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2026 Medicare Advantage Plans in Gilmer County, WV

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In Gilmer County, WV, there are 31 Medicare Advantage plans available for 2026. Of these, 21 offer a $0 monthly premium, and about 3% 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 Gilmer County, WV. Or explore all Medicare Options available in Gilmer County, WV.

At a Glance

Average Monthly Premium
$22.39/mo
Plans with $0 Premium
21
Average MOOP Limit
$7,019 ($9,250 max. in 2026)
Star Ratings (Plan Mix)
4+ Stars: 3% · 3 Stars: 97% · Below 3: 0%
Average Part D Deductible
$397.17
Total MA/MAPD Enrollment
373
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Humana USAA Honor Giveback with Rx (PPO) — 117 enrollees
2. Humana Gold Plus H5619-113 (HMO-POS) — 33 enrollees
3. Aetna Medicare Advantra Signature (HMO) — 32 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
25
Average Monthly Premium
$27.76/mo
Total PPO Enrollment
308
$0 Premium PPO Plans
15
Average MOOP
$6,986
Top PPO by Enrollment
Humana USAA Honor Giveback with Rx (PPO) — 117 enrollees
PPO Plans Without Drug Coverage
6

PPO Medicare Advantage plan comparison – Gilmer County, West Virginia, 2026
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
 $0 $8,850 $615 H7617-072-0
Aetna Medicare Advantra Enhanced
☆☆☆☆☆
 $29 $6,750 $615 H1608-027-0
Aetna Medicare Advantra Signature
☆☆☆☆☆
 $0 $7,500 $615 H1608-040-0
Aetna Medicare Advantra Signature Giveback
☆☆☆☆☆
 $0 $9,250 $615 H1608-031-0
Aetna Medicare Premier
☆☆☆☆☆
 $101 $7,500 $615 H1608-085-0
Freedom Blue PPO Standard
☆☆☆☆☆
 $154 $6,500 $0 H5106-034-2
Freedom Blue PPO Valor
☆☆☆☆☆
 $0 $6,000 N/A H5106-038-0
Humana Full Access H5216-124
☆☆☆☆☆
 $118 $6,550 $300 H5216-124-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,500 N/A H5216-225-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $4,000 N/A H5216-105-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,150 N/A H5216-442-0
Humana USAA Honor Giveback with Rx
☆☆☆☆☆
 $0 $8,850 $615 H5216-391-0
HumanaChoice H5216-327
☆☆☆☆☆
 $0 $8,500 $400 H5216-327-0
HumanaChoice H5216-425
☆☆☆☆☆
 $15 $7,350 $300 H5216-425-0
HumanaChoice R0110-007
☆☆☆☆☆
 $0 $4,500 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
 $52 $6,700 $615 R0110-008-0
Peak Advantage Summit
☆☆☆☆☆
 $16 $5,700 $0 H8947-002-1
Peak Advantage Vista
☆☆☆☆☆
 $0 $7,000 $0 H8947-001-1
The Health Plan SecureChoice - Option II
☆☆☆☆☆
 $109 $6,700 $275 H8604-011-0
The Health Plan SecureChoice Optimum
☆☆☆☆☆
 $0 $6,500 $150 H8604-014-2
The Health Plan SecureChoice Reliance
☆☆☆☆☆
 $43 $5,300 $150 H8604-015-0
AARP Medicare Advantage from UHC WV-0001
☆☆☆☆☆
 $57 $6,700 $600 H8211-001-0
AARP Medicare Advantage from UHC WV-0003
☆☆☆☆☆
 $0 $6,700 $520 H8211-006-0
AARP Medicare Advantage from UHC WV-0004
☆☆☆☆☆
 $0 $6,700 $600 H8211-011-0
AARP Medicare Advantage Patriot No Rx WV-MA01
☆☆☆☆☆
 $0 $8,900 N/A H8211-005-0
What is the total number of PPO plans offered in Gilmer?

Gilmer County has 25 PPO plans for 2026, with 308 enrolled.

How much do PPO plans cost in Gilmer?

The typical PPO premium in Gilmer is $27.76, and 15 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
4
Average Monthly Premium
$0.00/mo
Total HMO Enrollment
32
$0 Premium HMO Plans
4
Average MOOP
$6,850
Top HMO by Enrollment
Aetna Medicare Advantra Signature (HMO) — 32 enrollees
HMO Plans Without Drug Coverage
2

HMO Medicare Advantage plan comparison – Gilmer County, West Virginia, 2026
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 Signature
☆☆☆☆☆
 $0 $6,900 $615 H1692-002-0
The Health Plan SecureCare - Option II
☆☆☆☆☆
 $0 $6,700 $395 H3672-020-0
The Health Plan SecureCare Integrity Plan 1
☆☆☆☆☆
 $0 $6,900 N/A H3672-021-0
What is the average monthly premium for HMO plans?
HMO plans in Gilmer cost $0.00 per month on average.
Which HMO plan is most popular in Gilmer?
The most popular HMO plan in Gilmer is Aetna Medicare Advantra Signature (HMO), with 32 enrollees.
How many HMO plans in Gilmer do not include drug coverage?
There are 2 HMO plans in Gilmer 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 2
  • Average Monthly Premium $0.00/mo
  • Total HMO-POS Enrollment 33
  • $0 Premium HMO-POS Plans 2
  • Average MOOP $7,775
  • Top HMO-POS by Enrollment Humana Gold Plus H5619-113 (HMO-POS) — 33 enrollees
  • HMO-POS Plans Without Drug Coverage 0

HMO-POS Medicare Advantage plan comparison – Gilmer County, West Virginia, 2026
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Humana Gold Plus H5619-113
☆☆☆☆☆
 $0 $8,050 $250 H5619-113-0
Wellpoint Medicare Advantage
☆☆☆☆☆
 $0 $7,500 $275 H1212-003-0
What is the total number of HMO-POS plans in Gilmer?

There are 2 HMO-POS plans in 2026, covering 33 enrollees.

How much do HMO-POS plans cost in Gilmer?

The average HMO-POS premium in Gilmer is $0.00 per month, with 2 plans offering $0 premiums.

What is the leading HMO-POS plan in Gilmer?

Humana Gold Plus H5619-113 (HMO-POS) is the top HMO-POS in Gilmer, with 33 enrollees.

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

0 HMO-POS plans in Gilmer do not include prescription drug coverage.

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

CMS Star Ratings for Medicare Advantage Plans in Gilmer County, WV (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 1 3%
3 Stars 29 97%
Below 3 Stars 0 0%
Not Rated 1 3%
Average Rating 3.45

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

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 .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .