- Entity
- county:west-virginia-berkeley-54003
- 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/west-virginia/berkeley/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 35
- PPO Plans
- 26
- HMO Plans
- 5
- HMO-POS Plans
- 3
- PFFS Plans
- 1
- Average Monthly Premium
- 26.43
- Average MOOP
- 7962.86
- Average Part D Deductible
- 522.59
- $0 Premium Plans
- 22
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 62.86
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 35.08
- PPO Average MOOP
- 7790.38
- PPO Enrollment
- 6396
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 2.6
- HMO Average MOOP
- 8080
- HMO Enrollment
- 401
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 8633.33
- HMO-POS Enrollment
- 213
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 92
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:west-virginia-berkeley-54003
- 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/west-virginia/berkeley/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-west-virginia-berkeley-54003-landscape-stats
- Plans Indexed
- 35
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC WV-0001
H8211-001-0 -
AARP Medicare Advantage from UHC WV-0003
H8211-006-0 -
AARP Medicare Advantage from UHC WV-0004
H8211-011-0 -
AARP Medicare Advantage from UHC WV-6
H4604-034-0 -
AARP Medicare Advantage Patriot No Rx WV-MA01
H8211-005-0 -
AARP Medicare Advantage Patriot No Rx WV-MA2
H4604-036-0 -
Aetna Medicare Advantra Classic Giveback
H1608-031-0 -
Aetna Medicare Advantra Eagle Plus
H1692-006-0 -
Aetna Medicare Advantra Elite
H1692-003-0 -
Aetna Medicare Advantra Signature Giveback
H5521-729-0 -
Aetna Medicare Premier
H5521-728-0 -
Aetna Medicare Premier Classic
H1608-085-0 -
Aetna Medicare Signature
H1692-007-0 -
Complete Blue PPO Distinct
H5106-029-1 -
Complete Blue PPO Signature
H5106-030-1 -
Freedom Blue PPO Standard
H5106-034-1 -
Freedom Blue PPO Valor
H5106-038-0 -
Humana Essentials Plus Giveback
H7617-065-0 -
Humana Full Access
H5216-124-0 -
Humana Gold Choice H8145-052
H8145-052-0 -
Humana Gold Plus H5619-113
H5619-113-0 -
Humana USAA Honor Giveback
H5216-442-0 -
Humana USAA Honor Giveback
H5216-225-0 -
Humana Value Choice
H5216-327-0 -
HumanaChoice Giveback H5216-328
H5216-328-0 -
HumanaChoice H5216-019
H5216-019-0 -
HumanaChoice H5216-425
H5216-425-0 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Peak Advantage Summit
H8947-002-4 -
Peak Advantage Vista
H8947-001-4 -
The Health Plan SecureCare - Option II
H3672-020-0 -
The Health Plan SecureCare Integrity Plan 1
H3672-021-0 -
The Health Plan SecureChoice Optimum
H8604-014-2 -
The Health Plan SecureChoice Reliance
H8604-015-0
-
AARP Medicare Advantage from UHC WV-0001
- Total Standard Medicare Advantage Enrollment
- 7102
2027 Medicare Advantage Plans in Berkeley County, WV
Last update: .
In Berkeley County, WV, there are 35 Medicare Advantage plans available for 2027. Of these, 22 offer a $0 monthly premium, and about (2027 Star Ratings Coming Soon) 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 Berkeley County, WV. Or explore all Medicare Options available in Berkeley County, WV.
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 26
- Average Monthly Premium $35.08/mo
- Total PPO Enrollment 6,396
- $0 Premium PPO Plans 14
- Average MOOP $7,790
- Top PPO by Enrollment Humana Essentials Plus Giveback (PPO) — 807 enrollees
- PPO Plans Without Drug Coverage 5
What is the total number of PPO plans offered in Berkeley?
There are 26 PPO plans in 2027, covering 6,396 beneficiaries.
How much do PPO plans cost in Berkeley?
The average PPO premium in Berkeley is $35.08 per month, with 14 plans offering $0 premiums.
What is the most popular PPO plan in Berkeley?
Humana Essentials Plus Giveback (PPO) is the top PPO in Berkeley, with 807 enrollees.
What is the number of PPO plans without Part D coverage in Berkeley?
There are 5 PPO plans in Berkeley 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
- 5
- Average Monthly Premium
- $2.60/mo
- Total HMO Enrollment
- 401
- $0 Premium HMO Plans
- 4
- Average MOOP
- $8,080
- Top HMO by Enrollment
- Aetna Medicare Signature (HMO) — 165 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Advantra Eagle Plus | $0 | $6,900 | N/A | H1692-006-0 | |
| Aetna Medicare Advantra Elite | $0 | $9,250 | $400 | H1692-003-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $400 | H1692-007-0 | |
| The Health Plan SecureCare - Option II | $13 | $7,500 | $395 | H3672-020-0 | |
| The Health Plan SecureCare Integrity Plan 1 | $0 | $7,500 | N/A | H3672-021-0 |
What is the average monthly premium for HMO plans?
HMO plans in Berkeley cost $2.60 per month on average.
Which HMO plan is most popular in Berkeley?
The most popular HMO plan in Berkeley is Aetna Medicare Signature (HMO), with 165 enrollees.
How many HMO plans in Berkeley do not include drug coverage?
There are 2 HMO plans in Berkeley 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 |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WV-6 | $0 | $8,500 | $685 | H4604-034-0 | |
| AARP Medicare Advantage Patriot No Rx WV-MA2 | $0 | $9,300 | N/A | H4604-036-0 | |
| Humana Gold Plus H5619-113 | $0 | $8,100 | $350 | H5619-113-0 |
What is the leading HMO-POS plan in Berkeley?
Humana Gold Plus H5619-113 (HMO-POS) is the top HMO-POS in Berkeley, with 213 enrollees.
What is the number of HMO-POS plans without Part D coverage in Berkeley?
1 HMO-POS plans in Berkeley 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
- $0.00/mo
- Total PFFS Enrollment
- 92
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $9,850
- Top PFFS by Enrollment
- Humana Gold Choice H8145-052 (PFFS) — 92 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-052 | $0 | $9,850 | $700 | H8145-052-0 |
What is the typical premium for PFFS plans in Berkeley?
PFFS plans in Berkeley cost $0.00 per month on average.
Which PFFS plan has the most enrollment in Berkeley?
The most popular PFFS plan in Berkeley is Humana Gold Choice H8145-052 (PFFS), with 92 enrollees.
How many PFFS options are available without prescription drug coverage in Berkeley?
There are 0 PFFS plans in Berkeley without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Berkeley County, WV for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 4 Stars (includes 5 Stars) | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Below 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Not Rated | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Average Rating | (2027 Star Ratings Coming Soon) | |
* 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: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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.