- Entity
- county:georgia-madison-13195
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/georgia/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 48
- PPO Plans
- 36
- HMO Plans
- 5
- HMO-POS Plans
- 7
- PFFS Plans
- 0
- Average Monthly Premium
- 8.04
- Average MOOP
- 9220.83
- Average Part D Deductible
- 635.47
- $0 Premium Plans
- 39
- Plans Without Part D Coverage
- 14
- Average CMS Star Rating
- 3.84
- $0 Premium Plan Share
- 81.25
- 5-Star Plan Share
- 8
- 4+ Star Plan Share
- 46
- 3-Star Plan Share
- 54
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 9.19
- PPO Average MOOP
- 9504.17
- PPO Enrollment
- 1224
- PPO $0 Premium Plans
- 28
- PPO Plans Without Part D Coverage
- 12
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 8840
- HMO Enrollment
- 949
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 7.86
- HMO-POS Average MOOP
- 8035.71
- HMO-POS Enrollment
- 33
- HMO-POS $0 Premium Plans
- 6
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:georgia-madison-13195
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/georgia/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-georgia-madison-13195-landscape-stats
- Plans Indexed
- 48
- Standard Medicare Advantage Plans
-
-
Clover Health LiveHealthy
H5141-026-0 -
Clover Health LiveHealthy Giveback
H5141-063-0 -
Clover Health LiveHealthy Premier
H5141-045-0 -
Clover Health Valor
H5141-056-0 -
Anthem Veteran
H4036-040-0 -
Humana USAA Honor Giveback
H7617-096-0 -
HumanaChoice Giveback H7617-094
H7617-094-0 -
HumanaChoice H7617-092
H7617-092-0 -
HumanaChoice H7617-093
H7617-093-0 -
HumanaChoice H7617-114
H7617-114-0 -
DEVOTED CHOICE 004 GA
H5453-004-0 -
DEVOTED CHOICE GIVEBACK 005 GA
H5453-005-0 -
DEVOTED CHOICE GIVEBACK EXTRAS 023 GA
H5453-023-0 -
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 H5216-157
H5216-157-0 -
HumanaChoice H5216-203
H5216-203-1 -
HumanaChoice H5216-280
H5216-280-1 -
HumanaChoice H5216-421
H5216-421-0 -
HumanaChoice H5216-466
H5216-466-0 -
AARP Medicare Advantage from UHC GA-10
H5322-053-0 -
AARP Medicare Advantage Patriot No Rx GA-MA01
H1889-022-0 -
Aetna Medicare Eagle Extra Plus
H2293-009-0 -
Aetna Medicare Eagle Plus
H3288-034-0 -
Aetna Medicare Elite
H3288-027-0 -
Aetna Medicare Elite Plus
H2293-031-0 -
Aetna Medicare Enhanced
H3288-042-0 -
Aetna Medicare Value Extra Care
H2293-001-0 -
Anthem Medicare Advantage 2
H5422-020-0 -
Anthem Veteran
H5422-014-0 -
Humana Full Access R0110-020
R0110-020-0 -
Humana Gold Plus Giveback H4141-022
H4141-022-0 -
Humana Gold Plus H4141-017
H4141-017-3 -
Humana Gold Plus H4141-023
H4141-023-0 -
HumanaChoice R0110-019
R0110-019-0 -
UHC Medicare Advantage GA-2
H1889-013-0 -
UHC Medicare Advantage Patriot No Rx GS-MA01
R2604-005-0 -
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 Preferred
H0439-009-0 -
HealthSpring Preferred Savings
H0439-017-0 -
HealthSpring True Choice
H7849-145-0
-
Clover Health LiveHealthy
- Total Standard Medicare Advantage Enrollment
- 2206
2027 Medicare Advantage Plans in Madison County, GA
Last update: .
In Madison County, GA, there are 48 Medicare Advantage plans available for 2027. Of these, 39 offer a $0 monthly premium, and about 46% are rated 4 stars or higher based on CMS quality ratings.
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 Madison?
Madison County has 36 PPO plans for 2027, with 1,224 enrolled.
How much do PPO plans cost in Madison?
The typical PPO premium in Madison is $9.19, and 28 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
- $0.00/mo
- Total HMO Enrollment
- 949
- $0 Premium HMO Plans
- 5
- Average MOOP
- $8,840
- Top HMO by Enrollment
- Humana Gold Plus H4141-017 (HMO) — 516 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus Giveback H4141-022 | $0 | $9,850 | $700 | H4141-022-0 | |
| Humana Gold Plus H4141-017 | $0 | $7,500 | $700 | H4141-017-3 | |
| Humana Gold Plus H4141-023 | $0 | $9,850 | $550 | H4141-023-0 | |
| HealthSpring Preferred | $0 | $7,150 | $400 | H0439-009-0 | |
| HealthSpring Preferred Savings | $0 | $9,850 | $700 | H0439-017-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Madison cost $0.00 per month on average.
- Which HMO plan is most popular in Madison?
- The most popular HMO plan in Madison is Humana Gold Plus H4141-017 (HMO), with 516 enrollees.
- How many HMO plans in Madison do not include drug coverage?
- There are 0 HMO plans in Madison 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 7
- Average Monthly Premium $7.86/mo
- Total HMO-POS Enrollment 33
- $0 Premium HMO-POS Plans 6
- Average MOOP $8,036
- Top HMO-POS by Enrollment Wellcare Simple (HMO-POS) — 33 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-10 | $0 | $7,150 | $685 | H5322-053-0 | |
| Anthem Medicare Advantage 2 | $55 | $9,850 | $550 | H5422-020-0 | |
| Anthem Veteran | $0 | $9,250 | N/A | H5422-014-0 | |
| Wellcare Assist | $0 | $7,500 | $700 | H1112-043-0 | |
| Wellcare Giveback | $0 | $9,850 | $700 | H1112-042-0 | |
| Wellcare Patriot Simple | $0 | $3,400 | N/A | H1112-034-0 | |
| Wellcare Simple | $0 | $9,250 | $700 | H1112-038-0 |
What is the total number of HMO-POS plans in Madison?
There are 7 HMO-POS plans in 2027, covering 33 enrollees.
How much do HMO-POS plans cost in Madison?
The average HMO-POS premium in Madison is $7.86 per month, with 6 plans offering $0 premiums.
What is the leading HMO-POS plan in Madison?
Wellcare Simple (HMO-POS) is the top HMO-POS in Madison, with 33 enrollees.
What is the number of HMO-POS plans without Part D coverage in Madison?
2 HMO-POS plans in Madison do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Madison County, GA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 8% |
| 4 Stars (includes 5 Stars) | 22 | 46% |
| 3 Stars | 26 | 54% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.84 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Madison County, Georgia, including communities such as Carlton, Colbert, Comer, Danielsville, Hull, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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
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.