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Sentara Medicare Prime (HMO)

Virginia Medicare Advantage Plan (2025 Plan)

Select your County to view details for Sentara Medicare Prime (HMO) specific to your location

Overview of Sentara Medicare Prime (HMO) in Virginia

by Sentara Medicare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.0
out of 5 stars

Variations of Sentara Medicare Prime (HMO) Within Virginia

Sentara Medicare Prime (HMO) is available in 20 Virginia Counties. Pricing and benefit details can vary by location. Each variation of Sentara Medicare Prime (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Sentara Medicare Prime (HMO) in Virginia is listed below:

Sentara Medicare Prime (HMO) H2563-005-1
Monthly Premium
$75 per month
Deductible
$0
Out-of-Pocket Max
$3,500 In-network
Available in Counties: Accomack, Chesapeake City, Franklin City, Isle of Wight, Norfolk City, Northampton, Portsmouth City, Suffolk City, Surry, Sussex, Virginia Beach City
Sentara Medicare Prime (HMO) H2563-005-2
Monthly Premium
$65 per month
Deductible
$0
Out-of-Pocket Max
$3,500 In-network
Available in Counties: Charles City, Gloucester, Hampton City, James City, Mathews, Newport News City, Poquoson City, Williamsburg City, York

Comparing the Quality Score of Sentara Medicare Prime (HMO) to Other Plans in Virginia

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Sentara Medicare Prime (HMO) received an overall government quality rating of 3.0 stars out of 5 stars.

Sentara Medicare Prime (HMO) performed worse than Virginia’s State average overall quality score of 3.8 stars.

This Plan’s 5-star Gov’t Quality Score
Virginia State Average Score
Overall Government 5 Star Quality Rating
 3.0
 3.8
Summary rating of health plan quality
 3
 3.7
Staying healthy: screenings, tests, & vaccines
 3
 3.7
Managing chronic (long term) conditions
 2
 3.4
Member experience with health plan
 3
 3.8
Member complaints & changes in the health plan's performance
 4
 4.3
Health plan customer service
 3
 4.0
Summary rating of drug plan quality
 3.5
 3.8
Drug plan customer service
 4
 4.2
Member complaints & changes in the drug plan's performance
 4
 4.1
Member experience with the drug plan
 3
 3.9
Drug safety & accuracy of drug pricing
 3
 3.2

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Sentara Medicare Prime (HMO) received 3 stars for its health plan quality score which is worse than the Virginia State average health plan quality score of 3.7 stars.

Sentara Medicare Prime (HMO) received 3.5 stars for its drug plan quality score which is worse than the Virginia State average drug plan quality score of 3.8 stars.

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