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  1. 🏠
  2. Medicare Advantage Plans
  3. Georgia
  4. Dekalb County

2026 Medicare Advantage Plans in Dekalb County, GA

Last update: September 3, 2026.

Dekalb County, GA has 59 Medicare Advantage plans available in 2026. These include 46 plans with no monthly premium, and roughly 35% 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 Dekalb County, GA. Or explore all Medicare Options available in Dekalb County, GA.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans
  • PFFS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium: $9.47/mo
$0 Premium Plans: 46
Average MOOP: $8,075 ($9,250 max. in 2026)
Star Ratings (Plan Mix): 4+ Stars: 35% · 3 Stars: 64% · Below 3: 2%
Average Part D Deductible: $428.84
Total MA/MAPD Enrollment: 39,926
Plans with the Highest Enrollment
(as of September 8, 2026)
1. Humana Gold Plus H4141-017 (HMO) — 4,381 enrollees
2. Kaiser Permanente Senior Advantage Basic 1 (HMO) — 4,130 enrollees
3. Aetna Medicare Elite Care (PPO) — 2,628 enrollees

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 35
  • Average Monthly Premium $10.31/mo
  • Total PPO Enrollment 18,248
  • $0 Premium PPO Plans 28
  • Average MOOP $8,713
  • Top PPO by Enrollment Aetna Medicare Elite Care (PPO) — 2,628 enrollees
  • PPO Plans Without Drug Coverage 12

Comparison table of 2026 PPO Medicare Advantage Plans available in Dekalb County, Georgia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Elite
☆☆☆☆☆
$0 $9,250 $615 H5521-091-0
Aetna Medicare Elite Care
☆☆☆☆☆
$0 $9,250 $615 H5521-598-0
Aetna Medicare Value Care
☆☆☆☆☆
$25 $9,250 $615 H5521-364-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H7617-096-0
HumanaChoice Giveback H7617-094
☆☆☆☆☆
$0 $9,250 $450 H7617-094-0
HumanaChoice H7617-092
☆☆☆☆☆
$0 $9,250 $350 H7617-092-0
HumanaChoice H7617-093
☆☆☆☆☆
$0 $9,250 $450 H7617-093-0
Aetna Medicare Eagle Plus
☆☆☆☆☆
$0 $8,900 N/A H2293-009-0
Aetna Medicare Elite Giveback
☆☆☆☆☆
$0 $9,250 $615 H2293-010-0
Anthem Medicare Advantage 2
☆☆☆☆☆
$82 $9,250 $200 H4036-030-0
Anthem Veteran
☆☆☆☆☆
$0 $9,250 N/A H4036-040-0
UHC Medicare Advantage Patriot No Rx GS-MA01
☆☆☆☆☆
$0 $9,250 N/A R2604-005-0
Aetna Medicare Eagle Plus
☆☆☆☆☆
$0 $8,900 N/A H3288-034-0
Aetna Medicare Enhanced
☆☆☆☆☆
$58 $9,250 $615 H1608-028-0
Clover Health LiveHealthy
☆☆☆☆☆
$0 $6,700 $0 H5141-026-0
Clover Health LiveHealthy Value
☆☆☆☆☆
$25 $6,500 $150 H5141-045-0
Clover Health Valor
☆☆☆☆☆
$0 $7,499 N/A H5141-056-0
Humana Full Access R0110-020
☆☆☆☆☆
$100 $9,250 $615 R0110-020-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $6,700 N/A H5216-217-0
Humana USAA Honor Giveback
☆☆☆☆☆
$0 $9,250 N/A H5216-286-0
HumanaChoice Giveback H5216-154
☆☆☆☆☆
$0 $9,250 $615 H5216-154-0
HumanaChoice Giveback H5216-345
☆☆☆☆☆
$0 $9,250 $450 H5216-345-0
HumanaChoice H5216-073
☆☆☆☆☆
$45 $9,250 $615 H5216-073-0
HumanaChoice H5216-157
☆☆☆☆☆
$0 $9,250 N/A H5216-157-0
HumanaChoice H5216-203
☆☆☆☆☆
$0 $9,250 $350 H5216-203-1
HumanaChoice H5216-280
☆☆☆☆☆
$25 $9,250 $615 H5216-280-1
HumanaChoice H5216-421
☆☆☆☆☆
$0 $9,250 $450 H5216-421-0
HumanaChoice R0110-019
☆☆☆☆☆
$0 $7,550 N/A R0110-019-0
Wellcare Patriot Giveback Open
☆☆☆☆☆
$0 $9,250 N/A H0111-007-0
Wellcare Simple Open
☆☆☆☆☆
$0 $9,250 $615 H0111-001-0
HealthSpring True Choice
☆☆☆☆☆
$0 $6,800 $250 H7849-145-0
Clear Spring Health BrightPath Advantage
☆☆☆☆☆
$0 $6,751 $400 H9589-003-0
DEVOTED CHOICE 001 GA
☆☆☆☆☆
$0 $7,400 $370 H5453-001-0
DEVOTED CHOICE GIVEBACK 002 GA
☆☆☆☆☆
$0 $9,250 $605 H5453-002-0
DEVOTED CHOICE MA ONLY 003 GA
☆☆☆☆☆
$0 $9,250 N/A H5453-003-0
What is the most popular PPO plan in Dekalb?

Aetna Medicare Elite Care (PPO) is the top PPO in Dekalb, with 2,628 enrollees.

What is the number of PPO plans without Part D coverage in Dekalb?

There are 12 PPO plans in Dekalb 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
$7.21/mo
Total HMO Enrollment
16,742
$0 Premium HMO Plans
12
Average MOOP
$7,025
Top HMO by Enrollment
Humana Gold Plus H4141-017 (HMO) — 4,381 enrollees
HMO Plans Without Drug Coverage
2

Comparison table of 2026 HMO Medicare Advantage Plans available in Dekalb County, Georgia
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS 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 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 H4141-017
☆☆☆☆☆
$0 $5,500 $350 H4141-017-3
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 typical premium for HMO plans in Dekalb?

HMO plans in Dekalb cost $7.21 per month on average.

Which HMO plan do most beneficiaries choose in Dekalb?

The most popular HMO plan in Dekalb is Humana Gold Plus H4141-017 (HMO), with 4,381 enrollees.

How many HMO options are offered without prescription drug coverage in Dekalb?

There are 2 HMO plans in Dekalb 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 9
  • Average Monthly Premium $7.76/mo
  • Total HMO-POS Enrollment 4,414
  • $0 Premium HMO-POS Plans 6
  • Average MOOP $7,383
  • Top HMO-POS by Enrollment AARP Medicare Advantage from UHC GA-5 (HMO-POS) — 1,620 enrollees
  • HMO-POS Plans Without Drug Coverage 2

Comparison table of 2026 HMO-POS Medicare Advantage Plans available in Dekalb County, Georgia
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 total number of HMO-POS plans in Dekalb?

In 2026, Dekalb has 9 HMO-POS plans with 4,414 enrollees.

How much do HMO-POS plans cost in Dekalb?

The typical HMO-POS premium in Dekalb is $7.76, and 6 plans have no monthly premium.

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
522
$0 Premium PFFS Plans
0
Average MOOP
$6,700
Top PFFS by Enrollment
Humana Gold Choice H8145-069 (PFFS) — 522 enrollees
PFFS Plans Without Drug Coverage
0

Comparison table of 2026 PFFS Medicare Advantage Plans available in Dekalb County, Georgia
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 average monthly premium for PFFS plans?
PFFS plans in Dekalb cost $27.00 per month on average.
Which PFFS plan is most popular in Dekalb?
The most popular PFFS plan in Dekalb is Humana Gold Choice H8145-069 (PFFS), with 522 enrollees.
How many PFFS plans in Dekalb do not include drug coverage?
There are 0 PFFS plans in Dekalb without prescription drug coverage.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Dekalb County, GA for 2026.

CMS Star Ratings for Medicare Advantage Plans in Dekalb County, GA (2026)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 19 35%
3 Stars 35 64%
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 & 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

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

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 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.

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