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  1. 🏠
  2. Medicare Options
  3. Virginia
  4. Montgomery County

2026 Medicare Coverage Options in Montgomery County, VA

Learn about Medicare coverage options available in Montgomery County, Virginia, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.

Last update: June 10, 2026. Enrollment data updated: June 13, 2026

Medicare Options at a Glance

Medicare coverage options in Montgomery County, Virginia center on a few primary paths, each designed for different priorities like provider flexibility, cost control, and care coordination. These include:

  • Original Medicare: Ideal for nationwide provider access without network restrictions.
  • Medicare Advantage: Combines coverage into one plan, often with lower premiums and added benefits.
  • Part D: Adds prescription drug coverage to Original Medicare.
  • Medigap: Helps reduce out-of-pocket costs and improve predictability.
  • SNPs: Designed for people with specific health conditions or eligibility requirements.
  • Other Options: May include VA benefits, employer or retiree plans, and local assistance programs.

Each option operates differently. Comparing how they work is essential to selecting the right Medicare coverage in Montgomery County.

The various Medicare plans and other available options work differently. Understanding how they compare is the key to choosing the right Medicare coverage.

Medicare Advantage Options in Montgomery County

Medicare Advantage plans in Montgomery County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.

Medicare Advantage Snapshot Montgomery County
Total Medicare Advantage plans 33
$0 premium plans 25
HMO plans 4
PPO plans 20
Plans with drug coverage 26
Lowest MOOP $3,000
Highest MOOP $9,250
Highest Part B giveback $93.90

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
Humana Essentials Plus Giveback H7617-100 4.5 ★ 23,576
Humana Value Choice H5216-266 3.5 ★ 22,654
Humana Essentials Plus Giveback H5216-308 3.5 ★ 16,349

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Humana Total Complete H6622-091 3.5 ★ 7,833
Humana Gold Plus H6622-083 3.5 ★ 6,799
Humana Gold Plus H5619-135 3.0 ★ 2,083

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Anthem Medicare Advantage 3 3.5 ★ 21,232
AARP Medicare Advantage from UHC VA-0011 4.0 ★ 16,552
Anthem Medicare Advantage 4 3.5 ★ 13,315

Medicare Advantage options are shaped mainly by provider network type, prescription drug inclusion, and annual out-of-pocket exposure. Beneficiaries who want bundled coverage and extra benefits often start here, but network access and plan rules matter.

See Medicare Advantage plans in Montgomery County

Medicare Part D Plans in Montgomery County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
SilverScript Choice $78.20 $615 47,140
Wellcare Classic $0.00 $615 44,641
Humana Basic Rx Plan $0.00 $615 34,990

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 171,797
Humana Value Rx Plan $0.00 $601 103,572
AARP Medicare Rx Preferred from UHC $100.80 $130 54,848

The right Part D plan depends more on drug coverage and pharmacy access than the total number of plans, with cost at your preferred pharmacy being a key factor.

See Medicare Part D plans in Virginia

Medigap Plans in Montgomery County

Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.

Across 32 insurers, sample data shows monthly premiums starting near $24 and rising above $3,095 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.

Medigap Snapshot Montgomery County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

For residents of Montgomery, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in Virginia

Plan G typically ranges from $110 to $742.

Carrier Plan Low High
AARP - UnitedHealthcare G $135 $517
Allstate G $111 $402
Cigna G $159 $434
Humana G $132 $478
Mutual of Omaha G $147 $417
Wellcare G $118 $420

Sample Plan N Pricing in Virginia

Plan N typically ranges from $82 to $666.

Carrier Plan Low High
AARP - UnitedHealthcare N $116 $442
Allstate N $85 $310
Cigna N $106 $275
Humana N $95 $346
Mutual of Omaha N $97 $288
Wellcare N $87 $341

Explore all Medicare Supplement plans in Virginia for more details.

Special Needs Plans (SNPs) in Montgomery County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Montgomery County
Total SNP plans 24
D-SNP plans 17
C-SNP plans 4
I-SNP plans 3

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
UHC Dual Complete VA-Y002 0.0 ★ 20,399
Anthem Full Dual Advantage Support 0.0 ★ 13,287
Aetna Medicare FIDE 3.0 ★ 11,459

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus - Diabetes and Heart 3.5 ★ 4,624
UHC Complete Care VA-23 4.0 ★ 3,868
Humana Gold Plus - Diabetes and Heart 3.0 ★ 2,097

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Senior Care 0.0 ★ 194
Humana Together in Health 3.5 ★ 132
Premier Care 0.0 ★ 0

SNP availability in Montgomery depends on eligibility. These plans are not general Medicare options for everyone, but they can be important for beneficiaries with Medicaid or qualifying chronic health conditions.

See Special Needs Plans in Montgomery County

VA Coverage and Local Medicare Help in Montgomery County

Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.

Additional Support Options Montgomery County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability VICAP
Local help resource Virginia Insurance Counseling and Assistance Program

Finding the Right Medicare Plan for You in Montgomery County

Choosing the right Medicare coverage is based on how you want to access care, manage Medicare expenses, and select providers. Most decisions start with a choice between Medicare Advantage and Original Medicare.

Medicare Advantage plans offer all-in-one coverage that typically includes hospital, medical, and prescription drug benefits. These plans may have lower premiums and added services, but they generally operate within provider networks.

Original Medicare gives you the flexibility to see any provider nationwide who accepts Medicare. Many people pair it with a Part D plan and a Medigap policy to help control costs and improve coverage predictability.

Special Needs Plans (SNPs) may be an option for those with specific health or eligibility requirements, including Medicaid. These plans are specialized and only available to qualifying individuals.

Your ideal coverage will depend on your doctors, prescriptions, and how you prefer to balance premiums and out-of-pocket spending.

For a closer look, explore the plans and coverage types available in Montgomery County.

  • CMS.gov, Medicare Advantage & Special Needs Plan 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) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
  • Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed May 7, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed May 6, 2026

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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