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Medicare Advantage Plans in Gwinnett County, Georgia

Below are Medicare Advantage plans available to residents of Gwinnett county, Georgia. 14 carriers offer 37 plans throughout the county of Gwinnett. Residents may choose plans from carriers such as UnitedHealthcare, Aetna Medicare and WellCare. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Gwinnett county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Gwinnett

Carrier	Plan Title	Plan Type
UnitedHealthcare	UnitedHealthcare Nursing Home Plan (PPO SNP) (H1108-001)	Local Preferred Provider Organization
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $10 000 out-of-pocket limit for Medicare-covered services. $31.2 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 0% to 20% of the cost for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
UnitedHealthcare	UnitedHealthcare Dual Complete (PPO SNP) (H1108-002)	Local Preferred Provider Organization
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply. ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services.* In 2012 the annual Part B deductible amount is $0 or $140 .** Contact the plan for services that apply. $10 000 out-of-pocket limit for Medicare-covered services.* $19.1 monthly plan premium in addition to your monthly Medicare Part B premium.* Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.* 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit* 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.* 30% of the cost for each primary care doctor visit** 30% of the cost for each specialist visit**
Aetna Medicare	Aetna Medicare Value Plan (HMO) (H1109-001)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: $16 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $50 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Premier Plan (HMO) (H1109-003)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: $16 monthly premium in addition to your $98 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $98 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $50 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Standard Plan (PPO) (H1110-001)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $63 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $50 copay for each in-area network urgent care Medicare-covered visit $45 copay for each specialist visit for Medicare-covered benefits. 35% of the cost for each primary care doctor visit 35% of the cost for each specialist visit
WellCare	WellCare Access (HMO SNP) (H1112-006)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
WellCare	WellCare Value (HMO-POS) (H1112-027)	HMO with POS Option
Premium and Other Important Information $4 000 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Senior Advantage	Kaiser Permanente Senior Advantage Enhanced (HMO) (H1170-002)	HMO
Premium and Other Important Information Package: 1 - Advantage Plus: $20 monthly premium in addition to your $61 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Eye Wear Hearing Aids $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $61 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $15 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
Kaiser Permanente Senior Advantage	Senior Advantage Medicare Medicaid Plan (HMO SNP) (H1170-008)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $2 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.* $29.2 monthly plan premium in addition to your monthly Medicare Part B premium.* Doctor Office Visits Authorization rules may apply. $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 or $3 copay for each in-area network urgent care Medicare-covered visit* $0 or $3 copay for each specialist visit for Medicare-covered benefits.*
Kaiser Permanente Senior Advantage	Kaiser Permanente Senior Advantage Basic (HMO) (H1170-009)	HMO
Premium and Other Important Information Package: 1 - Advantage Plus: $20 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Eye Wear Hearing Aids $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $30 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Humana Employers Health Plan of Georgia Inc.	Humana Gold Plus H4141-001 (HMO) (H4141-001)	HMO
Premium and Other Important Information Package: 1 - MyOption Dental High PPO: Package: 2 - MyOption Dental Low PPO: $23 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $14 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $1 500 plan coverage limit every year for these benefits. $1 000 plan coverage limit every year for these benefits. $3 900 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $10 to $35 copay for each specialist visit for Medicare-covered benefits.
Humana Employers Health Plan of Georgia Inc.	Humana Gold Plus SNP-DE H4141-003 (HMO SNP) (H4141-003)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
Humana Insurance Company	HumanaChoice H5214-003 (PPO) (H5214-003)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - MyOption Dental High PPO: Package: 2 - MyOption Dental Low PPO: Package: 3 - MyOption Vision: Package: 4 - MyOption Plus: $23 monthly premium in addition to your $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $14 monthly premium in addition to your $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $15 monthly premium in addition to your $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear $25 monthly premium in addition to your $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $1 500 plan coverage limit every year for these benefits. $1 000 plan coverage limit every year for these benefits. $290 plan coverage limit every year for these benefits. $4 900 out-of-pocket limit for Medicare-covered services. $1 000 annual deductible. Contact the plan for services that apply. $7 300 out-of-pocket limit for Medicare-covered services. $42 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $15 to $40 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Coventry Health Care	Advantra Silver (HMO-POS) (H5302-003)	HMO with POS Option
Premium and Other Important Information $4 375 out-of-pocket limit. All plan services included. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Coventry Health Care	Advantra Silver Plus (HMO-POS) (H5302-006)	HMO with POS Option
Premium and Other Important Information $4 200 out-of-pocket limit. All plan services included. $38 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $15 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Coventry Health Care	Silver Advantage (HMO) (H5302-007)	HMO
Premium and Other Important Information $6 500 out-of-pocket limit. All plan services included. $29.6 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits 20% of the cost for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit 20% of the cost for each specialist visit for Medicare-covered benefits.
Coventry Health Care	Advantra Elite (HMO) (H5302-008)	HMO
Premium and Other Important Information $1 500 annual deductible. Contact the plan for services that apply. $3 300 out-of-pocket limit. All plan services included. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Blue Cross Blue Shield Healthcare Plan of Georgia	BlueValue Secure (HMO) (H5422-002)	HMO
Premium and Other Important Information Package: 1 - Preventive Dental Package: Package: 2 - Comprehensive Dental and Vision Package: Package: 3 - Combination Package: $12 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $32 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $45 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre $3 300 out-of-pocket limit for Medicare-covered services. $25 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Blue Cross Blue Shield Healthcare Plan of Georgia	BlueValue Basic (HMO) (H5422-006)	HMO
Premium and Other Important Information Package: 1 - Preventive Dental Package: Package: 2 - Comprehensive Dental and Vision Package: Package: 3 - Combination Package: $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $32 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $45 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh $4 500 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Universal American Corp.	Today's Options Premier 400 (PFFS) (H6169-013)	Private Fee for Service
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $50.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $60 copay for each specialist visit
Universal American Corp.	Today's Options Premier Plus 250A (PFFS) (H6169-024)	Private Fee for Service
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $147 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $10 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Premier Plus 450C (PFFS) (H6169-033)	Private Fee for Service
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $87 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $60 copay for each specialist visit
Universal American Corp.	Today's Options Premier 200 (PFFS) (H6169-051)	Private Fee for Service
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $80.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $10 copay for each primary care doctor visit $40 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Medicare Advantage (PPO) (H6528-006)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $38 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $35 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $50 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Silver Rx (PPO SNP) (H6528-015)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $31.2 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits 20% of the cost for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 20% of the cost for each specialist visit for Medicare-covered benefits. 20% of the cost for each primary care doctor visit 20% of the cost for each specialist visit
Care Improvement Plus	Care Improvement Plus Gold Rx (PPO SNP) (H6528-016)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $30 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $50 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Dual Advantage (PPO SNP) (H6528-017)	Local Preferred Provider Organization
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 annual deductible.** $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.** $0 monthly plan premium* Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.* 20% of the cost for each primary care doctor visit** 20% of the cost for each specialist visit**
Advantage by Peach State	Advantage by Peach State Health Plan (HMO SNP) (H7173-001)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $3 400 out-of-pocket limit. All plan services included. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. Contact plan for details regarding cost sharing $0 monthly plan premium* Doctor Office Visits Authorization rules may apply. $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
Universal Health Care Insurance Company Inc.	Any Any Any Gold (PFFS) (H8098-001)	Private Fee for Service
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Any Any Any Gold MA Only (PFFS) (H8098-003)	Private Fee for Service
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00. $6 700 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Humana Insurance Company	Humana Gold Choice H8145-079 (PFFS) (H8145-079)	Private Fee for Service
Premium and Other Important Information Package: 1 - MyOption Dental High PPO: Package: 2 - MyOption Dental Low PPO: Package: 3 - MyOption Vision: Package: 4 - MyOption Plus: $23 monthly premium in addition to your $70 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $14 monthly premium in addition to your $70 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $15 monthly premium in addition to your $70 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear $25 monthly premium in addition to your $70 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $1 500 plan coverage limit every year for these benefits. $1 000 plan coverage limit every year for these benefits. $290 plan coverage limit every year for these benefits. $5 900 out-of-pocket limit for Medicare-covered services. $70 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $15 to $35 copay for each specialist visit for Medicare-covered benefits. $15 to $35 copay for each primary care doctor visit $15 to $35 copay for each specialist visit
Humana Insurance Company	Humana Gold Choice H8145-117 (PFFS) (H8145-117)	Private Fee for Service
Premium and Other Important Information Package: 1 - MyOption Dental High PPO: Package: 2 - MyOption Dental Low PPO: Package: 3 - MyOption Vision: Package: 4 - MyOption Plus: $23 monthly premium in addition to your $15 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $14 monthly premium in addition to your $15 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $15 monthly premium in addition to your $15 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear $25 monthly premium in addition to your $15 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $1 500 plan coverage limit every year for these benefits. $1 000 plan coverage limit every year for these benefits. $290 plan coverage limit every year for these benefits. $162 annual deductible. Contact the plan for services that apply. $6 700 out-of-pocket limit for Medicare-covered services. $15.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. 20% of the cost for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 20% of the cost for each specialist visit for Medicare-covered benefits. 20% of the cost for each primary care doctor visit 20% of the cost for each specialist visit
Blue Cross Blue Shield of Georgia	Medicare Preferred Core (PPO) (H9947-001)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Preventive Dental Package: Package: 2 - Comprehensive Dental and Vision Package: Package: 3 - Combination Package: $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $32 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $45 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh $4 900 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $45 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $45 copay for each specialist visit
Blue Cross Blue Shield of Georgia	Medicare Preferred Premier (PPO) (H9947-002)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Preventive Dental Package: Package: 2 - Comprehensive Dental and Vision Package: Package: 3 - Combination Package: $12 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $32 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $45 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre $3 400 out-of-pocket limit for Medicare-covered services. $40 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $45 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits. $20 copay for each primary care doctor visit $30 copay for each specialist visit
Blue Cross Blue Shield of Georgia	Medicare Preferred Online (PPO) (H9947-003)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Preventive Dental Package: Package: 2 - Comprehensive Dental and Vision Package: Package: 3 - Combination Package: $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $32 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $45 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. 35% of the cost for each primary care doctor visit 35% of the cost for each specialist visit
WindsorSterling	WindsorSterling Gold Plus Plan (PPO) (H9988-002)	Local Preferred Provider Organization
Premium and Other Important Information $4 000 out-of-pocket limit. All plan services included. $55 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $40 copay for each specialist visit
WindsorSterling	Fresenius Health Partners (PPO SNP) (H9988-017)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit. All plan services included. In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $600 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply. $30 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits 20% of the cost for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each specialist visit for Medicare-covered benefits.

Georgia Plan Data by County

• Appling, GA Medicare Advantage Plans
• Atkinson, GA Medicare Advantage Plans
• Bacon, GA Medicare Advantage Plans
• Baker, GA Medicare Advantage Plans
• Baldwin, GA Medicare Advantage Plans
• Banks, GA Medicare Advantage Plans
• Barrow, GA Medicare Advantage Plans
• Bartow, GA Medicare Advantage Plans
• Ben Hill, GA Medicare Advantage Plans
• Berrien, GA Medicare Advantage Plans
• Bibb, GA Medicare Advantage Plans
• Bleckley, GA Medicare Advantage Plans
• Brantley, GA Medicare Advantage Plans
• Brooks, GA Medicare Advantage Plans
• Bryan, GA Medicare Advantage Plans
• Bulloch, GA Medicare Advantage Plans
• Burke, GA Medicare Advantage Plans
• Butts, GA Medicare Advantage Plans
• Calhoun, GA Medicare Advantage Plans
• Camden, GA Medicare Advantage Plans
• Candler, GA Medicare Advantage Plans
• Carroll, GA Medicare Advantage Plans
• Catoosa, GA Medicare Advantage Plans
• Charlton, GA Medicare Advantage Plans
• Chatham, GA Medicare Advantage Plans
• Chattahoochee, GA Medicare Advantage Plans
• Chattooga, GA Medicare Advantage Plans
• Cherokee, GA Medicare Advantage Plans
• Cherokee, GA Medicare Advantage Plans
• Cherokee, GA Medicare Advantage Plans
• Clarke, GA Medicare Advantage Plans
• Clay, GA Medicare Advantage Plans
• Clayton, GA Medicare Advantage Plans
• Clinch, GA Medicare Advantage Plans
• Cobb, GA Medicare Advantage Plans
• Coffee, GA Medicare Advantage Plans
• Colquitt, GA Medicare Advantage Plans
• Columbia, GA Medicare Advantage Plans
• Cook, GA Medicare Advantage Plans
• Coweta, GA Medicare Advantage Plans
• Crawford, GA Medicare Advantage Plans
• Crisp, GA Medicare Advantage Plans
• Dade, GA Medicare Advantage Plans
• Dawson, GA Medicare Advantage Plans
• Decatur, GA Medicare Advantage Plans
• Dekalb, GA Medicare Advantage Plans
• Dodge, GA Medicare Advantage Plans
• Dooly, GA Medicare Advantage Plans
• Dougherty, GA Medicare Advantage Plans
• Douglas, GA Medicare Advantage Plans
• Early, GA Medicare Advantage Plans
• Echols, GA Medicare Advantage Plans
• Effingham, GA Medicare Advantage Plans
• Elbert, GA Medicare Advantage Plans
• Emanuel, GA Medicare Advantage Plans
• Evans, GA Medicare Advantage Plans
• Fannin, GA Medicare Advantage Plans
• Fayette, GA Medicare Advantage Plans
• Floyd, GA Medicare Advantage Plans
• Forsyth, GA Medicare Advantage Plans
• Franklin, GA Medicare Advantage Plans
• Fulton, GA Medicare Advantage Plans
• Gilmer, GA Medicare Advantage Plans
• Glascock, GA Medicare Advantage Plans
• Glynn, GA Medicare Advantage Plans
• Gordon, GA Medicare Advantage Plans
• Grady, GA Medicare Advantage Plans
• Greene, GA Medicare Advantage Plans
• Gwinnett, GA Medicare Advantage Plans
• Habersham, GA Medicare Advantage Plans
• Hall, GA Medicare Advantage Plans
• Hancock, GA Medicare Advantage Plans
• Haralson, GA Medicare Advantage Plans
• Harris, GA Medicare Advantage Plans
• Hart, GA Medicare Advantage Plans
• Heard, GA Medicare Advantage Plans
• Henry, GA Medicare Advantage Plans
• Houston, GA Medicare Advantage Plans
• Irwin, GA Medicare Advantage Plans
• Jackson, GA Medicare Advantage Plans
• Jasper, GA Medicare Advantage Plans

• Jeff Davis, GA Medicare Advantage Plans
• Jefferson, GA Medicare Advantage Plans
• Jenkins, GA Medicare Advantage Plans
• Johnson, GA Medicare Advantage Plans
• Jones, GA Medicare Advantage Plans
• Lamar, GA Medicare Advantage Plans
• Lanier, GA Medicare Advantage Plans
• Laurens, GA Medicare Advantage Plans
• Lee, GA Medicare Advantage Plans
• Liberty, GA Medicare Advantage Plans
• Lincoln, GA Medicare Advantage Plans
• Long, GA Medicare Advantage Plans
• Lowndes, GA Medicare Advantage Plans
• Lumpkin, GA Medicare Advantage Plans
• Macon, GA Medicare Advantage Plans
• Madison, GA Medicare Advantage Plans
• Marion, GA Medicare Advantage Plans
• Mcduffie, GA Medicare Advantage Plans
• Mcintosh, GA Medicare Advantage Plans
• Meriwether, GA Medicare Advantage Plans
• Miller, GA Medicare Advantage Plans
• Mitchell, GA Medicare Advantage Plans
• Monroe, GA Medicare Advantage Plans
• Montgomery, GA Medicare Advantage Plans
• Morgan, GA Medicare Advantage Plans
• Murray, GA Medicare Advantage Plans
• Muscogee, GA Medicare Advantage Plans
• Newton, GA Medicare Advantage Plans
• Oconee, GA Medicare Advantage Plans
• Oglethorpe, GA Medicare Advantage Plans
• Paulding, GA Medicare Advantage Plans
• Peach, GA Medicare Advantage Plans
• Pickens, GA Medicare Advantage Plans
• Pierce, GA Medicare Advantage Plans
• Pike, GA Medicare Advantage Plans
• Polk, GA Medicare Advantage Plans
• Polk, GA Medicare Advantage Plans
• Pulaski, GA Medicare Advantage Plans
• Putnam, GA Medicare Advantage Plans
• Quitman, GA Medicare Advantage Plans
• Rabun, GA Medicare Advantage Plans
• Randolph, GA Medicare Advantage Plans
• Richmond, GA Medicare Advantage Plans
• Rockdale, GA Medicare Advantage Plans
• Schley, GA Medicare Advantage Plans
• Screven, GA Medicare Advantage Plans
• Seminole, GA Medicare Advantage Plans
• Spalding, GA Medicare Advantage Plans
• Stephens, GA Medicare Advantage Plans
• Stewart, GA Medicare Advantage Plans
• Sumter, GA Medicare Advantage Plans
• Talbot, GA Medicare Advantage Plans
• Taliaferro, GA Medicare Advantage Plans
• Tattnall, GA Medicare Advantage Plans
• Taylor, GA Medicare Advantage Plans
• Telfair, GA Medicare Advantage Plans
• Terrell, GA Medicare Advantage Plans
• Thomas, GA Medicare Advantage Plans
• Tift, GA Medicare Advantage Plans
• Toombs, GA Medicare Advantage Plans
• Towns, GA Medicare Advantage Plans
• Treutlen, GA Medicare Advantage Plans
• Troup, GA Medicare Advantage Plans
• Turner, GA Medicare Advantage Plans
• Twiggs, GA Medicare Advantage Plans
• Union, GA Medicare Advantage Plans
• Upson, GA Medicare Advantage Plans
• Walker, GA Medicare Advantage Plans
• Walton, GA Medicare Advantage Plans
• Ware, GA Medicare Advantage Plans
• Warren, GA Medicare Advantage Plans
• Washington, GA Medicare Advantage Plans
• Wayne, GA Medicare Advantage Plans
• Webster, GA Medicare Advantage Plans
• Wheeler, GA Medicare Advantage Plans
• White, GA Medicare Advantage Plans
• Whitfield, GA Medicare Advantage Plans
• Wilcox, GA Medicare Advantage Plans
• Wilkes, GA Medicare Advantage Plans
• Wilkinson, GA Medicare Advantage Plans
• Worth, GA Medicare Advantage Plans

Georgia Plan Data by City

• Athens, GA Medicare Advantage Plans
• Atlanta, GA Medicare Advantage Plans
• Augusta, GA Medicare Advantage Plans

• Columbus, GA Medicare Advantage Plans
• Savannah, GA Medicare Advantage Plans