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2027 Medicare Special Needs Plans in Madison County, GA

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In Madison County, GA, there are 39 Medicare Special Needs Plans available for 2027. Approximately 1,146 beneficiaries are enrolled, and about (2027 Star Ratings Coming Soon) 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 Madison County, GA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$1.19/mo
Plans with $0 Premium
30
Average MOOP Limit
$9,404 ($9,250 max.)
Star Ratings (Plan Mix)
(2027 Star Ratings Coming Soon)
Average Part D Deductible
$565.41
Total SNP Enrollment
1,146
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Dual Complete GA-Q3 (D-SNP) — 165 enrollees
2. UHC Complete Care GA-3 (C-SNP) — 118 enrollees
3. UHC Dual Complete GA-Q2 (D-SNP) — 95 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Madison County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 23
  • Average Monthly Premium: $1.11/mo
  • Beneficiaries Enrolled: 852
  • $0 Premium Plans: 18
  • Zero Cost Plans: 9
  • Top D-SNP by Enrollment: UHC Dual Complete GA-Q3 (D-SNP) — 165 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Madison County, Georgia
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H5302-020-0
Aetna Medicare Dual Extra
☆☆☆☆☆
 $0 9850.00 $700 H2293-021-0
Aetna Medicare Dual Extra Care
☆☆☆☆☆
 $0 9850.00 $700 H2293-002-0
Aetna Medicare Dual Extra Care
☆☆☆☆☆
 $0 9850.00 $700 H5302-012-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H5302-024-0
Anthem Dual Advantage
☆☆☆☆☆
 $0 9850.00 $105 H5422-018-0
Anthem Full Dual Advantage
☆☆☆☆☆
 $0 9850.00 $240 H5422-019-0
HealthSpring TotalCare
☆☆☆☆☆
 $6 9850.00 $700 H0439-002-0
HealthSpring TotalCare Plus
☆☆☆☆☆
 $6 9850.00 $700 H0439-012-0
Humana Dual Select H5216-206
☆☆☆☆☆
 $0 9850.00 $700 H5216-206-0
Humana Gold Plus SNP-DE H4141-003
☆☆☆☆☆
 $0 9850.00 $700 H4141-003-0
Humana Gold Plus SNP-DE H4141-024
☆☆☆☆☆
 $0 9850.00 $700 H4141-024-0
HumanaChoice SNP-DE H5216-205
☆☆☆☆☆
 $0 9850.00 $350 H5216-205-0
PruittHealth Premier D-SNP
☆☆☆☆☆
 $0 9850.00 $700 H3291-002-0
UHC Dual Advantage GA-V1
☆☆☆☆☆
 $6 7900.00 $700 H3256-006-2
UHC Dual Complete GA-Q2
☆☆☆☆☆
 $0 9850.00 $700 H3256-005-2
UHC Dual Complete GA-Q3
☆☆☆☆☆
 $0 9850.00 $75 H5322-050-2
UHC Dual Complete GA-S2
☆☆☆☆☆
 $6 9850.00 $700 H3256-004-2
UHC Dual Complete GA-S3
☆☆☆☆☆
 $0 9850.00 $170 H5322-049-2
Wellcare Peach State Health Plan Dual Access
☆☆☆☆☆
 $0 9850.00 $700 H1112-006-0
Wellcare Peach State Health Plan Dual Access Open
☆☆☆☆☆
 $0 9850.00 $700 H0111-004-0
Wellcare Peach State Health Plan Dual Liberty
☆☆☆☆☆
 $0 9850.00 $700 H1112-033-0
Wellcare Peach State Health Plan Dual Reserve
☆☆☆☆☆
 $0 7500.00 $700 H1112-046-0
What is the total number of D-SNP plans in Madison County?

There are 23 D-SNP plans in 2027, covering 852 enrollees.

How much do D-SNP plans cost in Madison County?

The average D-SNP premium in Madison County is $1.11 per month, with 18 plans offering $0 premiums.

What is the most popular D-SNP plan in Madison County?

UHC Dual Complete GA-Q3 (D-SNP) is the top D-SNP in Madison County, with 165 enrollees.

What is the total number of D-SNP plans in Madison County?

There are 23 D-SNP plans in 2027, covering 852 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.

Total I-SNP Plans
6
Average Monthly Premium
$2.10/mo
Beneficiaries Enrolled
38
$0 Premium Plans
4
Average MOOP
$9,192
Top I-SNP by Enrollment
Georgia Health Advantage (I-SNP) — 38 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Madison County, Georgia
Health Plan Name CMS Rating* Premium Per Mo Network
Georgia Health Advantage
☆☆☆☆☆
 $6 9850.00 $700 H8093-001-0
Georgia Health Advantage Choice
☆☆☆☆☆
 $0 9850.00 $700 H8093-002-0
Humana Together in Health
☆☆☆☆☆
 $0 9850.00 $400 H7617-130-0
Humana Together in Health
☆☆☆☆☆
 $0 9850.00 $0 H5216-242-0
PruittHealth Premier
☆☆☆☆☆
 $6 9850.00 $700 H3291-001-0
PruittHealth Premier Advantage
☆☆☆☆☆
 $0 5900.00 $350 H3291-003-0
What is the most popular I-SNP plan in Madison County?

Georgia Health Advantage (I-SNP) is the top I-SNP in Madison County, with 38 enrollees.

What is the total number of I-SNP plans in Madison County?

There are 6 I-SNP plans in 2027, covering 38 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 10
  • Average Monthly Premium $0.84/mo
  • Beneficiaries Enrolled 256
  • $0 Premium C-SNPs 8
  • Average MOOP $8,935
  • Most Popular C-SNP UHC Complete Care GA-3 (C-SNP) with 118 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Madison County, Georgia
Health Plan Name CMS Rating* Premium Per Mo Network
Anthem Kidney Care
☆☆☆☆☆
 $0 5900.00 $0 H5422-015-0
DEVOTED C-SNP CHOICE ENHANCED 018 GA
☆☆☆☆☆
 $0 8950.00 $465 H5453-018-0
DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 021 GA
☆☆☆☆☆
 $0 8900.00 $700 H5453-021-0
DEVOTED C-SNP CHOICE PLUS 016 GA
☆☆☆☆☆
 $0 9850.00 $461 H5453-016-0
Humana Kidney Care
☆☆☆☆☆
 $0 9850.00 $700 H7617-135-0
Humana Kidney Care
☆☆☆☆☆
 $0 8450.00 $700 H7617-132-0
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
 $0 9850.00 $550 H5216-246-0
UHC Complete Care GA-3
☆☆☆☆☆
 $0 9850.00 $685 H1889-020-0
UHC Complete Care Support GA-9
☆☆☆☆☆
 $6 7900.00 $700 H1889-028-0
UHC Complete Care Support GS-1A
☆☆☆☆☆
 $2 9850.00 $700 R2604-002-0

What is the average monthly premium for C-SNP plans in Madison County?

C-SNP plans in Madison County cost $0.84 per month.

Which C-SNP plan has the highest enrollment in Madison County?

The most popular C-SNP plan in Madison County is UHC Complete Care GA-3 (C-SNP), with 118 enrollees.

How many C-SNP plans are available in Madison County?

In 2027, Madison County offers 10 C-SNP plans with 256 enrollees.

Primary CMS datasets used for this Medicare Special Needs Plan county resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

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.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
Medicare.gov Compare types of Medicare Advantage Plans 20 August, 2026
Medicare.gov Your coverage options 22 August, 2026
Medicare.gov Joining a plan 24 August, 2026

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