2026 Medicare Advantage Plans in Raleigh County, WV
Last update: . Enrollment data updated: June 13, 2026
For 2026, Raleigh County, WV includes 34 Medicare Advantage plans. Enrollment across these plans totals approximately 4,489, with 23 $0 premium options and 6% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Raleigh County, WV are summarized separately. Visit Medicare Options in Raleigh County, WV to see more options.
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
- 29
- Average Monthly Premium
- $24.41/mo
- Total PPO Enrollment
- 3,802
- $0 Premium PPO Plans
- 18
- Average MOOP
- $7,288
- Top PPO by Enrollment
- Aetna Medicare Advantra Enhanced (PPO) — 1,169 enrollees
- PPO Plans Without Drug Coverage
- 6
What is the average monthly premium for PPO plans in Raleigh?
PPO plans in Raleigh cost $24.41 per month on average.
Which PPO plan has the highest enrollment in Raleigh?
The most popular PPO plan in Raleigh is Aetna Medicare Advantra Enhanced (PPO), with 1,169 enrollees.
How many PPO plans in Raleigh do not include prescription drug coverage?
6 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 $0.00/mo
- Total HMO Enrollment 601
- $0 Premium HMO Plans 4
- Average MOOP $6,850
- Top HMO by Enrollment Aetna Medicare Advantra Signature (HMO) — 520 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 top HMO by enrollment in Raleigh?
Aetna Medicare Advantra Signature (HMO) is the top HMO in Raleigh, with 520 enrollees.
What is the number of HMO plans without Part D coverage in Raleigh?
2 HMO plans in Raleigh do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| 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 Raleigh?
In 2026, Raleigh has 1 PFFS plans with 86 enrollees.
How much do PFFS plans cost in Raleigh?
The typical PFFS premium in Raleigh is $0.00, and 1 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Raleigh 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 | 32 | 94% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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, "Compare Original Medicare & Medicare Advantage" — 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.