2026 Medicare Advantage Plans in Dekalb County, TN
Last update: . Enrollment data updated: May 2, 2026
For 2026, Dekalb County, TN includes 36 Medicare Advantage plans. Enrollment across these plans totals approximately 2,220, with 20 $0 premium options and 53% rated 4 stars or higher.
Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Dekalb County, TN are provided separately. Or you can discover all Medicare Options in Dekalb County, TN.
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
- 18
- Average Monthly Premium
- $37.82/mo
- Total PPO Enrollment
- 681
- $0 Premium PPO Plans
- 8
- Average MOOP
- $5,285
- Top PPO by Enrollment
- BlueAdvantage Sapphire (PPO) — 515 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the typical premium for PPO plans available in Dekalb?
PPO plans in Dekalb cost $37.82 per month on average.
Which PPO plan do most beneficiaries choose in Dekalb?
The most popular PPO plan in Dekalb is BlueAdvantage Sapphire (PPO), with 515 enrollees.
How many PPO options are offered without drug coverage in Dekalb?
4 PPO plans in Dekalb do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 6
- Average Monthly Premium $2.52/mo
- Total HMO Enrollment 1,196
- $0 Premium HMO Plans 5
- Average MOOP $5,608
- Top HMO by Enrollment HealthSpring Preferred (HMO) — 936 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | H4513-049-2 | |
| Humana Essentials Plus Giveback H4461-039 | $0 | $9,250 | $565 | H4461-039-0 | |
| Humana Total Complete H4461-043 | $0 | $5,100 | $615 | H4461-043-1 | |
| Humana USAA Honor Giveback | $0 | $3,750 | N/A | H4461-004-0 |
What is the total number of HMO plans offered in Dekalb?
In 2026, Dekalb County has 6 HMO plans with 1,196 enrollees.
How much do HMO plans cost in Dekalb?
The typical HMO premium in Dekalb is $2.52, and 5 plans have no monthly premium.
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
- 12
- Average Monthly Premium
- $14.88/mo
- Total HMO-POS Enrollment
- 343
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,855
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) — 197 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TN-0006 | $63 | $5,400 | $520 | H5253-084-0 | |
| 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 | $24 | $4,800 | $615 | H1416-083-0 | |
| Wellcare Assist | $28 | $4,800 | $615 | H1416-042-0 | |
| 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 average monthly premium for HMO-POS plans?
- HMO-POS plans in Dekalb cost $14.88 per month on average.
- Which HMO-POS plan is most popular in Dekalb?
- The most popular HMO-POS plan in Dekalb is AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS), with 197 enrollees.
- How many HMO-POS plans in Dekalb do not include drug coverage?
- There are 2 HMO-POS plans in Dekalb without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Dekalb County, TN (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 19 | 53% |
| 3 Stars | 17 | 47% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.69 | |
* Star ratings are based on CMS quality measures and reflect plan performance for the 2026 rating period.
- 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
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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
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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.