2026 Medicare Advantage Plans in Grundy County, TN
Last update: . Enrollment data updated: August 15, 2026
For 2026, Grundy County, TN includes 40 Medicare Advantage plans. Enrollment across these plans totals approximately 1,729, with 24 $0 premium options and 58% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Grundy County, TN are summarized separately. Visit Medicare Options in Grundy County, TN to see more options.
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
- $27.26/mo
- Total PPO Enrollment
- 1,020
- $0 Premium PPO Plans
- 10
- Average MOOP
- $5,679
- Top PPO by Enrollment
- BlueAdvantage Sapphire (PPO) — 819 enrollees
- PPO Plans Without Drug Coverage
- 4
- What is the average monthly premium for PPO plans in Grundy?
- PPO plans in Grundy cost $27.26 per month on average.
- Which PPO plan has the highest enrollment in Grundy?
- The most popular PPO plan in Grundy is BlueAdvantage Sapphire (PPO), with 819 enrollees.
- How many PPO plans in Grundy do not include prescription drug coverage?
- 4 PPO plans in Grundy do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | $4,800 | $200 | H4513-049-3 | |
| HealthSpring Preferred Savings | $0 | $6,500 | $300 | H4513-068-3 | |
| HealthSpring Primary | $24 | $4,900 | $615 | H4513-035-0 | |
| Humana Gold Plus H4461-035 | $0 | $3,600 | $590 | H4461-035-0 | |
| Humana Gold Plus H4461-040 | $74 | $1,900 | $615 | H4461-040-0 | |
| Humana Gold Plus H4461-041 | $10 | $3,200 | $615 | H4461-041-0 | |
| Humana USAA Honor Giveback | $0 | $3,750 | N/A | H4461-004-0 | |
| DEVOTED CORE 009 TN | $0 | $4,500 | $375 | H7605-009-0 |
What is the total number of HMO plans offered in Grundy?
There are 10 HMO plans in 2026, covering 497 enrollees.
How much do HMO plans cost in Grundy?
The average HMO premium in Grundy is $12.30 per month, with 6 plans offering $0 premiums.
What is the top HMO by enrollment in Grundy?
Humana Gold Plus H4461-035 (HMO) is the top HMO in Grundy, with 183 enrollees.
What is the number of HMO plans without Part D coverage in Grundy?
2 HMO plans in Grundy do not include prescription drug coverage.
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
- $9.38/mo
- Total HMO-POS Enrollment
- 212
- $0 Premium HMO-POS Plans
- 8
- Average MOOP
- $5,534
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC TC-0002 (HMO-POS) — 74 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TC-0002 | $0 | $4,200 | $355 | H5253-047-0 | |
| AARP Medicare Advantage from UHC TC-0003 | $42 | $3,500 | $355 | H5253-048-0 | |
| 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 | |
| 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 Grundy cost $9.38 per month on average.
Which HMO-POS plan is most popular in Grundy?
The most popular HMO-POS plan in Grundy is AARP Medicare Advantage from UHC TC-0002 (HMO-POS), with 74 enrollees.
How many HMO-POS plans in Grundy do not include drug coverage?
There are 2 HMO-POS plans in Grundy without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Grundy 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) | 23 | 58% |
| 3 Stars | 17 | 43% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.74 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 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, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
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.