2027 plan year · West Virginia
2027 Medicare Advantage plans in Jefferson County, WV
42 plans from 7 insurers for 2027. 17 general plans have a $0 monthly premium. The lowest in-network out-of-pocket limit is $4,750.
- 28general plans
- 17$0-premium plans
- $4,750lowest out-of-pocket max
- 5 ★top star rating
- 14Special Needs Plans
2027 Medicare Advantage plans in Jefferson County, WV
Sorted by Medicare star rating, then monthly premium and out-of-pocket limit. Premiums shown are the plan's own premium; you also keep paying your Part B premium.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| Peak Advantage Vista (PPO) Peak Health · PPO · includes drug coverage | $0 | $7,500 | $0 | ★★★★★5 |
| Peak Advantage Summit (PPO) Peak Health · PPO · includes drug coverage | $25 | $6,750 | $0 | ★★★★★5 |
| Humana Essentials Plus Giveback (PPO) Humana · PPO · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4.5 |
| Humana USAA Honor Giveback (PPO) Humana · PPO · no drug coverage | $0 | $6,500 | — | ★★★★★4 |
| Humana Gold Plus H5619-113 (HMO-POS) Humana · HMO-POS · includes drug coverage | $0 | $8,100 | $350 | ★★★★★4 |
| AARP Medicare Advantage from UHC WV-6 (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $0 | $8,500 | $685 | ★★★★★4 |
| Humana USAA Honor Giveback (PPO) Humana · PPO · no drug coverage | $0 | $9,150 | — | ★★★★★4 |
| AARP Medicare Advantage Patriot No Rx WV-MA2 (HMO-POS) UnitedHealthcare · HMO-POS · no drug coverage | $0 | $9,300 | — | ★★★★★4 |
| HumanaChoice Giveback H5216-328 (PPO) Humana · PPO · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| Humana Gold Choice H8145-052 (PFFS) Humana · PFFS · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| Humana Value Choice (PPO) Humana · PPO · includes drug coverage | $0 | $9,850 | $500 | ★★★★★4 |
| HumanaChoice H5216-425 (PPO) Humana · PPO · includes drug coverage | $29 | $7,600 | $700 | ★★★★★4 |
| HumanaChoice H5216-019 (PPO) Humana · PPO · includes drug coverage | $34 | $6,800 | $700 | ★★★★★4 |
| Humana Full Access (PPO) Humana · PPO · includes drug coverage | $121 | $7,150 | $700 | ★★★★★4 |
| HumanaChoice R0110-007 (Regional PPO) Humana · Regional PPO · no drug coverage | $0 | $4,750 | — | ★★★★★3.5 |
| Freedom Blue PPO Valor (PPO) Highmark Blue Cross Blue Shield · PPO · no drug coverage | $0 | $6,000 | — | ★★★★★3.5 |
| Complete Blue PPO Signature (PPO) Highmark Blue Cross Blue Shield · PPO · includes drug coverage | $0 | $7,150 | $700 | ★★★★★3.5 |
| The Health Plan SecureCare Integrity Plan 1 (HMO) The Health Plan · HMO · no drug coverage | $0 | $7,500 | — | ★★★★★3.5 |
| The Health Plan SecureCare - Option II (HMO) The Health Plan · HMO · includes drug coverage | $13 | $7,500 | $395 | ★★★★★3.5 |
| Complete Blue PPO Distinct (PPO) Highmark Blue Cross Blue Shield · PPO · includes drug coverage | $60 | $6,750 | $700 | ★★★★★3.5 |
| HumanaChoice R0110-008 (Regional PPO) Humana · Regional PPO · includes drug coverage | $75 | $7,150 | $700 | ★★★★★3.5 |
| Freedom Blue PPO Standard (PPO) Highmark Blue Cross Blue Shield · PPO · includes drug coverage | $152 | $6,500 | $700 | ★★★★★3.5 |
| The Health Plan SecureChoice Optimum (PPO) The Health Plan · PPO · includes drug coverage | $0 | $7,000 | $425 | ★★★★★3 |
| AARP Medicare Advantage from UHC WV-0003 (PPO) UnitedHealthcare · PPO · includes drug coverage | $0 | $7,150 | $685 | ★★★★★3 |
| AARP Medicare Advantage Patriot No Rx WV-MA01 (PPO) UnitedHealthcare · PPO · no drug coverage | $0 | $9,850 | — | ★★★★★3 |
| AARP Medicare Advantage from UHC WV-0004 (PPO) UnitedHealthcare · PPO · includes drug coverage | $51 | $7,150 | $685 | ★★★★★3 |
| The Health Plan SecureChoice Reliance (PPO) The Health Plan · PPO · includes drug coverage | $67 | $7,000 | $300 | ★★★★★3 |
| AARP Medicare Advantage from UHC WV-0001 (PPO) UnitedHealthcare · PPO · includes drug coverage | $85 | $7,150 | $685 | ★★★★★3 |
Special Needs Plans (SNPs)
Only for people who qualify: Dual-Eligible plans need both Medicare and Medicaid, Chronic Condition plans need a qualifying condition, and Institutional plans are for nursing home residents.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| PeakPlus Rise (PPO D-SNP) Peak Health · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $12.80 | $9,850 | $700 | ★★★★★5 |
| Humana Together in Health (PPO I-SNP) Humana · PPO I-SNP (Special Needs: Institutional) · includes drug coverage | $0 | $9,850 | $50 | ★★★★★4.5 |
| UHC Dual Complete WV-Q1 (PPO D-SNP) UnitedHealthcare · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4.5 |
| UHC Dual Complete WV-S2 (PPO D-SNP) UnitedHealthcare · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $465 | ★★★★★4.5 |
| UHC Dual Advantage WV-V1 (PPO D-SNP) UnitedHealthcare · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $12.80 | $5,900 | $700 | ★★★★★4.5 |
| HumanaChoice SNP-DE H5216-220 (PPO D-SNP) Humana · PPO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $350 | ★★★★★4 |
| Humana Dual Select H5619-126 (HMO-POS D-SNP) Humana · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP) Humana · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| Humana Gold Plus SNP-DE H5619-179 (HMO-POS D-SNP) Humana · HMO-POS D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4 |
| Aetna Medicare Full Dual (HMO D-SNP) Aetna Medicare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Aetna Medicare Partial Dual (HMO D-SNP) Aetna Medicare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| The Health Plan SecureCare SNP (HMO D-SNP) The Health Plan · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $12.80 | $9,250 | $700 | ★★★★★3.5 |
| WV Senior Advantage (HMO I-SNP) West Virginia Senior Advantage · HMO I-SNP (Special Needs: Institutional) · includes drug coverage | $12.80 | $9,850 | $700 | ★★★★★3.5 |
| CommuniCare Advantage ISNP (HMO I-SNP) Communicare Advantage · HMO I-SNP (Special Needs: Institutional) · includes drug coverage | $12.80 | $9,850 | $700 | Not enough data available |
What changed from 2026 to 2027
- 6 plans are new here for 2027.
- 11 plans offered here in 2026 aren't listed for 2027 (for example Aetna Medicare Advantra Signature Giveback (PPO), Aetna Medicare Premier (PPO), Aetna Medicare Advantra Elite (HMO)). If yours is one of them, the plan should send you a notice explaining your options.
- Of the 36 plans offered both years, 11 raised the monthly premium and 7 lowered it.
Compared by plan ID. Plans that were renamed or merged into another plan may appear as new or ended.
Care quality in Jefferson County
Medicare Advantage plans use networks. Before choosing, check that the hospitals and nursing homes you'd want are in the plan's network, and how they're rated.
Other coverage options
- Stand-alone Part D drug plans in West Virginia (for people with Original Medicare)
- Marketplace health plans in Jefferson County (for people under 65 or not on Medicare)
- Medicare Advantage vs. Original Medicare
Frequently asked questions
How many Medicare Advantage plans are available in Jefferson County, WV for 2027?
42 plans from 7 insurers: 28 general plans open to anyone with Medicare Parts A and B who lives here, plus 14 Special Needs Plans for people who qualify.
Are there $0-premium Medicare Advantage plans in Jefferson County, WV?
Yes. 17 general plans have a $0 monthly plan premium for 2027. You still pay your Medicare Part B premium, and copays and coinsurance still apply.
What is the highest-rated Medicare Advantage plan in Jefferson County, WV?
Peak Advantage Vista (PPO) from Peak Health has the top Medicare star rating here (5 stars). Star ratings are given to the insurer's contract, so several plans can share one.
Which plan has the lowest out-of-pocket maximum in Jefferson County, WV?
HumanaChoice R0110-007 (Regional PPO) caps in-network out-of-pocket costs at $4,750 for 2027.