Medicare Plans in
Irwin County, GA
54 Medicare Advantage Plans Found in Irwin County. See Plans
Irwin County, GA
Medicare Information
For Irwin 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, 54 private Medicare plans are available in Irwin 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 Irwin County, Georgia, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.
Average Cost of Medicare
Plans in Irwin County
| Average Cost of Medicare Advantage Plans in Irwin County, Georgia | |
|---|---|
| Average Monthly Premium | $40.25 |
| Average in-network out-of-pocket spending limit | $7,333.96 |
| Average drug deductible in 2024 (weighted) | $343.82 |
| Percentage of plans rated 4 stars or higher | 57.4% |
| Average Cost of Medicare Advantage Plans in Irwin County, Georgia |
|---|
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Average Monthly Premium $40.25 |
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Average in-network out-of-pocket spending limit $7,333.96 |
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Average drug deductible in 2021 (weighted) $343.82 |
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Percentage of plans rated 4 stars or higher 57.4% |
Learn More About Medicare
Prescription Drug Plans
| Plan Type | Description |
|---|---|
| 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 |
|---|
|
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 Irwin County, GA
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Georgia in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Freedom Plus (PPO) | H2293: 008 | $0 | $0 | $6,350 | Yes | Plan too new to be measured |
| Aetna Medicare Eagle Plus (PPO) | H2293: 009 | $0 | N/A | $5,900 | No | Plan too new to be measured |
| Aetna Medicare Freedom (PPO) | H3288: 031 | $0 | $150 | $8,850 | Yes | 3.5 out of 5 |
| Aetna Medicare Eagle (PPO) | H3288: 034 | $0 | N/A | $6,350 | No | 3.5 out of 5 |
| Aetna Medicare Value Plus (PPO) | H2293: 001 | $25 | $300 | $8,300 | Yes | Plan too new to be measured |
| Aetna Medicare Preferred Premium (PPO) | H3288: 042 | $28 | $150 | $8,300 | Yes | 3.5 out of 5 |
| Aetna Medicare Dual Select Choice (PPO D-SNP) | H2293: 022 | $32 | $0 | $8,850 | Yes | Plan too new to be measured |
| Aetna Medicare Dual Choice (PPO D-SNP) | H2293: 021 | $34 | $0 | $8,850 | Yes | Plan too new to be measured |
Anthem Blue Cross and Blue Shield Medicare Plans in Irwin County, GA
The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield private Medicare plans available in Georgia in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Anthem Medicare Advantage (PPO) | H4036: 031 | $0 | $0 | $6,700 | Yes | 4 out of 5 |
| Anthem Full Dual Advantage 2 (HMO D-SNP) | H5422: 007 | $0 | N/A | $8,850 | Yes | 3 out of 5 |
| Anthem Veteran (HMO) | H5422: 014 | $0 | N/A | $7,550 | No | 3 out of 5 |
| Anthem Kidney Care (HMO C-SNP) | H5422: 015 | $0 | $0 | $5,900 | Yes | 3 out of 5 |
| Anthem Medicare Advantage (HMO) | H5422: 011 | $0 | $0 | $7,100 | Yes | 3 out of 5 |
| Anthem Full Dual Advantage (PPO D-SNP) | H4036: 032 | $0 | $0 | $8,850 | Yes | 4 out of 5 |
| Anthem Full Dual Advantage (HMO D-SNP) | H5422: 019 | $0 | N/A | $8,300 | Yes | 3 out of 5 |
| Anthem Dual Advantage (HMO D-SNP) | H5422: 018 | $29 | $0 | $5,000 | Yes | 3 out of 5 |
| Anthem Extra Help (HMO) | H5422: 013 | $32 | $545 | $5,900 | Yes | 3 out of 5 |
| Anthem Medicare Advantage 2 (PPO) | H4036: 030 | $59 | $0 | $6,050 | Yes | 4 out of 5 |
Humana Inc. Medicare Plans in Irwin County, GA
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Georgia in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| HumanaChoice H5216-207 (PPO) | H5216: 207 | $0 | $0 | $8,300 | Yes | 4.5 out of 5 |
| HumanaChoice SNP-DE H5216-205 (PPO D-SNP) | H5216: 205 | $0 | $0 | $8,850 | Yes | 4.5 out of 5 |
| HumanaChoice H5216-349 (PPO) | H5216: 349 | $0 | $0 | $3,450 | Yes | 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 H5216-154 (PPO) | H5216: 154 | $0 | $400 | $8,850 | Yes | 4.5 out of 5 |
| HumanaChoice H5216-157 (PPO) | H5216: 157 | $0 | N/A | $6,100 | No | 4.5 out of 5 |
| HumanaChoice R3392-004 (Regional PPO) | R3392: 004 | $0 | $195 | $8,850 | Yes | 4 out of 5 |
| HumanaChoice H5216-345 (PPO) | H5216: 345 | $0 | $0 | $8,700 | Yes | 4.5 out of 5 |
| HumanaChoice SNP-DE H5216-206 (PPO D-SNP) | H5216: 206 | $0 | $0 | $8,850 | Yes | 4.5 out of 5 |
| Humana USAA Honor (PPO) | H5216: 217 | $0 | N/A | $6,700 | No | 4.5 out of 5 |
| Humana USAA Honor (PPO) | H5216: 286 | $0 | N/A | $8,600 | No | 4.5 out of 5 |
| HumanaChoice R3392-001 (Regional PPO) | R3392: 001 | $0 | N/A | $7,550 | No | 4 out of 5 |
| Humana Gold Choice H8145-069 (PFFS) | H8145: 069 | $0 | $340 | N/A | Yes | 4 out of 5 |
| HumanaChoice H5216-284 (PPO) | H5216: 284 | $44 | $545 | $8,850 | Yes | 4.5 out of 5 |
| HumanaChoice R3392-002 (Regional PPO) | R3392: 002 | $92 | $340 | $8,850 | Yes | 4 out of 5 |
UnitedHealthcare Medicare Plans in Irwin County, GA
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Georgia in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO) | H1889: 022 | $0 | N/A | $4,500 | No | 4.5 out of 5 |
| AARP Medicare Advantage from UHC GA-0004 (PPO) | H1889: 021 | $0 | $395 | $7,550 | Yes | 4.5 out of 5 |
| UHC Dual Complete GA-S001 (PPO D-SNP) | H3256: 001 | $0 | $0 | $8,850 | Yes | 4.5 out of 5 |
| UHC Dual Complete GA-V001 (PPO D-SNP) | H3256: 002 | $0 | $0 | $6,300 | Yes | 4.5 out of 5 |
| UHC Medicare Advantage GA-0002 (PPO) | H1889: 013 | $0 | $295 | $6,300 | Yes | 4.5 out of 5 |
| UHC Dual Complete GA-D002 (HMO-POS D-SNP) | H5322: 030 | $0 | $0 | $8,850 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC GA-0005 (HMO-POS) | H5322: 041 | $0 | $0 | $6,300 | Yes | 4 out of 5 |
| UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO) | R2604: 005 | $0 | N/A | $7,500 | No | 4 out of 5 |
| UHC Complete Care GA-0003 (PPO C-SNP) | H1889: 020 | $0 | $0 | $6,700 | Yes | 4.5 out of 5 |
| UHC Complete Care GS-001A (Regional PPO C-SNP) | R2604: 002 | $21 | $545 | $8,850 | Yes | 4 out of 5 |
| UHC Complete Care GS-0002 (Regional PPO C-SNP) | R2604: 003 | $28 | $0 | $7,500 | Yes | 4 out of 5 |
| AARP Medicare Advantage from UHC GA-0006 (HMO-POS) | H5322: 042 | $39 | $0 | $4,900 | Yes | 4 out of 5 |
| UHC Medicare Advantage GS-0001 (Regional PPO) | R2604: 001 | $62 | $345 | $6,300 | Yes | 4 out of 5 |
Wellcare Health Plans, Inc. Medicare Plans in Irwin County, GA
The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Georgia in 2024.
| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellcare Dual Liberty (HMO D-SNP) | H1112: 033 | $0 | $0 | $8,850 | Yes | 3 out of 5 |
| Wellcare Mutual of Omaha No Premium Open (PPO) | H0111: 001 | $0 | $200 | $7,500 | Yes | 2.5 out of 5 |
| Wellcare Giveback (HMO) | H1112: 042 | $0 | $545 | $8,850 | Yes | 3 out of 5 |
| Wellcare No Premium (HMO) | H1112: 044 | $0 | $0 | $6,350 | Yes | 3 out of 5 |
| Wellcare Patriot No Premium (HMO-POS) | H1112: 034 | $0 | N/A | $3,400 | No | 3 out of 5 |
| Wellcare Dual Access Open (PPO D-SNP) | H0111: 004 | $0 | $0 | $8,850 | Yes | 2.5 out of 5 |
| Wellcare Assist (HMO) | H1112: 043 | $35 | $410 | $3,650 | Yes | 3 out of 5 |
| Wellcare All Dual (HMO D-SNP) | H1112: 006 | $44 | $0 | $8,850 | Yes | 3 out of 5 |
