Medicare plans
Pendleton County, WV
49 Medicare Advantage plans and 8 drug-only plans are offered in Pendleton County, WV for 2027. 30 of the Advantage plans have a $0 monthly premium.
License: a US government work, in the public domain (Public Domain Mark 1.0).
Data only, not plan advice. Confirm on Medicare.gov Plan Finder or 1-800-MEDICARE.
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Plans by type
| Type | Plans |
|---|---|
| Advantage without drug coverage | 8 |
| Advantage with drugs | 41 |
| Drug only | 8 |
| All plans | 57 |
15 of these are Special Needs Plans (SNPs), open only to people who qualify: 12 D-SNP for people with both Medicare and Medicaid and 3 I-SNP for people who live in a nursing home or need that level of care at home. The 8 drug-only plans are listed for all of West Virginia.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
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Premiums and out-of-pocket limits
| Measure | 2027 |
|---|---|
| Advantage monthly premium | $0 to $172 |
| Advantage plans at $0 | 30 |
| Advantage out-of-pocket maximum (in network) | $4,750 to $9,850 |
| Drug-only monthly premium | $5.30 to $184.40 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Star Ratings
| Overall rating | Advantage plans |
|---|---|
| 3 stars | 6 |
| 3.5 stars | 12 |
| 4 stars | 19 |
| 4.5 stars | 5 |
| 5 stars | 2 |
| Too new to rate | 4 |
| Not enough data | 1 |
26 Advantage plans in Pendleton County, WV have an overall rating of 4 stars or more.
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Change from 2026
Pendleton County, WV has 49 Advantage plans in 2027, 3 more than 2026 (46). 11 plans are new to the county and 8 plans offered here in 2026 are gone. $0 plans go from 26 to 30.
| Advantage plans | 2026 | 2027 |
|---|---|---|
| Offered in the county | 46 | 49 |
| At a $0 premium | 26 | 30 |
| New for 2027 | 11 | |
| Offered in 2026, gone in 2027 | 8 |
Offered here in 2026, not in 2027
- Complete Blue PPO Signature (PPO) (H5106-035, Highmark Health)
- Complete Blue PPO Distinct (PPO) (H5106-036, Highmark Health)
- Complete Blue PPO Merit (PPO) (H5106-037, Highmark Health)
- Humana USAA Honor Giveback (PPO) (H5216-105, Humana Inc.)
- Humana USAA Honor Giveback with Rx (PPO) (H5216-391, Humana Inc.)
- Humana Together in Health (PPO I-SNP) (H5216-447, Humana Inc.)
- Humana USAA Honor Giveback with Rx (PPO) (H7617-072, Humana Inc.)
- The Health Plan SecureChoice - Option II (PPO) (H8604-011, The Health Plan of West Virginia, Inc.)
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Plans by parent organization
| Parent organization | Advantage | Drug only | Total |
|---|---|---|---|
| Centene Corporation | 0 | 2 | 2 |
| CVS Health Corporation | 11 | 0 | 11 |
| Elevance Health, Inc. | 3 | 0 | 3 |
| Health Care Service Corporation | 0 | 1 | 1 |
| Highmark Health | 3 | 0 | 3 |
| Humana Inc. | 14 | 3 | 17 |
| SNP Holdings, LLC | 2 | 0 | 2 |
| The Health Plan of West Virginia, Inc. | 5 | 0 | 5 |
| UnitedHealth Group, Inc. | 9 | 2 | 11 |
| West Virginia United Health System, Inc. | 2 | 0 | 2 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Every 2027 plan in Pendleton County, WV
57 plans, by plan name. Select a column to sort. Plan types: HMO (health maintenance organization) means you generally must use the plan's network of doctors and hospitals, except in an emergency; HMO-POS is an HMO with a point-of-service option that may cover some care outside the network, usually at a higher cost; PPO (preferred provider organization) means you can see doctors outside the network, usually at a higher cost; a Regional PPO is a PPO offered across a whole CMS region of one or more states; and PFFS (private fee-for-service) means the plan sets what it pays, and you can use any Medicare provider that accepts the plan's terms.
| Plan ↑ | Type | Premium | Out-of-pocket max | Drug deductible | Stars |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WV-0001 (PPO)H8211-001-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $85 | $7,150 | $685 | 3 |
| AARP Medicare Advantage from UHC WV-0003 (PPO)H8211-006-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $0 | $7,150 | $685 | 3 |
| AARP Medicare Advantage from UHC WV-0004 (PPO)H8211-011-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO | $51 | $7,150 | $685 | 3 |
| AARP Medicare Advantage from UHC WV-6 (HMO-POS)H4604-034-000 · UnitedHealth Group, Inc. | Advantage with drugsHMO-POS | $0 | $8,500 | $685 | 4 |
| AARP Medicare Advantage Patriot No Rx WV-MA01 (PPO)H8211-005-000 · UnitedHealth Group, Inc. | Advantage without drug coveragePPO | $0 | $9,850 | n/a | 3 |
| AARP Medicare Advantage Patriot No Rx WV-MA2 (HMO-POS)H4604-036-000 · UnitedHealth Group, Inc. | Advantage without drug coverageHMO-POS | $0 | $9,300 | n/a | 4 |
| AARP Medicare Rx Preferred from UHC (PDP)S5921-388-000 · UnitedHealth Group, Inc. | Drug onlyPDP | $184.40 | n/a | $300 | 3 |
| AARP Medicare Rx Saver from UHC (PDP)S5921-351-000 · UnitedHealth Group, Inc. | Drug onlyPDP | $140.60 | n/a | $700 | 3 |
| Aetna Medicare Advantra Classic Giveback (PPO)H1608-031-000 · CVS Health Corporation | Advantage with drugsPPO | $0 | $9,250 | $400 | 4 |
| Aetna Medicare Advantra Eagle Plus (HMO)H1692-006-000 · CVS Health Corporation | Advantage without drug coverageHMO | $0 | $6,900 | n/a | 3.5 |
| Aetna Medicare Advantra Enhanced (PPO)H5521-727-000 · CVS Health Corporation | Advantage with drugsPPO | $31 | $7,150 | $700 | 4 |
| Aetna Medicare Advantra Enhanced Classic (PPO)H1608-027-000 · CVS Health Corporation | Advantage with drugsPPO | $31 | $7,150 | $700 | 4 |
| Aetna Medicare Advantra Signature (HMO)H1692-002-000 · CVS Health Corporation | Advantage with drugsHMO | $0 | $7,150 | $400 | 3.5 |
| Aetna Medicare Advantra Signature Classic (PPO)H1608-040-000 · CVS Health Corporation | Advantage with drugsPPO | $0 | $9,850 | $400 | 4 |
| Aetna Medicare Advantra Signature Giveback (PPO)H5521-729-000 · CVS Health Corporation | Advantage with drugsPPO | $0 | $9,250 | $400 | 4 |
| Aetna Medicare Full Dual (HMO D-SNP)H1692-005-000 · CVS Health Corporation | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3.5 |
| Aetna Medicare Partial Dual (HMO D-SNP)H1692-010-000 · CVS Health Corporation | Advantage with drugsHMO D-SNP | $0 | $9,850 | $700 | 3.5 |
| Aetna Medicare Premier (PPO)H5521-728-000 · CVS Health Corporation | Advantage with drugsPPO | $109 | $9,850 | $400 | 4 |
| Aetna Medicare Premier Classic (PPO)H1608-085-000 · CVS Health Corporation | Advantage with drugsPPO | $109 | $9,850 | $400 | 4 |
| CommuniCare Advantage ISNP (HMO I-SNP)H3727-007-000 · SNP Holdings, LLC | Advantage with drugsHMO I-SNP | $12.80 | $9,850 | $700 | Not enough data |
| Freedom Blue PPO Standard (PPO)H5106-034-002 · Highmark Health | Advantage with drugsPPO | $172 | $6,500 | $700 | 3.5 |
| Freedom Blue PPO Valor (PPO)H5106-038-000 · Highmark Health | Advantage without drug coveragePPO | $0 | $6,000 | n/a | 3.5 |
| HealthSpring Assurance Rx (PDP)S5715-027-000 · Health Care Service Corporation | Drug onlyPDP | $98.40 | n/a | $700 | 2.5 |
| Highmark Health Options Duals (HMO D-SNP)H6224-001-000 · Highmark Health | Advantage with drugsHMO D-SNP | $12.80 | $9,850 | $700 | Too new to rate |
| Humana Basic Rx Plan (PDP)S5884-104-000 · Humana Inc. | Drug onlyPDP | $16.30 | n/a | $700 | 4.5 |
| Humana Dual Select H5619-126 (HMO-POS D-SNP)H5619-126-000 · Humana Inc. | Advantage with drugsHMO-POS D-SNP | $0 | $9,850 | $700 | 4 |
| Humana Essentials Plus Giveback (PPO)H7617-065-000 · Humana Inc. | Advantage with drugsPPO | $0 | $9,850 | $700 | 4.5 |
| Humana Full Access (PPO)H5216-124-000 · Humana Inc. | Advantage with drugsPPO | $121 | $7,150 | $700 | 4 |
| Humana Gold Choice H8145-052 (PFFS)H8145-052-000 · Humana Inc. | Advantage with drugsPFFS | $0 | $9,850 | $700 | 4 |
| Humana Gold Plus H5619-113 (HMO-POS)H5619-113-000 · Humana Inc. | Advantage with drugsHMO-POS | $0 | $8,100 | $350 | 4 |
| Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)H5619-162-000 · Humana Inc. | Advantage with drugsHMO-POS D-SNP | $0 | $9,850 | $700 | 4 |
| Humana Gold Plus SNP-DE H5619-179 (HMO-POS D-SNP)H5619-179-000 · Humana Inc. | Advantage with drugsHMO-POS D-SNP | $0 | $9,850 | $700 | 4 |
| Humana Premier Rx Plan (PDP)S5884-152-000 · Humana Inc. | Drug onlyPDP | $142.80 | n/a | $350 | 4.5 |
| Humana Together in Health (PPO I-SNP)H7617-139-000 · Humana Inc. | Advantage with drugsPPO I-SNP | $0 | $9,850 | $50 | 4.5 |
| Humana USAA Honor Giveback (PPO)H5216-225-000 · Humana Inc. | Advantage without drug coveragePPO | $0 | $6,500 | n/a | 4 |
| Humana USAA Honor Giveback (PPO)H5216-442-000 · Humana Inc. | Advantage without drug coveragePPO | $0 | $9,150 | n/a | 4 |
| Humana Value Rx Plan (PDP)S5884-185-000 · Humana Inc. | Drug onlyPDP | $31.70 | n/a | $687 | 4.5 |
| HumanaChoice H5216-019 (PPO)H5216-019-000 · Humana Inc. | Advantage with drugsPPO | $34 | $6,800 | $700 | 4 |
| HumanaChoice H5216-425 (PPO)H5216-425-000 · Humana Inc. | Advantage with drugsPPO | $29 | $7,600 | $700 | 4 |
| HumanaChoice R0110-007 (Regional PPO)R0110-007-000 · Humana Inc. | Advantage without drug coverageRegional PPO | $0 | $4,750 | n/a | 3.5 |
| HumanaChoice R0110-008 (Regional PPO)R0110-008-000 · Humana Inc. | Advantage with drugsRegional PPO | $75 | $7,150 | $700 | 3.5 |
| Peak Advantage Summit (PPO)H8947-002-001 · West Virginia United Health System, Inc. | Advantage with drugsPPO | $25 | $6,750 | $0 | 5 |
| Peak Advantage Vista (PPO)H8947-001-001 · West Virginia United Health System, Inc. | Advantage with drugsPPO | $0 | $7,500 | $0 | 5 |
| The Health Plan SecureCare - Option II (HMO)H3672-020-000 · The Health Plan of West Virginia, Inc. | Advantage with drugsHMO | $13 | $7,500 | $395 | 3.5 |
| The Health Plan SecureCare Integrity Plan 1 (HMO)H3672-021-000 · The Health Plan of West Virginia, Inc. | Advantage without drug coverageHMO | $0 | $7,500 | n/a | 3.5 |
| The Health Plan SecureCare SNP (HMO D-SNP)H3672-019-000 · The Health Plan of West Virginia, Inc. | Advantage with drugsHMO D-SNP | $12.80 | $9,250 | $700 | 3.5 |
| The Health Plan SecureChoice Optimum (PPO)H8604-014-002 · The Health Plan of West Virginia, Inc. | Advantage with drugsPPO | $0 | $7,000 | $425 | 3 |
| The Health Plan SecureChoice Reliance (PPO)H8604-015-000 · The Health Plan of West Virginia, Inc. | Advantage with drugsPPO | $67 | $7,000 | $300 | 3 |
| UHC Dual Advantage WV-V1 (PPO D-SNP)H2001-061-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO D-SNP | $12.80 | $5,900 | $700 | 4.5 |
| UHC Dual Complete WV-Q1 (PPO D-SNP)H2001-030-000 · UnitedHealth Group, Inc. | Advantage with drugsPPO D-SNP | $0 | $9,850 | $700 | 4.5 |
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page
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Neighboring counties
- Augusta County, VA56 Advantage plans, 44 at $0
- Grant County44 Advantage plans, 30 at $0
- Hardy County42 Advantage plans, 27 at $0
- Highland County, VA43 Advantage plans, 33 at $0
- Pocahontas County41 Advantage plans, 26 at $0
- Randolph County45 Advantage plans, 29 at $0
- Rockingham County, VA41 Advantage plans, 33 at $0
Health data for Pendleton County, WV
About this data
Plans, premiums, out-of-pocket maximums, and drug deductibles come from the CMS CY2027 Medicare Advantage and Part D landscape file. Change from 2026 compares it with the CY2026 landscape. Stars are the 2027 Star Ratings CMS released October 8, 2026: the overall rating for Advantage plans and the Part D summary rating for drug-only plans, which have no overall rating.
Advantage counts include Special Needs Plans (SNPs), which are open only to people who qualify: D-SNPs for people with both Medicare and Medicaid, C-SNPs for people with certain chronic conditions, and I-SNPs for people who live in a nursing home or need that level of care at home. Drug-only plans are listed by CMS for a whole state, so every county page shows them. Employer group plans are not in the file. This page lists plans; it does not say which plan fits anyone, and Rivvi does not sell plans.
Source: CMS Medicare Advantage and Part D landscape files, as of September 30, 2026. Publisher page
Source: CMS CY2026 Medicare Advantage and Part D landscape file, as of September 25, 2025. Publisher page
Source: CMS 2027 Medicare Part C and D Star Ratings, as of October 8, 2026. Publisher page