Medicare Advantage plans in Lexington City, VA, 2027
Lexington City, Virginia has 30 Medicare Advantage plans open to everyone for 2027 (27 in 2026) and 25 special needs plans, according to the CMS landscape files; 24 of the open plans have a $0 premium. 2 plans that served the county in 2026 end or leave it, each with fewer than 11 members living here (CMS hides smaller counts).
What changes in Lexington City for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 27 | 30 | ▲up 3 |
| Special needs plans | 24 | 25 | ▲up 1 |
| Plans with a $0 premium | 20 | 24 | ▲up 4 |
| Plans that lower the Part B premium | 12 | 9 | ▼down 3 |
| Median out-of-pocket limit | $8,700 | $8,925 | ▲up $225 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Lexington City join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Aetna Medicare Carilion Health PrimeH3931-158 · HMO-POS | $0 | $4,300 | none | 3 of 5 |
| Anthem Medicare Advantage 3H3447-050 · HMO-POS | $0 | $5,850 | none | 3.5 of 5 |
| AARP Medicare Advantage Direct Plus from UHC VA-25H5253-247 · HMO-POS | $0 | $5,900 | none | 4 of 5 |
| AARP Medicare Advantage Essentials from UHC VA-11H5253-258 · HMO-POS | $0 | $5,900 | none | 4 of 5 |
| Aetna Medicare Eagle GivebackH5521-322 · PPO | $0 | $6,750 | $100 | 4.5 of 5 |
| Anthem VeteranH4909-020 · PPO | $0 | $6,800 | $80 | 3.5 of 5 |
| AARP Medicare Advantage Extras from UHC VA-29H5253-256 · HMO-POS | $0 | $6,900 | none | 4 of 5 |
| Humana Value ChoiceH5216-266 · PPO | $0 | $7,150 | none | 3.5 of 5 |
| Humana Value ChoiceH7617-098 · PPO | $0 | $7,150 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC VA-0007H2001-109 · PPO | $0 | $7,500 | none | 4.5 of 5 |
| Aetna Medicare SignatureH3931-101 · HMO-POS | $0 | $7,500 | none | 3 of 5 |
| AARP Medicare Advantage Patriot No Rx VA-MA01H2001-099 · PPO | $0 | $8,900 | $165 | 4.5 of 5 |
| Humana Essentials Plus GivebackH5216-308 · PPO | $0 | $9,850 | $119 | 3.5 of 5 |
| Humana USAA Honor GivebackH5216-310 · PPO | $0 | $9,850 | $162 | 3.5 of 5 |
| HumanaChoiceH5216-363 · PPO | $0 | $9,850 | none | 3.5 of 5 |
| HumanaChoiceH5216-408 · PPO | $0 | $9,850 | none | 3.5 of 5 |
| AARP Medicare Advantage Giveback from UHC VA-13H5253-119 · HMO-POS | $0 | $9,850 | $77 | 4 of 5 |
| Humana Total CompleteH6622-083 · HMO | $0 | $9,850 | none | 3.5 of 5 |
| Humana Gold PlusH6622-085 · HMO | $0 | $9,850 | none | 3.5 of 5 |
| Humana Total CompleteH6622-091 · HMO | $0 | $9,850 | none | 3.5 of 5 |
Show the other 10 plans, by premium
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Humana Essentials Plus GivebackH7617-100 · PPO | $0 | $9,850 | $119 | 4.5 of 5 |
| Humana USAA Honor GivebackH7617-101 · PPO | $0 | $9,850 | $162 | 4.5 of 5 |
| HumanaChoiceR0110-004 · Regional PPO | $0 | $9,850 | none | 3.5 of 5 |
| Humana USAA Honor GivebackR0110-006 · Regional PPO | $0 | $9,850 | $52 | 3.5 of 5 |
| Anthem Medicare AdvantageH4909-014 · PPO | $30 | $8,950 | none | 3.5 of 5 |
| AARP Medicare Advantage from UHC VA-0012H5253-259 · HMO-POS | $36 | $5,900 | none | 4 of 5 |
| Aetna Medicare EnhancedH5521-084 · PPO | $41 | $6,900 | none | 4.5 of 5 |
| HumanaChoiceH7617-125 · PPO | $58 | $9,850 | none | 4.5 of 5 |
| Aetna Medicare PremierH5521-652 · PPO | $79 | $6,750 | none | 4.5 of 5 |
| Humana Full AccessR0110-005 · Regional PPO | $158 | $9,850 | none | 3.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Lexington City in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| AARP Medicare Advantage Access from UHC VA-20H2001-115 | fewer than 11 | Not offered |
| Aetna Medicare SignatureH5521-484 | fewer than 11 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| UHC Dual Advantage VA-V1H2445-004 | Dual-Eligible | $0 |
| Premier CareH2185-003 | Institutional | $0 |
| UHC Complete Care VA-23H5253-197 | Chronic or Disabling Condition | $0 |
| Anthem Kidney CareH3447-033 | Chronic or Disabling Condition | $0 |
| Humana DaVita Kidney CareH7617-133 | Chronic or Disabling Condition | $0 |
| Aetna Medicare FIDEH1610-001 | Dual-Eligible | $0 |
| Anthem Dual Advantage PlusH2441-001 | Dual-Eligible | $0 |
| UHC Dual Complete VA-YLH2445-001 | Dual-Eligible | $0 |
| UHC Dual Complete VA-Q001H2445-002 | Dual-Eligible | $0 |
| UHC Dual Complete VA-Y002H2445-003 | Dual-Eligible | $0 |
| Humana Dual Fully IntegratedH2875-001 | Dual-Eligible | $0 |
| Humana Dual QMB OnlyH2875-002 | Dual-Eligible | $0 |
| Humana Dual SelectH2875-006 | Dual-Eligible | $0 |
| Anthem Dual Advantage PlusH4694-002 | Dual-Eligible | $0 |
| Anthem Full Dual Advantage SupportH4694-003 | Dual-Eligible | $0 |
| Anthem Full Dual AdvantageH4694-004 | Dual-Eligible | $0 |
| Humana Together in HealthH5216-362 | Institutional | $0 |
| Humana Together in HealthH7617-131 | Institutional | $0 |
| Humana DaVita Kidney CareH7617-134 | Chronic or Disabling Condition | $0 |
| UHC Dual Complete VA-Y4H0421-001 | Dual-Eligible | $6.30 |
| Senior CareH2185-001 | Institutional | $6.30 |
| Sentara Community Complete SelectH2563-020 | Dual-Eligible | $6.30 |
| Sentara Community CompleteH4499-001 | Dual-Eligible | $6.30 |
| Humana Gold Plus: Diabetes and HeartH6622-084 | Chronic or Disabling Condition | $13 |
| Humana Gold Plus: Diabetes and HeartH5619-145 | Chronic or Disabling Condition | $31 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Lexington City use Medicare Advantage?
691 of the county's 1,686 people with Medicare were in a Medicare Advantage plan in September 2026, 41.0%; in Virginia as a whole the share is 39.6%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in VirginiaEvery county of the state
- 9 stand-alone drug plans in VirginiaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027