Medicare Plans in
Salem County, VA
53 Medicare Advantage Plans Found in Salem County. See Plans
Salem County, VA
Medicare Information
For Salem County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 53 private Medicare plans are available in Salem County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about some of the Medicare plans in Salem County, Virginia, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
Average Cost of Medicare
Plans in Salem County
| Average Cost of Medicare Advantage Plans in Salem County, Virginia | |
|---|---|
| Average Monthly Premium | $59.29 |
| Average in-network out-of-pocket spending limit | $7,737.25 |
| Average drug deductible in 2025 (weighted) | $387.00 |
| Percentage of plans rated 4 stars or higher | 24.5% |
| Average Cost of Medicare Advantage Plans in Salem County, Virginia |
|---|
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Average Monthly Premium $59.29 |
|
Average in-network out-of-pocket spending limit $7,737.25 |
|
Average drug deductible in 2021 (weighted) $387.00 |
|
Percentage of plans rated 4 stars or higher 24.5% |
Learn More About Medicare
Prescription Drug Plans
| Plan Type | Description |
|---|---|
| HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
| PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
| PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
| SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
| Plan Type and Description |
|---|
|
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans
Aetna Inc. Medicare Plans in Salem County, VA
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Value (HMO-POS) | H3931: 162 | $0 | $250 | $4,150 | Yes | 3.5 out of 5 |
| Aetna Medicare Better Health (HMO D-SNP) | H1610: 001 | $0 | $0 | $9,350 | Yes | 3 out of 5 |
| Aetna Medicare Assure Value (HMO D-SNP) | H1610: 003 | $0 | $0 | $9,350 | Yes | 3 out of 5 |
| Aetna Medicare Eagle (PPO) | H5521: 322 | $0 | N/A | $6,750 | No | 4.5 out of 5 |
| Aetna Medicare Premier (PPO) | H5521: 484 | $0 | $250 | $8,900 | Yes | 4.5 out of 5 |
| Aetna Medicare Select (HMO-POS) | H3931: 101 | $0 | $0 | $5,900 | Yes | 3.5 out of 5 |
| Aetna Medicare Carilion Health Prime (HMO-POS) | H3931: 158 | $0 | $0 | $3,900 | Yes | 3.5 out of 5 |
| Aetna Medicare Value Plus (PPO) | H5521: 084 | $20 | $590 | $5,500 | Yes | 4.5 out of 5 |
Anthem Blue Cross and Blue Shield Medicare Plans in Salem County, VA
The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield private Medicare plans available in Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Anthem Medicare Advantage (PPO) | H4909: 014 | $0 | $295 | $7,950 | Yes | 3 out of 5 |
| Anthem Dual Advantage (PPO D-SNP) | H2441: 001 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| Anthem Veteran (PPO) | H4909: 020 | $0 | N/A | $6,800 | No | 3 out of 5 |
| Anthem Kidney Care (HMO-POS C-SNP) | H3447: 033 | $0 | $325 | $5,900 | Yes | 3.5 out of 5 |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | H4694: 001 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| Anthem Dual Advantage (HMO D-SNP) | H4694: 002 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| Anthem Full Dual Advantage (HMO D-SNP) | H4694: 004 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| Anthem Medicare Advantage 2 (HMO-POS) | H3447: 025 | $0 | $320 | $6,700 | Yes | 3.5 out of 5 |
| Anthem Medicare Advantage 3 (HMO-POS) | H3447: 050 | $0 | $150 | $3,900 | Yes | 3.5 out of 5 |
| Anthem Grocery (HMO-POS) | H3447: 039 | $0 | $195 | $4,900 | Yes | 3.5 out of 5 |
| Anthem Grocery (PPO) | H4909: 026 | $0 | $295 | $7,950 | Yes | 3 out of 5 |
| Anthem Extra Help (HMO-POS) | H3447: 028 | $8 | $590 | $2,900 | Yes | 3.5 out of 5 |
Humana Inc. Medicare Plans in Salem County, VA
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| HumanaChoice R0110-004 (Regional PPO) | R0110: 004 | $0 | N/A | $7,550 | No | 3.5 out of 5 |
| Humana Gold Choice H8145-042 (PFFS) | H8145: 042 | $0 | N/A | N/A | No | 4 out of 5 |
| HumanaChoice H5216-408 (PPO) | H5216: 408 | $0 | $450 | $9,350 | Yes | 3.5 out of 5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | H6622: 084 | $0 | $450 | $9,350 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-266 (PPO) | H5216: 266 | $0 | $350 | $9,350 | Yes | 3.5 out of 5 |
| HumanaChoice Giveback H5216-308 (PPO) | H5216: 308 | $0 | $450 | $9,350 | Yes | 3.5 out of 5 |
| Humana USAA Honor Giveback (PPO) | H5216: 310 | $0 | N/A | $9,350 | No | 3.5 out of 5 |
| Humana Gold Plus H6622-083 (HMO) | H6622: 083 | $0 | $350 | $9,350 | Yes | 3.5 out of 5 |
| Humana Gold Plus H6622-091 (HMO) | H6622: 091 | $0 | $450 | $9,350 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-152 (PPO) | H5216: 152 | $0 | N/A | $3,400 | No | 3.5 out of 5 |
| Humana USAA Honor Giveback (Regional PPO) | R0110: 006 | $0 | N/A | $9,350 | No | 3.5 out of 5 |
| Humana Gold Plus H5377-002 (HMO-POS) | H5377: 002 | $0 | $350 | $9,350 | Yes | 4 out of 5 |
| Humana Gold Plus H5619-135 (HMO) | H5619: 135 | $0 | $350 | $9,350 | Yes | 3.5 out of 5 |
| Humana Gold Choice H8145-004 (PFFS) | H8145: 004 | $18 | $350 | N/A | Yes | 4 out of 5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | H5619: 145 | $19 | $450 | $9,350 | Yes | 3.5 out of 5 |
| Humana Gold Plus H6622-085 (HMO) | H6622: 085 | $20 | $590 | $9,350 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-363 (PPO) | H5216: 363 | $31 | $590 | $9,350 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-027 (PPO) | H5216: 027 | $71 | $350 | $9,350 | Yes | 3.5 out of 5 |
| Humana Full Access R0110-005 (Regional PPO) | R0110: 005 | $128 | $480 | $9,350 | Yes | 3.5 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Plans in Salem County, VA
The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Molina Medicare Complete Care Select (HMO D-SNP) | H7559: 002 | $0 | $0 | $9,350 | Yes | 2.5 out of 5 |
| Molina Medicare Complete Care (HMO D-SNP) | H7559: 001 | $0 | $0 | $9,350 | Yes | 2.5 out of 5 |
UnitedHealthcare Medicare Plans in Salem County, VA
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| UHC Dual Complete VA-Y4 (PPO D-SNP) | H0421: 001 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO) | H2001: 099 | $0 | N/A | $8,900 | No | 4 out of 5 |
| UHC Dual Complete VA-Q001 (HMO-POS D-SNP) | H2445: 002 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| UHC Dual Complete VA-Y002 (HMO-POS D-SNP) | H2445: 003 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| UHC Dual Complete VA-V001 (HMO-POS D-SNP) | H2445: 004 | $0 | $0 | $3,600 | Yes | Plan too new to be measured |
| UHC Dual Complete VA-Y3 (HMO-POS D-SNP) | H2445: 005 | $0 | $0 | $9,350 | Yes | Plan too new to be measured |
| AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS) | H5253: 119 | $0 | $495 | $8,900 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC VA-0007 (PPO) | H2001: 109 | $0 | $255 | $7,500 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC VA-0011 (HMO-POS) | H5253: 111 | $0 | $340 | $5,900 | Yes | 4 out of 5 |
| UHC Complete Care VA-23 (HMO-POS C-SNP) | H5253: 197 | $0 | $340 | $5,900 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC VA-0012 (HMO-POS) | H5253: 112 | $31 | $340 | $5,400 | Yes | 4 out of 5 |
| AARP Medicare Advantage Access from UHC VA-20 (PPO) | H2001: 115 | $247 | $570 | $3,000 | Yes | 4 out of 5 |
