- Entity
- county:georgia-jefferson-13163
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 47
- PPO Plans
- 36
- HMO Plans
- 2
- HMO-POS Plans
- 8
- PFFS Plans
- 1
- Average Monthly Premium
- 8.74
- Average MOOP
- 8308.51
- Average Part D Deductible
- 485.47
- $0 Premium Plans
- 36
- Plans Without Part D Coverage
- 15
- Average CMS Star Rating
- 3.65
- $0 Premium Plan Share
- 76.6
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 28
- 3-Star Plan Share
- 70
- Below 3-Star Plan Share
- 2
- Not-Rated Plan Share
- 9
- PPO Average Monthly Premium
- 9.26
- PPO Average MOOP
- 8759.72
- PPO Enrollment
- 699
- PPO $0 Premium Plans
- 28
- PPO Plans Without Part D Coverage
- 13
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 4850
- HMO Enrollment
- 117
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 6.35
- HMO-POS Average MOOP
- 7343.75
- HMO-POS Enrollment
- 163
- 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
- 28
- PFFS $0 Premium Plans
- 0
- PFFS Plans Without Part D Coverage
- 0
- Entity
- county:georgia-jefferson-13163
- 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/jefferson/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-georgia-jefferson-13163-landscape-stats
- Plans Indexed
- 47
- Standard Medicare Advantage Plans
-
-
Humana USAA Honor Giveback
H7617-096-0 -
HumanaChoice Giveback H7617-094
H7617-094-0 -
HumanaChoice H7617-093
H7617-093-0 -
AARP Medicare Advantage Patriot No Rx GA-MA01
H1889-022-0 -
Aetna Medicare Eagle Plus
H2293-009-0 -
Aetna Medicare Signature Care
H2293-029-0 -
Aetna Medicare Value Care
H2293-001-0 -
Aetna Medicare Value Care
H2293-023-0 -
Anthem Medicare Advantage 2
H4036-030-0 -
Anthem Veteran
H4036-040-0 -
UHC Medicare Advantage GA-2
H1889-013-0 -
UHC Medicare Advantage Patriot No Rx GS-MA01
R2604-005-0 -
AARP Medicare Advantage from UHC GA-5
H5322-047-2 -
Aetna Medicare Eagle Plus
H3288-034-0 -
Aetna Medicare Elite
H3288-027-0 -
Aetna Medicare Enhanced
H3288-042-0 -
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 Giveback
H5141-063-0 -
Clover Health LiveHealthy Value
H5141-045-0 -
Clover Health Valor
H5141-056-0 -
Humana Full Access R0110-020
R0110-020-0 -
Humana Gold Choice H8145-069
H8145-069-0 -
Humana Gold Plus H4141-017
H4141-017-5 -
Humana USAA Honor Giveback
H5216-286-0 -
Humana USAA Honor Giveback
H5216-217-0 -
HumanaChoice Giveback H5216-154
H5216-154-0 -
HumanaChoice Giveback H5216-345
H5216-345-0 -
HumanaChoice H5216-157
H5216-157-0 -
HumanaChoice H5216-207
H5216-207-0 -
HumanaChoice H5216-284
H5216-284-0 -
HumanaChoice H5216-421
H5216-421-0 -
HumanaChoice H5216-466
H5216-466-0 -
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
H1112-039-0 -
Wellcare Simple Open
H0111-001-0 -
Clear Spring Health BrightPath Advantage
H6672-005-0 -
Clear Spring Health BrightPath Advantage
H9589-003-0 -
DEVOTED CHOICE 004 GA
H5453-004-0 -
DEVOTED CHOICE GIVEBACK 005 GA
H5453-005-0 -
DEVOTED CHOICE MA ONLY 003 GA
H5453-003-0
-
Humana USAA Honor Giveback
- Total Standard Medicare Advantage Enrollment
- 1007
2026 Medicare Advantage Plans in Jefferson County, GA
Last update: .
For 2026, Jefferson County, GA includes 47 Medicare Advantage plans. Enrollment across these plans totals approximately 1,007, with 36 $0 premium options and 28% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Jefferson County, GA are summarized separately. Visit Medicare Options in Jefferson County, GA to see more options.
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
- 36
- Average Monthly Premium
- $9.26/mo
- Total PPO Enrollment
- 699
- $0 Premium PPO Plans
- 28
- Average MOOP
- $8,760
- Top PPO by Enrollment
- HumanaChoice Giveback H5216-345 (PPO) — 120 enrollees
- PPO Plans Without Drug Coverage
- 13
What is the average monthly premium for PPO plans in Jefferson?
PPO plans in Jefferson cost $9.26 per month on average.
Which PPO plan has the highest enrollment in Jefferson?
The most popular PPO plan in Jefferson is HumanaChoice Giveback H5216-345 (PPO), with 120 enrollees.
How many PPO plans in Jefferson do not include prescription drug coverage?
13 PPO plans in Jefferson 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 2
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 117
- $0 Premium HMO Plans 2
- Average MOOP $4,850
- Top HMO by Enrollment Humana Gold Plus H4141-017 (HMO) — 117 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Humana Gold Plus H4141-017 | $0 | $5,500 | $350 | H4141-017-5 | |
| Clear Spring Health BrightPath Advantage | $0 | $4,200 | $400 | H6672-005-0 |
What is the top HMO by enrollment in Jefferson?
Humana Gold Plus H4141-017 (HMO) is the top HMO in Jefferson, with 117 enrollees.
What is the number of HMO plans without Part D coverage in Jefferson?
0 HMO plans in Jefferson do not include prescription drug coverage.
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
- 8
- Average Monthly Premium
- $6.35/mo
- Total HMO-POS Enrollment
- 163
- $0 Premium HMO-POS Plans
- 6
- Average MOOP
- $7,344
- Top HMO-POS by Enrollment
- Wellcare Simple (HMO-POS) — 57 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for HMO-POS plans in Jefferson?
HMO-POS plans in Jefferson cost $6.35 per month on average.
Which HMO-POS plan has the most members in Jefferson?
The most popular HMO-POS plan in Jefferson is Wellcare Simple (HMO-POS), with 57 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Jefferson?
There are 2 HMO-POS plans in Jefferson without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| 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 Jefferson?
In 2026, Jefferson has 1 PFFS plans with 28 enrollees.
How much do PFFS plans cost in Jefferson?
The typical PFFS premium in Jefferson is $27.00, and 0 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Jefferson 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) | 12 | 28% |
| 3 Stars | 30 | 70% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 4 | 9% |
| Average Rating | 3.65 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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, "Compare Original Medicare & Medicare Advantage" — 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.