Medicare Plans in
Jefferson County, TN
49 Medicare Advantage Plans Found in Jefferson County. See Plans
Jefferson County, TN
Medicare Information
For Jefferson County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 49 private Medicare plans are available in Jefferson 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.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
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 some of the Medicare plans in Jefferson County, Tennessee, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare
Plans in Jefferson County
Average Cost of Medicare Advantage Plans in Jefferson County, Tennessee | |
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Average Monthly Premium | $48.87 |
Average in-network out-of-pocket spending limit | $5,084.38 |
Average drug deductible in 2023 (weighted) | $387.50 |
Percentage of plans rated 4 stars or higher | 30.6% |
Average Cost of Medicare Advantage Plans in Jefferson County, Tennessee |
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Average Monthly Premium $48.87 |
Average in-network out-of-pocket spending limit $5,084.38 |
Average drug deductible in 2021 (weighted) $387.50 |
Percentage of plans rated 4 stars or higher 30.6% |
Learn More About Medicare
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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Some beneficiaries 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 Plans in Jefferson County, TN
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
SilverScript Choice (PDP) | S5601: 024 | $32 | $505 | N/A | Yes | 3.5 out of 5 |
SilverScript Plus (PDP) | S5601: 025 | $73 | $0 | N/A | Yes | 3.5 out of 5 |
Amerigroup
Amerigroup Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for Amerigroup private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Amerivantage Dual Premier (HMO D-SNP) | H5828: 002 | $0 | $0 | $8,300 | Yes | 3.5 out of 5 |
Amerivantage Classic Plus (HMO-POS) | H5828: 005 | $0 | $0 | $4,900 | Yes | 3.5 out of 5 |
Amerivantage Choice (PPO) | H8343: 010 | $0 | $0 | $6,700 | Yes | Not enough data available |
Amerivantage Courage (PPO) | H8343: 011 | $0 | N/A | $6,700 | No | Not enough data available |
Amerivantage Balance Plus (HMO) | H5828: 008 | $9 | $505 | $4,900 | Yes | 3.5 out of 5 |

Cigna Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for Cigna private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Cigna Courage Medicare (HMO) | H4513: 033 | $0 | N/A | $6,700 | No | 5 out of 5 |
Cigna Preferred Medicare (HMO) | H4513: 037 | $0 | $0 | $5,600 | Yes | 5 out of 5 |
Cigna True Choice Medicare (PPO) | H7849: 043 | $0 | $0 | $5,600 | Yes | 3 out of 5 |
Cigna Primary Medicare (HMO) | H4513: 035 | $24 | $505 | $5,000 | Yes | 5 out of 5 |
Cigna Extra Rx (PDP) | S5617: 257 | $63 | $100 | N/A | Yes | 3 out of 5 |
Devoted Health
Devoted Health Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Devoted CORE Tennessee (HMO) | H7605: 001 | $0 | $0 | $3,900 | Yes | Plan too new to be measured |
Devoted GIVEBACK Tennessee (HMO) | H7605: 002 | $0 | $0 | $6,700 | Yes | Plan too new to be measured |
Devoted PRIME Tennessee (HMO) | H7605: 003 | $35 | $0 | $3,900 | Yes | Plan too new to be measured |

Humana Inc. Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
HumanaChoice H5216-180 (PPO) | H5216: 180 | $0 | $350 | $6,700 | Yes | 4.5 out of 5 |
Humana Honor (PPO) | H5216: 235 | $0 | N/A | $3,400 | No | 4.5 out of 5 |
Humana Honor (HMO) | H4461: 004 | $0 | N/A | $3,200 | No | 5 out of 5 |
Humana Gold Plus H4461-035 (HMO) | H4461: 035 | $0 | $0 | $3,500 | Yes | 5 out of 5 |
Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) | H4461: 038 | $0 | $0 | $0 | Yes | 5 out of 5 |
HumanaChoice R7315-001 (Regional PPO) | R7315: 001 | $0 | N/A | $3,400 | No | 3.5 out of 5 |
Humana Gold Plus H4461-031 (HMO) | H4461: 031 | $29 | $0 | $2,900 | Yes | 5 out of 5 |
Humana Walmart Value Rx Plan (PDP) | S5884: 191 | $31 | $505 | N/A | Yes | 3 out of 5 |
HumanaChoice H5216-099 (PPO) | H5216: 099 | $56 | $150 | $6,700 | Yes | 4.5 out of 5 |
HumanaChoice R7315-002 (Regional PPO) | R7315: 002 | $59 | $405 | $6,700 | Yes | 3.5 out of 5 |
Humana Premier Rx Plan (PDP) | S5884: 158 | $83 | $300 | N/A | Yes | 3 out of 5 |
Humana Gold Plus H4461-030 (HMO) | H4461: 030 | $107 | $0 | $2,000 | Yes | 5 out of 5 |
Mutual of Omaha
Mutual of Omaha Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for Mutual of Omaha private Medicare plans available in Tennessee 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: 114 | $20 | $505 | N/A | Yes | 2 out of 5 |
Mutual of Omaha Rx Premier (PDP) | S7126: 081 | $58 | $505 | N/A | Yes | 2 out of 5 |
Mutual of Omaha Rx Plus (PDP) | S7126: 011 | $96 | $505 | N/A | Yes | 2 out of 5 |
UnitedHealthcare Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage Patriot (HMO-POS) | H5253: 113 | $0 | N/A | $3,200 | No | 4.5 out of 5 |
AARP Medicare Advantage Rebate (HMO-POS) | H5253: 121 | $0 | $395 | $5,900 | Yes | 4.5 out of 5 |
UnitedHealthcare Medicare Advantage Choice (PPO) | H2577: 020 | $0 | $0 | $5,900 | Yes | 3 out of 5 |
AARP Medicare Advantage Plan 1 (HMO-POS) | H5253: 047 | $0 | $0 | $3,500 | Yes | 4.5 out of 5 |
AARP Medicare Advantage Plan 2 (HMO-POS) | H5253: 048 | $28 | $0 | $3,000 | Yes | 4.5 out of 5 |
AARP MedicareRx Walgreens (PDP) | S5921: 393 | $28 | $350 | N/A | Yes | 3 out of 5 |
AARP MedicareRx Saver Plus (PDP) | S5921: 357 | $31 | $505 | N/A | Yes | 3 out of 5 |
AARP MedicareRx Preferred (PDP) | S5820: 011 | $106 | $0 | N/A | Yes | 3.5 out of 5 |

WellCare Health Plans, Inc. Medicare Plans in Jefferson County, TN
The following table includes cost information and other plan details for WellCare Health Plans, Inc. private Medicare plans available in Tennessee in 2023.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Dual Access (HMO D-SNP) | H1416: 035 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
Wellcare Patriot Giveback (HMO-POS) | H1416: 061 | $0 | N/A | $4,500 | No | 2.5 out of 5 |
Wellcare No Premium (HMO-POS) | H1416: 077 | $0 | $0 | $5,500 | Yes | 2.5 out of 5 |
Wellcare Giveback (HMO) | H1416: 080 | $0 | $0 | $6,700 | Yes | 2.5 out of 5 |
Wellcare No Premium Open (PPO) | H9428: 001 | $0 | $75 | $5,500 | Yes | Not enough data available |
Wellcare Giveback Open (PPO) | H9428: 002 | $0 | $90 | $6,700 | Yes | Not enough data available |
Wellcare Value Script (PDP) | S4802: 147 | $11 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Assist (HMO) | H1416: 042 | $17 | $485 | $4,900 | Yes | 2.5 out of 5 |
Wellcare Classic (PDP) | S4802: 071 | $32 | $505 | N/A | Yes | 3 out of 5 |
Wellcare Medicare Rx Value Plus (PDP) | S4802: 215 | $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 |