2026 Medicare Advantage Plans in Jefferson County, WV
Last update: . Enrollment data updated: June 13, 2026
For 2026, Jefferson County, WV includes 36 Medicare Advantage plans. Enrollment across these plans totals approximately 3,416, with 25 $0 premium options and 6% 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.
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
- 29
- Average Monthly Premium
- $23.90/mo
- Total PPO Enrollment
- 3,106
- $0 Premium PPO Plans
- 18
- Average MOOP
- $7,174
- Top PPO by Enrollment
- Humana USAA Honor Giveback with Rx (PPO) — 362 enrollees
- PPO Plans Without Drug Coverage
- 6
- What is the average monthly premium for PPO plans in Jefferson?
- PPO plans in Jefferson cost $23.90 per month on average.
- Which PPO plan has the highest enrollment in Jefferson?
- The most popular PPO plan in Jefferson is Humana USAA Honor Giveback with Rx (PPO), with 362 enrollees.
- How many PPO plans in Jefferson do not include prescription drug coverage?
- 6 PPO plans in Jefferson do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Advantra Eagle Plus | $0 | $6,900 | N/A | H1692-006-0 | |
| Aetna Medicare Advantra Elite | $0 | $9,250 | $615 | H1692-003-0 | |
| Aetna Medicare Signature | $0 | $9,250 | $615 | H1692-007-0 | |
| 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 total number of HMO plans offered in Jefferson?
There are 5 HMO plans in 2026, covering 177 enrollees.
How much do HMO plans cost in Jefferson?
The average HMO premium in Jefferson is $0.00 per month, with 5 plans offering $0 premiums.
What is the top HMO by enrollment in Jefferson?
Aetna Medicare Signature (HMO) is the top HMO in Jefferson, with 77 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
2 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 96
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $8,050
- Top HMO-POS by Enrollment
- Humana Gold Plus H5619-113 (HMO-POS) — 96 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Plus H5619-113 | $0 | $8,050 | $250 | H5619-113-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Jefferson cost $0.00 per month on average.
Which HMO-POS plan is most popular in Jefferson?
The most popular HMO-POS plan in Jefferson is Humana Gold Plus H5619-113 (HMO-POS), with 96 enrollees.
How many HMO-POS plans in Jefferson do not include drug coverage?
There are 0 HMO-POS plans in Jefferson without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $0.00/mo
- Total PFFS Enrollment 37
- $0 Premium PFFS Plans 1
- Average MOOP $7,100
- Top PFFS by Enrollment Humana Gold Choice H8145-052 (PFFS) — 37 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-052 | $0 | $7,100 | $615 | H8145-052-0 |
What is the top PFFS plan in Jefferson?
Humana Gold Choice H8145-052 (PFFS) is the top PFFS in Jefferson, with 37 enrollees.
What is the number of PFFS plans without Part D coverage in Jefferson?
0 PFFS plans in Jefferson do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Jefferson County, WV (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 2 | 6% |
| 3 Stars | 34 | 94% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.49 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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 informational resource and has no affiliation with, or endorsement from, 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.