- Entity
- county:tennessee-hamilton-47065
- 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/hamilton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 39
- PPO Plans
- 16
- HMO Plans
- 10
- HMO-POS Plans
- 13
- PFFS Plans
- 0
- Average Monthly Premium
- 19.07
- Average MOOP
- 5258.21
- Average Part D Deductible
- 457.42
- $0 Premium Plans
- 23
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.71
- $0 Premium Plan Share
- 58.97
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 56
- 3-Star Plan Share
- 44
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 28.94
- PPO Average MOOP
- 5545.31
- PPO Enrollment
- 21344
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 12.3
- HMO Average MOOP
- 4380
- HMO Enrollment
- 9365
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 12.12
- HMO-POS Average MOOP
- 5580.38
- HMO-POS Enrollment
- 4070
- HMO-POS $0 Premium Plans
- 8
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:tennessee-hamilton-47065
- 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/hamilton/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-tennessee-hamilton-47065-landscape-stats
- Plans Indexed
- 39
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-279-0 -
Humana Value Plus H7617-088
H7617-088-0 -
UHC Medicare Advantage TC-0001
H2001-104-0 -
AARP Medicare Advantage from UHC TC-0002
H5253-047-0 -
AARP Medicare Advantage from UHC TC-0003
H5253-048-0 -
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
H4513-049-3 -
HealthSpring Preferred Savings
H4513-068-3 -
HealthSpring Premier
H4513-036-0 -
HealthSpring Primary
H4513-035-0 -
Humana Gold Plus H4461-035
H4461-035-0 -
Humana Gold Plus H4461-040
H4461-040-0 -
Humana Gold Plus H4461-041
H4461-041-0 -
Humana USAA Honor Giveback
H4461-004-0 -
DEVOTED CHOICE 007 TN
H9231-007-0 -
DEVOTED CHOICE GIVEBACK 002 TN
H9231-002-0 -
DEVOTED CORE 009 TN
H7605-009-0 -
Humana USAA Honor Giveback
H5216-235-0 -
Humana Value Plus H5216-180
H5216-180-0 -
HumanaChoice H5216-097
H5216-097-0 -
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
H5828-017-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 34779
2026 Medicare Advantage Plans in Hamilton County, TN
Last update: .
In Hamilton County, TN, there are 39 Medicare Advantage plans available for 2026. Of these, 23 offer a $0 monthly premium, and about 56% 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 Hamilton County, TN. Or explore all Medicare Options available in Hamilton 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 16
- Average Monthly Premium $28.94/mo
- Total PPO Enrollment 21,344
- $0 Premium PPO Plans 9
- Average MOOP $5,545
- Top PPO by Enrollment BlueAdvantage Sapphire (PPO) — 17,531 enrollees
- PPO Plans Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $8,200 | N/A | H5521-279-0 | |
| Humana Value Plus H7617-088 | $28 | $4,900 | $615 | H7617-088-0 | |
| UHC Medicare Advantage TC-0001 | $0 | $6,700 | $440 | H2001-104-0 | |
| BlueAdvantage Diamond | $147 | $2,975 | $250 | H7917-010-0 | |
| BlueAdvantage Extra | $28 | $5,100 | $615 | H7917-041-0 | |
| BlueAdvantage Freedom | $0 | $3,200 | N/A | H7917-039-0 | |
| BlueAdvantage Ruby | $92 | $3,850 | $250 | H7917-014-0 | |
| BlueAdvantage Sapphire | $0 | $4,200 | $250 | H7917-030-0 | |
| DEVOTED CHOICE 007 TN | $0 | $5,500 | $375 | H9231-007-0 | |
| DEVOTED CHOICE GIVEBACK 002 TN | $0 | $8,300 | $605 | H9231-002-0 | |
| 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 Hamilton?
There are 16 PPO plans in 2026, covering 21,344 beneficiaries.
How much do PPO plans cost in Hamilton?
The average PPO premium in Hamilton is $28.94 per month, with 9 plans offering $0 premiums.
What is the most popular PPO plan in Hamilton?
BlueAdvantage Sapphire (PPO) is the top PPO in Hamilton, with 17,531 enrollees.
What is the number of PPO plans without Part D coverage in Hamilton?
There are 4 PPO plans in Hamilton 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
- 10
- Average Monthly Premium
- $12.30/mo
- Total HMO Enrollment
- 9,365
- $0 Premium HMO Plans
- 6
- Average MOOP
- $4,380
- Top HMO by Enrollment
- Humana Gold Plus H4461-035 (HMO) — 2,642 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 | $4,800 | $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 average monthly premium for HMO plans?
HMO plans in Hamilton cost $12.30 per month on average.
Which HMO plan is most popular in Hamilton?
The most popular HMO plan in Hamilton is Humana Gold Plus H4461-035 (HMO), with 2,642 enrollees.
How many HMO plans in Hamilton do not include drug coverage?
There are 2 HMO plans in Hamilton 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 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 | |
| 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 | $6,445 | $200 | H5828-017-0 |
What is the leading HMO-POS plan in Hamilton?
AARP Medicare Advantage from UHC TC-0002 (HMO-POS) is the top HMO-POS in Hamilton, with 1,985 enrollees.
What is the number of HMO-POS plans without Part D coverage in Hamilton?
2 HMO-POS plans in Hamilton do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Hamilton 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) | 22 | 56% |
| 3 Stars | 17 | 44% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.71 | |
* 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.