2026 Medicare Advantage Plans in Lumpkin County, GA
Last update: . Enrollment data updated: June 13, 2026
In Lumpkin County, GA, there are 47 Medicare Advantage plans available for 2026. Of these, 36 offer a $0 monthly premium, and about 26% 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 Lumpkin County, GA. Or explore all Medicare Options available in Lumpkin County, GA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Lumpkin?
Lumpkin County has 34 PPO plans for 2026, with 1,289 enrolled.
How much do PPO plans cost in Lumpkin?
The typical PPO premium in Lumpkin is $8.92, and 27 plans have no monthly premium.
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
- 5
- Average Monthly Premium
- $9.60/mo
- Total HMO Enrollment
- 670
- $0 Premium HMO Plans
- 3
- Average MOOP
- $6,400
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 581 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| HealthSpring Preferred | $0 | $4,950 | $200 | H0439-010-0 | |
| HealthSpring Preferred GA | $30 | $6,800 | $615 | H0439-003-2 | |
| HealthSpring Preferred Plus | $18 | $6,800 | $615 | H0439-006-0 | |
| HealthSpring Preferred Savings | $0 | $9,250 | $615 | H0439-018-0 | |
| Clear Spring Health BrightPath Advantage | $0 | $4,200 | $400 | H6672-005-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Lumpkin cost $9.60 per month on average.
- Which HMO plan is most popular in Lumpkin?
- The most popular HMO plan in Lumpkin is HealthSpring Preferred (HMO), with 581 enrollees.
- How many HMO plans in Lumpkin do not include drug coverage?
- There are 0 HMO plans in Lumpkin 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 8
- Average Monthly Premium $6.35/mo
- Total HMO-POS Enrollment 57
- $0 Premium HMO-POS Plans 6
- Average MOOP $7,306
- Top HMO-POS by Enrollment AARP Medicare Advantage from UHC GA-5 (HMO-POS) — 29 enrollees
- HMO-POS Plans Without Drug Coverage 2
| 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 total number of HMO-POS plans in Lumpkin?
There are 8 HMO-POS plans in 2026, covering 57 enrollees.
How much do HMO-POS plans cost in Lumpkin?
The average HMO-POS premium in Lumpkin is $6.35 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Lumpkin?
AARP Medicare Advantage from UHC GA-5 (HMO-POS) is the top HMO-POS in Lumpkin, with 29 enrollees.
What is the number of HMO-POS plans without Part D coverage in Lumpkin?
2 HMO-POS plans in Lumpkin do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Lumpkin 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) | 11 | 26% |
| 3 Stars | 31 | 72% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 4 | 9% |
| 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 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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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.