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  1. 🏠
  2. Medicare Options
  3. West Virginia
  4. Clay County

Your Medicare Coverage Options in Clay County, WV

This page explains all Medicare coverage options available to residents of Clay County, West Virginia, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Medicare coverage options in Clay County, West 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 Clay County.

Each of these options works differently. Understanding how they compare is the key to choosing the right Medicare coverage in Yavapai County.

Medicare Advantage Options in Clay County

Medicare Advantage plans in Clay County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.

Medicare Advantage Snapshot Clay County
Total Medicare Advantage plans 37
$0 premium plans 25
HMO plans 4
PPO plans 31
Plans with drug coverage 29
Lowest MOOP $4,000
Highest MOOP $9,250
Highest Part B giveback $68.80

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
Humana USAA Honor Giveback with Rx 3.5 ★ 13,762
Aetna Medicare Advantra Enhanced 3.5 ★ 9,169
Peak Advantage Summit 3.5 ★ 8,623

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Aetna Medicare Advantra Signature 3.5 ★ 6,619
Aetna Medicare Advantra Eagle Plus 3.5 ★ 1,203
The Health Plan SecureCare Capitol Plan 3.5 ★ 106

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Humana Gold Plus H5619-113 3.0 ★ 7,759
Wellpoint Medicare Advantage 0.0 ★ 0

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 Clay County

Medicare Part D Options in Clay 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 $22.70 $615 181,457
Wellcare Classic $14.70 $615 80,403
Humana Basic Rx Plan $6.60 $615 33,191

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $8.20 $615 337,303
AARP Medicare Rx Preferred from UHC $121.90 $130 74,501
Humana Value Rx Plan $19.40 $601 68,887

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 West Virginia

Medigap Options in Clay County

Medigap plans work with Original Medicare and help pay deductibles, copayments, and coinsurance. Unlike Medicare Advantage, Medigap does not replace Original Medicare and usually requires separate Part D coverage for prescriptions.

Sample data across 34 insurers shows monthly premiums starting around $30 and exceeding $5,221 depending on plan type and pricing structure. Even when coverage is identical, differences in rating methods and discounts can lead to wide variation across insurers.

Medigap Snapshot Clay 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 Clay, 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 West Virginia

Plan G typically ranges from $107 to $4,191.

Carrier Plan Low High
AARP - UnitedHealthcare G $142 $552
Allstate G $112 $4,191
Cigna G $141 $706
Highmark G $131 $310
Humana G $114 $694
Mutual of Omaha G $124 $407
Aetna G $153 $440

Sample Plan N Pricing in West Virginia

Plan N typically ranges from $79 to $3,146.

Carrier Plan Low High
AARP - UnitedHealthcare N $135 $466
Allstate N $84 $3,146
Cigna N $97 $485
Highmark N $185 $376
Humana N $82 $545
Mutual of Omaha N $89 $307
Aetna N $92 $332

Explore all Medicare Supplement plans in West Virginia for more details.

Special Needs Plans (SNPs) in Clay 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 Clay County
Total SNP plans 14
D-SNP plans 12
C-SNP plans 0
I-SNP plans 2

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Aetna Medicare Advantra Dual 3.5 ★ 11,089
UHC Dual Complete WV-S2 4.5 ★ 8,700
UHC Dual Complete WV-S001 4.5 ★ 7,218

Top I-SNP Plans by Enrollments

Plan CMS Rating Enrollment
WV Senior Advantage 3.0 ★ 1,563
Humana Together in Health 3.5 ★ 0

In Clay, 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 Clay County

VA Benefits and Medicare Assistance in Clay County

Beneficiaries may also have access to coverage or support options outside traditional Medicare plan types, such as VA benefits, employer or retiree plans, and counseling services.

Additional Support Options Clay County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability West Virginia SHIP
Local help resource State Health Insurance Assistance Program

Choosing the Best Medicare Coverage for You in Clay County

Choosing Medicare coverage comes down to how you want to receive care, manage 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 Clay 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, "What's Medicare Drug Coverage (Part D)?" — Last accessed May 1, 2026
  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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 Is Medigap and How Does It Work?" — 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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