Medicare Advantage in Gwinnett County, Georgia

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

Georgia state

Gwinnett County, Georgia is home to a selection of Medicare Advantage (Medicare Part C) plans. In 2022, there are 51 different Medicare Advantage plans in Gwinnett County alone.1

It’s important to compare Gwinnett County Medicare Advantage plan costs and coverage to find the best plan for your needs.

A licensed insurance agent can help you determine your eligibility to enroll and compare Medicare Advantage plans in Gwinnett County, Lawrenceville and Northeast Atlanta. 

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

2022 Medicare Advantage plans in Gwinnett County and Northeast Atlanta

Gwinnett County Medicare Advantage plans have an average premium of $48.11 per month in 2022, though you may be able to find plans that feature $0 premiums.1

The average drug deductible for a Medicare Advantage Prescription Drug plan in Gwinnett County is $262.50 in 2022, and the average out-of-pocket maximum for in-network care is $6,453

Plan deductibles, premiums and other costs may vary. The numbers above are averages taken from data from the Centers for Medicare & Medicaid Services (CMS).

A licensed insurance agent can help you compare the costs of Medicare Advantage plans in your area.

Gwinnett County Medicare Advantage plans by the numbers

  • Number of unique plans: 51
  • Average monthly premium: $48.11
  • Average drug deductible (weighted): $262.50
  • Average out-of-pocket maximum for in-network care: $6,453
  • Percentage of plans rated four stars or higher: 29.4%

Find top-rated Medicare Advantage plans in Gwinnett County and Atlanta

CMS uses a star rating system to grade all Medicare Advantage each year.2 The Star Ratings rate plans on a scale of one to five stars, with five stars being the highest rating.

A plan that has four or more stars is considered to be a top-rated plan. 

In 2022, 29.4% of Medicare Advantage plans sold in Gwinnett County are rated four stars or higher.

Types of Medicare Advantage plans in Gwinnett County

Medicare Advantage plans can come in several different types.

These types of Medicare Advantage plans may be available in Gwinnett County. There may also be other types of plans available where you live. 

  • HMO (Health Maintenance Organization) plans utilize a network of participating doctors and other health care providers. Care is typically not covered by the plan when received outside of the network.

    HMO members generally use a primary care physician (PCP) for all initial visits. The PCP administers treatment when possible or refers the patient to a specialist if necessary. 
  • PPO (Preferred Provider Organization) plans also typically feature a network of participating providers, but patients can generally still receive at least partial coverage for seeking care outside of the network. If you receive out-of-network care, you may face higher out-of-pocket costs.

    PPO plan members are typically free to visit specialists without a referral. 

How to Sign up for a Medicare Advantage Plan in Gwinnett County

There are different Medicare enrollment periods in the year during which you may able to sign up for a Medicare Advantage plan in Gwinnett County, depending on your eligibility. 

Medicare IEP graphic

Initial Enrollment Period (IEP)

When you first become eligible for Medicare, you will typically be granted an Initial Enrollment Period (IEP). This period begins three months before you turn 65 years old, includes the month of your birthday and continues for an additional three months. 

Medicare open enrollment graphic

Annual Enrollment Period (AEP)

The Annual Enrollment Period (AEP, also called the Medicare Open Enrollment Period for Medicare Advantage plans) takes place from October 15 to December 7 each year. This period is open to all eligible Medicare beneficiaries who wish to add, drop or change Medicare plans.  

Special Enrollment Period

If you experience a qualifying circumstance, you may be granted a Special Enrollment Period (SEP) at any time throughout the year to allow you to enroll in a Medicare Advantage plan.

Such circumstances may include situations like moving outside of your plan’s service area or losing your Medicare Advantage plan coverage through no fault of your own. A licensed insurance agent can help you determine if you are eligible for a Special Enrollment Period and what actions you may be able to take during that time. 

Find a Medicare Advantage plan where you live

Medicare Advantage plans can come in a variety of types and can include different benefits, networks, costs and more.

Connect with a licensed insurance agent today for help determining your eligibility and finding the best Medicare Advantage plan for you in Gwinnett County, Lawrenceville and Northeast Atlanta. 

Find $0 premium Medicare Advantage plans in Gwinnett County

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

 

1 MedicareAdvantage.com's The Best States for Medicare report.

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