Medicare Plans in
Dawson County, GA
77 Medicare Advantage Plans Found in Dawson County. See Plans
Dawson County, GA
Medicare Information
For Dawson County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 77 MA plans are available in Dawson 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 Dawson 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 Dawson County
Average Cost of Medicare Advantage Plans in Dawson County, Georgia | |
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Average Monthly Premium | $51.19 |
Average in-network out-of-pocket spending limit | $6,620.41 |
Average drug deductible in 2023 (weighted) | $370.88 |
Percentage of plans rated 4 stars or higher | 29.9% |
Average Cost of Medicare Advantage Plans in Dawson County, Georgia |
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Average Monthly Premium $51.19 |
Average in-network out-of-pocket spending limit $6,620.41 |
Average drug deductible in 2021 (weighted) $370.88 |
Percentage of plans rated 4 stars or higher 29.9% |
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 Dawson County, GA
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Georgia in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Choice Plan (PPO) | H5521: 328 | $0 | $0 | $6,000 | Yes | 3.5 out of 5 |
Aetna Medicare Freedom Plus Plan (PPO) | H2293: 008 | $0 | $0 | $5,500 | Yes | Plan too new to be measured |
Aetna Medicare Eagle Plus Plan (PPO) | H2293: 009 | $0 | N/A | $5,900 | No | Plan too new to be measured |
Aetna Medicare Advantage Plus Plan (PPO) | H2293: 010 | $0 | $505 | $8,300 | Yes | Plan too new to be measured |
Aetna Medicare Eagle Plan (PPO) | H3288: 034 | $0 | N/A | $6,900 | No | 3.5 out of 5 |
Aetna Medicare Plus Plan (PPO) | H3288: 045 | $0 | $505 | $8,300 | Yes | 3.5 out of 5 |
Aetna Medicare Essential Plan (PPO) | H5521: 091 | $0 | $150 | $6,000 | Yes | 3.5 out of 5 |
Aetna Medicare Value Plus Plan (PPO) | H2293: 001 | $28 | $505 | $8,300 | Yes | Plan too new to be measured |
SilverScript Choice (PDP) | S5601: 020 | $33 | $505 | N/A | Yes | 3.5 out of 5 |
SilverScript Plus (PDP) | S5601: 021 | $70 | $0 | N/A | Yes | 3.5 out of 5 |
Anthem Blue Cross and Blue Shield Medicare Advantage Plans in Dawson County, GA
The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield Medicare Advantage plans available in Georgia in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Anthem MediBlue Dual Advantage (HMO D-SNP) | H5422: 007 | $0 | $0 | $8,300 | Yes | 3 out of 5 |
Anthem MediBlue Plus (HMO) | H5422: 011 | $0 | $0 | $7,100 | Yes | 3 out of 5 |
Anthem MediBlue Service (HMO) | H5422: 014 | $0 | N/A | $7,550 | No | 3 out of 5 |
Anthem MediBlue Access Basic (PPO) | H7728: 006 | $0 | $0 | $6,700 | Yes | 3.5 out of 5 |
Anthem MediBlue Dual Access (PPO D-SNP) | H7728: 011 | $0 | $0 | $8,300 | Yes | 3.5 out of 5 |
Anthem MediBlue Enhanced Care (HMO D-SNP) | H5422: 018 | $17 | $0 | $5,000 | Yes | 3 out of 5 |
Anthem MediBlue Extra (HMO) | H5422: 013 | $25 | $505 | $5,900 | Yes | 3 out of 5 |
Anthem MediBlue Essential (HMO) | H5422: 008 | $38 | $0 | $3,450 | Yes | 3 out of 5 |
Anthem MediBlue Access (PPO) | H7728: 005 | $59 | $0 | $6,050 | Yes | 3.5 out of 5 |
Anthem MediBlue Rx Standard (PDP) | S5596: 085 | $86 | $505 | N/A | Yes | 3.5 out of 5 |
Anthem MediBlue Rx Plus (PDP) | S5596: 086 | $93 | $0 | N/A | Yes | 3.5 out of 5 |

Cigna Medicare Advantage Plans in Dawson County, GA
The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Georgia in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna TotalCare (HMO D-SNP) | H0439: 002 | $0 | $0 | $0 | Yes | 3 out of 5 |
Cigna Preferred GA Medicare (HMO) | H0439: 003 | $0 | $280 | $7,200 | Yes | 3 out of 5 |
Cigna Preferred Medicare (HMO) | H0439: 010 | $0 | $0 | $6,600 | Yes | 3 out of 5 |
Cigna TotalCare Plus (HMO D-SNP) | H0439: 012 | $0 | $0 | $0 | Yes | 3 out of 5 |
Cigna True Choice Medicare (PPO) | H7849: 022 | $0 | $195 | $6,900 | Yes | 3 out of 5 |
Cigna Preferred Plus Medicare (HMO) | H0439: 006 | $25 | $0 | $5,400 | Yes | 3 out of 5 |
Cigna Extra Rx (PDP) | S5617: 255 | $65 | $100 | N/A | Yes | 3 out of 5 |

Humana Inc. Medicare Advantage Plans in Dawson County, GA
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Georgia in 2023.
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 | 4.5 out of 5 |
HumanaChoice H5216-157 (PPO) | H5216: 157 | $0 | N/A | $6,100 | No | 4.5 out of 5 |
HumanaChoice H5216-203 (PPO) | H5216: 203 | $0 | $0 | $7,550 | Yes | 4.5 out of 5 |
HumanaChoice SNP-DE H5216-205 (PPO D-SNP) | H5216: 205 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
HumanaChoice SNP-DE H5216-206 (PPO D-SNP) | H5216: 206 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
Humana Honor (PPO) | H5216: 217 | $0 | N/A | $6,700 | No | 4.5 out of 5 |
HumanaChoice - Diabetes and Heart (PPO C-SNP) | H5216: 246 | $0 | $145 | $7,550 | Yes | 4.5 out of 5 |
HumanaChoice H5216-279 (PPO) | H5216: 279 | $0 | $0 | $2,900 | Yes | 4.5 out of 5 |
Humana Honor (PPO) | H5216: 286 | $0 | N/A | $6,700 | No | 4.5 out of 5 |
HumanaChoice H5216-345 (PPO) | H5216: 345 | $0 | $0 | $7,550 | Yes | 4.5 out of 5 |
Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP) | H4141: 003 | $0 | $0 | $0 | Yes | 4 out of 5 |
HumanaChoice R3392-001 (Regional PPO) | R3392: 001 | $0 | N/A | $7,550 | No | 4 out of 5 |
HumanaChoice R3392-004 (Regional PPO) | R3392: 004 | $0 | $195 | $7,550 | Yes | 4 out of 5 |
Humana Walmart Value Rx Plan (PDP) | S5884: 189 | $36 | $505 | N/A | Yes | 3 out of 5 |
HumanaChoice H5216-280 (PPO) | H5216: 280 | $37 | $505 | $7,550 | Yes | 4.5 out of 5 |
HumanaChoice H5216-073 (PPO) | H5216: 073 | $43 | $360 | $6,700 | Yes | 4.5 out of 5 |
Humana Premier Rx Plan (PDP) | S5884: 156 | $86 | $300 | N/A | Yes | 3 out of 5 |
HumanaChoice R3392-002 (Regional PPO) | R3392: 002 | $103 | $340 | $6,700 | Yes | 4 out of 5 |
Mutual of Omaha
Mutual of Omaha Medicare Advantage Plans in Dawson County, GA
The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in Georgia in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Mutual of Omaha Rx Essential (PDP) | S7126: 112 | $20 | $505 | N/A | Yes | 2 out of 5 |
Mutual of Omaha Rx Premier (PDP) | S7126: 079 | $76 | $505 | N/A | Yes | 2 out of 5 |
Mutual of Omaha Rx Plus (PDP) | S7126: 009 | $93 | $505 | N/A | Yes | 2 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Dawson County, GA
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Georgia in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
UnitedHealthcare Dual Complete Choice LP (PPO D-SNP) | H3256: 001 | $0 | $0 | $0 | Yes | 4 out of 5 |
UnitedHealthcare Dual Complete Choice Select LP (PPO D-SNP) | H3256: 002 | $0 | $0 | $0 | Yes | 4 out of 5 |
UnitedHealthcare Dual Complete (HMO-POS D-SNP) | H5322: 030 | $0 | $0 | $0 | Yes | 5 out of 5 |
UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO) | H6528: 006 | $0 | $275 | $6,700 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Choice Rebate (PPO) | H6528: 041 | $0 | $395 | $7,550 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Plus Plan 1 (HMO-POS) | H8748: 008 | $0 | $0 | $6,700 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) | R2604: 005 | $0 | N/A | $6,700 | No | 4 out of 5 |
UnitedHealthcare Medicare Silver (Regional PPO C-SNP) | R2604: 002 | $10 | $505 | $8,300 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Gold (Regional PPO C-SNP) | R2604: 003 | $15 | $0 | $6,700 | Yes | 4 out of 5 |
AARP MedicareRx Walgreens (PDP) | S5921: 392 | $28 | $350 | N/A | Yes | 3 out of 5 |
AARP Medicare Advantage Plus Plan 2 (HMO-POS) | H8748: 009 | $32 | $0 | $4,900 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Choice (Regional PPO) | R2604: 001 | $49 | $295 | $6,700 | Yes | 4 out of 5 |
AARP MedicareRx Saver Plus (PDP) | S5921: 355 | $51 | $505 | N/A | Yes | 3 out of 5 |
AARP MedicareRx Preferred (PDP) | S5820: 009 | $118 | $0 | N/A | Yes | 3.5 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Dawson County, GA
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Georgia in 2023.
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 | 2.5 out of 5 |
Wellcare Dual Access Open (PPO D-SNP) | H0111: 004 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
Wellcare Dual Access (HMO D-SNP) | H1112: 006 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
Wellcare Dual Liberty (HMO D-SNP) | H1112: 033 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
Wellcare Patriot No Premium (HMO-POS) | H1112: 034 | $0 | N/A | $3,400 | No | 2.5 out of 5 |
Wellcare No Premium (HMO) | H1112: 038 | $0 | $0 | $8,300 | Yes | 2.5 out of 5 |
Wellcare Giveback (HMO) | H1112: 042 | $0 | $480 | $8,300 | Yes | 2.5 out of 5 |
Wellcare Value Script (PDP) | S4802: 145 | $11 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Assist (HMO) | H1112: 043 | $28 | $475 | $3,650 | Yes | 2.5 out of 5 |
Wellcare Classic (PDP) | S4802: 082 | $32 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Low Premium Open (PPO) | H0111: 002 | $55 | $150 | $6,700 | Yes | 2.5 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 213 | $71 | $0 | N/A | Yes | 3 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 237 | $71 | $0 | N/A | Yes | 3 out of 5 |
Wellcare Premium Enhanced Open (PPO) | H0111: 003 | $85 | $75 | $6,000 | Yes | 2.5 out of 5 |