2026 Medicare Advantage Plans in Mcdowell County, WV
Last update: . Enrollment data updated: June 13, 2026
In Mcdowell County, WV, there are 36 Medicare Advantage plans available for 2026. Of these, 25 offer a $0 monthly premium, and about 6% 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 Mcdowell County, WV. Or explore all Medicare Options available in Mcdowell 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 30
- Average Monthly Premium $23.27/mo
- Total PPO Enrollment 1,175
- $0 Premium PPO Plans 19
- Average MOOP $7,192
- Top PPO by Enrollment HumanaChoice H5216-425 (PPO) — 165 enrollees
- PPO Plans Without Drug Coverage 6
What is the total number of PPO plans offered in Mcdowell?
There are 30 PPO plans in 2026, covering 1,175 beneficiaries.
How much do PPO plans cost in Mcdowell?
The average PPO premium in Mcdowell is $23.27 per month, with 19 plans offering $0 premiums.
What is the most popular PPO plan in Mcdowell?
HumanaChoice H5216-425 (PPO) is the top PPO in Mcdowell, with 165 enrollees.
What is the number of PPO plans without Part D coverage in Mcdowell?
There are 6 PPO plans in Mcdowell 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
- 4
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 133
- $0 Premium HMO Plans
- 4
- Average MOOP
- $6,850
- Top HMO by Enrollment
- Aetna Medicare Advantra Signature (HMO) — 122 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 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 Mcdowell cost $0.00 per month on average.
Which HMO plan is most popular in Mcdowell?
The most popular HMO plan in Mcdowell is Aetna Medicare Advantra Signature (HMO), with 122 enrollees.
How many HMO plans in Mcdowell do not include drug coverage?
There are 2 HMO plans in Mcdowell 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 |
|---|---|---|---|---|---|
| Wellpoint Medicare Advantage | $0 | $7,500 | $275 | H1212-003-0 |
What is the leading HMO-POS plan in Mcdowell?
is the top HMO-POS in Mcdowell, with 0 enrollees.
What is the number of HMO-POS plans without Part D coverage in Mcdowell?
0 HMO-POS plans in Mcdowell 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
- 61
- $0 Premium PFFS Plans
- 1
- Average MOOP
- $7,100
- Top PFFS by Enrollment
- Humana Gold Choice H8145-052 (PFFS) — 61 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 | $7,100 | $615 | H8145-052-0 |
What is the typical premium for PFFS plans in Mcdowell?
PFFS plans in Mcdowell cost $0.00 per month on average.
Which PFFS plan has the most enrollment in Mcdowell?
The most popular PFFS plan in Mcdowell is Humana Gold Choice H8145-052 (PFFS), with 61 enrollees.
How many PFFS options are available without prescription drug coverage in Mcdowell?
There are 0 PFFS plans in Mcdowell without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Mcdowell County, WV for 2026.
| 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 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- 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
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
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