about 35% 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 Wise County, VA. Or explore all Medicare Options available in Wise County, VA.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

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

Average Monthly Premium
$13.24/mo
Plans with $0 Premium
17
Average MOOP Limit
$6,134 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 35% · 3 Stars: 65% · Below 3: 0%
Average Part D Deductible
$502.89
Total MA/MAPD Enrollment
4,642
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Humana Gold Plus H5619-091 (HMO) — 1,037 enrollees
2. AARP Medicare Advantage from UHC TC-0002 (HMO-POS) — 911 enrollees
3. Humana Gold Plus H5619-090 (HMO) — 864 enrollees

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.

Total PPO Plans
11
Average Monthly Premium
$17.27/mo
Total PPO Enrollment
228
$0 Premium PPO Plans
7
Average MOOP
$7,500
Top PPO by Enrollment
HumanaChoice H5216-271 (PPO) — 122 enrollees
PPO Plans Without Drug Coverage
4

PPO Medicare Advantage plan comparison – Wise County, Virginia, 2026
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $6,750 N/A H5521-322-0
Aetna Medicare Enhanced Plus
☆☆☆☆☆
$26 $6,500 $615 H5521-084-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $8,900 $615 H5521-484-0
UHC Medicare Advantage TC-0001
☆☆☆☆☆
$0 $6,700 $440 H2001-104-0
Anthem Medicare Advantage
☆☆☆☆☆
$14 $8,950 $250 H4909-014-0
Anthem Veteran
☆☆☆☆☆
$0 $6,800 N/A H4909-020-0
Humana Full Access R0110-005
☆☆☆☆☆
$117 $9,250 $615 R0110-005-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A R0110-006-0
HumanaChoice H5216-100
☆☆☆☆☆
$33 $6,500 $615 H5216-100-0
HumanaChoice H5216-271
☆☆☆☆☆
$0 $5,900 $590 H5216-271-0
HumanaChoice R0110-004
☆☆☆☆☆
$0 $7,000 N/A R0110-004-0
What is the total number of PPO plans offered in Wise?

Wise County has 11 PPO plans for 2026, with 228 enrolled.

How much do PPO plans cost in Wise?

The typical PPO premium in Wise is $17.27, and 7 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
6
Average Monthly Premium
$14.00/mo
Total HMO Enrollment
2,523
$0 Premium HMO Plans
4
Average MOOP
$3,967
Top HMO by Enrollment
Humana Gold Plus H5619-091 (HMO) — 1,037 enrollees
HMO Plans Without Drug Coverage
1

HMO Medicare Advantage plan comparison – Wise County, Virginia, 2026
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Plus H5619-090
☆☆☆☆☆
$74 $1,800 $615 H5619-090-0
Humana Gold Plus H5619-091
☆☆☆☆☆
$10 $2,600 $615 H5619-091-0
Humana Gold Plus H5619-095
☆☆☆☆☆
$0 $3,500 $590 H5619-095-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $3,000 N/A H5619-151-0
DEVOTED CORE 001 VA
☆☆☆☆☆
$0 $5,900 $330 H6994-001-0
DEVOTED GIVEBACK 002 VA
☆☆☆☆☆
$0 $7,000 $605 H6994-002-0
What is the average monthly premium for HMO plans?
HMO plans in Wise cost $14.00 per month on average.
Which HMO plan is most popular in Wise?
The most popular HMO plan in Wise is Humana Gold Plus H5619-091 (HMO), with 1,037 enrollees.
How many HMO plans in Wise do not include drug coverage?
There are 1 HMO plans in Wise 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 $6.00/mo
  • Total HMO-POS Enrollment 1,870
  • $0 Premium HMO-POS Plans 6
  • Average MOOP $5,793
  • Top HMO-POS by Enrollment AARP Medicare Advantage from UHC TC-0002 (HMO-POS) — 911 enrollees
  • HMO-POS Plans Without Drug Coverage 1

HMO-POS Medicare Advantage plan comparison – Wise County, Virginia, 2026
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC TC-0002
☆☆☆☆☆
$0 $4,200 $355 H5253-047-0
AARP Medicare Advantage from UHC TC-0003
☆☆☆☆☆
$42 $3,500 $355 H5253-048-0
AARP Medicare Advantage Giveback from UHC TC-4
☆☆☆☆☆
$0 $6,700 $600 H5253-121-0
AARP Medicare Advantage Patriot No Rx TC-MA01
☆☆☆☆☆
$0 $3,900 N/A H5253-113-0
Anthem Medicare Advantage 2
☆☆☆☆☆
$0 $8,450 $300 H3447-025-0
Anthem Medicare Advantage 3
☆☆☆☆☆
$0 $4,900 $220 H3447-052-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $8,900 $615 H3931-101-0
What is the total number of HMO-POS plans in Wise?

There are 7 HMO-POS plans in 2026, covering 1,870 enrollees.

How much do HMO-POS plans cost in Wise?

The average HMO-POS premium in Wise is $6.00 per month, with 6 plans offering $0 premiums.

What is the leading HMO-POS plan in Wise?

AARP Medicare Advantage from UHC TC-0002 (HMO-POS) is the top HMO-POS in Wise, with 911 enrollees.

What is the number of HMO-POS plans without Part D coverage in Wise?

1 HMO-POS plans in Wise 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
1
Average Monthly Premium
$15.00/mo
Total PFFS Enrollment
21
$0 Premium PFFS Plans
0
Average MOOP
$6,500
Top PFFS by Enrollment
Humana Gold Choice H8145-091 (PFFS) — 21 enrollees
PFFS Plans Without Drug Coverage
0

PFFS Medicare Advantage plan comparison – Wise County, Virginia, 2026
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Choice H8145-091
☆☆☆☆☆
$15 $6,500 $615 H8145-091-0

What is the average monthly premium for PFFS plans?

PFFS plans in Wise cost $15.00 per month on average.

Which PFFS plan is most popular in Wise?

The most popular PFFS plan in Wise is Humana Gold Choice H8145-091 (PFFS), with 21 enrollees.

How many PFFS plans in Wise do not include drug coverage?

There are 0 PFFS plans in Wise without prescription drug coverage.

The table below shows CMS star ratings for Medicare Advantage plans in Wise County, VA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Wise County, VA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 8 35%
3 Stars 15 65%
Below 3 Stars 0 0%
Not Rated 2 8%
Average Rating 3.65

* 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.

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