Medicare Advantage in Georgia

Looking for Georgia Medicare Advantage Plans? Enter your ZIP below to compare affordable or $0 premium plans in your area.

Georgia state

Information about Medicare Advantage Plans in Georgia

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There are 71 different Georgia Medicare Advantage Prescription Drug (MAPD) plans in 2021.1 Not every plan is available in each county, so it's important to find out which ones are offered where you live.

A licensed insurance agent can help you compare the availability, benefits and costs of Medicare Advantage plans in your area of Georgia. Read below to learn more about Medicare in your state.

Find other types of Medicare Health insurance plans:

Average costs of Medicare Advantage in Georgia

2021 Georgia Medicare Advantage plans with prescription drug coverage have an average premium of $17 per month.

  • Average monthly premium cost in 2021 (weighted): $17
  • Average in-network out-of-pocket spending limit: $5,856
  • Average drug deductible in 2021 (weighted): $1871

The premiums, deductibles and out-of-pocket costs of individual plans may vary greatly depending on where you live and the plan you have.

You can view the average 2021 Georgia Medicare Advantage plan monthly premiums by county listed below in this guide.

A licensed insurance agent can help you compare Medicare Advantage plan costs in your area.

Compare Georgia Medicare Advantage plan costs

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Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

Medicare Eligibility & Enrollment

If you want to enroll in a Georgia Medicare Advantage plan, you must first be eligible for and enroll in Medicare Part A and Part B, often referred to together as Original Medicare.

To be eligible for Original Medicare at age 65, you must meet the following requirements:

  • You must be a United States citizen or permanent legal resident who has lived in the U.S. for five continuous years.

  • You (or your spouse) must be eligible for Social Security or Railroad Retirement benefits.

  • You (or your spouse) must be government employees or retirees who have paid Medicare payroll taxes.

You may also be eligible for Medicare benefits under 65 if:

  • You have been receiving Social Security disability benefits or certain Railroad Retirement Board disability benefits for at least 24 months.

  • You have ALS (amyotrophic lateral sclerosis, or Lou Gehrig's disease).

  • You have End-Stage Renal Disease (ESRD), and you or your spouse have paid Social Security taxes for a certain length of time.

If you have ESRD, you may be able to enroll in a Medicare Advantage plan or a Georgia Medicare Special Needs Plan (SNP) that is specifically designed to help meet your health care needs.

How to sign up for a Medicare Advantage Plan in Georgia

The first time you can typically enroll in a Georgia Medicare Part C plan is during your Medicare Initial Enrollment Period (IEP).

Medicare Initial Enrollment Period graphic

Your Initial Enrollment Period starts three months before your 65th birthday. It includes the month of your 65th birthday and then continues for another three months after your birthday.

Additional times at which you may sign up for a Medicare Advantage plan include:

Medicare Advantage Open Enrollment Period graphic

Medicare Advantage Open Enrollment Period: January 1 – March 31

If you're enrolled in a Medicare Advantage plan, from January 1 to March 31 every year, you can typically switch Medicare Advantage plans or drop your Medicare Advantage plan and return to Original Medicare.

If you return to Original Medicare during this period, you also have the opportunity to join a Medicare standalone prescription drug plan (Medicare Part D).

Medicare AEP graphic

Medicare Annual Enrollment Period (AEP): October 15 – December 7

Medicare AEP lasts from October 15 to December 7 every year. During this period, you may enroll in a Medicare Advantage plan or switch from one Medicare Advantage plan to another.

You may also drop your existing Medicare Advantage plan and return to Original Medicare.

During AEP, you typically can also join, switch or drop a Medicare Part D plan. 

Medicare Special Enrollment Periods (SEP)

You may potentially be granted a Medicare Special Enrollment Period (SEP) at any time throughout the year, depending on your personal circumstances.

A licensed insurance agent can help you find out if you qualify for a Medicare Special Enrollment Period.

Find a Georgia Medicare Advantage plan

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Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

Top-rated Medicare Advantage Plans in Georgia 2021

Each year, the Centers for Medicare & Medicaid Services (CMS) issues star ratings for every Medicare Advantage plan in the nation using a system of one to five stars.2

In order for a Medicare Advantage plan to be designated as a top-rated plan, it must have four or more stars out of five stars.

There are 24 top-rated 2021 Medicare Advantage Prescription Drug plans in Georgia that are rated four stars or higher.

Medicare Star Ratings
Star Ratings

★★★★★

Excellent

★★★★

Above Average

★★★

Average

★★

Below Average

Poor

List of Medicare Advantage Plans Available in Georgia in 2021

To view a list of plans offered in your area within Georgia, use our plan comparison tool.

Find a Georgia Medicare Advantage plan

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Or call TTY Users: 711 to speak with a licensed insurance agent. We accept calls 24/7!

Private insurance companies offer Medicare Advantage plans in Georgia

A number of insurance carriers may offer Medicare Advantage plans in Georgia. The insurance companies who provide plans in your area may vary.

Private insurance companies offer Medicare Advantage plans that may be unique to the plan area they serve.

Call to speak with a licensed insurance agent who can help you compare the Medicare Advantage plans that are sold by insurance companies in your area.

Georgia Medicare Advantage plans by county

Learn more about Medicare Advantage plans in some of the most populous counties in Georgia.

The chart below provides some more information about 2021 Georgia Medicare Advantage plans by county.1

  • Dade County and Hall County are home to the Georgia Medicare Advantage Prescription Drug plans with the lowest average monthly premiums in 2021.

  • Fulton County and Gwinnett County have the highest number of MAPD plans available in Georgia in 2021.
2021 GA Medicare Advantage by County
County Total Enrollees in County Average Premium % of Plans Rated 4 Stars or Higher Avg. Annual Drug Deductible # Plans Available
Appling 1664 $18.13 50% $249.44 16
Atkinson 622 $22.90 60% $273.75 14
Bacon 910 $20.16 67% $264.29 13
Baker 361 $15.00 47% $188.18 18
Baldwin 4578 $15.80 38% $171.67 32
Banks 1642 $13.47 33% $205.36 21
Barrow 6104 $16.99 31% $168.82 43
Bartow 8150 $17.44 38% $185.20 34
Ben Hill 1804 $19.13 45% $262.00 16
Berrien 1438 $21.33 67% $281.00 11
Bibb 14342 $16.13 30% $177.04 36
Bleckley 809 $18.30 55% $165.88 24
Brantley 1347 $22.61 60% $189.62 20
Brooks 1612 $23.00 56% $290.00 11
Bryan 2454 $18.41 28% $180.00 39
Bulloch 4211 $19.53 64% $226.00 22
Burke 2431 $19.09 35% $180.00 30
Butts 2464 $16.29 28% $179.29 37
Calhoun 497 $23.00 45% $290.00 11
Camden 2879 $19.19 33% $173.33 23
Candler 1148 $19.89 56% $270.71 13
Carroll 9318 $18.79 70% $196.67 23
Catoosa 5216 $15.75 54% $177.27 18
Charlton 795 $21.33 67% $281.00 11
Chatham 22980 $18.03 27% $179.52 40
Chattahoochee 261 $17.73 35% $191.19 30
Chattooga 2622 $16.07 40% $216.50 17
Cherokee 17479 $16.72 38% $160.74 43
Clarke 7049 $16.31 45% $175.91 30
Clay 351 $15.27 45% $259.17 13
Clayton 20892 $16.18 33% $162.80 50
Clinch 616 $19.59 50% $221.82 17
Cobb 42449 $17.55 36% $168.09 43
Coffee 3068 $20.28 33% $227.14 22
Colquitt 3815 $15.27 45% $250.83 13
Columbia 8219 $17.81 32% $188.26 32
Cook 1450 $23.00 56% $290.00 11
Coweta 10502 $18.85 36% $183.67 39
Crawford 1278 $17.07 30% $176.96 37
Crisp 2199 $19.19 36% $247.14 22
Dade 1396 $12.36 70% $187.14 13
Dawson 2042 $15.75 44% $208.96 31
Decatur 2317 $23.00 45% $290.00 11
DeKalb 54010 $16.73 32% $155.49 50
Dodge 1599 $18.85 46% $182.71 32
Dooly 1045 $15.84 33% $173.57 29
Dougherty 8263 $14.00 57% $211.43 14
Douglas 10137 $18.90 35% $179.62 48
Early 1027 $23.00 56% $290.00 11
Echols 196 $23.00 56% $290.00 11
Effingham 4073 $20.22 36% $187.17 31
Elbert 2337 $17.50 53% $232.78 16
Emanuel 2362 $17.03 38% $188.61 26
Evans 989 $18.67 46% $226.43 21
Fannin 2871 $18.67 50% $257.14 14
Fayette 9102 $17.18 32% $174.03 45
Floyd 7911 $13.69 53% $240.42 19
Forsyth 12701 $17.71 35% $169.17 45
Franklin 2405 $15.21 33% $188.93 21
Fulton 63648 $16.46 33% $157.14 51
Gilmer 3008 $21.71 46% $248.33 20
Glascock 197 $21.95 46% $186.39 26
Glynn 6775 $17.70 35% $171.43 22
Gordon 3850 $15.39 50% $234.38 14
Grady 2288 $23.00 45% $290.00 11
Greene 2209 $15.25 30% $150.69 37
Gwinnett 52501 $16.13 36% $159.30 52
Habersham 4310 $17.44 40% $247.31 20
Hall 14495 $12.65 29% $219.69 23
Hancock 1236 $18.32 38% $199.23 21
Haralson 2792 $19.11 50% $203.24 26
Harris 2596 $17.24 31% $194.17 33
Hart 2611 $16.50 40% $213.18 18
Heard 1041 $19.69 37% $192.60 34
Henry 17120 $16.05 33% $168.72 48
Houston 7718 $17.07 30% $176.96 37
Irwin 838 $17.64 36% $251.25 19
Jackson 5758 $15.58 48% $226.76 24
Jasper 1382 $17.66 44% $192.80 34
Jeff Davis 1072 $16.58 63% $259.17 12
Jefferson 1832 $20.69 26% $187.50 29
Jenkins 848 $21.84 64% $189.00 22
Johnson 880 $19.60 40% $187.38 30
Jones 2739 $17.14 32% $169.20 34
Lamar 1956 $18.62 39% $184.38 33
Lanier 545 $23.00 25% $290.00 11
Laurens 4558 $19.34 35% $240.36 22
Lee 1887 $14.00 57% $211.43 14
Liberty 2783 $19.01 31% $185.45 31
Lincoln 919 $21.37 56% $204.71 25
Long 610 $18.21 67% $169.23 20
Lowndes 6013 $41.40 33% $325.00 7
Lumpkin 2471 $13.14 46% $191.67 25
Macon 1266 $18.11 35% $183.85 35
Madison 2875 $13.04 45% $170.59 24
Marion 730 $18.39 36% $186.75 29
McDuffie 2715 $19.09 35% $180.00 30
McIntosh 1510 $18.47 29% $160.91 31
Meriwether 2835 $17.79 34% $181.60 34
Miller 515 $17.00 63% $277.50 10
Mitchell 2119 $23.00 56% $290.00 11
Monroe 2505 $17.29 33% $161.73 35
Montgomery 739 $19.34 55% $257.50 16
Morgan 2111 $15.26 38% $154.80 33
Murray 2368 $14.00 50% $215.00 14
Muscogee 14587 $17.80 29% $192.31 35
Newton 9687 $16.40 29% $176.03 43
Oconee 2451 $14.22 30% $162.76 37
Oglethorpe 1422 $13.04 45% $170.59 24
Paulding 9777 $19.64 35% $180.83 45
Peach 2158 $16.75 30% $172.67 39
Pickens 3522 $16.49 40% $174.29 37
Pierce 1586 $19.38 45% $218.75 15
Pike 1600 $18.62 28% $186.46 33
Polk 3764 $18.98 29% $198.70 32
Pulaski 771 $17.95 38% $179.50 27
Putnam 2380 $17.18 62% $144.44 25
Quitman 332 $18.42 42% $270.71 14
Rabun 1633 $14.07 55% $200.50 17
Randolph 795 $16.00 50% $257.86 14
Richmond 17159 $17.81 32% $188.26 32
Rockdale 8234 $17.25 27% $180.77 48
Schley 362 $13.36 38% $200.56 16
Screven 1625 $16.11 47% $162.89 27
Seminole 820 $23.00 56% $290.00 11
Spalding 7372 $16.87 26% $197.32 37
Stephens 2797 $14.00 38% $208.33 22
Stewart 589 $16.85 41% $163.33 23
Sumter 3132 $14.00 57% $211.43 14
Talbot 841 $19.49 35% $160.45 30
Taliaferro 226 $19.75 46% $199.55 18
Tattnall 1838 $19.87 46% $226.36 19
Taylor 863 $15.82 33% $209.17 26
Telfair 1008 $16.52 50% $253.33 15
Terrell 1141 $17.00 53% $227.50 15
Thomas 4317 $17.00 50% $277.50 10
Tift 3385 $19.19 36% $243.57 22
Toombs 2310 $17.41 31% $236.15 21
Towns 1799 $18.38 46% $256.36 18
Treutlen 683 $18.47 36% $196.58 27
Troup 5603 $17.50 31% $188.25 29
Turner 1072 $17.64 36% $255.42 19
Twiggs 1191 $17.07 30% $176.96 37
Union 3266 $16.07 50% $248.00 17
Upson 3371 $18.86 40% $207.75 28
Walker 5668 $27.20 50% $278.33 7
Walton 8029 $16.78 31% $184.38 41
Ware 3298 $15.22 45% $243.75 15
Warren 727 $20.69 38% $187.50 29
Washington 2269 $20.03 43% $184.47 28
Wayne 2500 $18.90 50% $185.31 24
Webster 270 $16.00 75% $214.17 12
Wheeler 522 $20.19 67% $183.57 21
White 3268 $16.91 31% $213.42 27
Whitfield 4260 $15.11 40% $222.00 11
Wilcox 716 $16.87 38% $220.77 19
Wilkes 1135 $20.83 60% $186.15 20
Wilkinson 998 $16.49 42% $171.05 26
Worth 1936 $14.00 57% $211.43 14

GA Medicare Advantage plans by plan type

The major types of Medicare Advantage plans include:

  • HMO
    Health Maintenance Organization (HMO) usually requires patients to use health care providers and pharmacies that are part of the plan’s network (except in the case of emergencies) while also typically requiring a referral from a primary care doctor in order to see a specialist.

  • PPO
    Medicare Advantage beneficiaries in a Preferred Provider Organization (PPO) are able to see providers outside of their plan’s network, often at a higher cost.

    Beneficiaries in this type of plan typically pay less out of pocket if they choose to receive medical services from providers within their plan’s network.

    PPO plans typically do not require patients to acquire a referral before visiting with a specialist.

  • PFFS
    A Private Fee-For-Service (PFFS) plan determines how much it will pay to health care providers and how much the patient will pay when care is received.

    With a PFFS plan, you can typically receive care from any doctor, hospital or health care provider that accepts your plan’s terms. Not all providers will accept these terms, however.

  • SNP
    A Special Needs Plan (SNP) is a type of Medicare Advantage plan limited to people with certain chronic conditions and  other specific characteristics.

    Typically, you must receive care from health care providers and hospitals within your SNP network, except for in cases when you need emergency or urgent care and when someone who has End-Stage Renal Disease (ESRD) needs out-of-area kidney dialysis.

Not all of these types of plans may be available in your area. A licensed insurance agent can help you compare the types of 2021 Georgia Medicare Advantage plans that are available where you live.

Local health insurance resources in Georgia

  • GeorgiaCares 
    GeorgiaCares is a program made up of volunteers who provide free assistance and information to Georgia’s Medicare beneficiaries and their caregivers.

    The program is part of the national State Health Insurance Assistance Program (SHIP) and can be reached at 
    1-800-552-4464 (Option 4)

  • Georgia Prescription Drug Assistance Programs
    The state of Georgia has a number of programs designed to help with the cost of prescription drugs. There are programs for both Medicare beneficiaries and non-Medicare beneficiaries alike that can cover the cost of premiums and cost-sharing or even lower the cost of the drugs themselves.

 

1 MedicareAdvantage.com's The Best States for Medicare in 2021 report. (Oct. 27, 2020).

2 Medicare evaluates plans based on a 5- star rating system.