- Entity
- county:tennessee-dekalb-47041
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/tennessee/dekalb/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 36
- PPO Plans
- 18
- HMO Plans
- 6
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 24.29
- Average MOOP
- 5528.78
- Average Part D Deductible
- 481.25
- $0 Premium Plans
- 20
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.69
- $0 Premium Plan Share
- 55.56
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 53
- 3-Star Plan Share
- 47
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 37.82
- PPO Average MOOP
- 5284.78
- PPO Enrollment
- 700
- PPO $0 Premium Plans
- 8
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 2.52
- HMO Average MOOP
- 5608.33
- HMO Enrollment
- 1173
- HMO $0 Premium Plans
- 5
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 14.88
- HMO-POS Average MOOP
- 5855
- HMO-POS Enrollment
- 354
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:tennessee-dekalb-47041
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/tennessee/dekalb/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-tennessee-dekalb-47041-landscape-stats
- Plans Indexed
- 36
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-279-0 -
Aetna Medicare Enhanced
H5521-501-0 -
Aetna Medicare Signature
H5521-254-0 -
Humana Value Plus H7617-088
H7617-088-0 -
AARP Medicare Advantage from UHC TN-0006
H5253-084-0 -
AARP Medicare Advantage Giveback from UHC TC-4
H5253-121-0 -
AARP Medicare Advantage Patriot No Rx TC-MA01
H5253-113-0 -
Aetna Medicare Value Plus
H3146-012-0 -
BlueAdvantage Diamond
H7917-010-0 -
BlueAdvantage Extra
H7917-041-0 -
BlueAdvantage Freedom
H7917-039-0 -
BlueAdvantage Ruby
H7917-014-0 -
BlueAdvantage Sapphire
H7917-030-0 -
HealthSpring Courage
H4513-033-0 -
HealthSpring Preferred
H4513-049-2 -
HealthSpring Premier
H4513-036-0 -
Humana Essentials Plus Giveback H4461-039
H4461-039-0 -
Humana Total Complete H4461-043
H4461-043-1 -
Humana USAA Honor Giveback
H4461-004-0 -
Humana USAA Honor Giveback
H5216-235-0 -
Humana Value Choice H5216-451
H5216-451-0 -
Humana Value Plus H5216-180
H5216-180-0 -
HumanaChoice H5216-097
H5216-097-0 -
HumanaChoice H5216-449
H5216-449-0 -
HumanaChoice H5216-450
H5216-450-0 -
HumanaChoice R0110-017
R0110-017-0 -
HumanaChoice R0110-018
R0110-018-0 -
HealthSpring True Choice
H7849-153-0 -
Wellcare Assist
H1416-083-0 -
Wellcare Assist
H1416-042-0 -
Wellcare Giveback
H1416-079-0 -
Wellcare Patriot Giveback
H1416-061-0 -
Wellcare Simple
H1416-077-0 -
Wellpoint Extra Help
H5828-008-0 -
Wellpoint Medicare Advantage
H5828-013-0 -
Wellpoint Medicare Advantage 2
H5828-016-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 2227
2026 Medicare Advantage Plans in Dekalb County, TN
Last update: .
In Dekalb County, TN, there are 36 Medicare Advantage plans available for 2026. Of these, 20 offer a $0 monthly premium, and about 53% 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 Dekalb County, TN. Or explore all Medicare Options available in Dekalb County, TN.
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 18
- Average Monthly Premium $37.82/mo
- Total PPO Enrollment 700
- $0 Premium PPO Plans 8
- Average MOOP $5,285
- Top PPO by Enrollment BlueAdvantage Sapphire (PPO) — 521 enrollees
- PPO Plans Without Drug Coverage 4
What is the total number of PPO plans offered in Dekalb?
There are 18 PPO plans in 2026, covering 700 beneficiaries.
How much do PPO plans cost in Dekalb?
The average PPO premium in Dekalb is $37.82 per month, with 8 plans offering $0 premiums.
What is the most popular PPO plan in Dekalb?
BlueAdvantage Sapphire (PPO) is the top PPO in Dekalb, with 521 enrollees.
What is the number of PPO plans without Part D coverage in Dekalb?
There are 4 PPO plans in Dekalb 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
- 6
- Average Monthly Premium
- $2.52/mo
- Total HMO Enrollment
- 1,173
- $0 Premium HMO Plans
- 5
- Average MOOP
- $5,608
- Top HMO by Enrollment
- HealthSpring Preferred (HMO) — 915 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 | H4513-049-2 | |
| 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 average monthly premium for HMO plans?
HMO plans in Dekalb cost $2.52 per month on average.
Which HMO plan is most popular in Dekalb?
The most popular HMO plan in Dekalb is HealthSpring Preferred (HMO), with 915 enrollees.
How many HMO plans in Dekalb do not include drug coverage?
There are 2 HMO plans in Dekalb 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 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 leading HMO-POS plan in Dekalb?
AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) is the top HMO-POS in Dekalb, with 204 enrollees.
What is the number of HMO-POS plans without Part D coverage in Dekalb?
2 HMO-POS plans in Dekalb do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Dekalb 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) | 19 | 53% |
| 3 Stars | 17 | 47% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.69 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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
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.
This page follows data provenance practices aligned with the 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.