List of Medicare Advantage Plans in Georgia 2022

• by Christian Worstell
• November 17, 2021

The state of Georgia is home to 110 different Medicare Advantage plans available for sale in 2022.¹

Plan selection may vary by county or zip code. Call to speak with a licensed insurance agent who can help you determine your eligibility to enroll and compare the Medicare Advantage plans that are available in your area of Georgia. 

Types of Georgia Medicare Advantage plans

There are several different types of Medicare Advantage plans that may be available, though not each type of plan may be available where you live.

Georgia Health Maintenance Organization (HMO) plans

A Health Maintenance Organization (HMO) plan features a network of participating doctors, pharmacies and other health care providers.

With a Medicare HMO plan, you typically choose a primary care physician (PCP) who provides your initial treatments and coordinates your health care. If you need to see a specialist, you will typically need to get a referral from your PCP for a specialist within your HMO plan network. 

Only care that is received within the plan network of participating providers will typically be covered by an HMO plan.

In 2022, 100% of Medicare Advantage beneficiaries in Georgia have access to at least one HMO plan.

Georgia Preferred Provider Organization (PPO) plans

A Preferred Provider Organization (PPO) plan also typically includes a network of participating providers, but you may be able to receive health care services outside of the plan network still receive at least partial coverage.

If you receive medical services outside of your Medicare PPO plan network, however, you will typically pay higher out-of-pocket costs than you would if you visited an in-network provider.

PPO plans don’t typically require you to get a referral from your primary care physician in order to visit a specialist, but individual restrictions may vary.

In 2022, 100% of Georgia Medicare Advantage plan beneficiaries have access to at least one Local PPO plan.

Georgia Private Fee-For-Service (PFFS) plans

Private Fee-For-Service (PFFS) plans allow members to receive care from any provider that accepts the plan’s coverage, agrees to the terms and conditions of the plan and accepts Medicare. PFFS plans are much less common than HMO and PPO plans.

With most Medicare PFFS plans, you aren’t required to designate a primary care doctor.

Special Needs Plans (SNPs)

Medicare Advantage Special Needs Plans (SNPs) feature benefits that are designed for people with specific needs or who are dual eligible for Medicare and Medicaid.

Medicare SNPs aren’t available in all areas. Depending on where you live and what type of special needs you may have, a licensed insurance agent can help you find a Medicare SNP that may fit your needs, if one is available.

Medicare Advantage plans in Georgia

There are 110 unique Medicare Advantage plans in the state of Georgia in 2022. The average premium for 2022 Georgia Medicare Advantage plans is $48.91, though some plans may offer a $0 monthly premium. $0 premium plans may not be available in all areas, so be sure to check with a licensed insurance agent who can help you find any $0 premium plans in your area.

Individual plan costs and premiums may vary.

Every year, Medicare evaluates plans based on a 5-star rating system. The list of Medicare Advantage plans in GA includes some highly-rated plans when it comes to quality.

25.6 percent of Georgia Medicare Advantage plans are rated four stars or higher in 2022 by the Centers for Medicare & Medicaid Services (CMS).² A plan that has four or more stars is considered a highly rated Medicare Advantage plan.

How to enroll in a Medicare Advantage plan in GA

Call today to speak with a licensed insurance agent who can help you determine your eligibility to enroll and compare Medicare Advantage plans where you live. A licensed agent may also be able to:

• Verify your Medicare Advantage eligibility
• Ensure that you enroll during a qualified Medicare enrollment period

Connect with a licensed insurance agent today to explore your Georgia Medicare Advantage plan options.

¹ Freed M, et al. (Nov. 2, 2021). Medicare Advantage 2022 Spotlight: First Look. https://www.kff.org/report-section/medicare-advantage-2022-spotlight-first-look-appendix.

²  The Best States for Medicare annual report.

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

 

 

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