- Entity
- county:georgia-clayton-13063
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/georgia/clayton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 56
- PPO Plans
- 32
- HMO Plans
- 14
- HMO-POS Plans
- 9
- PFFS Plans
- 1
- Average Monthly Premium
- 9.26
- Average MOOP
- 8035.71
- Average Part D Deductible
- 434.75
- $0 Premium Plans
- 43
- Plans Without Part D Coverage
- 16
- Average CMS Star Rating
- 3.77
- $0 Premium Plan Share
- 76.79
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 35
- 3-Star Plan Share
- 63
- Below 3-Star Plan Share
- 2
- Not-Rated Plan Share
- 7
- PPO Average Monthly Premium
- 9.46
- PPO Average MOOP
- 8662.5
- PPO Enrollment
- 6382
- PPO $0 Premium Plans
- 26
- PPO Plans Without Part D Coverage
- 12
- HMO Average Monthly Premium
- 8.5
- HMO Average MOOP
- 7117.86
- HMO Enrollment
- 7323
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 7.76
- HMO-POS Average MOOP
- 7383.33
- HMO-POS Enrollment
- 1696
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 2
- PFFS Average Monthly Premium
- 27
- PFFS Average MOOP
- 6700
- PFFS Enrollment
- 299
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:georgia-clayton-13063
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/georgia/clayton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-georgia-clayton-13063-landscape-stats
- Plans Indexed
- 56
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Elite
H5521-091-0 -
Aetna Medicare Elite Care
H5521-598-0 -
Aetna Medicare Signature Care
H5302-022-0 -
Aetna Medicare Value Care
H5521-364-0 -
Humana USAA Honor Giveback
H7617-096-0 -
HumanaChoice Giveback H7617-094
H7617-094-0 -
HumanaChoice H7617-093
H7617-093-0 -
Kaiser Permanente Senior Advantage Basic 1
H1170-009-0 -
Kaiser Permanente Senior Advantage Care Plus
H1170-013-0 -
Kaiser Permanente Senior Advantage Enhanced 1
H1170-002-0 -
Kaiser Permanente Senior Advantage Liberty
H1170-014-0 -
Kaiser Permanente Senior Advantage Standard
H1170-016-0 -
Kaiser Permanente Sr Advantage Liberty Giveback
H1170-017-0 -
Aetna Medicare Eagle Plus
H2293-009-0 -
Aetna Medicare Elite Giveback
H2293-010-0 -
Anthem Medicare Advantage 2
H4036-030-0 -
Anthem Veteran
H4036-040-0 -
UHC Medicare Advantage Patriot No Rx GS-MA01
R2604-005-0 -
AARP Medicare Advantage from UHC GA-5
H5322-047-1 -
Aetna Medicare Eagle Plus
H3288-034-0 -
Anthem Extra Help
H5422-013-0 -
Anthem Medicare Advantage
H5422-011-0 -
Anthem Veteran
H5422-014-0 -
Clover Health LiveHealthy
H5141-026-0 -
Clover Health LiveHealthy Value
H5141-045-0 -
Clover Health Valor
H5141-056-0 -
HealthSpring Preferred
H0439-015-2 -
HealthSpring Preferred GA
H0439-003-1 -
HealthSpring Preferred Plus
H0439-006-0 -
HealthSpring Preferred Savings
H0439-016-0 -
Humana Full Access R0110-020
R0110-020-0 -
Humana Gold Choice H8145-069
H8145-069-0 -
Humana Gold Plus Giveback H4141-022
H4141-022-0 -
Humana Gold Plus H4141-015
H4141-015-0 -
Humana Gold Plus H4141-023
H4141-023-0 -
Humana USAA Honor Giveback
H5216-217-0 -
Humana USAA Honor Giveback
H5216-286-0 -
HumanaChoice Giveback H5216-154
H5216-154-0 -
HumanaChoice Giveback H5216-345
H5216-345-0 -
HumanaChoice H5216-073
H5216-073-0 -
HumanaChoice H5216-157
H5216-157-0 -
HumanaChoice H5216-280
H5216-280-1 -
HumanaChoice H5216-421
H5216-421-0 -
HumanaChoice R0110-019
R0110-019-0 -
Wellcare Assist
H1112-043-0 -
Wellcare Giveback
H1112-042-0 -
Wellcare Patriot Giveback Open
H0111-007-0 -
Wellcare Patriot Simple
H1112-034-0 -
Wellcare Simple
H1112-038-0 -
Wellcare Simple Open
H0111-001-0 -
HealthSpring True Choice
H7849-145-0 -
Clear Spring Health BrightPath Advantage
H6672-005-0 -
Clear Spring Health BrightPath Advantage
H9589-003-0 -
DEVOTED CHOICE 001 GA
H5453-001-0 -
DEVOTED CHOICE GIVEBACK 002 GA
H5453-002-0 -
DEVOTED CHOICE MA ONLY 003 GA
H5453-003-0
-
Aetna Medicare Elite
- Total Standard Medicare Advantage Enrollment
- 15700
2026 Medicare Advantage Plans in Clayton County, GA
Last update: .
For 2026, Clayton County, GA includes 56 Medicare Advantage plans. Enrollment across these plans totals approximately 15,700, with 43 $0 premium options and 35% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Clayton County, GA are provided separately. Or you can discover all Medicare Options in Clayton County, GA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 32
- Average Monthly Premium
- $9.46/mo
- Total PPO Enrollment
- 6,382
- $0 Premium PPO Plans
- 26
- Average MOOP
- $8,663
- Top PPO by Enrollment
- HumanaChoice Giveback H7617-094 (PPO) — 932 enrollees
- PPO Plans Without Drug Coverage
- 12
What is the typical premium for PPO plans available in Clayton?
PPO plans in Clayton cost $9.46 per month on average.
Which PPO plan do most beneficiaries choose in Clayton?
The most popular PPO plan in Clayton is HumanaChoice Giveback H7617-094 (PPO), with 932 enrollees.
How many PPO options are offered without drug coverage in Clayton?
12 PPO plans in Clayton do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 14
- Average Monthly Premium $8.50/mo
- Total HMO Enrollment 7,323
- $0 Premium HMO Plans 11
- Average MOOP $7,118
- Top HMO by Enrollment Kaiser Permanente Senior Advantage Basic 1 (HMO) — 2,048 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Signature Care | $0 | $9,250 | $615 | H5302-022-0 | |
| Kaiser Permanente Senior Advantage Basic 1 | $0 | $7,500 | $0 | H1170-009-0 | |
| Kaiser Permanente Senior Advantage Enhanced 1 | $67 | $6,000 | $0 | H1170-002-0 | |
| Kaiser Permanente Senior Advantage Liberty | $0 | $6,000 | N/A | H1170-014-0 | |
| Kaiser Permanente Senior Advantage Standard | $34 | $6,500 | $0 | H1170-016-0 | |
| Kaiser Permanente Sr Advantage Liberty Giveback | $0 | $6,750 | N/A | H1170-017-0 | |
| HealthSpring Preferred | $0 | $6,950 | $400 | H0439-015-2 | |
| HealthSpring Preferred GA | $0 | $5,200 | $615 | H0439-003-1 | |
| HealthSpring Preferred Plus | $18 | $6,800 | $615 | H0439-006-0 | |
| HealthSpring Preferred Savings | $0 | $9,250 | $615 | H0439-016-0 | |
| Humana Gold Plus Giveback H4141-022 | $0 | $9,250 | $450 | H4141-022-0 | |
| Humana Gold Plus H4141-015 | $0 | $9,250 | $350 | H4141-015-0 | |
| Humana Gold Plus H4141-023 | $0 | $6,750 | $450 | H4141-023-0 | |
| Clear Spring Health BrightPath Advantage | $0 | $4,200 | $400 | H6672-005-0 |
What is the total number of HMO plans offered in Clayton?
In 2026, Clayton County has 14 HMO plans with 7,323 enrollees.
How much do HMO plans cost in Clayton?
The typical HMO premium in Clayton is $8.50, and 11 plans have no monthly premium.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 9
- Average Monthly Premium
- $7.76/mo
- Total HMO-POS Enrollment
- 1,696
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $7,383
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC GA-5 (HMO-POS) — 517 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Clayton cost $7.76 per month on average.
- Which HMO-POS plan is most popular in Clayton?
- The most popular HMO-POS plan in Clayton is AARP Medicare Advantage from UHC GA-5 (HMO-POS), with 517 enrollees.
- How many HMO-POS plans in Clayton do not include drug coverage?
- There are 2 HMO-POS plans in Clayton without prescription drug coverage.
Medicare Advantage PFFS Plans
Private Fee-for-Service (PFFS) plans allow members to visit any Medicare-approved provider that accepts the plan’s payment terms. This provides flexibility in choosing doctors and hospitals, but provider acceptance should be confirmed before receiving care.
- Total PFFS Plans 1
- Average Monthly Premium $27.00/mo
- Total PFFS Enrollment 299
- $0 Premium PFFS Plans 0
- Average MOOP $6,700
- Top PFFS by Enrollment Humana Gold Choice H8145-069 (PFFS) — 299 enrollees
- PFFS Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-069 | $27 | $6,700 | $615 | H8145-069-0 |
What is the total number of PFFS plans in Clayton?
There are 1 PFFS plans in 2026, covering 299 enrollees.
How much do PFFS plans cost in Clayton?
The average PFFS premium in Clayton is $27.00 per month, with 0 plans offering $0 premiums.
What is the top PFFS plan in Clayton?
Humana Gold Choice H8145-069 (PFFS) is the top PFFS in Clayton, with 299 enrollees.
What is the number of PFFS plans without Part D coverage in Clayton?
0 PFFS plans in Clayton do not include prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Clayton County, GA (2026) are summarized below.
| 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 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance 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.