2026 Medicare Special Needs Plans in Dougherty County, GA
Last update: . Enrollment data updated: June 13, 2026
In Dougherty County, GA, there are 18 Medicare Special Needs Plans available for 2026. Approximately 4,994 beneficiaries are enrolled, and about 53% are rated 4 stars or higher based on CMS quality ratings.
Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Dougherty County, GA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Dougherty County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 11
- Average Monthly Premium: $9.63/mo
- Beneficiaries Enrolled: 4,063
- $0 Premium Plans: 4
- Zero Cost Plans: 5
- Top D-SNP by Enrollment: Aetna Medicare Dual Extra Care (D-SNP) — 963 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Dual Care | $5 | 9250.00 | $615 | H5302-020-0 | |
| Aetna Medicare Dual Extra Care | $0 | 9250.00 | $615 | H5302-012-0 | |
| Aetna Medicare Full Dual Care | $0 | 9250.00 | $615 | H5302-024-0 | |
| Aetna Medicare Dual Extra | $11 | 9250.00 | $615 | H2293-021-0 | |
| Aetna Medicare Dual Extra Care | $14 | 9250.00 | $615 | H2293-002-0 | |
| Humana Dual Select H5216-206 | $25 | 9250.00 | $615 | H5216-206-0 | |
| Humana Gold Plus SNP-DE H4141-003 | $0 | 9250.00 | $615 | H4141-003-0 | |
| Humana Gold Plus SNP-DE H4141-024 | $0 | 9250.00 | $615 | H4141-024-0 | |
| Humana Gold Plus SNP-DE H4141-025 | $0 | 9250.00 | $615 | H4141-025-0 | |
| HumanaChoice SNP-DE H5216-205 | $25 | 9250.00 | $615 | H5216-205-0 | |
| PruittHealth Premier D-SNP | $25 | 9250.00 | $615 | H3291-002-0 |
What is the total number of D-SNP plans in Dougherty County?
There are 11 D-SNP plans in 2026, covering 4,063 enrollees.
How much do D-SNP plans cost in Dougherty County?
The average D-SNP premium in Dougherty County is $9.63 per month, with 4 plans offering $0 premiums.
What is the most popular D-SNP plan in Dougherty County?
Aetna Medicare Dual Extra Care (D-SNP) is the top D-SNP in Dougherty County, with 963 enrollees.
What is the total number of D-SNP plans in Dougherty County?
There are 11 D-SNP plans in 2026, covering 4,063 enrollees.
I-SNP Plans (Institutional Special Needs Plans)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Georgia Health Advantage | $25 | 9250.00 | $615 | H8093-001-0 | |
| Georgia Health Advantage Choice | $25 | 9250.00 | $615 | H8093-002-0 | |
| Humana Together in Health | $0 | 9250.00 | $615 | H5216-242-0 | |
| PruittHealth Premier | $25 | 9250.00 | $615 | H3291-001-0 | |
| PruittHealth Premier Advantage | $0 | 5900.00 | $0 | H3291-003-0 |
What is the most popular I-SNP plan in Dougherty County?
PruittHealth Premier (I-SNP) is the top I-SNP in Dougherty County, with 76 enrollees.
What is the total number of I-SNP plans in Dougherty County?
There are 5 I-SNP plans in 2026, covering 137 enrollees.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
- Total C-SNP Plans 2
- Average Monthly Premium $9.05/mo
- Beneficiaries Enrolled 794
- $0 Premium C-SNPs 1
- Average MOOP $18,500
- Most Popular C-SNP HumanaChoice - Diabetes and Heart (C-SNP) with 458 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care Support GS-1A | $18 | 9250.00 | $615 | R2604-002-0 | |
| HumanaChoice - Diabetes and Heart | $0 | 9250.00 | $450 | H5216-246-0 |
What is the average monthly premium for C-SNP plans in Dougherty County?
C-SNP plans in Dougherty County cost $9.05 per month.
Which C-SNP plan has the highest enrollment in Dougherty County?
The most popular C-SNP plan in Dougherty County is HumanaChoice - Diabetes and Heart (C-SNP), with 458 enrollees.
How many C-SNP plans are available in Dougherty County?
In 2026, Dougherty County offers 2 C-SNP plans with 794 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) 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 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
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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.