2026 Medicare Advantage Plans in Gilmer County, GA
Last update: . Enrollment data updated: August 15, 2026
In Gilmer County, GA, there are 40 Medicare Advantage plans available for 2026. Of these, 31 offer a $0 monthly premium, and about 25% 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 Gilmer County, GA. Or explore all Medicare Options available in Gilmer 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 30
- Average Monthly Premium $8.26/mo
- Total PPO Enrollment 1,791
- $0 Premium PPO Plans 24
- Average MOOP $8,662
- Top PPO by Enrollment Aetna Medicare Elite (PPO) — 496 enrollees
- PPO Plans Without Drug Coverage 13
What is the total number of PPO plans offered in Gilmer?
There are 30 PPO plans in 2026, covering 1,791 beneficiaries.
How much do PPO plans cost in Gilmer?
The average PPO premium in Gilmer is $8.26 per month, with 24 plans offering $0 premiums.
What is the most popular PPO plan in Gilmer?
Aetna Medicare Elite (PPO) is the top PPO in Gilmer, with 496 enrollees.
What is the number of PPO plans without Part D coverage in Gilmer?
There are 13 PPO plans in Gilmer 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 0
- $0 Premium HMO Plans
- 1
- Average MOOP
- $4,200
- Top HMO by Enrollment
- — 0 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Clear Spring Health BrightPath Advantage | $0 | $4,200 | $400 | H6672-005-0 |
What is the average monthly premium for HMO plans?
HMO plans in Gilmer cost $0.00 per month on average.
Which HMO plan is most popular in Gilmer?
The most popular HMO plan in Gilmer is , with 0 enrollees.
How many HMO plans in Gilmer do not include drug coverage?
There are 0 HMO plans in Gilmer 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 |
|---|---|---|---|---|---|
| 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 | $7,200 | $615 | H1112-038-0 |
What is the leading HMO-POS plan in Gilmer?
AARP Medicare Advantage from UHC GA-5 (HMO-POS) is the top HMO-POS in Gilmer, with 115 enrollees.
What is the number of HMO-POS plans without Part D coverage in Gilmer?
2 HMO-POS plans in Gilmer 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
- 239
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,700
- Top PFFS by Enrollment
- Humana Gold Choice H8145-069 (PFFS) — 239 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 Gilmer?
PFFS plans in Gilmer cost $27.00 per month on average.
Which PFFS plan has the most enrollment in Gilmer?
The most popular PFFS plan in Gilmer is Humana Gold Choice H8145-069 (PFFS), with 239 enrollees.
How many PFFS options are available without prescription drug coverage in Gilmer?
There are 0 PFFS plans in Gilmer without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Gilmer 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) | 9 | 25% |
| 3 Stars | 26 | 72% |
| Below 3 Stars | 1 | 3% |
| Not Rated | 4 | 10% |
| Average Rating | 3.63 | |
* 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 August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 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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