Medicare in Fairfax · VA
2026 Medicare Advantage Plans in Fairfax, VA
Fairfax offers 85 Medicare Advantage plans for 2026 across 7 carriers, with an average premium of $12/mo and 62 plans rated 4★ or higher by CMS.
Fairfax County, VA has 85 Medicare Advantage plans (avg $12.00/mo) for plan year 2026 — VA's largest and most competitive Medicare market.
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- Independent — not tied to any one carrier
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By the numbers · Fairfax
Quick facts for Fairfax, VA Medicare (2026)
Health profile · why coverage choice matters here
Chronic conditions among Fairfax adults
Find Medicare plans near you
Free tools
Quick Medicare Calculators
Part B Late Enrollment Penalty
Monthly penalty: $0.00
IRMAA Quick Check
Monthly surcharge: $0.00
Who covers you
Carriers in Fairfax (2026)
- UnitedHealthcare HMO-POSPPOD-SNP
AARP Medicare Advantage HMO-POS and PPO; D-SNP available statewide
- Humana HMO-POSPPO
HMO-POS and PPO options; strong statewide network in Virginia
- Aetna (CVS Health) PPO
Medicare Signature PPO; strong star ratings in VA markets
- Anthem HealthKeepers HMOPPO
Virginia's dominant regional carrier; HMO and PPO across most markets
- Wellcare by Centene HMOD-SNP
Low-premium HMO and D-SNP plans available statewide
- Kaiser Permanente HMO
Staff-model HMO; strong network in Northern Virginia and DC metro
- Cigna Healthcare HMOPPO
Medicare Advantage HMO and PPO; competitive in Northern Virginia
Where you get care
Hospitals & providers nearby
- Inova Fairfax Medical Campus 3300 Gallows Rd, Falls Church VA 22042
- Reston Hospital Center 1850 Town Center Pkwy, Reston VA 20190
- Inova Mount Vernon Hospital 2501 Parkers Ln, Alexandria VA 22306
- Inova Fair Oaks Hospital 3600 Joseph Siewick Dr, Fairfax VA 22033
Confirm your doctors and preferred pharmacy are in-network before enrolling — networks vary by plan and carrier.
Sources: CMS Hospital Compare · CMS Landscape (PY2026).
Choosing a Medicare plan in Fairfax, VA — what matters here
- Fairfax County is Virginia's most populous jurisdiction and the most competitive Medicare Advantage market in the state — 85 plans for 2026, averaging $12.00/month. Seven carriers compete here, including Kaiser Permanente's staff-model HMO.
- Inova Fairfax Medical Campus (5 stars) is one of the highest-rated hospitals in Virginia and a top-tier regional referral center. Inova Fair Oaks Hospital and Reston Hospital Center also serve the market.
- 48% of Fairfax County Medicare beneficiaries are enrolled in Medicare Advantage. The DC metro plan networks extend across Northern Virginia, DC, and Maryland — PPO plans here typically cover the entire region.
- 42 Special Needs Plans serve dual-eligible beneficiaries. Kaiser Permanente's HMO offers fully integrated care for those who prefer a staff-model approach.
Not sure Medicare Advantage is the right path?
Also consider Original Medicare + a Supplement
Medicare Advantage isn't the only option. If you want the freedom to see any doctor or hospital in the U.S. that accepts Medicare — with no networks, no referrals, and no plan-specific prior authorizations — a Medicare Supplement (Medigap) plan paired with a standalone Part D drug plan may be a better fit for your situation.
- No networks. See any Medicare-accepting provider nationwide — critical if you travel, split time between states, or have specialists outside your county.
- Predictable costs. Plan G covers nearly every gap in Original Medicare except the Part B deductible (~$257/yr in 2026). No surprise bills from out-of-network care.
- Enrollment window. Your guaranteed-issue Medigap Open Enrollment Period is 6 months from your Part B effective date. After it closes, health underwriting may apply in NC.
Medigap guide for Fairfax → NC Medicare Supplement overview →
Resources
Medicare guides for Fairfax, VA
What Is Medicare? Parts A, B, C & D Explained for 2026
Medicare has four parts that work together — and choosing the wrong combination at 65 can follow you financially for the rest of your life. A plain-English guide to what each part covers, what it costs, and how to enroll on time.
Read →
Medicare Advantage vs. Medigap in 2026: Which Is Right for You?
Two paths through Medicare — one bundles everything into a private plan, the other fills Original Medicare's gaps. The right choice depends on your health, your doctors, and a one-time enrollment window most people don't know about.
Read →
How to Avoid Medicare Late Enrollment Penalties in 2026
Miss a Medicare enrollment window and you pay a permanent surcharge added to your premiums for life. Here's exactly when to enroll in Parts A, B, and D — and the one exception that lets you delay without penalty.
Read →Fairfax, VA Medicare questions, answered
How many Medicare Advantage plans are available in Fairfax, VA?
For 2026, there are 85 Medicare Advantage plans available in Fairfax, offered by 7 carriers including UnitedHealthcare, Humana, Aetna (CVS Health), and others. 62 of those plans carry a CMS star rating of 4★ or higher. Source: CMS PY2026 Landscape.
What is the average Medicare Advantage premium in Fairfax for 2026?
The average monthly Medicare Advantage premium in Fairfax, VA is $12 for 2026, with an average CMS star rating of 4.02★ across available plans. Premiums and benefits vary — compare your specific options at Medicare.gov or with a licensed agent.
When can I change my Medicare plan in Fairfax?
The Annual Enrollment Period (AEP) runs October 15 – December 7 each year and is the main window to switch Medicare Advantage plans, change Part D drug plans, or return to Original Medicare. Changes take effect January 1. The Medicare Advantage Open Enrollment Period (January 1 – March 31) allows one plan switch for those already in Medicare Advantage. Special Enrollment Periods are available for qualifying events such as moving or losing other coverage.
Are there Special Needs Plans available in Fairfax?
Yes — Fairfax has 42 Special Needs Plans (SNPs) available for 2026. These plans are designed for dual-eligible beneficiaries (Medicare + Medicaid), people in institutions, and those with qualifying chronic conditions. SNPs often carry $0 premiums and additional chronic care benefits. A licensed agent can confirm your eligibility at no cost.
What hospital options are near Fairfax, VA?
Inova Fairfax Medical Campus in Falls Church is rated 5★ by CMS Hospital Compare; Reston Hospital Center in Reston is rated 3★ by CMS Hospital Compare; Inova Mount Vernon Hospital in Alexandria is rated 3★ by CMS Hospital Compare; Inova Fair Oaks Hospital in Fairfax is rated 3★ by CMS Hospital Compare. Before enrolling in any Medicare Advantage plan, confirm your hospital and doctors are in that plan's network.
Is there a cost for help choosing a Medicare plan in Fairfax?
No. Our guidance is free — licensed agents are compensated by the insurance carriers, not by you. We compare the plans available in your ZIP code against your doctors, prescriptions, and budget. We do not offer every plan available in your area. Contact Medicare.gov or 1-800-MEDICARE to see all options.
Is Medicare coverage the same in Fairfax, VA?
Original Medicare (Part A and Part B) is a federal program, so its core coverage rules are the same in Fairfax, VA as anywhere else in the country. What varies locally is which Medicare Advantage, Part D, and Medigap plans are actually offered — plan availability, provider networks, and premiums are set at the county level, so the specific options in Fairfax won't match a different county even in the same state. That's why it's worth reviewing your local plan lineup each year rather than assuming coverage is identical everywhere.
When can I enroll in Medicare in Fairfax, VA?
Your Initial Enrollment Period (IEP) is a 7-month window centered on your 65th birthday — 3 months before, the month of, and 3 months after. After that, the Annual Enrollment Period (AEP) runs October 15 through December 7 each year, letting Fairfax residents switch Medicare Advantage or Part D plans for coverage starting January 1. A Special Enrollment Period (SEP) may also open outside these windows if you have a qualifying life event, such as moving to Fairfax or losing other health coverage.
How do I find a Medicare agent near Fairfax, VA?
Look for a licensed, independent agent who is appointed to sell plans in VA and familiar with the carriers and provider networks serving Fairfax. An independent agent can compare options across multiple carriers instead of representing just one. You can book a free, no-obligation consultation with a licensed agent serving Fairfax through this site's contact page, or call the number listed on this page to talk with someone directly.
Is there a Medicare agent in Fairfax, VA?
Yes. Kayla Price is a licensed independent insurance agent serving Fairfax, VA among the NC, SC, GA, FL, VA, MD, KS, TX, OH & MI she's licensed in. She works with 7 carriers offering plans in Fairfax, so she can compare options rather than represent just one company. You can book a free consultation directly at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB.
How do I find Medicare help in Fairfax?
The fastest way is to book a free, no-obligation review with a licensed agent who already works in Fairfax — Kayla Price at Price Services Group covers Fairfax, VA and can walk through the 85 Medicare Advantage plans available here for 2026. Schedule a time at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB, or use the contact page on this site. You can also always compare plans yourself at Medicare.gov or by calling 1-800-MEDICARE.
Does Price Services Group serve Fairfax, VA?
Yes — Fairfax, VA is within Kayla Price's real service area at Price Services Group. She is licensed in NC, SC, GA, FL, VA, MD, KS, TX, OH & MI and works with the carriers offering Medicare Advantage, Part D, and Medigap plans in Fairfax. Book a free plan review at https://host.safemsngr.com/widget/booking/A0NTF4B4d9I3h3wNvyIB to see what's available at your address.
What Medicare Advantage plans are available in Fairfax, VA?
Medicare Advantage plan availability varies by county in VA. Kayla Price can review all plans available in Fairfax and help you compare options by phone or video.
How much does Medicare cost in Fairfax, VA?
Medicare Part B costs $202.90 per month regardless of where you live in VA. Additional costs depend on which plan you choose. Kayla can walk you through all the costs for plans available in Fairfax.
When is the next Medicare enrollment period for residents of Fairfax, VA?
The Annual Enrollment Period (AEP) runs October 15 through December 7 each year for all Medicare beneficiaries including those in Fairfax, VA. If you're new to Medicare, your Initial Enrollment Period is based on your 65th birthday.
Nearby coverage
Medicare help near Fairfax
Annandale, VA
85 Medicare Advantage plans Fairfax CountyCentreville, VA
85 Medicare Advantage plans Fairfax CountyChantilly, VA
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85 Medicare Advantage plans Fairfax CountyMcLean, VA
85 Medicare Advantage plans Fairfax CountyReston, VA
85 Medicare Advantage plansMore reading
Medicare topics for Fairfax
Medicare Advantage Plans in Fairfax, VA 2026
See how the 85 Medicare Advantage plans available in Fairfax compare on premium, star rating, and network for 2026.
Read on our blog →How to Avoid Medicare Penalties in Fairfax
Late Part B and Part D penalties are permanent. Here's how Fairfax, VA residents can enroll on time and avoid them.
Read on our blog →Best Medicare Supplement Plans for Fairfax Residents
A look at how Medigap Plan G and other supplement options stack up for Fairfax Medicare beneficiaries.
Read on our blog →Enrollment windows
When can you change your Medicare plan?
Annual Enrollment Period
Oct 15 – Dec 7
Switch MA plans, add or drop Part D, or return to Original Medicare. Changes take effect January 1.
MA Open Enrollment Period
Jan 1 – Mar 31
One plan switch if you're already in Medicare Advantage. Changes start the first of the following month.
Initial Enrollment Period
7-month window at 65
3 months before, the month of, and 3 months after your 65th birthday. Enrolling on time avoids lifetime Part B and Part D penalties.
Your local agent
Talk to a licensed Medicare agent about Fairfax, VA plans
Kayla Price is a licensed, independent agent who works with 7 carriers serving Fairfax — free, no pressure. We do not offer every plan available in your area.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, 24 hours a day, 7 days a week, to get information on all of your options. Not affiliated with or endorsed by the U.S. government or the federal Medicare program. For informational purposes only — not insurance, legal, or financial advice. Plan availability, premiums, and benefits are based on CMS PY2026 data and subject to change. NPN: 18530055. Agency NPN: 20387435.