Medicare Plans in
Mason County, WV
36 Medicare Advantage Plans Found in Mason County. See Plans
Mason County, WV
Medicare Information
For Mason 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, 36 private Medicare plans are available in Mason 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 Mason County, West Virginia, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Average Cost of Medicare
Plans in Mason County
| Average Cost of Medicare Advantage Plans in Mason County, West Virginia | |
|---|---|
| Average Monthly Premium | $52.82 |
| Average in-network out-of-pocket spending limit | $7,362.50 |
| Average drug deductible in 2025 (weighted) | $451.79 |
| Percentage of plans rated 4 stars or higher | 47.2% |
| Average Cost of Medicare Advantage Plans in Mason County, West Virginia |
|---|
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Average Monthly Premium $52.82 |
|
Average in-network out-of-pocket spending limit $7,362.50 |
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Average drug deductible in 2021 (weighted) $451.79 |
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Percentage of plans rated 4 stars or higher 47.2% |
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 Mason County, WV
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in West Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Advantra Silver (HMO) | H1692: 002 | $0 | $450 | $6,900 | Yes | 4.5 out of 5 |
| Aetna Medicare Dual Preferred (PPO D-SNP) | H1608: 083 | $0 | $0 | $9,350 | Yes | 4 out of 5 |
| Aetna Medicare Advantra Credit Value (PPO) | H1608: 031 | $0 | $590 | $7,500 | Yes | 4 out of 5 |
| Aetna Medicare Advantra Eagle (HMO) | H1692: 006 | $0 | N/A | $6,900 | No | 4.5 out of 5 |
| Aetna Medicare Advantra Value (PPO) | H1608: 040 | $0 | $590 | $7,500 | Yes | 4 out of 5 |
| Aetna Medicare Advantra Cares (HMO D-SNP) | H1692: 005 | $0 | $0 | $9,350 | Yes | 4.5 out of 5 |
| Aetna Medicare Advantra Gold (PPO) | H1608: 027 | $12 | $590 | $5,500 | Yes | 4 out of 5 |
| Aetna Medicare Premier (PPO) | H1608: 085 | $86 | $590 | $7,500 | Yes | 4 out of 5 |
Highmark Health
Highmark Health Medicare Plans in Mason County, WV
The following table includes cost information and other plan details for Highmark Health private Medicare plans available in West Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Freedom Blue PPO Signature (PPO) | H5106: 030 | $0 | $0 | $7,000 | Yes | 4.5 out of 5 |
| Freedom Blue PPO Valor (PPO) | H5106: 033 | $0 | N/A | $6,000 | No | 4.5 out of 5 |
| Freedom Blue PPO Merit (PPO) | H5106: 031 | $0 | $590 | $8,300 | Yes | 4.5 out of 5 |
| Freedom Blue PPO Distinct (PPO) | H5106: 029 | $11 | $0 | $5,700 | Yes | 4.5 out of 5 |
| Freedom Blue PPO Prestige (PPO) | H5106: 032 | $29 | $0 | $5,300 | Yes | 4.5 out of 5 |
| Freedom Blue PPO Standard (PPO) | H5106: 013 | $134 | $0 | $6,500 | Yes | 4.5 out of 5 |
Humana Inc. Medicare Plans in Mason County, WV
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in West Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| HumanaChoice SNP-DE H5216-220 (PPO D-SNP) | H5216: 220 | $0 | $0 | $9,350 | Yes | 3.5 out of 5 |
| Humana Dual Select H5619-126 (HMO-POS D-SNP) | H5619: 126 | $0 | $0 | $8,850 | Yes | 3.5 out of 5 |
| HumanaChoice R0110-007 (Regional PPO) | R0110: 007 | $0 | N/A | $4,500 | No | 3.5 out of 5 |
| Humana USAA Honor Giveback (PPO) | H5216: 225 | $0 | N/A | $6,700 | No | 3.5 out of 5 |
| HumanaChoice Giveback H5216-328 (PPO) | H5216: 328 | $0 | $590 | $9,350 | Yes | 3.5 out of 5 |
| Humana USAA Honor Giveback (PPO) | H5216: 105 | $0 | N/A | $4,200 | No | 3.5 out of 5 |
| Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP) | H5619: 162 | $0 | $0 | $9,350 | Yes | 3.5 out of 5 |
| Humana Gold Plus H5619-113 (HMO-POS) | H5619: 113 | $0 | $250 | $8,550 | Yes | 3.5 out of 5 |
| Humana USAA Honor Giveback with Rx (PPO) | H5216: 391 | $0 | $350 | $8,850 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-327 (PPO) | H5216: 327 | $0 | $200 | $8,950 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-182 (PPO) | H5216: 182 | $15 | $0 | $6,750 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-425 (PPO) | H5216: 425 | $25 | $0 | $7,550 | Yes | 3.5 out of 5 |
| HumanaChoice H5216-019 (PPO) | H5216: 019 | $35 | $200 | $6,750 | Yes | 3.5 out of 5 |
| HumanaChoice R0110-008 (Regional PPO) | R0110: 008 | $63 | $0 | $6,700 | Yes | 3.5 out of 5 |
| Humana Full Access H5216-124 (PPO) | H5216: 124 | $126 | $0 | $6,750 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Plans in Mason County, WV
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in West Virginia in 2025.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC WV-0003 (PPO) | H8211: 006 | $0 | $495 | $6,700 | Yes | 3.5 out of 5 |
| UHC Dual Complete WV-S001 (PPO D-SNP) | H2001: 030 | $0 | $0 | $9,350 | Yes | 4 out of 5 |
| UHC Dual Complete WV-V001 (PPO D-SNP) | H2001: 061 | $0 | $0 | $4,900 | Yes | 4 out of 5 |
| UHC Dual Complete WV-S2 (PPO D-SNP) | H2001: 082 | $0 | $0 | $9,350 | Yes | 4 out of 5 |
| AARP Medicare Advantage Patriot No Rx WV-MA01 (PPO) | H8211: 005 | $0 | N/A | $8,900 | No | 3.5 out of 5 |
| AARP Medicare Advantage from UHC WV-0004 (PPO) | H8211: 011 | $0 | $420 | $6,700 | Yes | 3.5 out of 5 |
| AARP Medicare Advantage from UHC WV-0001 (PPO) | H8211: 001 | $45 | $420 | $6,700 | Yes | 3.5 out of 5 |
