Medicare in Falls Church · VA
2026 Medicare Advantage Plans in Falls Church, VA
Falls Church offers 82 Medicare Advantage plans for 2026 across 7 carriers, with an average premium of $12/mo and 60 plans rated 4★ or higher by CMS.
Falls Church City, VA has 82 Medicare Advantage plans (avg $12.00/mo). Note: Inova Fairfax Medical Campus is physically in Falls Church.
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By the numbers · Falls Church
Quick facts for Falls Church, VA Medicare (2026)
Health profile · why coverage choice matters here
Chronic conditions among Falls Church adults
Source: County Health Rankings & Roadmaps 2024 — Falls Church.
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Part B Late Enrollment Penalty
Monthly penalty: $0.00
IRMAA Quick Check
Monthly surcharge: $0.00
Who covers you
Carriers in Falls Church (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 Falls Church, VA — what matters here
- Falls Church is an independent city entirely surrounded by Fairfax County, one of the smallest cities in the US. Plan availability mirrors the Fairfax County market — 82 plans, avg $12.00/month.
- Inova Fairfax Medical Campus (5 stars) is physically located at the Gallows Rd address in Falls Church. Virginia Hospital Center (Arlington, 4 stars) is also accessible.
- Falls Church has one of the highest senior household incomes in Virginia. Kaiser Permanente and Cigna compete strongly alongside the major national carriers.
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 Falls Church → NC Medicare Supplement overview →
Resources
Medicare guides for Falls Church, 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 →Falls Church, VA Medicare questions, answered
How many Medicare Advantage plans are available in Falls Church, VA?
For 2026, there are 82 Medicare Advantage plans available in Falls Church, offered by 7 carriers including UnitedHealthcare, Humana, Aetna (CVS Health), and others. 60 of those plans carry a CMS star rating of 4★ or higher. Source: CMS PY2026 Landscape.
What is the average Medicare Advantage premium in Falls Church for 2026?
The average monthly Medicare Advantage premium in Falls Church, VA is $12 for 2026, with an average CMS star rating of 4.05★ 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 Falls Church?
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 Falls Church?
Yes — Falls Church has 40 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 Falls Church, 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 Falls Church?
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 Falls Church, VA?
Original Medicare (Part A and Part B) is a federal program, so its core coverage rules are the same in Falls Church, 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 Falls Church 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 Falls Church, 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 Falls Church 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 Falls Church or losing other health coverage.
How do I find a Medicare agent near Falls Church, VA?
Look for a licensed, independent agent who is appointed to sell plans in VA and familiar with the carriers and provider networks serving Falls Church. 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 Falls Church 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 Falls Church, VA?
Yes. Kayla Price is a licensed independent insurance agent serving Falls Church, 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 Falls Church, 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 Falls Church?
The fastest way is to book a free, no-obligation review with a licensed agent who already works in Falls Church — Kayla Price at Price Services Group covers Falls Church, VA and can walk through the 82 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 Falls Church, VA?
Yes — Falls Church, 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 Falls Church. 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 Falls Church, VA?
Medicare Advantage plan availability varies by county in VA. Kayla Price can review all plans available in Falls Church and help you compare options by phone or video.
How much does Medicare cost in Falls Church, 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 Falls Church.
When is the next Medicare enrollment period for residents of Falls Church, VA?
The Annual Enrollment Period (AEP) runs October 15 through December 7 each year for all Medicare beneficiaries including those in Falls Church, VA. If you're new to Medicare, your Initial Enrollment Period is based on your 65th birthday.
Nearby coverage
Medicare help near Falls Church
Fairfax, VA
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40 Medicare Advantage plans Floyd CountyFloyd, VA
40 Medicare Advantage plans Warren CountyFront Royal, VA
48 Medicare Advantage plans Fredericksburg CountyFredericksburg, VA
70 Medicare Advantage plans Franklin City CountyFranklin, VA
50 Medicare Advantage plansMore reading
Medicare topics for Falls Church
Medicare Advantage Plans in Falls Church, VA 2026
See how the 82 Medicare Advantage plans available in Falls Church compare on premium, star rating, and network for 2026.
Read on our blog →How to Avoid Medicare Penalties in Falls Church
Late Part B and Part D penalties are permanent. Here's how Falls Church, VA residents can enroll on time and avoid them.
Read on our blog →Best Medicare Supplement Plans for Falls Church Residents
A look at how Medigap Plan G and other supplement options stack up for Falls Church 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 Falls Church, VA plans
Kayla Price is a licensed, independent agent who works with 7 carriers serving Falls Church — 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.