Medicare in Reston · Fairfax County, VA

2026 Medicare Advantage Plans in Reston, VA

Fairfax County 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.

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Important: ZIP code spans multiple counties

Reston (20190/20191/20194) is in Fairfax County, VA — 85 Medicare Advantage plans, avg $12.00/mo.

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  • Independent — not tied to any one carrier
  • Licensed in NC, SC, GA, FL, VA, MD, MI, KS, TX, OH
  • Free to you — agents are compensated by carriers

By the numbers · Fairfax County

Quick facts for Reston, VA Medicare (2026)

85Medicare Advantage plans available (CMS PY2026)
$12/moaverage monthly MA premium (CMS PY2026)
62plans rated CMS 4★ or higher for 2026
42Special Needs Plans available in Fairfax County
48%of Fairfax County Medicare beneficiaries in an MA plan
7insurance carriers competing in Fairfax County

Source: CMS Medicare Advantage/Part D Landscape (PY2026).

Health profile · why coverage choice matters here

Chronic conditions among Fairfax County adults

Diagnosed diabetes 7.2%
Adult obesity 23.1%

Source: County Health Rankings & Roadmaps 2024 — Fairfax County.

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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 Fairfax County (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
    Falls Church ★★★★★
    3300 Gallows Rd, Falls Church VA 22042
  • Reston Hospital Center
    Reston ★★★☆☆
    1850 Town Center Pkwy, Reston VA 20190
  • Inova Mount Vernon Hospital
    Alexandria ★★★☆☆
    2501 Parkers Ln, Alexandria VA 22306
  • Inova Fair Oaks Hospital
    Fairfax ★★★☆☆
    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 Reston, VA — what matters here

  • Reston is a planned community in western Fairfax County with a large and active senior population. Plan availability follows Fairfax County — 85 plans, avg $12.00/month.
  • Reston Hospital Center is the local hospital. Inova Fairfax Medical Campus (5 stars) is accessible east on Route 267.

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 Reston → NC Medicare Supplement overview →

Reston, VA Medicare questions, answered

How many Medicare Advantage plans are available in Reston, VA?

For 2026, there are 85 Medicare Advantage plans available in Reston (Fairfax County), 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 Reston for 2026?

The average monthly Medicare Advantage premium in Reston, 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 Reston?

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 County?

Yes — Fairfax County 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 Reston, 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 Reston?

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 Reston, VA?

Original Medicare (Part A and Part B) is a federal program, so its core coverage rules are the same in Reston, 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 County 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 Reston, 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 Reston 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 Reston or losing other health coverage.

How do I find a Medicare agent near Reston, 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 County. 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 Reston 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 Reston, VA?

Yes. Kayla Price is a licensed independent insurance agent serving Reston, VA and Fairfax County 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 County, 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 Reston?

The fastest way is to book a free, no-obligation review with a licensed agent who already works in Fairfax County — Kayla Price at Price Services Group covers Reston, 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 Reston, VA?

Yes — Reston, 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 County. 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 Reston, VA?

Medicare Advantage plan availability varies by county in VA. Kayla Price can review all plans available in Reston and help you compare options by phone or video.

How much does Medicare cost in Reston, 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 Reston.

When is the next Medicare enrollment period for residents of Reston, VA?

The Annual Enrollment Period (AEP) runs October 15 through December 7 each year for all Medicare beneficiaries including those in Reston, VA. If you're new to Medicare, your Initial Enrollment Period is based on your 65th birthday.

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.

Book your free AEP review → All enrollment periods explained →

Your local agent

Talk to a licensed Medicare agent about Reston, VA plans

Kayla Price is a licensed, independent agent who works with 7 carriers serving Fairfax County — free, no pressure. We do not offer every plan available in your area.

Book a free consultation →   (910) 631-1578

Kayla Price, Your personal Medicare & insurance consultant at Price Services Group, L.L.C.

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.