- Entity
- county:tennessee-macon-47111
- 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/macon/
- 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
- 17
- HMO Plans
- 7
- HMO-POS Plans
- 12
- PFFS Plans
- 0
- Average Monthly Premium
- 19.01
- Average MOOP
- 5703.47
- Average Part D Deductible
- 475
- $0 Premium Plans
- 22
- Plans Without Part D Coverage
- 8
- Average CMS Star Rating
- 3.68
- $0 Premium Plan Share
- 61.11
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 50
- 3-Star Plan Share
- 50
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 28.86
- PPO Average MOOP
- 5672.06
- PPO Enrollment
- 922
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 2.16
- HMO Average MOOP
- 5557.14
- HMO Enrollment
- 615
- HMO $0 Premium Plans
- 6
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 14.88
- HMO-POS Average MOOP
- 5833.33
- HMO-POS Enrollment
- 352
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:tennessee-macon-47111
- 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/macon/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-tennessee-macon-47111-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 Gold Plus H4461-025
H4461-025-0 -
Humana USAA Honor Giveback
H4461-004-0 -
DEVOTED CHOICE 015 TN
H9231-015-0 -
DEVOTED CHOICE GIVEBACK 005 TN
H9231-005-0 -
DEVOTED CORE 007 TN
H7605-007-0 -
DEVOTED GIVEBACK 008 TN
H7605-008-0 -
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
H5828-015-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 1889
2026 Medicare Advantage Plans in Macon County, TN
Last update: .
For 2026, Macon County, TN includes 36 Medicare Advantage plans. Enrollment across these plans totals approximately 1,889, with 22 $0 premium options and 50% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Macon County, TN are summarized separately. Visit Medicare Options in Macon 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
- 17
- Average Monthly Premium
- $28.86/mo
- Total PPO Enrollment
- 922
- $0 Premium PPO Plans
- 9
- Average MOOP
- $5,672
- Top PPO by Enrollment
- BlueAdvantage Sapphire (PPO) — 767 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the average monthly premium for PPO plans in Macon?
PPO plans in Macon cost $28.86 per month on average.
Which PPO plan has the highest enrollment in Macon?
The most popular PPO plan in Macon is BlueAdvantage Sapphire (PPO), with 767 enrollees.
How many PPO plans in Macon do not include prescription drug coverage?
4 PPO plans in Macon 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 7
- Average Monthly Premium $2.16/mo
- Total HMO Enrollment 615
- $0 Premium HMO Plans 6
- Average MOOP $5,557
- Top HMO by Enrollment HealthSpring Preferred (HMO) — 408 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 Gold Plus H4461-025 | $0 | $4,700 | $615 | H4461-025-0 | |
| Humana USAA Honor Giveback | $0 | $3,750 | N/A | H4461-004-0 | |
| DEVOTED CORE 007 TN | $0 | $6,400 | $375 | H7605-007-0 | |
| DEVOTED GIVEBACK 008 TN | $0 | $8,500 | $605 | H7605-008-0 |
What is the top HMO by enrollment in Macon?
HealthSpring Preferred (HMO) is the top HMO in Macon, with 408 enrollees.
What is the number of HMO plans without Part D coverage in Macon?
2 HMO plans in Macon 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
- $14.88/mo
- Total HMO-POS Enrollment
- 352
- $0 Premium HMO-POS Plans
- 7
- Average MOOP
- $5,833
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) — 190 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 | $6,200 | $235 | H5828-015-0 |
What is the typical premium for HMO-POS plans in Macon?
HMO-POS plans in Macon cost $14.88 per month on average.
Which HMO-POS plan has the most members in Macon?
The most popular HMO-POS plan in Macon is AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS), with 190 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Macon?
There are 2 HMO-POS plans in Macon without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Macon 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) | 18 | 50% |
| 3 Stars | 18 | 50% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.68 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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, non-government informational resource and is not affiliated with or endorsed by 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.