2026 Medicare Advantage Plans in Sequatchie County, TN
Last update: . Enrollment data updated: August 15, 2026
For 2026, Sequatchie County, TN includes 40 Medicare Advantage plans. Enrollment across these plans totals approximately 2,116, with 23 $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 Sequatchie County, TN are summarized separately. Visit Medicare Options in Sequatchie 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
- 1,215
- $0 Premium PPO Plans
- 9
- Average MOOP
- $5,616
- Top PPO by Enrollment
- BlueAdvantage Sapphire (PPO) — 966 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the average monthly premium for PPO plans in Sequatchie?
PPO plans in Sequatchie cost $28.86 per month on average.
Which PPO plan has the highest enrollment in Sequatchie?
The most popular PPO plan in Sequatchie is BlueAdvantage Sapphire (PPO), with 966 enrollees.
How many PPO plans in Sequatchie do not include prescription drug coverage?
4 PPO plans in Sequatchie 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 10
- Average Monthly Premium $12.30/mo
- Total HMO Enrollment 653
- $0 Premium HMO Plans 6
- Average MOOP $4,380
- Top HMO by Enrollment Humana Gold Plus H4461-035 (HMO) — 192 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 | $4,800 | $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 top HMO by enrollment in Sequatchie?
Humana Gold Plus H4461-035 (HMO) is the top HMO in Sequatchie, with 192 enrollees.
What is the number of HMO plans without Part D coverage in Sequatchie?
2 HMO plans in Sequatchie 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
- 13
- Average Monthly Premium
- $12.12/mo
- Total HMO-POS Enrollment
- 248
- $0 Premium HMO-POS Plans
- 8
- Average MOOP
- $5,580
- Top HMO-POS by Enrollment
- AARP Medicare Advantage from UHC TC-0002 (HMO-POS) — 112 enrollees
- HMO-POS Plans Without Drug Coverage
- 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for HMO-POS plans in Sequatchie?
HMO-POS plans in Sequatchie cost $12.12 per month on average.
Which HMO-POS plan has the most members in Sequatchie?
The most popular HMO-POS plan in Sequatchie is AARP Medicare Advantage from UHC TC-0002 (HMO-POS), with 112 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Sequatchie?
There are 2 HMO-POS plans in Sequatchie without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Sequatchie 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 | 3.73 | |
* 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
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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.