Mercer County, West Virginia — 2026 Medicare Advantage plans
40 individual Medicare Advantage plan segments from 6 parent organizations are filed for Mercer County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
40plans filed +1 vs prior year
23with a $0 premium +3 vs prior year
$7,225median in-network MOOP +$325 vs prior year
5on 4-star or better contracts
34report comprehensive dental
31report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WV-0003 (PPO) UnitedHealth Group, Inc. · H8211-006-000 · SoB | PPO | $0 | $6,700 | $520 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| AARP Medicare Advantage from UHC WV-0004 (PPO) UnitedHealth Group, Inc. · H8211-011-000 · SoB | PPO | $0 | $6,700 | $600 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Advantra Dual (HMO D-SNP) CVS Health Corporation · H1692-005-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.5out of 5 stars, Average | $175 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Advantra Signature (HMO) CVS Health Corporation · H1692-002-000 · SoB ✓ | HMO | $0 | $6,900 | $615 | 3.5out of 5 stars, Average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Signature (PPO) CVS Health Corporation · H1608-040-000 · SoB ✓ | PPO | $0 | $7,500 | $615 | 3.5out of 5 stars, Average | $30 | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Signature Giveback (PPO) CVS Health Corporation · H1608-031-000 · SoB ✓ | PPO | $0 | $9,250 | $615 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Complete Blue PPO Merit (PPO) Highmark Health · H5106-037-000 · SoB ✓ | PPO | $0 | $8,300 | $615 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Complete Blue PPO Signature (PPO) Highmark Health · H5106-030-003 · SoB ✓ | PPO | $0 | $7,550 | $615 | 3.5out of 5 stars, Average | $120 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Humana Gold Choice H8145-052 (PFFS) Humana Inc. · H8145-052-000 · SoB ✓ | PFFS | $0 | $7,100 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H5216-391-000 · SoB ✓ | PPO | $0 | $8,850 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback with Rx (PPO) Humana Inc. · H7617-072-000 · SoB ✓ | PPO | $0 | $8,850 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| HumanaChoice Giveback H5216-328 (PPO) Humana Inc. · H5216-328-000 · SoB ✓ | PPO | $0 | $9,250 | $325 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice Giveback H7617-065 (PPO) Humana Inc. · H7617-065-000 · SoB ✓ | PPO | $0 | $9,250 | $325 | 4.5out of 5 stars, Above average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice H5216-327 (PPO) Humana Inc. · H5216-327-000 · SoB ✓ | PPO | $0 | $8,500 | $400 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| The Health Plan SecureCare - Option II (HMO) The Health Plan of West Virginia, Inc. · H3672-020-000 · SoB | HMO | $0 | $6,700 | $395 | 3.5out of 5 stars, Average | $55 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| The Health Plan SecureChoice Optimum (PPO) The Health Plan of West Virginia, Inc. · H8604-014-002 · SoB | PPO | $0 | $6,500 | $150 | 3.5out of 5 stars, Average | $105 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Humana Together in Health (PPO I-SNP) Humana Inc. · H5216-447-000 · SoB ✓ | PPO I-SNP | $12.90 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| HumanaChoice H5216-425 (PPO) Humana Inc. · H5216-425-000 · SoB ✓ | PPO | $15 | $7,350 | $300 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| The Health Plan SecureCare SNP (HMO D-SNP) The Health Plan of West Virginia, Inc. · H3672-019-000 · SoB | HMO D-SNP | $17.70 | $9,250 | $615 | 3.5out of 5 stars, Average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Complete Blue PPO Distinct (PPO) Highmark Health · H5106-029-003 · SoB ✓ | PPO | $24 | $6,750 | $615 | 3.5out of 5 stars, Average | $40 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| HumanaChoice H5216-019 (PPO) Humana Inc. · H5216-019-000 · SoB ✓ | PPO | $24 | $6,550 | $200 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| HumanaChoice SNP-DE H5216-220 (PPO D-SNP) Humana Inc. · H5216-220-000 · SoB ✓ | PPO D-SNP | $28.10 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Aetna Medicare Advantra Enhanced (PPO) CVS Health Corporation · H1608-027-000 · SoB ✓ | PPO | $29 | $6,750 | $615 | 3.5out of 5 stars, Average | $45 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| UHC Dual Complete WV-S001 (PPO D-SNP) UnitedHealth Group, Inc. · H2001-030-000 · SoB | PPO D-SNP | $31 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| UHC Dual Complete WV-S2 (PPO D-SNP) UnitedHealth Group, Inc. · H2001-082-000 · SoB | PPO D-SNP | $32.50 | $9,250 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| UHC Dual Complete WV-V001 (PPO D-SNP) UnitedHealth Group, Inc. · H2001-061-000 · SoB | PPO D-SNP | $32.70 | $5,900 | $615 | 4.5out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| WV Senior Advantage (HMO I-SNP) SNP Holdings, LLC · H9153-001-000 · SoB ✓ | HMO I-SNP | $32.70 | $9,250 | $615 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| The Health Plan SecureChoice Reliance (PPO) The Health Plan of West Virginia, Inc. · H8604-015-000 · SoB | PPO | $43 | $5,300 | $150 | 3.5out of 5 stars, Average | $75 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| AARP Medicare Advantage from UHC WV-0001 (PPO) UnitedHealth Group, Inc. · H8211-001-000 · SoB | PPO | $57 | $6,700 | $600 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Premier (PPO) CVS Health Corporation · H1608-085-000 · SoB ✓ | PPO | $101 | $7,500 | $615 | 3.5out of 5 stars, Average | $90 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| The Health Plan SecureChoice - Option II (PPO) The Health Plan of West Virginia, Inc. · H8604-011-000 · SoB | PPO | $109 | $6,700 | $275 | 3.5out of 5 stars, Average | $55 | Vision exam Eyewear OTC allowance |
| Humana Full Access H5216-124 (PPO) Humana Inc. · H5216-124-000 · SoB ✓ | PPO | $118 | $6,550 | $300 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Freedom Blue PPO Standard (PPO) Highmark Health · H5106-034-001 · SoB ✓ | PPO | $134 | $6,500 | $0 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Transportation Meals |
| AARP Medicare Advantage Patriot No Rx WV-MA01 (PPO) UnitedHealth Group, Inc. · H8211-005-000 · SoB | PPO | — | $8,900 | — | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Aetna Medicare Advantra Eagle Plus (HMO) CVS Health Corporation · H1692-006-000 · SoB ✓ | HMO | — | $6,900 | — | 3.5out of 5 stars, Average | $90 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Freedom Blue PPO Valor (PPO) Highmark Health · H5106-038-000 · SoB ✓ | PPO | — | $6,000 | — | 3.5out of 5 stars, Average | $100 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-225-000 · SoB ✓ | PPO | — | $6,500 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-442-000 · SoB ✓ | PPO | — | $9,150 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5216-105-000 · SoB ✓ | PPO | — | $4,000 | — | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| The Health Plan SecureCare Integrity Plan 1 (HMO) The Health Plan of West Virginia, Inc. · H3672-021-000 · SoB | HMO | — | $6,900 | — | 3.5out of 5 stars, Average | $50 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Mercer County?
Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.
Download all 40 Mercer County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.
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