Medicare Advantage · Georgia · 2026 plan year

Medicare Advantage in Spalding, GA

According to the Centers for Medicare & Medicaid Services (CMS) 2026 Landscape and Star Ratings files, every Medicare Advantage plan available in Spalding, GA for 2026 is ranked by CMS star rating, with premiums and benefits laid out plainly.

89
Plans available
5.0★
Best plan: Top-rated
$0
Lowest premium/mo
$9.40
Avg premium/mo
RSS updates for this county

The short answer

Spalding has 89 Medicare Advantage plans for 2026, the best earns 5.0★ from CMS, 41 reach 4★ or higher, and 43 carry a $0 monthly premium.

89
plans to compare
5.0★
highest CMS rating here
43
$0-premium plans
41
plans rated 4★ or higher

Premiums shown are the monthly plan premium (Part C + D). Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Confirm any plan's current details on Medicare.gov before enrolling.

What the CMS Plan Finder Shows for Spalding, GA

Spalding, GA (FIPS 13255): 89 individual Medicare Advantage plans available (employer-group plans excluded). Highest CMS Star rating: 5.0/5 via CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Plan-type mix: 47 Local PPO, 28 HMO, 14 HMO POS. Monthly plan premiums (Part C + D) range $0 – $82.00 (avg $9.40), with 43 $0-premium plans. 81 of 89 plans include Part D drug coverage. CMS Star Ratings methodology →

How to read these figures

The figures above come from the Centers for Medicare & Medicaid Services 2026 plan year file, which CMS publishes each autumn before the October 15 to December 7 open enrollment window. A county premium reflects only the Part C portion that a plan charges. Most enrollees still pay the standard Part B premium of about $202.90 a month on top of it, so a $0 plan is rarely free in practice. The CMS star rating runs from one to five and weights more than 40 measures, including how well a plan manages chronic conditions, how fast it answers member calls, and how members rate their own care. A plan that holds five stars earns a special enrollment period that lets people switch into it at almost any time of year. Premiums alone can mislead a shopper, because a low monthly cost often pairs with a higher deductible or a tighter provider network. Federal rules cap in-network out-of-pocket spending at $9,250 for 2026, which is why two plans with identical premiums can leave very different bills after a hospital stay. Read our methodology for how each value here is sourced and computed.

Where Spalding sits on CMS quality

Average CMS star rating across the plans sold in this county, against every county with rated plans

3.92★ Top 24% higher than 76% of 3,121 US counties

2.5★–2.75★: 19 US counties (1%). Below this entry. 2.75★–3★: 5 US counties (0%). Below this entry. 3★–3.25★: 31 US counties (1%). Below this entry. 3.25★–3.5★: 164 US counties (5%). Below this entry. 3.5★–3.75★: 1,089 US counties (35%). Below this entry. 3.75★–4★: 1,344 US counties (43%). This entry sits in this band. 4★–4.25★: 351 US counties (11%). Above this entry. 4.25★–4.5★: 37 US counties (1%). Above this entry. 4.5★–4.75★: 3 US counties (0%). Above this entry. 4.75★–5★: 78 US counties (2%). Above this entry. This county 2.5★ 5★ every rated county, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

All plans in Spalding, ranked by CMS rating

#PlanInsurerTypePremium/moCMS stars
1Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$25.405.0★
2Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$25.405.0★
3Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$25.405.0★
4Georgia Assurance, Inc. (SNP)Georgia Health AdvantageHMO$25.405.0★
5Georgia Assurance, Inc. (SNP)Georgia Health AdvantageHMO$25.405.0★
6Kaiser Foundation HP OF GA, Inc. (SNP)Kaiser PermanenteHMO-4.5★
7Kaiser Foundation HP OF GA, Inc. (SNP)Kaiser PermanenteHMO-4.5★
8Clover Insurance Company (SNP)Clover HealthLocal PPO-4.5★
9Emphesys Insurance Company (SNP)HumanaLocal PPO-4.5★
10Kaiser Foundation HP OF GA, Inc. (SNP)Kaiser PermanenteHMO$04.5★
11Kaiser Foundation HP OF GA, Inc. (SNP)Kaiser PermanenteHMO$04.5★
12Clover Insurance Company (SNP)Clover HealthLocal PPO$04.5★
13Aetna Health Inc. (GA) (SNP)Aetna MedicareHMO$04.5★
14Aetna Health Inc. (GA) (SNP)Aetna MedicareHMO$04.5★
15Aetna Health Inc. (GA) (SNP)Aetna MedicareHMO$04.5★
16Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
17Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$04.5★
18Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
19Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
20Emphesys Insurance Company (SNP)HumanaLocal PPO$04.5★
21Aetna Health Inc. (GA) (SNP)Aetna MedicareHMO$0.404.5★
22Clover Insurance Company (SNP)Clover HealthLocal PPO$25.004.5★
23Aetna Life Insurance Company (SNP)Aetna MedicareLocal PPO$25.404.5★
24Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO-4.0★
25Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO-4.0★
26Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO-4.0★
27Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
28Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$04.0★
29Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$04.0★
30Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$04.0★
31Humana Employers Health Plan OF Georgia, Inc. (SNP)HumanaHMO$04.0★
32Humana Employers Health Plan OF Georgia, Inc. (SNP)HumanaHMO$04.0★
33Humana Employers Health Plan OF Georgia, Inc. (SNP)HumanaHMO$04.0★
34Humana Employers Health Plan OF Georgia, Inc. (SNP)HumanaHMO$04.0★
35Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
36Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$04.0★
37Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareHMO POS$11.104.0★
38Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$13.704.0★
39Silverscript Insurance Company (SNP)Aetna MedicareLocal PPO$14.604.0★
40Care Improvement Plus South Central Insurance Co. (SNP)UnitedHealthcareLocal PPO$25.404.0★
41Anthem Insurance Companies, Inc. (SNP)Anthem Blue Cross and Blue ShieldLocal PPO$82.004.0★
42Wellcare OF Georgia, Inc. (SNP)WellcareLocal PPO-3.5★
43Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS-3.5★
44Aetna Health AND Life Insurance Company (SNP)Aetna MedicareLocal PPO-3.5★
45Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
46Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
47Humana Insurance Company (SNP)HumanaLocal PPO-3.5★
48Blue Cross Blue Shield Healthcare Plan OF Georgia (SNP)Anthem Blue Cross and Blue ShieldHMO POS-3.5★
49Wellcare OF Georgia, Inc. (SNP)WellcareLocal PPO$03.5★
50Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$03.5★
51Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$03.5★
52Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$03.5★
53Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS$03.5★
54Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS$03.5★
55Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
56Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
57Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
58Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
59Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
60Humana Insurance Company (SNP)HumanaLocal PPO$03.5★
61Blue Cross Blue Shield Healthcare Plan OF Georgia (SNP)Anthem Blue Cross and Blue ShieldHMO POS$03.5★
62Blue Cross Blue Shield Healthcare Plan OF Georgia (SNP)Anthem Blue Cross and Blue ShieldHMO POS$03.5★
63Blue Cross Blue Shield Healthcare Plan OF Georgia (SNP)Anthem Blue Cross and Blue ShieldHMO$03.5★
64Blue Cross Blue Shield Healthcare Plan OF Georgia (SNP)Anthem Blue Cross and Blue ShieldHMO$03.5★
65Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$3.403.5★
66Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$3.403.5★
67Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS$13.103.5★
68Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareHMO$18.003.5★
69Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS$23.503.5★
70Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS$23.803.5★
71Wellcare OF Georgia, Inc. (SNP)WellcareLocal PPO$25.403.5★
72Wellcare OF Georgia, Inc. (SNP)WellcareHMO POS$25.403.5★
73Humana Insurance Company (SNP)HumanaLocal PPO$25.403.5★
74Humana Insurance Company (SNP)HumanaLocal PPO$25.403.5★
75Humana Insurance Company (SNP)HumanaLocal PPO$25.403.5★
76Blue Cross Blue Shield Healthcare Plan OF Georgia (SNP)Anthem Blue Cross and Blue ShieldHMO POS$25.403.5★
77Healthspring Life & Health Insurance Company, Inc. (SNP)Cigna HealthCareLocal PPO$03.0★
78Clear Spring Health (GA), Inc. (SNP)Clear Spring HealthHMO$02.5★
79Devoted Health Insurance Company OF Georgia Inc (SNP)Devoted HealthLocal PPO-N/R
80Pruitthealth Premier, Inc. (SNP)PruittHealth PremierHMO$0N/R
81Devoted Health Insurance Company OF Georgia Inc (SNP)Devoted HealthLocal PPO$0N/R
82Devoted Health Insurance Company OF Georgia Inc (SNP)Devoted HealthLocal PPO$0N/R
83Clear Spring Health (GA), Inc. (SNP)Clear Spring HealthLocal PPO$0N/R
84Caresource Georgia Co. (SNP)CareSourceHMO$14.90N/R
85Caresource Georgia Co. (SNP)CareSourceHMO$17.30N/R
86Pruitthealth Premier, Inc. (SNP)PruittHealth PremierHMO$24.80N/R
87Pruitthealth Premier, Inc. (SNP)PruittHealth PremierHMO$25.40N/R
88Devoted Health Insurance Company OF Georgia Inc (SNP)Devoted HealthLocal PPO$25.40N/R
89Devoted Health Insurance Company OF Georgia Inc (SNP)Devoted HealthLocal PPO$25.40N/R

Nationwide counties with similar Medicare Advantage markets

Data-derived peers across the CMS county landscape file: nearest enrollable plan count and nearest county-wide average CMS star rating. Not same-state neighbors or geographic containment.

Similar plan availability

Similar average CMS star rating

Choosing a plan in this county

Star rating first, then total cost, not the premium alone.

  • Shortlist the 4★+ plans above (41 here) - higher-rated plans manage chronic care and member service better. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
  • Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan

Premiums shown are the monthly plan premium (Part C + D) from the CMS CY2026 Landscape file. Every enrollee also pays the standard Part B premium (about $202.90/mo in 2026). Always confirm current premiums, copays, and networks on Medicare.gov before enrolling.

Frequently Asked Questions

How many Medicare Advantage plans are available in Spalding, GA?

There are 89 Medicare Advantage plans available in Spalding, GA for the 2026 plan year, including 47 Local PPO, 28 HMO, 14 HMO POS. Counts are individual consumer plans (employer-group / EGHP offerings excluded). Plan availability is determined by CMS and individual insurers.

What is the best-rated Medicare Advantage plan in Spalding?

The highest-rated plan in Spalding has a CMS star rating of 5.0 out of 5 - CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.. Star ratings reflect quality measures including preventive care, chronic disease management, and member satisfaction.

How much do Medicare Advantage plans cost in Spalding?

Monthly plan premiums (Part C + D combined) in Spalding range from $0 to $82.00, averaging $9.40. 43 plans offer a $0 monthly premium. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026) on top of the plan premium. Premiums are from the CMS CY2026 Landscape file; always confirm current details on Medicare.gov.

What types of Medicare Advantage plans are offered in Spalding?

Spalding has 47 Local PPO, 28 HMO, 14 HMO POS. HMO plans require in-network providers, PPO plans allow out-of-network visits at higher cost, and PFFS plans let you see any Medicare-accepting provider.

Important: PlainMedicare provides CMS data for informational purposes only. This is not medical or insurance advice. Plan availability, premiums, and benefits change annually. Always verify with Medicare.gov or call 1-800-MEDICARE before enrolling.
Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainMedicare