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  1. 🏠
  2. Medicare Options
  3. Virginia
  4. Poquoson City County

Your Medicare Coverage Options in Poquoson City County, VA

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

Last update: May15, 2026. Enrollment data updated: May 2, 2026

Medicare Options at a Glance

Medicare coverage options in Poquoson City 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 Poquoson City 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 Poquoson City County

Medicare Advantage plans in Poquoson City 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 Poquoson City County
Total Medicare Advantage plans 34
$0 premium plans 25
HMO plans 7
PPO plans 22
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 Value Choice H5216-266 3.5 ★ 22,999
Humana Essentials Plus Giveback H7617-100 4.5 ★ 22,739
Humana Essentials Plus Giveback H5216-308 3.5 ★ 16,661

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus H6622-004 3.5 ★ 29,026
Humana Gold Plus H1036-333 4.5 ★ 19,404
Humana Total Complete H6622-091 3.5 ★ 8,102

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Anthem Medicare Advantage 3 3.5 ★ 19,866
AARP Medicare Advantage from UHC VA-0008 4.0 ★ 5,978
Aetna Medicare Signature Care 3.0 ★ 3,679

Medicare Advantage coverage varies based on network structure, inclusion of drug benefits, and maximum out-of-pocket costs each year. Many beneficiaries begin with these plans for their all-in-one coverage and added perks, but provider access and plan rules play a key role in the decision.

See Medicare Advantage plans in Poquoson City County

Medicare Part D Plans in Poquoson City 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 47,464
Wellcare Classic $0.00 $615 44,530
Humana Basic Rx Plan $0.00 $615 34,895

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $0.00 $615 170,839
Humana Value Rx Plan $0.00 $601 102,639
AARP Medicare Rx Preferred from UHC $100.80 $130 55,117

Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.

See Medicare Part D plans in Virginia

Medigap Plans in Poquoson City 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 Poquoson City 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 Poquoson City, 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 Poquoson City 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 Poquoson City 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 ★ 20,169
Anthem Full Dual Advantage Support 0.0 ★ 12,725
Aetna Medicare FIDE 3.0 ★ 11,678

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus - Diabetes and Heart 3.5 ★ 4,500
UHC Complete Care VA-22 4.0 ★ 3,747
Humana Gold Plus - Diabetes and Heart 3.0 ★ 2,184

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Senior Care 0.0 ★ 197
Humana Together in Health 3.5 ★ 132
Premier Care 0.0 ★ 0

In Poquoson City, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.

See Special Needs Plans in Poquoson City County

VA Coverage and Local Medicare Help in Poquoson City 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 Poquoson City County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability VICAP
Local help resource Virginia Insurance Counseling and Assistance Program

How to Choose the Right Medicare Coverage for You in Poquoson City County

Choosing Medicare coverage comes down to how you want to receive care, manage Medicare costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.

Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.

Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.

Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.

The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.

To explore your options in more detail, start by reviewing available plans and coverage types in Poquoson City County.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed May 2, 2026
  • CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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, "Get Medigap Basics" — Last accessed May 5, 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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