2026 Medicare Advantage Plans in Madison County, GA
Last update: . Enrollment data updated: May 2, 2026
In Madison County, GA, there are 50 Medicare Advantage plans available for 2026. Of these, 40 offer a $0 monthly premium, and about 24% 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 Madison County, GA. Or explore all Medicare Options available in Madison 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 34
- Average Monthly Premium $9.05/mo
- Total PPO Enrollment 1,202
- $0 Premium PPO Plans 27
- Average MOOP $8,676
- Top PPO by Enrollment Aetna Medicare Elite (PPO) — 200 enrollees
- PPO Plans Without Drug Coverage 12
What is the total number of PPO plans offered in Madison?
There are 34 PPO plans in 2026, covering 1,202 beneficiaries.
How much do PPO plans cost in Madison?
The average PPO premium in Madison is $9.05 per month, with 27 plans offering $0 premiums.
What is the most popular PPO plan in Madison?
Aetna Medicare Elite (PPO) is the top PPO in Madison, with 200 enrollees.
What is the number of PPO plans without Part D coverage in Madison?
There are 12 PPO plans in Madison 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
- 8
- Average Monthly Premium
- $2.25/mo
- Total HMO Enrollment
- 940
- $0 Premium HMO Plans
- 7
- Average MOOP
- $6,419
- Top HMO by Enrollment
- Humana Gold Plus H4141-017 (HMO) — 532 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| HealthSpring Preferred | $0 | $4,400 | $200 | H0439-009-0 | |
| HealthSpring Preferred GA | $0 | $5,200 | $615 | H0439-003-1 | |
| HealthSpring Preferred Plus | $18 | $6,800 | $615 | H0439-006-0 | |
| HealthSpring Preferred Savings | $0 | $9,250 | $615 | H0439-017-0 | |
| Humana Gold Plus Giveback H4141-022 | $0 | $9,250 | $450 | H4141-022-0 | |
| 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 average monthly premium for HMO plans?
HMO plans in Madison cost $2.25 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 532 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 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 Madison?
AARP Medicare Advantage from UHC GA-5 (HMO-POS) is the top HMO-POS in Madison, with 56 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 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 12 | 24% |
| 3 Stars | 36 | 73% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 1 | 2% |
| 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 May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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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