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  1. 🏠
  2. Medicare Advantage Plans
  3. West Virginia
  4. Pocahontas County

2027 Medicare Advantage Plans in Pocahontas County, WV

Last update: October 6, 2026.

Pocahontas County, WV has 25 Medicare Advantage plans available in 2027. These include 15 plans with no monthly premium, and roughly 50% are rated at least 4 stars based on CMS data.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium: $27.08/mo
$0 Premium Plans: 15
Average MOOP: $7,700 ($9,250 max. in 2027)
Star Ratings (Plan Mix): 4+ Stars: 50% · 3 Stars: 50% · Below 3: 0%
Average Part D Deductible: $513.06
Total MA/MAPD Enrollment: 231
Plans with the Highest Enrollment
(as of October 5, 2026)
1. Humana Essentials Plus Giveback (PPO) — 75 enrollees
2. AARP Medicare Advantage from UHC WV-0004 (PPO) — 32 enrollees
3. Humana Gold Plus H5619-113 (HMO-POS) — 30 enrollees

Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Pocahontas County, WV. Or explore all Medicare Options available in Pocahontas County, WV. To understand how local plans fit into the broader market, visit our West Virginia Medicare Advantage plan directory for statewide plan counts, premiums, out-of-pocket limits, CMS ratings, and enrollment data.

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 19
  • Average Monthly Premium $34.95/mo
  • Total PPO Enrollment 201
  • $0 Premium PPO Plans 10
  • Average MOOP $7,492
  • Top PPO by Enrollment Humana Essentials Plus Giveback (PPO) — 75 enrollees
  • PPO Plans Without Drug Coverage 5

Comparison table of 2027 PPO Medicare Advantage Plans available in Pocahontas County, West Virginia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Peak Advantage Summit
☆☆☆☆☆
$25 $6,750 $0 H8947-002-1
Peak Advantage Vista
☆☆☆☆☆
$0 $7,500 $0 H8947-001-1
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 $6,500 N/A H5216-225-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,150 N/A H5216-442-0
Humana Value Choice
☆☆☆☆☆
$0 $9,850 $500 H5216-327-0
HumanaChoice H5216-425
☆☆☆☆☆
$29 $7,600 $700 H5216-425-0
HumanaChoice H5525-005
☆☆☆☆☆
$39 $8,300 $700 H5525-005-0
Freedom Blue PPO Standard
☆☆☆☆☆
$172 $6,500 $700 H5106-034-2
Freedom Blue PPO Valor
☆☆☆☆☆
$0 $6,000 N/A H5106-038-0
HumanaChoice R0110-007
☆☆☆☆☆
$0 $4,750 N/A R0110-007-0
HumanaChoice R0110-008
☆☆☆☆☆
$75 $7,150 $700 R0110-008-0
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
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 most popular PPO plan in Pocahontas?

Humana Essentials Plus Giveback (PPO) is the top PPO in Pocahontas, with 75 enrollees.

What is the number of PPO plans without Part D coverage in Pocahontas?

There are 5 PPO plans in Pocahontas 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
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

Comparison table of 2027 HMO Medicare Advantage Plans available in Pocahontas County, West Virginia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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 typical premium for HMO plans in Pocahontas?

HMO plans in Pocahontas cost $6.50 per month on average.

Which HMO plan do most beneficiaries choose in Pocahontas?

The most popular HMO plan in Pocahontas is , with 0 enrollees.

How many HMO options are offered without prescription drug coverage in Pocahontas?

There are 1 HMO plans in Pocahontas without prescription drug coverage.

Medicare Advantage HMO-POS Plans

HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.

  • Total HMO-POS Plans 4
  • Average Monthly Premium $0.00/mo
  • Total HMO-POS Enrollment 30
  • $0 Premium HMO-POS Plans 4
  • Average MOOP $8,788
  • Top HMO-POS by Enrollment Humana Gold Plus H5619-113 (HMO-POS) — 30 enrollees
  • HMO-POS Plans Without Drug Coverage 1

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Pocahontas County, West Virginia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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
Wellpoint Medicare Advantage
☆☆☆☆☆
$0 $9,250 $325 H1212-003-0
What is the total number of HMO-POS plans in Pocahontas?

In 2027, Pocahontas has 4 HMO-POS plans with 30 enrollees.

How much do HMO-POS plans cost in Pocahontas?

The typical HMO-POS premium in Pocahontas is $0.00, and 4 plans have no monthly premium.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Pocahontas County, WV for 2027.

CMS Star Ratings for Medicare Advantage Plans in Pocahontas County, WV (2027)
Rating Category Number of Plans Percent of Plans
5 Stars 2 8%
4 Stars (includes 5 Stars) 12 50%
3 Stars 12 50%
Below 3 Stars 0 0%
Not Rated 1 4%
Average Rating 3.73

* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Pocahontas County, West Virginia, including communities such as Hillsboro, Marlinton, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09

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 .

  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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

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 documentation is maintained in alignment 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.

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