Medicare Plans in Georgia

How Do I Enroll in Medicare in Georgia?

To enroll in Original Medicare, do one of the following:

  • Submit an online application.
  • Apply in person at a Social Security office.
  • Call 800-772-1213 to speak with a Social Security employee.

What Georgia Medicare Plans Are Available?

Medicare is a federal insurance plan for citizens age 65 and older as well as some younger individuals with qualifying disabilities. The program is broken up in different parts, each of which applies to a different type of coverage. 

Part A

Part A is the original program of Medicare and is meant to provide coverage for inpatient services. It is funded by the federal government and premiums are determined based on participation in the payroll tax system. Part A coverage includes inpatient services in a hospital, skilled nursing or surgical center facility and home health. 

Part B

Part B is the portion of Medicare that covers preventative services, including annual visits, some diagnostics and even some prescription medications. Premiums are designated based on income, which means it varies for beneficiaries. Parts A and B may be purchased as stand-alone policies for those that may not automatically be covered. 

Medicare Advantage

Medicare Advantage programs are supplemental policies that cover many of the elements of Parts A and B. Beneficiaries may choose this policy to replace A and B, though enrollment in both parts is necessary to qualify for an Advantage program. Advantage plans are administered through private insurance companies. Coverage may vary depending on the insurer, but generally is provided through one of four constructs: 

  • Private fee-for-service
  • Special needs plan
  • Health maintenance organization (HMO)
  • Preferred provider organization (PPO)

The benefit of a Medicare Advantage plan is that this option includes provisions for dental and vision services, where Parts A and B do not. 

Part D/Prescription Drug Plan

Part D of Medicare is the prescription drug plan, which is geared specifically towards medications. It is supplemental to the other components and may cover some things that the other parts do not. This is an optional feature and can be purchased as a stand-alone program. 

Beneficiaries can sign up for coverage through Part D when enrolling in the other Medicare components. However, doing so outside of the enrollment periods may incur a penalty. 

Medigap

Medigap coverage does exactly as it suggests: it fills in the financial gaps for medical and healthcare services administered through Medicare. Medigap is also administered through private insurers and may be used for copays, coinsurance and deductibles. 

As of 2024, there are almost two million Georgians enrolled in Medicare. Of this number, over half have an Advantage plan. Every Georgia county has at least one Advantage plan option. Georgia's Medigap insurers maintain steady premiums that do not increase with the age of the beneficiary. 

However, Medigap premiums for disabled residents under the age of 65 are higher than those for traditional enrollees. 

Who Is Eligible for Georgia Medicare?

Georgia citizens are available for automatic enrollment in Medicare if they are already receiving Social Security benefits. They receive a mailed package four months prior to their 65th birthday apprising them of benefits information. 

Those who are not automatically enrolled can do so in the period three months prior to turning 65, their birth month and in the three months after that date. 

Medicare also offers special enrollment periods. The first is from January 1 through March 31, with benefits beginning as of July 1. The second is a special fall enrollment that starts October 15 and extends through December 7, with benefits kicking in January 1. 

The fall enrollment period is also the point at which enrollees can change Advantage and Part D plans. 

Those who qualify for Medicare and have either lost employer-sponsored coverage, recently moved back into the country or became ineligible for Medicaid can enroll at any time without incurring a penalty. All others may have to pay a fee for enrolling outside of the predetermined enrollment periods. 

How Do I Enroll in Medicare in Georgia?

There are three ways to enroll in Medicare in Georgia: 

  • Apply online via the Social Security Administration 
  • Call the Social Security Administration at (800) 772-1213 to speak with a live agent.
  • Make an appointment at the local Social Security Administration office to get in-person assistance. 

Average Cost of Medicare Advantage Plans in Georgia

Average Cost of Medicare Advantage Plans in Georgia
Average Monthly Premium $38.66
Average in-network out-of-pocket spending limit $7,263.56
Average drug deductible in 2024 (weighted) $350.95
Percentage of plans rated 4 stars or higher 56.7%
Average Cost of Medicare Advantage Plans in Georgia
Average Monthly Premium
$38.66
Average in-network out-of-pocket spending limit
$7,263.56
Average drug deductible in 2021 (weighted)
$350.95
Percentage of plans rated 4 stars or higher
56.7%

Georgia Medicare Advantage Plans by County

The chart below provides more information about Medicare Advantage plan costs and enrollment in Georgia by county in 2024.

Scroll to the right to continue reading the chart
County Average Premium Average Annual Drug Deductible % of Plans Rates 4 Stars or Higher # of Plans Available
Baldwin $37 $336 56.9% 58
Peach $37 $339 55.0% 60
Spalding $37 $387 51.3% 76
Baker $40 $344 58.9% 56
Houston $37 $350 55.7% 61
Butts $37 $387 50.7% 75
Lee $39 $317 74.4% 39
Crawford $37 $339 55.0% 60
Lamar $38 $339 57.9% 57
Washington $37 $359 59.3% 59
Bibb $37 $339 54.8% 62
Macon $37 $339 55.9% 59
Wilkinson $39 $341 57.1% 56
Terrell $39 $319 75.0% 40
Pike $40 $341 58.9% 56
Monroe $37 $339 55.9% 59
Twiggs $38 $339 56.9% 58
Hancock $37 $337 58.6% 58
Taliaferro $38 $339 60.7% 56
Sumter $39 $317 74.4% 39
Wilkes $38 $339 59.6% 57
Glascock $37 $337 58.6% 58
Laurens $38 $363 57.6% 59
Jones $38 $339 56.9% 58
Warren $37 $337 58.6% 58
Jefferson $37 $337 58.6% 58
Upson $38 $365 58.6% 58
Schley $40 $344 58.2% 55
Taylor $38 $341 55.2% 58
Dougherty $39 $312 66.7% 30
Worth $38 $331 61.7% 47
Jasper $40 $371 56.9% 58
Dekalb $41 $388 53.6% 84
Gordon $36 $347 50.9% 57
Fulton $41 $393 52.9% 85
Hall $37 $358 48.6% 70
Rockdale $39 $388 51.9% 79
Henry $41 $388 54.3% 81
Chatham $36 $356 51.4% 72
Cobb $40 $382 55.1% 78
Bartow $38 $381 49.3% 71
Gwinnett $41 $388 53.0% 83
Clayton $41 $388 54.2% 83
Barrow $36 $363 52.0% 75
Russell $40 $390 51.9% 79
Lumpkin $36 $331 49.2% 63
White $38 $336 48.4% 64
Treutlen $40 $344 57.4% 54
Brooks $41 $358 67.5% 40
Wheeler $40 $378 61.5% 52
Jeff Davis $41 $372 60.0% 50
Chattooga $37 $336 48.5% 66
Randolph $37 $326 63.6% 44
Gilmer $40 $341 57.1% 56
Troup $38 $344 48.5% 66
Early $42 $351 84.4% 32
Irwin $40 $344 57.4% 54
Wilcox $40 $381 61.5% 52
Telfair $40 $383 60.8% 51
Walker $39 $337 66.0% 50
Hart $37 $339 56.9% 58
Liberty $39 $341 55.2% 58
Dawson $40 $365 48.5% 66
Haralson $40 $372 49.2% 65
Columbia $36 $357 58.7% 63
Mitchell $41 $358 67.5% 40
Bacon $40 $367 60.8% 51
Pulaski $40 $365 59.6% 52
Webster $38 $339 58.9% 56
Appling $40 $341 57.4% 54
Catoosa $40 $315 64.3% 56
Decatur $41 $358 67.5% 40
Morgan $37 $331 51.5% 66
Newton $39 $374 50.0% 76
Lincoln $37 $335 59.3% 59
Fannin $40 $341 57.4% 54
Walton $39 $381 51.9% 77
Banks $37 $336 47.7% 65
Burke $36 $336 56.9% 58
Lowndes $41 $372 60.0% 50
Talbot $37 $339 57.6% 59
Atkinson $40 $365 61.5% 52
Bryan $37 $336 50.8% 65
Jackson $36 $342 50.0% 70
Mcintosh $37 $336 55.4% 56
Dade $41 $337 68.8% 48
Gadsden $37 $324 60.9% 46
Montgomery $40 $367 60.8% 51
Putnam $40 $341 58.9% 56
Madison $36 $331 49.3% 67
Habersham $36 $331 47.8% 67
Heard $40 $341 52.4% 63
Harris $37 $339 51.5% 66
Quitman $39 $341 56.4% 55
Crisp $39 $344 55.4% 56
Ware $40 $344 56.6% 53
Stephens $36 $331 47.8% 67
Pickens $39 $360 49.3% 67
Wayne $38 $339 56.4% 55
Jenkins $39 $361 60.4% 53
Greene $37 $331 51.6% 64
Grady $41 $358 67.5% 40
Glynn $36 $324 59.6% 47
Colquitt $39 $331 60.0% 45
Toombs $40 $344 56.6% 53
Stewart $38 $339 58.9% 56
Murray $39 $344 55.4% 56
Long $40 $367 58.8% 51
Charlton $40 $367 60.8% 51
Union $38 $339 56.4% 55
Marion $38 $339 58.9% 56
Emanuel $40 $344 56.6% 53
Lanier $41 $358 67.5% 40
Bleckley $39 $363 59.6% 52
Clay $40 $317 77.1% 35
Floyd $39 $353 53.3% 60
Richmond $37 $360 60.7% 61
Seminole $41 $358 67.5% 40
Rabun $38 $339 57.4% 54
Meriwether $40 $345 56.9% 58
Evans $38 $339 57.4% 54
Coffee $40 $341 57.4% 54
Calhoun $42 $351 84.4% 32
Whitfield $41 $358 68.3% 41
Mcduffie $36 $336 56.9% 58
Cook $41 $358 67.5% 40
Pierce $40 $344 56.6% 53
Brantley $40 $365 61.5% 52
Dooly $38 $353 54.4% 57
Chattahoochee $38 $339 57.9% 57
Franklin $36 $331 49.3% 67
Miller $41 $358 67.5% 40
Thomas $41 $358 67.5% 40
Screven $37 $336 56.4% 55
Tift $39 $344 55.4% 56
Ben Hill $41 $370 60.8% 51
Towns $38 $339 58.2% 55
Echols $41 $358 67.5% 40
Oglethorpe $37 $331 50.8% 65
Polk $38 $359 50.7% 67
Effingham $36 $336 50.0% 66
Clinch $40 $365 61.5% 52
Berrien $41 $354 68.3% 41
Clarke $36 $331 48.5% 68
Johnson $40 $341 57.4% 54
Elbert $37 $339 57.6% 59
Muscogee $37 $349 53.6% 69
Carroll $41 $375 40.7% 54
Oconee $37 $331 50.8% 65
Turner $39 $344 55.4% 56
Tattnall $40 $341 57.4% 54
Candler $41 $370 60.8% 51
Dodge $40 $367 60.8% 51
Paulding $39 $348 50.7% 67
Bulloch $41 $379 82.9% 41
Douglas $42 $390 53.8% 78
Cherokee $41 $389 58.1% 74
Forsyth $41 $387 56.4% 78
Coweta $42 $374 50.6% 77

Contact Information for Georgia Medicare, Medicaid and Insurance Help

For help signing up for Medicare or choosing a plan, as well as getting assistance with other insurance options including Medicaid, there are various resources available. 

HelpAdvisor: The HelpAdvisor website offers information on enrolling in Medicare as well as eligibility criteria, resources for assistance and more. 

Georgia State Health Insurance Program (SHIP): The Georgia SHIP program provides assistance with choosing the best Medicare plan as well as help with enrollment and any other questions. 

GeorgiaCares: This public-private partnership provides assistance with Medicare enrollment as well as differentiating between the various plans. Those in need of assistance can visit the GeorgiaCares website or call (866) 552-4464.