2026 Medicare Advantage Plans in Stephens County, GA
Last update: . Enrollment data updated: May 2, 2026
In Stephens County, GA, there are 48 Medicare Advantage plans available for 2026. Of these, 37 offer a $0 monthly premium, and about 25% 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 Stephens County, GA. Or explore all Medicare Options available in Stephens 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 35
- Average Monthly Premium $8.79/mo
- Total PPO Enrollment 1,443
- $0 Premium PPO Plans 28
- Average MOOP $8,676
- Top PPO by Enrollment Aetna Medicare Elite (PPO) — 349 enrollees
- PPO Plans Without Drug Coverage 13
What is the total number of PPO plans offered in Stephens?
There are 35 PPO plans in 2026, covering 1,443 beneficiaries.
How much do PPO plans cost in Stephens?
The average PPO premium in Stephens is $8.79 per month, with 28 plans offering $0 premiums.
What is the most popular PPO plan in Stephens?
Aetna Medicare Elite (PPO) is the top PPO in Stephens, with 349 enrollees.
What is the number of PPO plans without Part D coverage in Stephens?
There are 13 PPO plans in Stephens 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
- 5
- Average Monthly Premium
- $9.60/mo
- Total HMO Enrollment
- 508
- $0 Premium HMO Plans
- 3
- Average MOOP
- $6,400
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 323 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 Stephens cost $9.60 per month on average.
Which HMO plan is most popular in Stephens?
The most popular HMO plan in Stephens is HealthSpring Preferred (HMO), with 323 enrollees.
How many HMO plans in Stephens do not include drug coverage?
There are 0 HMO plans in Stephens 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 Stephens?
AARP Medicare Advantage from UHC GA-5 (HMO-POS) is the top HMO-POS in Stephens, with 32 enrollees.
What is the number of HMO-POS plans without Part D coverage in Stephens?
2 HMO-POS plans in Stephens do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Stephens 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 | 25% |
| 3 Stars | 32 | 73% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 4 | 8% |
| 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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