2026 Medicare Advantage Plans in Clayton County, GA
Last update: . Enrollment data updated: June 13, 2026
In Clayton County, GA, there are 56 Medicare Advantage plans available for 2026. Of these, 43 offer a $0 monthly premium, and about 35% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Clayton County, GA. Or explore all Medicare Options available in Clayton 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 32
- Average Monthly Premium $9.46/mo
- Total PPO Enrollment 6,317
- $0 Premium PPO Plans 26
- Average MOOP $8,663
- Top PPO by Enrollment HumanaChoice Giveback H7617-094 (PPO) — 884 enrollees
- PPO Plans Without Drug Coverage 12
What is the total number of PPO plans offered in Clayton?
There are 32 PPO plans in 2026, covering 6,317 beneficiaries.
How much do PPO plans cost in Clayton?
The average PPO premium in Clayton is $9.46 per month, with 26 plans offering $0 premiums.
What is the most popular PPO plan in Clayton?
HumanaChoice Giveback H7617-094 (PPO) is the top PPO in Clayton, with 884 enrollees.
What is the number of PPO plans without Part D coverage in Clayton?
There are 12 PPO plans in Clayton 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
- 14
- Average Monthly Premium
- $8.50/mo
- Total HMO Enrollment
- 7,189
- $0 Premium HMO Plans
- 11
- Average MOOP
- $7,118
- Top HMO by Enrollment
- Kaiser Permanente Senior Advantage Basic 1 (HMO) — 2,038 enrollees
- HMO Plans Without Drug Coverage
- 2
What is the average monthly premium for HMO plans?
HMO plans in Clayton cost $8.50 per month on average.
Which HMO plan is most popular in Clayton?
The most popular HMO plan in Clayton is Kaiser Permanente Senior Advantage Basic 1 (HMO), with 2,038 enrollees.
How many HMO plans in Clayton do not include drug coverage?
There are 2 HMO plans in Clayton without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Senior Advantage Care Plus | $0 | $8,000 | $0 | H1170-013-0 | |
| AARP Medicare Advantage from UHC GA-5 | $19 | $6,700 | $520 | H5322-047-1 | |
| 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 | $7,200 | $615 | H1112-038-0 |
What is the leading HMO-POS plan in Clayton?
AARP Medicare Advantage from UHC GA-5 (HMO-POS) is the top HMO-POS in Clayton, with 513 enrollees.
What is the number of HMO-POS plans without Part D coverage in Clayton?
2 HMO-POS plans in Clayton do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $27.00/mo
- Total PFFS Enrollment
- 310
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,700
- Top PFFS by Enrollment
- Humana Gold Choice H8145-069 (PFFS) — 310 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-069 | $27 | $6,700 | $615 | H8145-069-0 |
What is the typical premium for PFFS plans in Clayton?
PFFS plans in Clayton cost $27.00 per month on average.
Which PFFS plan has the most enrollment in Clayton?
The most popular PFFS plan in Clayton is Humana Gold Choice H8145-069 (PFFS), with 310 enrollees.
How many PFFS options are available without prescription drug coverage in Clayton?
There are 0 PFFS plans in Clayton without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Clayton 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) | 18 | 35% |
| 3 Stars | 33 | 63% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 4 | 7% |
| Average Rating | 3.77 | |
* 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 June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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