2026 Medicare Advantage Plans in Wilkes County, GA
Last update: . Enrollment data updated: May 2, 2026
In Wilkes County, GA, there are 45 Medicare Advantage plans available for 2026. Of these, 35 offer a $0 monthly premium, and about 27% 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 Wilkes County, GA. Or explore all Medicare Options available in Wilkes 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 $8.92/mo
- Total PPO Enrollment 407
- $0 Premium PPO Plans 27
- Average MOOP $8,731
- Top PPO by Enrollment HumanaChoice Giveback H5216-345 (PPO) — 101 enrollees
- PPO Plans Without Drug Coverage 13
What is the total number of PPO plans offered in Wilkes?
There are 34 PPO plans in 2026, covering 407 beneficiaries.
How much do PPO plans cost in Wilkes?
The average PPO premium in Wilkes is $8.92 per month, with 27 plans offering $0 premiums.
What is the most popular PPO plan in Wilkes?
HumanaChoice Giveback H5216-345 (PPO) is the top PPO in Wilkes, with 101 enrollees.
What is the number of PPO plans without Part D coverage in Wilkes?
There are 13 PPO plans in Wilkes 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
- 2
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 83
- $0 Premium HMO Plans
- 2
- Average MOOP
- $4,850
- Top HMO by Enrollment
- Humana Gold Plus H4141-017 (HMO) — 83 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 | $5,500 | $350 | H4141-017-5 | |
| Clear Spring Health BrightPath Advantage | $0 | $4,200 | $400 | H6672-005-0 |
What is the average monthly premium for HMO plans?
HMO plans in Wilkes cost $0.00 per month on average.
Which HMO plan is most popular in Wilkes?
The most popular HMO plan in Wilkes is Humana Gold Plus H4141-017 (HMO), with 83 enrollees.
How many HMO plans in Wilkes do not include drug coverage?
There are 0 HMO plans in Wilkes 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 | $7,500 | $615 | H1112-039-0 |
What is the leading HMO-POS plan in Wilkes?
AARP Medicare Advantage from UHC GA-5 (HMO-POS) is the top HMO-POS in Wilkes, with 32 enrollees.
What is the number of HMO-POS plans without Part D coverage in Wilkes?
2 HMO-POS plans in Wilkes do not include prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS plans allow members to visit any Medicare-approved provider who accepts the plan’s payment terms. This offers broader choice than network-based plans, but coverage depends on provider participation, so acceptance should be confirmed in advance.
- Total PFFS Plans
- 1
- Average Monthly Premium
- $27.00/mo
- Total PFFS Enrollment
- 45
- $0 Premium PFFS Plans
- 0
- Average MOOP
- $6,700
- Top PFFS by Enrollment
- Humana Gold Choice H8145-069 (PFFS) — 45 enrollees
- PFFS Plans Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Humana Gold Choice H8145-069 | $27 | $6,700 | $615 | H8145-069-0 |
What is the typical premium for PFFS plans in Wilkes?
PFFS plans in Wilkes cost $27.00 per month on average.
Which PFFS plan has the most enrollment in Wilkes?
The most popular PFFS plan in Wilkes is Humana Gold Choice H8145-069 (PFFS), with 45 enrollees.
How many PFFS options are available without prescription drug coverage in Wilkes?
There are 0 PFFS plans in Wilkes without prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Wilkes 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 | 27% |
| 3 Stars | 29 | 71% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 4 | 9% |
| Average Rating | 3.65 | |
* 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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