County guide · James City County, VA · 2027 plan year

Original Medicare vs Medicare Advantage in James City County, VA

This guide lists 36 Medicare Advantage plans for 2027 in James City County, with the yearly cost of each one next to Original Medicare with Medigap. Special needs plans are not on this list.

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Plans
36
$0 premium
29 plans
Lowest in-network limit
$3,400
Highest in-network limit
$9,850

In most states, including Virginia, you cannot count on getting Medigap later

You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Virginia can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later. Virginia’s birthday rule helps only people who already have Medigap, not people who leave Medicare Advantage.

One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.

Read about Medigap rights on Medicare.gov

Yearly cost of each plan

Totals include premiums, the Part B premium, copays, and drug costs for three levels of care. A light year is checkups and a few visits. A regular year has ongoing specialist care. A heavy year has frequent care and a 5-day hospital stay.

PlanMonthly premiumsYearly limit on medical costsStarsPrior authorizationLight yearRegular yearHeavy year
Original Medicare with Medigap Plan Gand the lowest-cost drug planPart B $209.50 + Plan G + a drug plan from $5.30$292 Part B deductible, then Plan G paysNot ratedShort list of servicesWe have no checked Medigap price for this county yet. Check Medigap prices on Medicare.gov
Humana Essentials Plus Giveback (PPO)PPO from Humana · Plan ID H7617-100 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $119 of Part B)$9,850 in network; $14,800 in and out of network4.5 of 524 services$1,566$4,696$10,156
Humana Essentials Plus Giveback (PPO)PPO from Humana · Plan ID H5216-308 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $119 of Part B)$9,850 in network; $14,800 in and out of network4 of 524 services$1,566$4,696$10,156
Humana Gold Plus Giveback H1036-334 (HMO)HMO from Humana · Plan ID H1036-334 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $113 of Part B)$9,850 in network4.5 of 524 services$1,593$4,741$10,438
Humana Gold Plus Giveback H6622-090 (HMO)HMO from Humana · Plan ID H6622-090 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $113 of Part B)$9,850 in network4 of 524 services$1,593$4,741$10,438
AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-119 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $77 of Part B)$9,850 in network4 of 524 services$2,090$5,150$10,783
Aetna Medicare Signature Plus (HMO-POS)HMO-POS from Aetna Medicare · Plan ID H3931-100 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$7,150 in network3.5 of 519 services$2,609$5,151$11,397
Humana Gold Plus H6622-085 (HMO)HMO from Humana · Plan ID H6622-085 · Medicare.govIts page is set for Fairfax County, VA$0 plan + Part B $209.50$9,850 in network4 of 524 services$2,579$5,363$11,069
Humana Gold Plus H6622-004 (HMO)HMO from Humana · Plan ID H6622-004 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$4,900 in network4 of 524 services$2,574$5,435$9,814
Humana Total Complete (HMO)HMO from Humana · Plan ID H1036-333 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$4,900 in network4.5 of 524 services$2,574$5,435$9,814
Humana Value Choice (PPO)PPO from Humana · Plan ID H5216-266 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$7,150 in network; $10,750 in and out of network4 of 524 services$2,594$5,555$11,334
Aetna Medicare Elite (PPO)PPO from Aetna Medicare · Plan ID H5521-395 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$7,500 in network; $7,500 in and out of network4 of 519 services$2,816$5,562$10,385
Humana Value Choice (PPO)PPO from Humana · Plan ID H7617-098 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$7,150 in network; $10,750 in and out of network4.5 of 524 services$2,599$5,585$11,394
Humana Total Complete (HMO)HMO from Humana · Plan ID H6622-083 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$9,850 in network4 of 524 services$2,599$5,620$11,524
AARP Medicare Advantage Direct Plus from UHC VA-26 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-248 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$5,400 in network4 of 524 services$2,514$5,625$10,314
HumanaChoice H5216-363 (PPO)PPO from Humana · Plan ID H5216-363 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$9,850 in network; $14,800 in and out of network4 of 524 services$2,574$5,677$11,274
AARP Medicare Advantage Essentials from UHC VA-8 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-087 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$5,400 in network4 of 524 services$2,514$5,735$10,314
Anthem Medicare Advantage 3 (HMO-POS)HMO-POS from Anthem HealthKeepers · Plan ID H3447-049 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$5,900 in network3 of 523 services$2,589$5,815$10,814
AARP Medicare Advantage Extras from UHC VA-30 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-257 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$6,900 in network4 of 524 services$2,514$5,950$11,814
Humana Gold Plus H5619-157 (HMO)HMO from Humana · Plan ID H5619-157 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$9,850 in network4 of 524 services$3,171$6,067$11,909
HumanaChoice H5216-408 (PPO)PPO from Humana · Plan ID H5216-408 · Medicare.govIts page is set for Fairfax County, VA$0 plan + Part B $209.50$9,850 in network; $14,800 in and out of network4 of 524 services$2,921$6,081$11,727
Humana Total Complete (HMO)HMO from Humana · Plan ID H6622-091 · Medicare.govIts page is set for Fairfax County, VA$0 plan + Part B $209.50$9,850 in network4 of 524 services$2,910$6,126$11,903
AARP Medicare Advantage from UHC VA-0009 (HMO-POS)HMO-POS from UnitedHealthcare · Plan ID H5253-088 · Medicare.govIts page is set for Virginia Beach city, VA$48 plan + Part B $209.50$4,450 in network4 of 524 services$3,090$6,176$9,940
AARP Medicare Advantage from UHC VA-0004 (PPO)PPO from UnitedHealthcare · Plan ID H2001-096 · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$7,150 in network; $10,750 in and out of network4.5 of 524 services$3,229$6,305$11,782
HumanaChoice H7617-125 (PPO)PPO from Humana · Plan ID H7617-125 · Medicare.govIts page is set for Virginia Beach city, VA$58 plan + Part B $209.50$9,850 in network; $14,800 in and out of network4.5 of 524 services$3,295$6,316$12,220
HumanaChoice H5216-144 (PPO)PPO from Humana · Plan ID H5216-144 · Medicare.govIts page is set for Virginia Beach city, VA$46 plan + Part B $209.50$9,850 in network; $14,800 in and out of network4 of 524 services$3,146$6,354$12,031
Aetna Medicare Enhanced (PPO)PPO from Aetna Medicare · Plan ID H5521-084 · Medicare.govIts page is set for Virginia Beach city, VA$41 plan + Part B $209.50$6,900 in network; $8,900 in and out of network4 of 519 services$3,721$6,647$11,715
Anthem Medicare Advantage (PPO)PPO from Anthem Blue Cross and Blue Shield · Plan ID H4909-014 · Medicare.govIts page is set for Virginia Beach city, VA$30 plan + Part B $209.50$8,950 in network; $11,300 in and out of network3 of 523 services$3,589$6,995$12,862
Aetna Medicare Premier (PPO)PPO from Aetna Medicare · Plan ID H5521-652 · Medicare.govIts page is set for Virginia Beach city, VA$79 plan + Part B $209.50$6,750 in network; $8,750 in and out of network4 of 519 services$4,177$7,167$12,323
Humana Full Access (Regional PPO)Regional PPO from Humana · Plan ID R0110-005 · Medicare.govIts page is set for Mecklenburg County, NC$158 plan + Part B $209.50$9,850 in network; $14,800 in and out of network3.5 of 524 services$4,495$7,723$13,420
Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H5216-310 · No drug coverage · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $162 of Part B)$9,850 in network; $14,800 in and out of network4 of 524 services$943$9,197$28,706
Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H7617-101 · No drug coverage · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50 (the plan pays back $162 of Part B)$9,850 in network; $14,800 in and out of network4.5 of 524 services$943$9,197$28,706
Aetna Medicare Eagle Giveback (PPO)PPO from Aetna Medicare · Plan ID H5521-322 · No drug coverage · Medicare.govIts page is set for Fairfax County, VA$0 plan + Part B $209.50 (the plan pays back $100 of Part B)$6,750 in network; $7,750 in and out of network4 of 519 services$1,672$9,430$28,077
AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO)PPO from UnitedHealthcare · Plan ID H2001-099 · No drug coverage · Medicare.govIts page is set for Fairfax County, VA$0 plan + Part B $209.50 (the plan pays back $165 of Part B)$8,900 in network; $14,800 in and out of network4.5 of 524 services$1,537$9,919$30,157
Humana USAA Honor Giveback (Regional PPO)Regional PPO from Humana · Plan ID R0110-006 · No drug coverage · Medicare.govIts page is set for Mecklenburg County, NC$0 plan + Part B $209.50 (the plan pays back $52 of Part B)$9,850 in network; $14,800 in and out of network3.5 of 524 services$2,263$10,517$29,901
HumanaChoice R0110-004 (Regional PPO)Regional PPO from Humana · Plan ID R0110-004 · No drug coverage · Medicare.govIts page is set for Mecklenburg County, NC$0 plan + Part B $209.50$9,850 in network; $14,800 in and out of network3.5 of 524 services$2,887$11,147$30,670
HumanaChoice H5216-152 (PPO)PPO from Humana · Plan ID H5216-152 · No drug coverage · Medicare.govIts page is set for Virginia Beach city, VA$0 plan + Part B $209.50$3,400 in network; $3,400 in and out of network4 of 524 services$2,902$11,156$27,490

A plan with no drug coverage counts drugs at full price, unless its members can add a separate drug plan. A plan name with a link opens a page where you can change the care level, the Medigap plan, your age, and your drugs.

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Sources and method

Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. We do not have a Medigap price for James City County, VA. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 23188 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.

These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.

Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

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