- Entity
- county:west-virginia-raleigh-54081
- Digest
- 2027-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/raleigh/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 34
- PPO Plans
- 27
- HMO Plans
- 4
- HMO-POS Plans
- 2
- PFFS Plans
- 1
- Average Monthly Premium
- 28.59
- Average MOOP
- 7927.94
- Average Part D Deductible
- 583.08
- $0 Premium Plans
- 20
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 58.82
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 35.52
- PPO Average MOOP
- 7933.33
- PPO Enrollment
- 3502
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 3.25
- HMO Average MOOP
- 7262.5
- HMO Enrollment
- 608
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 8225
- HMO-POS Enrollment
- 0
- HMO-POS $0 Premium Plans
- 2
- HMO-POS Plans Without Part D Coverage
- 1
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 9850
- PFFS Enrollment
- 86
- PFFS $0 Premium Plans
- 1
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:west-virginia-raleigh-54081
- Digest
- 2027-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/raleigh/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-west-virginia-raleigh-54081-landscape-stats
- Plans Indexed
- 34
- Standard Medicare Advantage Plans
-
-
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 from UHC WV-5
H4604-033-0 -
AARP Medicare Advantage Patriot No Rx WV-MA01
H8211-005-0 -
AARP Medicare Advantage Patriot No Rx WV-MA2
H4604-036-0 -
Aetna Medicare Advantra Classic Giveback
H1608-031-0 -
Aetna Medicare Advantra Eagle Plus
H1692-006-0 -
Aetna Medicare Advantra Enhanced
H5521-727-0 -
Aetna Medicare Advantra Enhanced Classic
H1608-027-0 -
Aetna Medicare Advantra Signature
H1692-002-0 -
Aetna Medicare Advantra Signature Classic
H1608-040-0 -
Aetna Medicare Advantra Signature Giveback
H5521-729-0 -
Aetna Medicare Premier
H5521-728-0 -
Aetna Medicare Premier Classic
H1608-085-0 -
Complete Blue PPO Distinct
H5106-029-3 -
Complete Blue PPO Signature
H5106-030-3 -
Freedom Blue PPO Standard
H5106-034-1 -
Freedom Blue PPO Valor
H5106-038-0 -
Humana Essentials Plus Giveback
H7617-065-0 -
Humana Full Access
H5216-124-0 -
Humana Gold Choice H8145-052
H8145-052-0 -
Humana USAA Honor Giveback
H5216-442-0 -
Humana USAA Honor Giveback
H5216-225-0 -
Humana Value Choice
H5216-327-0 -
HumanaChoice Giveback H5216-328
H5216-328-0 -
HumanaChoice H5216-425
H5216-425-0 -
HumanaChoice H5525-005
H5525-005-0 -
HumanaChoice R0110-007
R0110-007-0 -
HumanaChoice R0110-008
R0110-008-0 -
The Health Plan SecureCare - Option II
H3672-020-0 -
The Health Plan SecureCare Integrity Plan 1
H3672-021-0 -
The Health Plan SecureChoice Optimum
H8604-014-2 -
The Health Plan SecureChoice Reliance
H8604-015-0
-
AARP Medicare Advantage from UHC WV-0001
- Total Standard Medicare Advantage Enrollment
- 4196
2027 Medicare Advantage Plans in Raleigh County, WV
Last update: .
For 2027, Raleigh County, WV includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 4,196, with 20 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Raleigh County, WV are provided separately. Or you can discover all Medicare Options in Raleigh 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
- 27
- Average Monthly Premium
- $35.52/mo
- Total PPO Enrollment
- 3,502
- $0 Premium PPO Plans
- 14
- Average MOOP
- $7,933
- Top PPO by Enrollment
- Aetna Medicare Advantra Enhanced Classic (PPO) — 1,156 enrollees
- PPO Plans Without Drug Coverage
- 5
What is the typical premium for PPO plans available in Raleigh?
PPO plans in Raleigh cost $35.52 per month on average.
Which PPO plan do most beneficiaries choose in Raleigh?
The most popular PPO plan in Raleigh is Aetna Medicare Advantra Enhanced Classic (PPO), with 1,156 enrollees.
How many PPO options are offered without drug coverage in Raleigh?
5 PPO plans in Raleigh 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 $3.25/mo
- Total HMO Enrollment 608
- $0 Premium HMO Plans 3
- Average MOOP $7,263
- Top HMO by Enrollment Aetna Medicare Advantra Signature (HMO) — 525 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 | $7,150 | $400 | H1692-002-0 | |
| 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 total number of HMO plans offered in Raleigh?
In 2027, Raleigh County has 4 HMO plans with 608 enrollees.
How much do HMO plans cost in Raleigh?
The typical HMO premium in Raleigh is $3.25, and 3 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
- 0
- $0 Premium HMO-POS Plans
- 2
- Average MOOP
- $8,225
- Top HMO-POS by Enrollment
- — 0 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WV-5 | $0 | $7,150 | $685 | H4604-033-0 | |
| AARP Medicare Advantage Patriot No Rx WV-MA2 | $0 | $9,300 | N/A | H4604-036-0 |
- What is the average monthly premium for HMO-POS plans?
- HMO-POS plans in Raleigh cost $0.00 per month on average.
- Which HMO-POS plan is most popular in Raleigh?
- The most popular HMO-POS plan in Raleigh is , with 0 enrollees.
- How many HMO-POS plans in Raleigh do not include drug coverage?
- There are 1 HMO-POS plans in Raleigh 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 86
- $0 Premium PFFS Plans 1
- Average MOOP $9,850
- Top PFFS by Enrollment Humana Gold Choice H8145-052 (PFFS) — 86 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-052 | $0 | $9,850 | $700 | H8145-052-0 |
What is the total number of PFFS plans in Raleigh?
There are 1 PFFS plans in 2027, covering 86 enrollees.
How much do PFFS plans cost in Raleigh?
The average PFFS premium in Raleigh is $0.00 per month, with 1 plans offering $0 premiums.
What is the top PFFS plan in Raleigh?
Humana Gold Choice H8145-052 (PFFS) is the top PFFS in Raleigh, with 86 enrollees.
What is the number of PFFS plans without Part D coverage in Raleigh?
0 PFFS plans in Raleigh do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Raleigh County, WV (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 4 Stars (includes 5 Stars) | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Below 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Not Rated | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Average Rating | (2027 Star Ratings Coming Soon) | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
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.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 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.