List of Medicare Advantage Plans in Georgia 2019

The state of Georgia had 59 different Medicare Advantage plans available for sale in 2019.1

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. 

Find Medicare Advantage plans in your area

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

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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.

The 2019 breakdown of Medicare Advantage plan enrollment in Georgia is illustrated in the chart below.1

Plan type Percentage of Georgia enrollees (2019)
HMO 86.5%
Local PPO 12.4%
Regional PPO <1%
PPFS <1%
Other Plans <1%

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 2019, 86.5% of Medicare Advantage beneficiaries in Georgia are enrolled in HMO plans.

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 2019, 12.4% of Georgia Medicare Advantage plan beneficiaries are enrolled in Local PPO plans.

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.

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

Less than 1% of Georgia Medicare Advantage plan beneficiaries in 2019 are enrolled in a PFFS plan.

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.

You can also learn more about additional Medicare plans in Georgia, such as:

Medicare Advantage plans in Georgia

There were 59 unique Medicare Advantage plans in the state of Georgia in 2019. A total of 22 different counties had at least one plan available.1

Among those plans, 31 Georgia Medicare Advantage plans featured 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.

Thanks to the high number of $0 premium plans and the fact that 71 percent of the state’s Medicare Advantage beneficiaries were enrolled in such a plan, the weighted average for Medicare Advantage plan premiums in Georgia was just $12 per month in 2019.

Georgia’s list of Medicare Advantage plans were also made affordable with a weighted average deductible of just $102.72 per year. Some plans may have $0 deductibles.

Individual plan costs and premiums may vary.

The list of Medicare Advantage plans in Georgia includes 23 plans rated four stars or higher by the Centers for Medicare and Medicaid Services (CMS).2 A plan that has four or more stars is considered a highly rated Medicare Advantage plan.

All told, more than 676,000 people in Georgia were enrolled in a Medicare Advantage plan in 2019, or 36 percent of all Medicare beneficiaries in the state.

Georgia Medicare Advantage plans at a glance

  • Number of unique plans: 59
  • Number of $0 premium plans: 31
  • Number of plans rated four stars or higher: 23
  • Average weighted monthly premium: $12
  • Average weighted annual deductible: $102.72
  • Percentage of Medicare beneficiaries enrolled in a Medicare Advantage plan: 36
  • Number of people enrolled in a Medicare Advantage plan: 676,443

How to enroll in a Medicare Advantage plan in Georgia

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:

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

 

Find Medicare Advantage plans in your area

Compare Plans

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

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 MedicareAdvantage.com's internal analysis of CMS Medicare Advantage landscape source files, accessed May 2019. Data retrieved from www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn.

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

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.