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Medicare Advantage Plans in Fairfax County, Virginia

Below are Medicare Advantage plans available to residents of Fairfax county, Virginia. 6 carriers offer 19 plans throughout the county of Fairfax. Residents may choose plans from carriers such as UnitedHealthcare, Kaiser Permanente Medicare Plus and Aetna Medicare. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Fairfax county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Fairfax

Carrier	Plan Title	Plan Type
UnitedHealthcare	UnitedHealthcare Nursing Home Plan (PPO SNP) (H2111-001)	Local Preferred Provider Organization
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $10 000 out-of-pocket limit for Medicare-covered services. $31.2 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 0% to 20% of the cost for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Kaiser Permanente Medicare Plus	Kaiser Permanente Medicare Plus High w/D AB (Cost) (H2150-002)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $99 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $10 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Medicare Plus	Kaiser Permanente Medicare Plus Std w/D AB (Cost) (H2150-009)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $20 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Medicare Plus	Kaiser Permanente Medicare Plus Basic no D AB (Cost) (H2150-017)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for select Medicare-covered services. Contact plan for details regarding Medicare-covered services under this limit. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $30 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Medicare Plus	Kaiser Permanente Medicare Plus High w/o D AB (Cost) (H2150-021)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $64.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $10 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Medicare Plus	Kaiser Permanente Medicare Plus Std w/o D AB (Cost) (H2150-022)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $20 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Medicare Plus	Kaiser Permanente Medicare Plus Std Option w/D B (Cost) (H2150-029)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $365 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $20 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Medicare Plus	Kaiser Permanente Basic Option no D B (Cost) (H2150-030)	Cost Plan
Premium and Other Important Information $3 400 out-of-pocket limit for select Medicare-covered services. Contact plan for details regarding Medicare-covered services under this limit. $316.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits Authorization rules may apply. $30 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Value Plan (HMO) (H4910-005)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $38 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $50 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Universal Health Care Insurance Company Inc.	Universal Hassle-Free (PPO) (H5096-001)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Universal Hassle-Free MA Only (PPO) (H5096-002)	Local Preferred Provider Organization
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 10.00. $6 700 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Aetna Medicare	Aetna Medicare Standard Plan (PPO) (H5521-027)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $1 000 annual deductible. Contact the plan for services that apply. $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $128 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $50 copay for each in-area network urgent care Medicare-covered visit $45 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Erickson Advantage	Erickson Advantage Signature with Drugs (HMO-POS) (H5652-001)	HMO with POS Option
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $175 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Erickson Advantage	Erickson Advantage Signature without Drugs (HMO-POS) (H5652-002)	HMO with POS Option
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $136.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Erickson Advantage	Erickson Advantage Guardian (HMO-POS SNP) (H5652-003)	HMO with POS Option
Premium and Other Important Information $500 out-of-pocket limit for Medicare-covered services. $31.1 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each in-area network urgent care Medicare-covered visit $0 copay for each specialist visit for Medicare-covered benefits.
Erickson Advantage	Erickson Advantage Champion (HMO-POS SNP) (H5652-004)	HMO with POS Option
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $175 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Universal Health Care Insurance Company Inc.	Any Any Any Gold (PFFS) (H8098-001)	Private Fee for Service
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Any Any Any Gold MA Only (PFFS) (H8098-003)	Private Fee for Service
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00. $6 700 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Humana Insurance Company	Humana Gold Choice H8145-004 (PFFS) (H8145-004)	Private Fee for Service
Premium and Other Important Information Package: 1 - MyOption Dental High PPO: Package: 2 - MyOption Dental Low PPO: Package: 3 - MyOption Vision: Package: 4 - MyOption Plus: Package: 5 - MyOption Healthy Back: $31 monthly premium in addition to your $59 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $19 monthly premium in addition to your $59 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $15 monthly premium in addition to your $59 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear $30 monthly premium in addition to your $59 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $16 monthly premium in addition to your $59 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services $1 500 plan coverage limit every year for these benefits. $1 000 plan coverage limit every year for these benefits. $290 plan coverage limit every year for these benefits. $500 plan coverage limit every year for these benefits. $6 700 out-of-pocket limit for Medicare-covered services. $59 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit

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