Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

WV Senior Advantage, 2027

H9153Contract001Plan

HMO I-SNP · special needs plan, institutional · 55 counties in West Virginia

Run by West Virginia Senior Advantage, Inc. (contract H9153), sold as West Virginia Senior Advantage, owned by SNP Holdings, LLC

Renews for 2027

2026 star rating, contract H9153: 3 of 5

WV Senior Advantage (H9153-001) costs $12.80 a month in 2027, down $19.90 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get20262027Change
Monthly premium$32.70$12.80down $19.90
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
13 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit20% of the cost20% of the costno change
Specialist visit20% of the cost20% of the costno change
Emergency room$100 copay$100 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in networknot filednot filedno change
Skilled nursing facility, in networknot filednot filedno change
Ground ambulance, in network20% of the cost20% of the costno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$300 a year$300 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served5555no change

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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

How does it compare with plans sold where it is?

In the counties it serves, 3 institutional special needs plans are sold for 2027, this one included. Against the others, 2 the same. On the premium, 1 plan has a lower premium, 1 the same.

Out-of-pocket limits of the 3 institutional special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0000 plans
$6,000 to under $8,0000 plans
$8,000 to $10,000 (this plan)3 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 55 counties: $12.80 a month and $9,850.

West Virginia

BarbourBerkeleyBooneBraxtonBrookeCabellCalhounClayDoddridgeFayetteGilmerGrantGreenbrierHampshireHancockHardyHarrisonJacksonJeffersonKanawhaLewisLincolnLoganMarionMarshallMasonMcDowellMercerMineralMingoMonongaliaMonroeMorganNicholasOhioPendletonPleasantsPocahontasPrestonPutnamRaleighRandolphRitchieRoaneSummersTaylorTuckerTylerUpshurWayneWebsterWetzelWirtWoodWyoming

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID
H9153-001
Legal name of the contract
West Virginia Senior Advantage, Inc.
Sold as
West Virginia Senior Advantage
Parent company
SNP Holdings, LLC
Plan type
HMO I-SNP
2026 star rating of the contract
3 of 5 overall; health plan 2.5 of 5, drug plan 3.5 of 5
Members, September 2026
1,644
Plan website, as filed with CMS
www.wvsenioradvantage.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.