2026 Medicare Advantage Plans in Decatur County, TN
Last update: . Enrollment data updated: May 2, 2026
In Decatur County, TN, there are 34 Medicare Advantage plans available for 2026. Of these, 19 offer a $0 monthly premium, and about 59% 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 Decatur County, TN. Or explore all Medicare Options available in Decatur County, TN.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TN-0002 | $0 | $5,900 | $440 | H2001-094-0 | |
| Aetna Medicare Eagle Giveback | $0 | $8,200 | N/A | H5521-279-0 | |
| Aetna Medicare Enhanced | $28 | $6,750 | $615 | H5521-501-0 | |
| Humana Value Plus H7617-088 | $28 | $4,900 | $615 | H7617-088-0 | |
| BlueAdvantage Diamond | $157 | $2,975 | $250 | H7917-009-0 | |
| BlueAdvantage Extra | $28 | $5,100 | $615 | H7917-041-0 | |
| BlueAdvantage Freedom | $0 | $3,200 | N/A | H7917-039-0 | |
| BlueAdvantage Garnet | $0 | $4,900 | $250 | H7917-033-0 | |
| BlueAdvantage Ruby | $89 | $3,850 | $250 | H7917-012-0 | |
| Humana USAA Honor Giveback | $0 | $3,400 | N/A | H5216-235-0 | |
| Humana Value Plus H5216-180 | $28 | $4,900 | $615 | H5216-180-0 | |
| HumanaChoice H5216-097 | $55 | $8,850 | $590 | H5216-097-0 | |
| HumanaChoice R0110-017 | $0 | $4,650 | N/A | R0110-017-0 | |
| HumanaChoice R0110-018 | $86 | $6,500 | $590 | R0110-018-0 | |
| HealthSpring True Choice | $0 | $7,500 | $250 | H7849-153-0 |
What is the total number of PPO plans offered in Decatur?
Decatur County has 15 PPO plans for 2026, with 642 enrolled.
How much do PPO plans cost in Decatur?
The typical PPO premium in Decatur is $33.18, and 7 plans have no monthly premium.
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
- 6
- Average Monthly Premium
- $5.47/mo
- Total HMO Enrollment
- 258
- $0 Premium HMO Plans
- 4
- Average MOOP
- $4,833
- Top HMO by Enrollment
- Humana Gold Plus H4461-025 (HMO) — 156 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Value Plus | $15 | $6,750 | $615 | H3146-012-0 | |
| HealthSpring Courage | $0 | $3,900 | N/A | H4513-033-0 | |
| HealthSpring Preferred | $0 | $4,900 | $200 | H4513-049-5 | |
| HealthSpring Primary | $18 | $5,000 | $615 | H4513-053-0 | |
| Humana Gold Plus H4461-025 | $0 | $4,700 | $615 | H4461-025-0 | |
| Humana USAA Honor Giveback | $0 | $3,750 | N/A | H4461-004-0 |
- What is the average monthly premium for HMO plans?
- HMO plans in Decatur cost $5.47 per month on average.
- Which HMO plan is most popular in Decatur?
- The most popular HMO plan in Decatur is Humana Gold Plus H4461-025 (HMO), with 156 enrollees.
- How many HMO plans in Decatur do not include drug coverage?
- There are 2 HMO plans in Decatur 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 13
- Average Monthly Premium $10.35/mo
- Total HMO-POS Enrollment 218
- $0 Premium HMO-POS Plans 8
- Average MOOP $5,697
- Top HMO-POS by Enrollment AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) — 83 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TN-0003 | $0 | $5,400 | $440 | H5253-081-0 | |
| AARP Medicare Advantage from UHC TN-0004 | $19 | $3,800 | $340 | H5253-082-0 | |
| AARP Medicare Advantage Giveback from UHC TC-4 | $0 | $6,700 | $600 | H5253-121-0 | |
| AARP Medicare Advantage Patriot No Rx TC-MA01 | $0 | $3,900 | N/A | H5253-113-0 | |
| HealthSpring Premier | $45 | $6,150 | $250 | H4513-036-0 | |
| Wellcare Assist | $28 | $4,800 | $615 | H1416-042-0 | |
| Wellcare Assist | $24 | $4,800 | $615 | H1416-083-0 | |
| Wellcare Giveback | $0 | $6,700 | $615 | H1416-079-0 | |
| Wellcare Patriot Giveback | $0 | $4,800 | N/A | H1416-061-0 | |
| Wellcare Simple | $0 | $4,800 | $615 | H1416-077-0 | |
| Wellpoint Extra Help | $0 | $9,000 | $390 | H5828-008-0 | |
| Wellpoint Medicare Advantage | $19 | $6,750 | $200 | H5828-013-0 | |
| Wellpoint Medicare Advantage 2 | $0 | $6,460 | $200 | H5828-016-0 |
What is the total number of HMO-POS plans in Decatur?
There are 13 HMO-POS plans in 2026, covering 218 enrollees.
How much do HMO-POS plans cost in Decatur?
The average HMO-POS premium in Decatur is $10.35 per month, with 8 plans offering $0 premiums.
What is the leading HMO-POS plan in Decatur?
AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) is the top HMO-POS in Decatur, with 83 enrollees.
What is the number of HMO-POS plans without Part D coverage in Decatur?
2 HMO-POS plans in Decatur do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Decatur County, TN for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 20 | 59% |
| 3 Stars | 14 | 41% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.72 | |
* 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
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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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.