Medicare Advantage · West Virginia · 2026 plan year

Medicare Advantage in Jefferson, WV

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

45
Plans available
4.5★
Best plan: Top-rated
$0
Lowest premium/mo
$21.90
Avg premium/mo
RSS updates for this county

The short answer

Jefferson has 45 Medicare Advantage plans for 2026, the best earns 4.5★ from CMS, 9 reach 4★ or higher, and 20 carry a $0 monthly premium.

45
plans to compare
4.5★
highest CMS rating here
20
$0-premium plans
9
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 Jefferson, WV

Jefferson, WV (FIPS 54037): 45 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 4.5/5 via SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Plan-type mix: 32 Local PPO, 8 HMO, 4 HMO POS, 1 PFFS. Monthly plan premiums (Part C + D) range $0 – $134.00 (avg $21.90), with 20 $0-premium plans. 45 of 45 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 Jefferson sits on CMS quality

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

3.58★ Top 82% higher than 18% 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%). This entry sits in this band. 3.75★–4★: 1,344 US counties (43%). Above this entry. 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 Jefferson, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
2Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
3Peak Health Insurance Corporation (SNP)Peak HealthLocal PPO$04.5★
4Peak Health Insurance Corporation (SNP)Peak HealthLocal PPO$16.004.5★
5Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$31.004.5★
6Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$32.504.5★
7Sierra Health AND Life Insurance Company, Inc. (SNP)UnitedHealthcareLocal PPO$32.704.5★
8Coventry Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.0★
9Coventry Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO$101.004.0★
10Coventry Health Care OF West Virginia, Inc. (SNP)Aetna MedicareHMO-3.5★
11THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO-3.5★
12Highmark Senior Solutions Company (SNP)Highmark Blue Cross Blue ShieldLocal PPO-3.5★
13Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
14Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
15Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
16Coventry Health Care OF West Virginia, Inc. (SNP)Aetna MedicareHMO$03.5★
17Coventry Health Care OF West Virginia, Inc. (SNP)Aetna MedicareHMO$03.5★
18Coventry Health Care OF West Virginia, Inc. (SNP)Aetna MedicareHMO$03.5★
19THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO$03.5★
20Highmark Senior Solutions Company (SNP)Highmark Blue Cross Blue ShieldLocal PPO$03.5★
21Highmark Senior Solutions Company (SNP)Highmark Blue Cross Blue ShieldLocal PPO$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 Insurance Company (SNP)HumanaPFFS$03.5★
26THP Insurance Company (SNP)The Health PlanLocal PPO$03.5★
27Humana Insurance Company (SNP)HumanaLocal PPO$12.903.5★
28Humana Insurance Company (SNP)HumanaLocal PPO$15.003.5★
29THE Health Plan OF West Virginia, Inc. (SNP)The Health PlanHMO$17.703.5★
30Highmark Senior Solutions Company (SNP)Highmark Blue Cross Blue ShieldLocal PPO$24.003.5★
31Humana Insurance Company (SNP)HumanaLocal PPO$24.003.5★
32Humana Insurance Company (SNP)HumanaLocal PPO$28.103.5★
33THP Insurance Company (SNP)The Health PlanLocal PPO$43.003.5★
34THP Insurance Company (SNP)The Health PlanLocal PPO$109.003.5★
35Humana Insurance Company (SNP)HumanaLocal PPO$118.003.5★
36Highmark Senior Solutions Company (SNP)Highmark Blue Cross Blue ShieldLocal PPO$134.003.5★
37Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-3.0★
38Arcadian Health Plan, Inc. (SNP)HumanaHMO POS$03.0★
39Arcadian Health Plan, Inc. (SNP)HumanaHMO POS$03.0★
40Arcadian Health Plan, Inc. (SNP)HumanaHMO POS$03.0★
41Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.0★
42Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$03.0★
43Arcadian Health Plan, Inc. (SNP)HumanaHMO POS$3.703.0★
44West Virginia Senior Advantage, Inc. (SNP)West Virginia Senior AdvantageHMO$32.703.0★
45Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$57.003.0★

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 (9 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 Jefferson, WV?

There are 45 Medicare Advantage plans available in Jefferson, WV for the 2026 plan year, including 32 Local PPO, 8 HMO, 4 HMO POS, 1 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 Jefferson?

The highest-rated plan in Jefferson has a CMS star rating of 4.5 out of 5 - SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Jefferson?

Monthly plan premiums (Part C + D combined) in Jefferson range from $0 to $134.00, averaging $21.90. 20 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 Jefferson?

Jefferson has 32 Local PPO, 8 HMO, 4 HMO POS, 1 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