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2027 Medicare Advantage Plans in Jefferson County, WV

Last update: .

For 2027, Jefferson County, WV includes 28 Medicare Advantage plans. Enrollment across these plans totals approximately 2,687, with 17 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Jefferson County, WV are summarized separately. Visit Medicare Options in Jefferson County, WV to see more options.

At a Glance

  • Average Monthly Premium: $25.43/mo
  • $0 Premium Plans: 17
  • Average MOOP: $7,691 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): (2027 Star Ratings Coming Soon)
  • Average Part D Deductible: $557.62
  • Total MA/MAPD Enrollment: 2,687
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Humana Essentials Plus Giveback (PPO) — 283 enrollees
    2. HumanaChoice H5216-425 (PPO) — 256 enrollees
    3. Peak Advantage Summit (PPO) — 245 enrollees

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
22
Average Monthly Premium
$31.77/mo
Total PPO Enrollment
2,542
$0 Premium PPO Plans
12
Average MOOP
$7,482
Top PPO by Enrollment
Humana Essentials Plus Giveback (PPO) — 283 enrollees
PPO Plans Without Drug Coverage
5

2027 PPO Medicare Advantage plans in Jefferson County, West Virginia (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC WV-0001
☆☆☆☆☆
 $85 $7,150 $685 H8211-001-0
AARP Medicare Advantage from UHC WV-0003
☆☆☆☆☆
 $0 $7,150 $685 H8211-006-0
AARP Medicare Advantage from UHC WV-0004
☆☆☆☆☆
 $51 $7,150 $685 H8211-011-0
AARP Medicare Advantage Patriot No Rx WV-MA01
☆☆☆☆☆
 $0 $9,850 N/A H8211-005-0
Complete Blue PPO Distinct
☆☆☆☆☆
 $60 $6,750 $700 H5106-029-3
Complete Blue PPO Signature
☆☆☆☆☆
 $0 $7,150 $700 H5106-030-3
Freedom Blue PPO Standard
☆☆☆☆☆
 $152 $6,500 $700 H5106-034-1
Freedom Blue PPO Valor
☆☆☆☆☆
 $0 $6,000 N/A H5106-038-0
Humana Essentials Plus Giveback
☆☆☆☆☆
 $0 $9,850 $700 H7617-065-0
Humana Full Access
☆☆☆☆☆
 $121 $7,150 $700 H5216-124-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $9,150 N/A H5216-442-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,500 N/A H5216-225-0
Humana Value Choice
☆☆☆☆☆
 $0 $9,850 $500 H5216-327-0
HumanaChoice Giveback H5216-328
☆☆☆☆☆
 $0 $9,850 $700 H5216-328-0
HumanaChoice H5216-019
☆☆☆☆☆
 $34 $6,800 $700 H5216-019-0
HumanaChoice H5216-425
☆☆☆☆☆
 $29 $7,600 $700 H5216-425-0
HumanaChoice R0110-007
☆☆☆☆☆
 $0 $4,750 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
 $75 $7,150 $700 R0110-008-0
Peak Advantage Summit
☆☆☆☆☆
 $25 $6,750 $0 H8947-002-4
Peak Advantage Vista
☆☆☆☆☆
 $0 $7,500 $0 H8947-001-4
The Health Plan SecureChoice Optimum
☆☆☆☆☆
 $0 $7,000 $425 H8604-014-2
The Health Plan SecureChoice Reliance
☆☆☆☆☆
 $67 $7,000 $300 H8604-015-0

What is the average monthly premium for PPO plans in Jefferson?

PPO plans in Jefferson cost $31.77 per month on average.

Which PPO plan has the highest enrollment in Jefferson?

The most popular PPO plan in Jefferson is Humana Essentials Plus Giveback (PPO), with 283 enrollees.

How many PPO plans in Jefferson do not include prescription drug coverage?

5 PPO plans in Jefferson 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 2
  • Average Monthly Premium $6.50/mo
  • Total HMO Enrollment 0
  • $0 Premium HMO Plans 1
  • Average MOOP $7,500
  • Top HMO by Enrollment — 0 enrollees
  • HMO Plans Without Drug Coverage 1

2027 HMO Medicare Advantage plans in Jefferson County, West Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
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 top HMO by enrollment in Jefferson?

is the top HMO in Jefferson, with 0 enrollees.

What is the number of HMO plans without Part D coverage in Jefferson?

1 HMO plans in Jefferson 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
3
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
101
$0 Premium HMO-POS Plans
3
Average MOOP
$8,633
Top HMO-POS by Enrollment
Humana Gold Plus H5619-113 (HMO-POS) — 101 enrollees
HMO-POS Plans Without Drug Coverage
1

2027 HMO-POS Medicare Advantage plans in Jefferson County, West Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 typical premium for HMO-POS plans in Jefferson?

HMO-POS plans in Jefferson cost $0.00 per month on average.

Which HMO-POS plan has the most members in Jefferson?

The most popular HMO-POS plan in Jefferson is Humana Gold Plus H5619-113 (HMO-POS), with 101 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Jefferson?

There are 1 HMO-POS plans in Jefferson 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.

Total PFFS Plans
1
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
44
$0 Premium PFFS
1
Average MOOP
$9,850
PFFS with the Highest Enrollment
Humana Gold Choice H8145-052 (PFFS) with 44 enrollees
PFFS Without Drug Coverage
0

2027 PFFS Medicare Advantage plans in Jefferson County, West Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Choice H8145-052
☆☆☆☆☆
 $0 $9,850 $700 H8145-052-0
What is the total number of PFFS plans in Jefferson?

In 2027, Jefferson has 1 PFFS plans with 44 enrollees.

How much do PFFS plans cost in Jefferson?

The typical PFFS premium in Jefferson is $0.00, and 1 plans have no monthly premium.

CMS quality ratings for Medicare Advantage plans in Jefferson County, WV (2027) are summarized below.

Medicare Advantage Plan Ratings in Jefferson County, WV (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)

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .