Medicare Advantage · Virginia · 2026 plan year

Medicare Advantage in Portsmouth City, VA

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

66
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$15.34
Avg premium/mo
RSS updates for this county

The short answer

Portsmouth City has 66 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 17 reach 4★ or higher, and 28 carry a $0 monthly premium.

66
plans to compare
4.5★
highest CMS rating here
28
$0-premium plans
17
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 Portsmouth City, VA

Portsmouth City, VA (FIPS 51740): 66 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Plan-type mix: 26 Local PPO, 19 HMO, 19 HMO POS, 2 PFFS. Monthly plan premiums (Part C + D) range $0 – $255.00 (avg $15.34), with 28 $0-premium plans. 49 of 66 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 Portsmouth City sits on CMS quality

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

3.77★ Top 53% higher than 47% 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 Portsmouth 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★
11Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$27.804.5★
12Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$100.004.5★
13Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$255.004.5★
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$04.0★
17Unitedhealthcare OF Wisconsin, Inc. (SNP)UnitedHealthcareHMO POS$35.004.0★
18Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-3.5★
19Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
20Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
21Humana Insurance Company (SNP)HumanaPFFS-3.5★
22Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
23Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
24Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
25Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
26Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO POS$03.5★
27Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
28Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
29Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
30Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
31Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
32Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
33Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
34Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$03.5★
35Humana Insurance Company (SNP)HumanaPFFS$7.003.5★
36Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$14.003.5★
37Humana WI Health Organization Insurance Corp (SNP)HumanaHMO$15.603.5★
38Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$16.003.5★
39Humana Insurance Company (SNP)HumanaLocal PPO$19.503.5★
40Sentara Health Plans (SNP)Sentara MedicareHMO$24.603.5★
41Humana Insurance Company (SNP)HumanaLocal PPO$24.603.5★
42Humana Insurance Company (SNP)HumanaLocal PPO$34.003.5★
43Aetna Health Inc. (PA) (SNP)Aetna MedicareHMO POS$03.0★
44Arcadian Health Plan, Inc. (SNP)HumanaHMO$03.0★
45Arcadian Health Plan, Inc. (SNP)HumanaHMO$03.0★
46Coventry Health Care OF Virginia, Inc. (SNP)Aetna Better Health of VirginiaHMO$3.603.0★
47Arcadian Health Plan, Inc. (SNP)HumanaHMO$8.003.0★
48Plan 001-Local PPO-N/R
49Plan 002-Local PPO-N/R
50Lifeworks Advantage, LLC (SNP)Lifeworks AdvantageHMO POS$0N/R
51Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$0N/R
52Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$0N/R
53Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$3.80N/R
54Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$5.40N/R
55Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$10.60N/R
56Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$13.80N/R
57Sentara Health Plans (SNP)Sentara MedicareHMO$16.20N/R
58Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$21.80N/R
59Healthkeepers, Inc. (SNP)Anthem HealthKeepersHMO$22.50N/R
60Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$22.90N/R
61Humana WI Health Organization Insurance Corp (SNP)HumanaHMO POS$23.70N/R
62Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$24.60N/R
63Lifeworks Advantage, LLC (SNP)Lifeworks AdvantageHMO$24.60N/R
64Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$24.60N/R
65Unitedhealthcare OF THE Mid-atlantic, Inc. (SNP)UnitedHealthcareHMO POS$24.60N/R
66Healthkeepers, 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 (17 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 Portsmouth City, VA?

There are 66 Medicare Advantage plans available in Portsmouth City, VA for the 2026 plan year, including 26 Local PPO, 19 HMO, 19 HMO POS, 2 PFFS. 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 Portsmouth City?

The highest-rated plan in Portsmouth City has a CMS star rating of 4.5 out of 5 - CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Portsmouth City?

Monthly plan premiums (Part C + D combined) in Portsmouth City range from $0 to $255.00, averaging $15.34. 28 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 Portsmouth City?

Portsmouth City has 26 Local PPO, 19 HMO, 19 HMO POS, 2 PFFS. 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