- Entity
- county:west-virginia-mcdowell-54047
- Digest
- 2026-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/mcdowell/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 36
- PPO Plans
- 30
- HMO Plans
- 4
- HMO-POS Plans
- 1
- PFFS Plans
- 1
- Average Monthly Premium
- 19.39
- Average MOOP
- 7159.72
- Average Part D Deductible
- 428.39
- $0 Premium Plans
- 25
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.5
- $0 Premium Plan Share
- 69.44
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 6
- 3-Star Plan Share
- 94
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 3
- PPO Average Monthly Premium
- 23.27
- PPO Average MOOP
- 7191.67
- PPO Enrollment
- 1182
- PPO $0 Premium Plans
- 19
- PPO Plans Without Part D Coverage
- 6
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 6850
- HMO Enrollment
- 125
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 7500
- HMO-POS Enrollment
- 0
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 7100
- PFFS Enrollment
- 62
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:west-virginia-mcdowell-54047
- Digest
- 2026-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/mcdowell/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-west-virginia-mcdowell-54047-landscape-stats
- Plans Indexed
- 36
- Standard Medicare Advantage Plans
-
-
Humana USAA Honor Giveback with Rx
H7617-072-0 -
HumanaChoice Giveback H7617-065
H7617-065-0 -
Aetna Medicare Advantra Eagle Plus
H1692-006-0 -
Aetna Medicare Advantra Enhanced
H1608-027-0 -
Aetna Medicare Advantra Signature
H1692-002-0 -
Aetna Medicare Advantra Signature
H1608-040-0 -
Aetna Medicare Advantra Signature Giveback
H1608-031-0 -
Aetna Medicare Premier
H1608-085-0 -
Complete Blue PPO Distinct
H5106-029-3 -
Complete Blue PPO Merit
H5106-037-0 -
Complete Blue PPO Signature
H5106-030-3 -
Freedom Blue PPO Standard
H5106-034-1 -
Freedom Blue PPO Valor
H5106-038-0 -
Humana Full Access H5216-124
H5216-124-0 -
Humana Gold Choice H8145-052
H8145-052-0 -
Humana USAA Honor Giveback
H5216-105-0 -
Humana USAA Honor Giveback
H5216-225-0 -
Humana USAA Honor Giveback
H5216-442-0 -
Humana USAA Honor Giveback with Rx
H5216-391-0 -
HumanaChoice Giveback H5216-328
H5216-328-0 -
HumanaChoice H5216-327
H5216-327-0 -
HumanaChoice H5216-425
H5216-425-0 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
Peak Advantage Summit
H8947-002-1 -
Peak Advantage Vista
H8947-001-1 -
The Health Plan SecureCare - Option II
H3672-020-0 -
The Health Plan SecureCare Integrity Plan 1
H3672-021-0 -
The Health Plan SecureChoice - Option II
H8604-011-0 -
The Health Plan SecureChoice Optimum
H8604-014-2 -
The Health Plan SecureChoice Reliance
H8604-015-0 -
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 Patriot No Rx WV-MA01
H8211-005-0 -
Wellpoint Medicare Advantage
H1212-003-0
-
Humana USAA Honor Giveback with Rx
- Total Standard Medicare Advantage Enrollment
- 1369
2026 Medicare Advantage Plans in Mcdowell County, WV
Last update: .
For 2026, Mcdowell County, WV includes 36 Medicare Advantage plans. Enrollment across these plans totals approximately 1,369, with 25 $0 premium options and 6% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Mcdowell County, WV are provided separately. Or you can discover all Medicare Options in Mcdowell County, WV.
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
- 30
- Average Monthly Premium
- $23.27/mo
- Total PPO Enrollment
- 1,182
- $0 Premium PPO Plans
- 19
- Average MOOP
- $7,192
- Top PPO by Enrollment
- HumanaChoice H5216-425 (PPO) — 163 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the typical premium for PPO plans available in Mcdowell?
PPO plans in Mcdowell cost $23.27 per month on average.
Which PPO plan do most beneficiaries choose in Mcdowell?
The most popular PPO plan in Mcdowell is HumanaChoice H5216-425 (PPO), with 163 enrollees.
How many PPO options are offered without drug coverage in Mcdowell?
6 PPO plans in Mcdowell 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 4
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 125
- $0 Premium HMO Plans 4
- Average MOOP $6,850
- Top HMO by Enrollment Aetna Medicare Advantra Signature (HMO) — 125 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 total number of HMO plans offered in Mcdowell?
In 2026, Mcdowell County has 4 HMO plans with 125 enrollees.
How much do HMO plans cost in Mcdowell?
The typical HMO premium in Mcdowell is $0.00, and 4 plans have no monthly premium.
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
- 0
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $7,500
- Top HMO-POS by Enrollment
- — 0 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellpoint Medicare Advantage | $0 | $7,500 | $275 | H1212-003-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Mcdowell cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Mcdowell?
- The most popular HMO-POS plan in Mcdowell is , with 0 enrollees.
- How many HMO-POS plans in Mcdowell do not include drug coverage?
- There are 0 HMO-POS plans in Mcdowell 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 62
- $0 Premium PFFS Plans 1
- Average MOOP $7,100
- Top PFFS by Enrollment Humana Gold Choice H8145-052 (PFFS) — 62 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-052 | $0 | $7,100 | $615 | H8145-052-0 |
What is the total number of PFFS plans in Mcdowell?
There are 1 PFFS plans in 2026, covering 62 enrollees.
How much do PFFS plans cost in Mcdowell?
The average PFFS premium in Mcdowell is $0.00 per month, with 1 plans offering $0 premiums.
What is the top PFFS plan in Mcdowell?
Humana Gold Choice H8145-052 (PFFS) is the top PFFS in Mcdowell, with 62 enrollees.
What is the number of PFFS plans without Part D coverage in Mcdowell?
0 PFFS plans in Mcdowell do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Mcdowell 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 | 33 | 94% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 3% |
| Average Rating | 3.5 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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
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, "Explore your Medicare coverage options" — 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, non-government informational resource and is not affiliated with or endorsed by 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.