2026 Medicare Advantage Plans in Sumner County, TN
Last update: . Enrollment data updated: May 2, 2026
For 2026, Sumner County, TN includes 41 Medicare Advantage plans. Enrollment across these plans totals approximately 17,604, with 26 $0 premium options and 51% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sumner County, TN are summarized separately. Visit Medicare Options in Sumner 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
- 16
- Average Monthly Premium
- $30.50/mo
- Total PPO Enrollment
- 5,909
- $0 Premium PPO Plans
- 9
- Average MOOP
- $5,705
- Top PPO by Enrollment
- BlueAdvantage Garnet (PPO) — 4,521 enrollees
- PPO Plans Without Drug Coverage
- 4
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | |
| BlueAdvantage Diamond | $157 | $2,975 | $250 | H7917-009-0 | |
| BlueAdvantage Extra | $28 | $5,100 | $615 | H7917-041-0 | |
| BlueAdvantage Freedom | $0 | $3,200 | N/A | H7917-039-0 | |
| BlueAdvantage Garnet | $0 | $5,900 | $250 | H7917-032-0 | |
| BlueAdvantage Ruby | $107 | $4,150 | $250 | H7917-013-0 | |
| DEVOTED CHOICE 015 TN | $0 | $6,400 | $375 | H9231-015-0 | |
| DEVOTED CHOICE GIVEBACK 005 TN | $0 | $8,300 | $605 | H9231-005-0 | |
| 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 | |
| Zing Open Choice TN | $0 | $6,350 | $0 | H6876-009-0 |
What is the average monthly premium for PPO plans in Sumner?
PPO plans in Sumner cost $30.50 per month on average.
Which PPO plan has the highest enrollment in Sumner?
The most popular PPO plan in Sumner is BlueAdvantage Garnet (PPO), with 4,521 enrollees.
How many PPO plans in Sumner do not include prescription drug coverage?
4 PPO plans in Sumner 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 13
- Average Monthly Premium $7.37/mo
- Total HMO Enrollment 9,545
- $0 Premium HMO Plans 10
- Average MOOP $6,242
- Top HMO by Enrollment HealthSpring Preferred (HMO) — 6,289 enrollees
- HMO Plans Without Drug Coverage 2
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Enhanced | $63 | $5,900 | $615 | H3146-041-0 | |
| Aetna Medicare Value Plus | $15 | $6,750 | $615 | H3146-012-0 | |
| HealthSpring Courage | $0 | $3,900 | N/A | H4513-033-0 | |
| HealthSpring Preferred | $0 | $5,100 | $200 | H4513-049-1 | |
| HealthSpring Preferred Full Savings | $0 | $6,750 | $400 | H4513-090-0 | |
| HealthSpring Preferred Savings | $0 | $6,200 | $300 | H4513-068-1 | |
| HealthSpring Primary | $18 | $5,000 | $615 | H4513-053-0 | |
| Humana Essentials Plus Giveback H4461-039 | $0 | $9,250 | $565 | H4461-039-0 | |
| Humana Total Complete H4461-043 | $0 | $9,150 | $615 | H4461-043-2 | |
| 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 | |
| Zing Select Care TN-MS | $0 | $4,500 | $0 | H4624-044-0 |
What is the top HMO by enrollment in Sumner?
HealthSpring Preferred (HMO) is the top HMO in Sumner, with 6,289 enrollees.
What is the number of HMO plans without Part D coverage in Sumner?
2 HMO plans in Sumner 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
- 2,150
- $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) — 895 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 Sumner?
HMO-POS plans in Sumner cost $14.88 per month on average.
Which HMO-POS plan has the most members in Sumner?
The most popular HMO-POS plan in Sumner is AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS), with 895 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Sumner?
There are 2 HMO-POS plans in Sumner without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Sumner 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) | 21 | 51% |
| 3 Stars | 19 | 46% |
| Below 3 Stars | 1 | 2% |
| Not Rated | 0 | 0% |
| Average Rating | 3.63 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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.