2020 Gwinnett County Georgia
Medicare Advantage Plans

There are 39 Medicare Advantage Plans available in Gwinnett County GA from 9 different health insurance providers. 11 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2500 and the highest out of pocket is $6700. Gwinnett County Georgia residents can also pick from 17 Medicare Special Needs Plans. The highest rated plan available in Gwinnett County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars

(Click the Plan Name for More Details)
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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage Plus Plan 1 (HMO-POS)
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$0 $275.00 $6,700 NoEnroll
AARP Medicare Advantage Plus Plan 2 (HMO-POS)
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$49.00 $175.00 $4,900 NoEnroll
Aetna Medicare Essential Plan (PPO)
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$0 $200.00 $5,900 YesEnroll
Aetna Medicare Plus Plan (PPO)
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$0 $400.00 $6,300 NoToo NewEnroll
Aetna Medicare Select Plan (HMO)
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$0 $200.00 $5,900 YesEnroll
Allwell Medicare (HMO)
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$0 $280.00 $5,900 NoEnroll
Allwell Medicare Premier (HMO)
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$0 $0 $6,500 NoEnroll
Anthem MediBlue Access (PPO)
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$58.00 $95.00 $5,900 YesEnroll
Anthem MediBlue Essential (HMO)
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$46.00 $95.00 $5,800 YesEnroll
Anthem MediBlue Plus (HMO)
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$0 $150.00 $6,700 YesEnroll
Cigna-HealthSpring Preferred (HMO)
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$0 $0 $5,900 NoEnroll
Cigna-HealthSpring Preferred GA (HMO)
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$0 $300.00 $6,700 NoEnroll
Cigna-HealthSpring Premier (HMO-POS)
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$25.00 $0 $4,900 NoEnroll
Humana Gold Choice H8145-069 (PFFS)
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$92.00 $340.00 $- NoEnroll
Humana Gold Plus H4141-015 (HMO)
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$0 $0 $5,900 NoEnroll
Humana Gold Plus H4141-017 (HMO)
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$8.00 $0 $6,700 NoEnroll
Humana Gold Plus H4141-020 (HMO)
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$0 $0 $5,900 NoEnroll
HumanaChoice H5216-073 (PPO)
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$52.00 $360.00 $6,700 NoEnroll
HumanaChoice H5216-145 (PPO)
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$34.00 $75.00 $6,700 NoEnroll
HumanaChoice H5216-154 (PPO)
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$0 $400.00 $6,700 NoEnroll
HumanaChoice H5216-203 (PPO)
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$0 $75.00 $6,700 NoEnroll
HumanaChoice R3392-002 (Regional PPO)
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$76.00 $340.00 $6,700 NoEnroll
Kaiser Permanente Senior Advantage Basic (HMO)
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$0 $0 $5,900 YesEnroll
Kaiser Permanente Senior Advantage Enhanced (HMO)
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$71.00 $0 $4,000 YesEnroll
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
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$45.00 $195.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
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$49.00 $275.00 $6,700 NoEnroll
WellCare Compass (HMO)
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$20.40 $435.00 $3,400 NoEnroll
WellCare Dividend (HMO)
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$0 $200.00 $6,700 NoEnroll
WellCare Flex Complete (PPO)
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$90.00 $0 $2,500 YesEnroll
WellCare Premier (PPO)
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$0 $75.00 $5,500 YesEnroll
WellCare Prime (PPO)
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$45.00 $0 $5,100 YesEnroll
WellCare Value (HMO)
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$0 $0 $3,400 YesEnroll

Return to 2020 Medicare Advantage Plans in Georgia

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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Aetna Medicare Basics Plan (PPO)
$0 Local PPO * $5,900 Too New
Humana Honor (PPO)
$0 Local PPO * $6,700
HumanaChoice H5216-157 (PPO)
$0 Local PPO * $6,700
HumanaChoice R3392-001 (Regional PPO)
$0 Regional PPO * $6,700 Enroll
Lasso Healthcare (MSA)
MSA * $- NA
UnitedHealthcare Medicare Advantage Essential (Regional P
$0 Regional PPO * $6,700
WellCare Advance (HMO-POS)
$0 Local HMO * $4,500 Enroll

2020 Medicare Special Needs Plans in Gwinnett county Georgia

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Aetna Medicare Dual Preferred Plan (HMO D-SNP)     $18.50 $275.0  No Dual-EligibleNA
Allwell Dual Medicare (HMO D-SNP)     $25.30 $345.0  No Dual-Eligible
Anthem MediBlue Dual Advantage (HMO D-SNP)     $25.30 $435.0  Yes Dual-Eligible
Cigna-HealthSpring TotalCare (HMO D-SNP)     $23.90 $435.0  No Dual-Eligible
Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)     $22.00 $435.0  No Dual-Eligible
HumanaChoice SNP-DE H5216-205 (PPO D-SNP)     $25.00 $435.0  No Dual-Eligible
HumanaChoice SNP-DE H5216-206 (PPO D-SNP)     $23.60 $435.0  No Dual-Eligible
PruittHealth Premier (HMO I-SNP)     $25.30 $435.0  No InstitutionalNA
Senior Advantage Medicare Medicaid Plan (HMO D-SNP)     $24.80 $0  No Dual-Eligible
UnitedHealthcare Dual Complete (PPO D-SNP)     $22.20 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP     $24.70 $435.0  No Dual-Eligible
UnitedHealthcare Medicare Gold (Regional PPO C-SNP)     $13.00 $210.0  No Chronic or Disabling Condition
UnitedHealthcare Medicare Silver (Regional PPO C-SNP)     $2.80 $435.0  No Chronic or Disabling Condition
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)     $25.30 $435.0  No Institutional
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)     $25.30 $435.0  No Institutional
WellCare Access (HMO D-SNP)     $25.30 $435.0  No Dual-Eligible
WellCare Liberty (HMO D-SNP)     $25.30 $435.0  No Dual-Eligible

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

Source: CMS. Data as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.

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