2026 Medicare Special Needs Plans in Sumter County, GA
Last update: . Enrollment data updated: June 13, 2026
Sumter County, GA has 22 Medicare Special Needs Plans available in 2026. These plans serve approximately 1,987 beneficiaries, and roughly 59% achieve 4-star ratings or higher based on CMS data.
Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Sumter County, GA to compare other coverage categories available in your area.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Sumter County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 15
- Average Monthly Premium: $11.23/mo
- Beneficiaries Enrolled: 1,553
- $0 Premium Plans: 5
- Zero Cost Plans: 5
- Top D-SNP by Enrollment: UHC Dual Complete GA-S1 (D-SNP) — 271 enrollees
- Plans without Drug Coverage: 0
What is the most popular D-SNP plan in Sumter County?
UHC Dual Complete GA-S1 (D-SNP) is the top D-SNP in Sumter County, with 271 enrollees.
What is the total number of D-SNP plans in Sumter County?
There are 15 D-SNP plans in 2026, covering 1,553 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: 3
- Average Monthly Premium: $16.93/mo
- Beneficiaries Enrolled: 52
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: Georgia Health Advantage (I-SNP) — 52 enrollees
- Plans without Drug Coverage: 0
| 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 |
What is the total number of I-SNP plans in Sumter County?
Sumter County has 3 I-SNP plans for 2026, with 52 enrollees.
How much do I-SNP plans cost in Sumter County?
The typical I-SNP premium in Sumter County is $16.93, and 1 plans have no monthly premium.
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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care GA-3 | $0 | 9250.00 | $520 | H1889-020-0 | |
| UHC Complete Care Support GA-9 | $25 | 7900.00 | $615 | H1889-028-0 | |
| 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 typical premium for C-SNP plans in Sumter County?
C-SNP plans in Sumter County cost $10.88 per month.
Which C-SNP plan do most beneficiaries choose in Sumter County?
The most popular C-SNP plan in Sumter County is UHC Complete Care GA-3 (C-SNP), with 129 enrollees.
How many Chronic Condition SNP plans are offered in Sumter County?
In 2026, Sumter County offers 4 C-SNP plans with 382 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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Data provenance documentation is maintained in alignment 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.