2026 Medicare Advantage Plans in Burke County, GA
Last update: . Enrollment data updated: May 2, 2026
Burke County, GA has 43 Medicare Advantage plans available in 2026. These include 34 plans with no monthly premium, and roughly 28% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Burke County, GA. Or explore all Medicare Options available in Burke County, GA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 33
- Average Monthly Premium $7.61/mo
- Total PPO Enrollment 922
- $0 Premium PPO Plans 26
- Average MOOP $8,791
- Top PPO by Enrollment HumanaChoice Giveback H5216-345 (PPO) — 135 enrollees
- PPO Plans Without Drug Coverage 13
What is the most popular PPO plan in Burke?
HumanaChoice Giveback H5216-345 (PPO) is the top PPO in Burke, with 135 enrollees.
What is the number of PPO plans without Part D coverage in Burke?
There are 13 PPO plans in Burke without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 434
- $0 Premium HMO Plans
- 2
- Average MOOP
- $8,000
- Top HMO by Enrollment
- Humana Gold Plus Giveback H4141-022 (HMO) — 227 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H4141-022 | $0 | $9,250 | $450 | H4141-022-0 | |
| Humana Gold Plus H4141-023 | $0 | $6,750 | $450 | H4141-023-0 |
What is the typical premium for HMO plans in Burke?
HMO plans in Burke cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Burke?
The most popular HMO plan in Burke is Humana Gold Plus Giveback H4141-022 (HMO), with 227 enrollees.
How many HMO options are offered without prescription drug coverage in Burke?
There are 0 HMO plans in Burke without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 8
- Average Monthly Premium $6.35/mo
- Total HMO-POS Enrollment 220
- $0 Premium HMO-POS Plans 6
- Average MOOP $7,344
- Top HMO-POS by Enrollment Wellcare Simple (HMO-POS) — 69 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC GA-5 | $0 | $6,700 | $520 | H5322-047-2 | |
| Anthem Extra Help | $25 | $5,900 | $390 | H5422-013-0 | |
| Anthem Medicare Advantage | $0 | $9,250 | $250 | H5422-011-0 | |
| Anthem Veteran | $0 | $9,250 | N/A | H5422-014-0 | |
| Wellcare Assist | $25 | $7,500 | $565 | H1112-043-0 | |
| Wellcare Giveback | $0 | $9,250 | $615 | H1112-042-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H1112-034-0 | |
| Wellcare Simple | $0 | $7,500 | $615 | H1112-039-0 |
What is the total number of HMO-POS plans in Burke?
In 2026, Burke has 8 HMO-POS plans with 220 enrollees.
How much do HMO-POS plans cost in Burke?
The typical HMO-POS premium in Burke is $6.35, and 6 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Burke County, GA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 11 | 28% |
| 3 Stars | 29 | 73% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 7% |
| Average Rating | 3.68 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.