- Entity
- county:georgia-spalding-13255
- 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/spalding/
- 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
- 33
- HMO Plans
- 9
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 5.38
- Average MOOP
- 8872.34
- Average Part D Deductible
- 606
- $0 Premium Plans
- 41
- Plans Without Part D Coverage
- 15
- Average CMS Star Rating
- 3.87
- $0 Premium Plan Share
- 87.23
- 5-Star Plan Share
- 6
- 4+ Star Plan Share
- 53
- 3-Star Plan Share
- 47
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 7.66
- PPO Average MOOP
- 9430.3
- PPO Enrollment
- 3235
- PPO $0 Premium Plans
- 27
- PPO Plans Without Part D Coverage
- 12
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 7627.78
- HMO Enrollment
- 830
- HMO $0 Premium Plans
- 9
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 7430
- HMO-POS Enrollment
- 143
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:georgia-spalding-13255
- 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/spalding/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-georgia-spalding-13255-landscape-stats
- Plans Indexed
- 47
- Standard Medicare Advantage Plans
-
-
Clover Health LiveHealthy
H5141-026-0 -
Clover Health LiveHealthy Premier
H5141-045-0 -
Clover Health Valor
H5141-056-0 -
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 -
Kaiser Permanente Senior Advantage Basic 2
H1170-012-0 -
Kaiser Permanente Senior Advantage Liberty
H1170-014-0 -
Kaiser Permanente Sr Advantage Liberty Giveback
H1170-017-0 -
Aetna Medicare Elite
H5521-091-0 -
Aetna Medicare Value Care
H5521-364-0 -
DEVOTED CHOICE 001 GA
H5453-001-0 -
DEVOTED CHOICE GIVEBACK 002 GA
H5453-002-0 -
DEVOTED CHOICE GIVEBACK EXTRAS 022 GA
H5453-022-0 -
DEVOTED CHOICE MA ONLY 003 GA
H5453-003-0 -
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 -
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 Giveback
H2293-010-0 -
Aetna Medicare Prime Care
H5302-028-0 -
Aetna Medicare Signature Care
H5302-022-0 -
Humana Full Access R0110-020
R0110-020-0 -
Humana Gold Plus H4141-017
H4141-017-5 -
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
H0439-015-1 -
HealthSpring Preferred GA
H0439-003-1 -
HealthSpring Preferred Savings
H0439-016-0 -
HealthSpring True Choice
H7849-145-0
-
Clover Health LiveHealthy
- Total Standard Medicare Advantage Enrollment
- 4208
2027 Medicare Advantage Plans in Spalding County, GA
Last update: .
For 2027, Spalding County, GA includes 47 Medicare Advantage plans. Enrollment across these plans totals approximately 4,208, with 41 $0 premium options and 53% rated 4 stars or higher.
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
- 33
- Average Monthly Premium
- $7.66/mo
- Total PPO Enrollment
- 3,235
- $0 Premium PPO Plans
- 27
- Average MOOP
- $9,430
- Top PPO by Enrollment
- HumanaChoice H5216-203 (PPO) — 593 enrollees
- PPO Plans Without Drug Coverage
- 12
- What is the average monthly premium for PPO plans in Spalding?
- PPO plans in Spalding cost $7.66 per month on average.
- Which PPO plan has the highest enrollment in Spalding?
- The most popular PPO plan in Spalding is HumanaChoice H5216-203 (PPO), with 593 enrollees.
- How many PPO plans in Spalding do not include prescription drug coverage?
- 12 PPO plans in Spalding do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Kaiser Permanente Senior Advantage Basic 2 | $0 | $6,800 | $0 | H1170-012-0 | |
| Kaiser Permanente Senior Advantage Liberty | $0 | $6,000 | N/A | H1170-014-0 | |
| Kaiser Permanente Sr Advantage Liberty Giveback | $0 | $6,750 | N/A | H1170-017-0 | |
| Aetna Medicare Prime Care | $0 | $5,900 | $500 | H5302-028-0 | |
| Aetna Medicare Signature Care | $0 | $9,850 | $500 | H5302-022-0 | |
| Humana Gold Plus H4141-017 | $0 | $9,850 | $700 | H4141-017-5 | |
| HealthSpring Preferred | $0 | $7,150 | $400 | H0439-015-1 | |
| HealthSpring Preferred GA | $0 | $6,500 | $500 | H0439-003-1 | |
| HealthSpring Preferred Savings | $0 | $9,850 | $700 | H0439-016-0 |
What is the total number of HMO plans offered in Spalding?
There are 9 HMO plans in 2027, covering 830 enrollees.
How much do HMO plans cost in Spalding?
The average HMO premium in Spalding is $0.00 per month, with 9 plans offering $0 premiums.
What is the top HMO by enrollment in Spalding?
Humana Gold Plus H4141-017 (HMO) is the top HMO in Spalding, with 387 enrollees.
What is the number of HMO plans without Part D coverage in Spalding?
2 HMO plans in Spalding 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
- 5
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 143
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $7,430
- Top HMO-POS by Enrollment
- Wellcare Simple (HMO-POS) — 92 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC GA-10 | $0 | $7,150 | $685 | H5322-053-0 | |
| 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 average monthly premium for HMO-POS plans?
HMO-POS plans in Spalding cost $0.00 per month on average.
Which HMO-POS plan is most popular in Spalding?
The most popular HMO-POS plan in Spalding is Wellcare Simple (HMO-POS), with 92 enrollees.
How many HMO-POS plans in Spalding do not include drug coverage?
There are 1 HMO-POS plans in Spalding without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Spalding County, GA (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 3 | 6% |
| 4 Stars (includes 5 Stars) | 25 | 53% |
| 3 Stars | 22 | 47% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.87 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Spalding County, Georgia, including communities such as Griffin, 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
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 informational resource and has no affiliation with, or endorsement from, 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.