Medicare Advantage PPO plans in West Virginia
There are 45 Medicare Advantage PPO plans in West Virginia from 6 carriers, averaging 3.96 out of 5 stars across the 45 plans CMS has rated. 51% of those with a published premium charge $0 a month (23 of 45); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 45 PPO plans in West Virginia that publish one, the in-network out-of-pocket maximum has a median of $7,150 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,838, which sits above the median — the spread is not symmetric, so the median is the better guide.
West Virginia has 7 five-star Medicare Advantage PPO plans.
Of the 45 PPO plans here, 7 carry CMS's top overall rating of 5 stars and 28 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
West Virginia PPO plans rank 29th of 51 on star rating.
Across the 45 rated plans here the average overall rating is 3.96 stars, 29th highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in West Virginia
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| Peak Advantage Summit (PPO)Peak Health | 5★ | $6,750 | $25 |
| Peak Advantage Vista (PPO)Peak Health | 5★ | $7,500 | $0 |
| PeakPlus Rise (PPO D-SNP)Peak Health · Dual-Eligible SNP | 5★ | $9,850 | $12.80 |
| UHC Dual Advantage WV-V1 (PPO D-SNP)UnitedHealthcare · Dual-Eligible SNP | 4.5★ | $5,900 | $12.80 |
| Humana Essentials Plus Giveback (PPO)Humana | 4.5★ | $9,850 | $0 |
Showing 5 of 45. See all West VirginiaMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| HumanaHumana Inc. | 13 | 4.0 | 2 |
| Highmark Blue Cross Blue ShieldHighmark Health | 9 | 3.5 | — |
| Aetna MedicareCVS Health Corporation | 7 | 4.0 | — |
| Peak HealthWest Virginia United Health System, Inc. | 7 | 5.0 | 1 |
| UnitedHealthcareUnitedHealth Group, Inc. | 7 | 3.6 | 3 |
| The Health PlanThe Health Plan of West Virginia, Inc. | 2 | 3.0 | — |
How PPO compares
States with similar PPO star ratings
West Virginia Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in West Virginia?
What are the star ratings for West Virginia PPO plans?
How many Medicare Advantage PPO plans are available in West Virginia?
Do West Virginia PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in West Virginia?
A $0 premium is not the whole cost.
See what a year really looks like.
Simplivera models your actual annual costs across West Virginia Medicare Advantage plans.
Estimate my costs — it’s free →