Medicare Advantage · Virginia · 2026 plan year

Medicare Advantage in Poquoson City, VA

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Poquoson City, VA for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

57
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$16.85
Avg premium/mo
RSS updates for this county

The short answer

Poquoson City has 57 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 16 reach 4★ or higher, and 23 carry a $0 monthly premium.

57
plans to compare
4.5★
highest CMS rating here
23
$0-premium plans
16
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Poquoson City, VA

Poquoson City, VA (FIPS 51735): 57 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via HUMANA MEDICAL PLAN, INC.. Plan-type mix: 24 Local PPO, 17 HMO, 16 HMO POS. Monthly plan premiums (Part C + D) range $0 – $255.00 (avg $16.85), with 23 $0-premium plans. 40 of 57 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Poquoson City sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.83★ Top 41% higher than 59% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Poquoson City, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO-4.5★
2Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO-4.5★
3Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
4Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
5Humana Medical Plan, Inc. (SNP)HumanaHMO$04.5★
6Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$04.5★
7Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
8Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
9Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
10Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$26.004.5★
11Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$100.004.5★
12Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$255.004.5★
13Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
14Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
15Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$04.0★
16Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$35.004.0★
17Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-3.5★
18Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
19Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
20Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
21Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
22Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
23Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
24Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
25Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
26Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
27Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
28Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
29Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
30Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$15.603.5★
31Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$16.003.5★
32Humana Insurance Company (SNP)HumanaLocal PPO$19.503.5★
33Sentara Health Plans (SNP)Sentara MedicareHMO$24.603.5★
34Humana Insurance Company (SNP)HumanaLocal PPO$24.603.5★
35Humana Insurance Company (SNP)HumanaLocal PPO$34.003.5★
36Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$03.0★
37Coventry Health Care OF Virginia, Inc. (SNP)Aetna Better Health of VirginiaHMO$3.603.0★
38Arcadian Health Plan, Inc. (SNP)HumanaHMO$8.003.0★
39Plan 004-Local PPO-N/R
40Plan 005-Local PPO-N/R
41Lifeworks Advantage, LLC (SNP)Lifeworks AdvantageHMO POS$0N/R
42Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$0N/R
43Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$0N/R
44Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$3.80N/R
45Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$5.40N/R
46Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$10.60N/R
47Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$13.80N/R
48Sentara Health Plans (SNP)Sentara MedicareHMO$16.20N/R
49Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$21.80N/R
50Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$22.50N/R
51Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$22.90N/R
52Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$23.70N/R
53Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$24.60N/R
54Lifeworks Advantage, LLC (SNP)Lifeworks AdvantageHMO$24.60N/R
55Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$24.60N/R
56Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$24.60N/R
57Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$24.60N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (16 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Poquoson City, VA?

There are 57 Medicare Advantage plans available in Poquoson City, VA for the 2026 plan year, including 24 Local PPO, 17 HMO, 16 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Poquoson City?

The highest-rated plan in Poquoson City has a CMS star rating of 4.5 out of 5 - HUMANA MEDICAL PLAN, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Poquoson City?

Monthly plan premiums (Part C + D combined) in Poquoson City range from $0 to $255.00, averaging $16.85. 23 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Poquoson City?

Poquoson City has 24 Local PPO, 17 HMO, 16 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare