- Entity
- county:georgia-sumter-13261
- 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/sumter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 23
- PPO Plans
- 21
- HMO Plans
- 1
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 13.02
- Average MOOP
- 9345.65
- Average Part D Deductible
- 607.31
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 10
- Average CMS Star Rating
- 3.98
- $0 Premium Plan Share
- 73.91
- 5-Star Plan Share
- 17
- 4+ Star Plan Share
- 48
- 3-Star Plan Share
- 52
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 14.26
- PPO Average MOOP
- 9426.19
- PPO Enrollment
- 1452
- PPO $0 Premium Plans
- 15
- PPO Plans Without Part D Coverage
- 10
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 9850
- HMO Enrollment
- 181
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 7150
- HMO-POS Enrollment
- 0
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:georgia-sumter-13261
- 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/sumter/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-georgia-sumter-13261-landscape-stats
- Plans Indexed
- 23
- 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 -
Humana USAA Honor Giveback
H7617-096-0 -
HumanaChoice H7617-093
H7617-093-0 -
HumanaChoice H7617-114
H7617-114-0 -
Humana USAA Honor Giveback
H5216-286-0 -
Humana USAA Honor Giveback
H5216-217-0 -
HumanaChoice H5216-157
H5216-157-0 -
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 Plus
H2293-031-0 -
Aetna Medicare Enhanced
H3288-042-0 -
Aetna Medicare Value Plus
H2293-033-0 -
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
-
Clover Health LiveHealthy
- Total Standard Medicare Advantage Enrollment
- 1633
2027 Medicare Advantage Plans in Sumter County, GA
Last update: .
Sumter County, GA has 23 Medicare Advantage plans available in 2027. These include 17 plans with no monthly premium, and roughly 48% are rated at least 4 stars based on CMS data.
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 21
- Average Monthly Premium $14.26/mo
- Total PPO Enrollment 1,452
- $0 Premium PPO Plans 15
- Average MOOP $9,426
- Top PPO by Enrollment Clover Health LiveHealthy (PPO) — 422 enrollees
- PPO Plans Without Drug Coverage 10
What is the most popular PPO plan in Sumter?
Clover Health LiveHealthy (PPO) is the top PPO in Sumter, with 422 enrollees.
What is the number of PPO plans without Part D coverage in Sumter?
There are 10 PPO plans in Sumter 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 181
- $0 Premium HMO Plans
- 1
- Average MOOP
- $9,850
- Top HMO by Enrollment
- Humana Gold Plus H4141-017 (HMO) — 181 enrollees
- HMO Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Plus H4141-017 | $0 | $9,850 | $700 | H4141-017-5 |
What is the typical premium for HMO plans in Sumter?
HMO plans in Sumter cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Sumter?
The most popular HMO plan in Sumter is Humana Gold Plus H4141-017 (HMO), with 181 enrollees.
How many HMO options are offered without prescription drug coverage in Sumter?
There are 0 HMO plans in Sumter 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 1
- Average Monthly Premium $0.00/mo
- Total HMO-POS Enrollment 0
- $0 Premium HMO-POS Plans 1
- Average MOOP $7,150
- Top HMO-POS by Enrollment — 0 enrollees
- HMO-POS Plans Without Drug Coverage 0
| 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 |
What is the total number of HMO-POS plans in Sumter?
In 2027, Sumter has 1 HMO-POS plans with 0 enrollees.
How much do HMO-POS plans cost in Sumter?
The typical HMO-POS premium in Sumter is $0.00, and 1 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Sumter County, GA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 17% |
| 4 Stars (includes 5 Stars) | 11 | 48% |
| 3 Stars | 12 | 52% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.98 | |
* 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 Sumter County, Georgia, including communities such as Americus, Plains, 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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
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.