Medicare Plans in
Banks County, GA
33 Medicare Advantage Plans Found in Banks County. See Plans
Banks County, GA
Medicare Information
For Banks County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 33 MA plans are available in Banks County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about Medicare Advantage plans in Banks County, Georgia, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Banks County
Average Cost of Medicare Advantage Plans in Banks County, Georgia | |
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Average Monthly Premium | $44.52 |
Average in-network out-of-pocket spending limit | $6,422.73 |
Average drug deductible in 2022 (weighted) | $254.75 |
Percentage of plans rated 4 stars or higher | 18.2% |
Average Cost of Medicare Advantage Plans in Banks County, Georgia |
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Average Monthly Premium $44.52 |
Average in-network out-of-pocket spending limit $6,422.73 |
Average drug deductible in 2021 (weighted) $254.75 |
Percentage of plans rated 4 stars or higher 18.2% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
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HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
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HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans

Aetna Inc. Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Freedom Plan (PPO) | H3288: 028 | $0 | $150 | $7,000 | Yes | Plan too new to be measured |
Aetna Medicare Eagle Plan (PPO) | H3288: 034 | $0 | N/A | $6,900 | No | Plan too new to be measured |
Aetna Medicare Preferred Premium Plan (PPO) | H3288: 041 | $32 | $150 | $6,900 | Yes | Plan too new to be measured |

Cigna Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Preferred Medicare (HMO) | H0439: 010 | $0 | $95 | $7,200 | Yes | 3.5 out of 5 |
Cigna True Choice Medicare (PPO) | H7849: 022 | $0 | $195 | $7,200 | Yes | Plan too new to be measured |
Cigna Preferred GA Medicare (HMO) | H0439: 003 | $20 | $280 | $7,400 | Yes | 3.5 out of 5 |
Cigna Preferred Plus Medicare (HMO) | H0439: 006 | $25 | $0 | $5,700 | Yes | 3.5 out of 5 |
Clear Spring Health
Clear Spring Health Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for Clear Spring Health Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Clear Spring Health Select (HMO) | H6672: 004 | $0 | $0 | $6,400 | Yes | Not enough data available |
Clear Spring Health Choice Plan (PPO) | H9589: 003 | $0 | $250 | $7,550 | Yes | Not enough data available |
Clear Spring Health Select Plus (HMO) | H6672: 005 | $19 | $0 | $3,450 | Yes | Not enough data available |
Clover Health Holdings, Inc.
Clover Health Holdings, Inc. Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for Clover Health Holdings, Inc. Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Clover Health LiveHealthy (PPO) | H5141: 046 | $0 | $0 | $7,550 | Yes | 3 out of 5 |
Clover Health LiveHealthy Value (PPO) | H5141: 047 | $32 | $480 | $7,550 | Yes | 3 out of 5 |

Humana Inc. Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
HumanaChoice H5216-154 (PPO) | H5216: 154 | $0 | $400 | $7,550 | Yes | 4 out of 5 |
HumanaChoice H5216-157 (PPO) | H5216: 157 | $0 | N/A | $6,100 | No | 4 out of 5 |
HumanaChoice H5216-207 (PPO) | H5216: 207 | $0 | $75 | $7,550 | Yes | 4 out of 5 |
Humana Honor (PPO) | H5216: 217 | $0 | N/A | $6,700 | No | 4 out of 5 |
Humana Honor (PPO) | H5216: 286 | $0 | N/A | $6,700 | No | 4 out of 5 |
HumanaChoice R3392-001 (Regional PPO) | R3392: 001 | $0 | N/A | $7,550 | No | 3.5 out of 5 |
HumanaChoice H5216-284 (PPO) | H5216: 284 | $32 | $480 | $7,550 | Yes | 4 out of 5 |
HumanaChoice R3392-002 (Regional PPO) | R3392: 002 | $103 | $340 | $6,700 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO) | H6528: 006 | $0 | $275 | $6,700 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Plus Plan 1 (HMO-POS) | H8748: 008 | $0 | $275 | $6,700 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) | R2604: 005 | $0 | N/A | $6,700 | No | 3.5 out of 5 |
AARP Medicare Advantage Plus Plan 2 (HMO-POS) | H8748: 009 | $49 | $175 | $4,900 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Choice (Regional PPO) | R2604: 001 | $49 | $295 | $6,700 | Yes | 3.5 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Banks County, GA
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Georgia in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare No Premium Open (PPO) | H0111: 001 | $0 | $75 | $5,500 | Yes | 3 out of 5 |
Wellcare Endurance Open (PPO) | H0111: 005 | $0 | $0 | $5,500 | Yes | 3 out of 5 |
Wellcare Patriot No Premium (HMO-POS) | H1112: 034 | $0 | N/A | $3,400 | No | 3.5 out of 5 |
Wellcare No Premium (HMO) | H1112: 038 | $0 | $0 | $5,000 | Yes | 3.5 out of 5 |
Wellcare Giveback (HMO) | H1112: 042 | $0 | $400 | $7,500 | Yes | 3.5 out of 5 |
Wellcare Assist (HMO) | H1112: 043 | $32 | $480 | $3,450 | Yes | 3.5 out of 5 |
Wellcare Low Premium Open (PPO) | H0111: 002 | $55 | $150 | $6,700 | Yes | 3 out of 5 |
Wellcare Premium Enhanced Open (PPO) | H0111: 003 | $85 | $75 | $6,000 | Yes | 3 out of 5 |