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Medicare plans in Falls Church city, VA — 2026
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2026, Falls Church city, Virginia has 62 Medicare plans (23 Medicare Advantage with drug coverage, 8 without, 9 standalone Part D, 22 Special Needs) from 11 carriers. 12 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $3,000.
Market snapshot
- Residents 65 and older
- 2,265
- Residents 60–64, aging in over the next five years
- 739
- Medicare eligibles
- 2,616
- Medicare Advantage penetration
- 31.7%
- Plans per 1,000 residents 65+
- 27.4
Carriers by number of plans
- Humana — 23 plans
- UnitedHealthcare — 12 plans
- Aetna Medicare — 6 plans
- Kaiser Permanente — 6 plans
- Anthem HealthKeepers — 5 plans
- Anthem Blue Cross and Blue Shield — 2 plans
- Lifeworks Advantage — 2 plans
- Sentara Medicare — 2 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|
| Humana Essentials Plus Giveback H7617-100 (PPO) (H7617-100-0) | Humana | MA-PD | PPO | $0 | $360 | $9,250 | 4.5 |
|---|
| Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) (H2172-010-0) | Kaiser Permanente | MA-PD | HMO-POS | $0 | $0 | $6,500 | 4.5 |
|---|
| Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) (H2172-009-0) | Kaiser Permanente | MA-PD | HMO-POS | $15 | $0 | $5,900 | 4.5 |
|---|
| AARP Medicare Advantage from UHC VA-0003 (PPO) (H2001-095-0) | UnitedHealthcare | MA-PD | PPO | $21 | $600 | $6,700 | 4.5 |
|---|
| Kaiser Permanente Medicare Advantage Standard 2 VA (HMO-POS) (H2172-023-0) | Kaiser Permanente | MA-PD | HMO-POS | $25 | $0 | $5,900 | 4.5 |
|---|
| Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS) (H2172-013-0) | Kaiser Permanente | MA-PD | HMO-POS | $26 | $0 | $5,500 | 4.5 |
|---|
| Aetna Medicare Elite (PPO) (H5521-650-0) | Aetna Medicare | MA-PD | PPO | $90 | $615 | $6,750 | 4.5 |
|---|
| Kaiser Permanente Medicare Advantage High VA (HMO-POS) (H2172-008-0) | Kaiser Permanente | MA-PD | HMO-POS | $137 | $0 | $5,700 | 4.5 |
|---|
| AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO) (H2001-099-0) | UnitedHealthcare | MA | PPO | | | $8,900 | 4.5 |
|---|
| Aetna Medicare Eagle Giveback (PPO) (H5521-322-0) | Aetna Medicare | MA | PPO | | | $6,750 | 4.5 |
|---|
Showing 10 of 62 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.