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2026 Medicare Advantage Plans in Pendleton County, WV

Last update: .

For 2026, Pendleton County, WV includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 589, with 23 $0 premium options and 3% rated 4 stars or higher.

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Pendleton County, WV are provided separately. Or you can discover all Medicare Options in Pendleton County, WV.

At a Glance

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
27
Average Monthly Premium
$28.04/mo
Total PPO Enrollment
486
$0 Premium PPO Plans
16
Average MOOP
$6,961
Top PPO by Enrollment
Humana USAA Honor Giveback with Rx (PPO) — 181 enrollees
PPO Plans Without Drug Coverage
6

2026 PPO Medicare Advantage plans in Pendleton County, West Virginia (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. 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
Complete Blue PPO Distinct
☆☆☆☆☆
 $54 $6,750 $615 H5106-036-0
Complete Blue PPO Merit
☆☆☆☆☆
 $0 $8,300 $615 H5106-037-0
Complete Blue PPO Signature
☆☆☆☆☆
 $0 $7,550 $615 H5106-035-0
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 $4,000 N/A H5216-105-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,500 N/A H5216-225-0
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 H5216-019
☆☆☆☆☆
 $24 $6,550 $200 H5216-019-0
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 typical premium for PPO plans available in Pendleton?

PPO plans in Pendleton cost $28.04 per month on average.

Which PPO plan do most beneficiaries choose in Pendleton?

The most popular PPO plan in Pendleton is Humana USAA Honor Giveback with Rx (PPO), with 181 enrollees.

How many PPO options are offered without drug coverage in Pendleton?

6 PPO plans in Pendleton 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 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

2026 HMO Medicare Advantage plans in Pendleton County, West Virginia (comparison chart)
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 Pendleton?

In 2026, Pendleton County has 4 HMO plans with 32 enrollees.

How much do HMO plans cost in Pendleton?

The typical HMO premium in Pendleton 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
2
Average Monthly Premium
$0.00/mo
Total HMO-POS Enrollment
23
$0 Premium HMO-POS Plans
2
Average MOOP
$7,775
Top HMO-POS by Enrollment
Humana Gold Plus H5619-113 (HMO-POS) — 23 enrollees
HMO-POS Plans Without Drug Coverage
0

2026 HMO-POS Medicare Advantage plans in Pendleton County, West Virginia (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Pendleton cost $0.00 per month on average.
Which HMO-POS plan is most popular in Pendleton?
The most popular HMO-POS plan in Pendleton is Humana Gold Plus H5619-113 (HMO-POS), with 23 enrollees.
How many HMO-POS plans in Pendleton do not include drug coverage?
There are 0 HMO-POS plans in Pendleton 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 48
  • $0 Premium PFFS Plans 1
  • Average MOOP $7,100
  • Top PFFS by Enrollment Humana Gold Choice H8145-052 (PFFS) — 48 enrollees
  • PFFS Plans Without Drug Coverage 0

2026 PFFS Medicare Advantage plans in Pendleton County, West Virginia (comparison chart)
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 Pendleton?

There are 1 PFFS plans in 2026, covering 48 enrollees.

How much do PFFS plans cost in Pendleton?

The average PFFS premium in Pendleton is $0.00 per month, with 1 plans offering $0 premiums.

What is the top PFFS plan in Pendleton?

Humana Gold Choice H8145-052 (PFFS) is the top PFFS in Pendleton, with 48 enrollees.

What is the number of PFFS plans without Part D coverage in Pendleton?

0 PFFS plans in Pendleton do not include prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Pendleton County, WV (2026) are summarized below.

Quality Ratings for Medicare Advantage Plans in Pendleton 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 32 97%
Below 3 Stars 0 0%
Not Rated 1 3%
Average Rating 3.45

* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.

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 .