Special Needs Plans in Clarke County, GA
36 special needs plans are approved for Clarke County, and 12 of them have no monthly premium. 34 carry a CMS star rating.
55.2% of the 18,811 people eligible for Medicare in Clarke County are already in a Medicare Advantage plan (September 2026). Across Georgia it is 56.2%, and across the country 51.6% — summed by us from the county counts CMS published.
All plans · Medicare Advantage · Special Needs Plans · Part D drug plans
Across these 36 plans the median monthly premium here is $12.25, the median out-of-pocket cap $9,250, and the median star rating 4.0 (medians are ours; every figure in the table is as CMS published it).
| Plan | Premium a month | Most you can pay a year | Drug deductible | Stars | Enrolled here |
|---|---|---|---|---|---|
| Aetna Medicare Full Dual Care (HMO D-SNP) Aetna Medicare · HMO D-SNP |
$0 | $9,250 | $615 | 4.5/5 | 53 |
| UHC Complete Care GA-3 (PPO C-SNP) UnitedHealthcare · PPO C-SNP |
$0 | $9,250 | $520 | 4.0/5 | 270 |
| Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP) Humana · HMO D-SNP |
$0 | $9,250 | $615 | 4.0/5 | 256 |
| Humana Gold Plus SNP-DE H4141-024 (HMO D-SNP) Humana · HMO D-SNP |
$0 | $9,250 | $615 | 4.0/5 | 162 |
| Humana Gold Plus SNP-DE H4141-025 (HMO D-SNP) Humana · HMO D-SNP |
$0 | $9,250 | $615 | 4.0/5 | Fewer than 11 |
| UHC Dual Complete GA-D2 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$0 | $9,250 | $615 | 4.0/5 | 515 |
| Humana Together in Health (PPO I-SNP) Humana · PPO I-SNP |
$0 | $9,250 | $615 | 3.5/5 | Fewer than 11 |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) Humana · PPO C-SNP |
$0 | $9,250 | $450 | 3.5/5 | 140 |
| Anthem Kidney Care (HMO-POS C-SNP) Anthem Blue Cross and Blue Shield · HMO-POS C-SNP |
$0 | $5,900 | $0 | 3.5/5 | Fewer than 11 |
| Anthem Dual Advantage (HMO D-SNP) Anthem Blue Cross and Blue Shield · HMO D-SNP |
$0 | $9,250 | $355 | 3.5/5 | 15 |
| Anthem Full Dual Advantage (HMO D-SNP) Anthem Blue Cross and Blue Shield · HMO D-SNP |
$0 | $9,250 | $520 | 3.5/5 | 11 |
| PruittHealth Premier Advantage (HMO I-SNP) PruittHealth Premier · HMO I-SNP |
$0 | $5,900 | $0 | 5.0/5 Part D | Fewer than 11 |
| Aetna Medicare Dual Extra Care (HMO D-SNP) Aetna Medicare · HMO D-SNP |
$0.40 | $9,250 | $615 | 4.5/5 | 250 |
| HealthSpring TotalCare (HMO D-SNP) HealthSpring · HMO D-SNP |
$3.40 | $6,750 | $615 | 3.5/5 | 33 |
| HealthSpring TotalCare Plus (HMO D-SNP) HealthSpring · HMO D-SNP |
$3.40 | $9,250 | $615 | 3.5/5 | 32 |
| Aetna Medicare Dual Care (HMO D-SNP) Aetna Medicare · HMO D-SNP |
$4.80 | $9,250 | $615 | 4.5/5 | 48 |
| UHC Dual Complete GA-S3 (HMO-POS D-SNP) UnitedHealthcare · HMO-POS D-SNP |
$11.10 | $9,250 | $615 | 4.0/5 | 462 |
| Aetna Medicare Dual Extra (PPO D-SNP) Aetna Medicare · PPO D-SNP |
$11.40 | $9,250 | $615 | 4.0/5 | 91 |
| Wellcare Dual Reserve (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$13.10 | $7,500 | $615 | 3.5/5 | 20 |
| Aetna Medicare Dual Extra Care (PPO D-SNP) Aetna Medicare · PPO D-SNP |
$13.70 | $9,250 | $615 | 4.0/5 | 39 |
| CareSource Dual Advantage Plus (HMO D-SNP) CareSource · HMO D-SNP |
$14.90 | $9,250 | $615 | Not enough data to rate | Fewer than 11 |
| CareSource Dual Advantage (HMO D-SNP) CareSource · HMO D-SNP |
$17.30 | $9,250 | $615 | Not enough data to rate | Fewer than 11 |
| UHC Complete Care Support GS-1A (Regional PPO C-SNP) UnitedHealthcare · Regional PPO C-SNP |
$18.10 | $9,250 | $615 | 4.0/5 | 11 |
| Wellcare Dual Access (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$23.50 | $9,250 | $615 | 3.5/5 | 13 |
| Wellcare Dual Liberty (HMO-POS D-SNP) Wellcare · HMO-POS D-SNP |
$23.80 | $9,250 | $615 | 3.5/5 | 26 |
| PruittHealth Premier D-SNP (HMO D-SNP) PruittHealth Premier · HMO D-SNP |
$24.80 | $9,250 | $615 | 5.0/5 Part D | 11 |
| UHC Dual Complete GA-S2 (PPO D-SNP) UnitedHealthcare · PPO D-SNP |
$25.40 | $9,250 | $615 | 5.0/5 | 115 |
| UHC Dual Complete GA-S1 (PPO D-SNP) UnitedHealthcare · PPO D-SNP |
$25.40 | $9,250 | $615 | 5.0/5 | 227 |
| UHC Dual Complete GA-V1 (PPO D-SNP) UnitedHealthcare · PPO D-SNP |
$25.40 | $7,900 | $615 | 5.0/5 | 180 |
| Georgia Health Advantage (HMO I-SNP) Georgia Health Advantage · HMO I-SNP |
$25.40 | $9,250 | $615 | 5.0/5 | Fewer than 11 |
| Georgia Health Advantage Choice (HMO I-SNP) Georgia Health Advantage · HMO I-SNP |
$25.40 | $9,250 | $615 | 5.0/5 | Fewer than 11 |
| UHC Complete Care Support GA-9 (PPO C-SNP) UnitedHealthcare · PPO C-SNP |
$25.40 | $7,900 | $615 | 4.0/5 | 204 |
| Wellcare Dual Access Open (PPO D-SNP) Wellcare · PPO D-SNP |
$25.40 | $9,250 | $615 | 3.5/5 | 12 |
| HumanaChoice SNP-DE H5216-205 (PPO D-SNP) Humana · PPO D-SNP |
$25.40 | $9,250 | $615 | 3.5/5 | 110 |
| Humana Dual Select H5216-206 (PPO D-SNP) Humana · PPO D-SNP |
$25.40 | $9,250 | $615 | 3.5/5 | 65 |
| PruittHealth Premier (HMO I-SNP) PruittHealth Premier · HMO I-SNP |
$25.40 | $9,250 | $615 | 5.0/5 Part D | 107 |
Plan types: HMO: Health Maintenance Organization — you use the plan's own network of doctors and hospitals, and usually need a referral to see a specialist. HMO-POS: HMO with a point-of-service option — an HMO that also lets you use some services out of network, at a higher cost. PPO: Preferred Provider Organization — you can see any Medicare provider, and pay less inside the plan's network. Regional PPO: Regional PPO — a PPO that serves a whole CMS region rather than a set of counties, with the same premium and benefits across it. D-SNP: Dual-eligible Special Needs Plan — only for people who have both Medicare and Medicaid. C-SNP: Chronic-condition Special Needs Plan — only for people with a specific condition the plan names, such as diabetes or heart failure. I-SNP: Institutional Special Needs Plan — only for people living in a nursing facility, or who need that level of care at home.
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Plans arriving in or leaving Clarke County, and premiums moving, when CMS republishes.
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Nearby and related
Largest Georgia counties by plans on offer: Clayton County (98) · Henry County (98) · Barrow County (97) · DeKalb County (97) · Fulton County (97) · Gwinnett County (97)
Counties selling the same plans: Madison County (85 of these 86 plans) · Barrow County (80 of these 86 plans) · Oconee County (80 of these 86 plans) · Walton County (80 of these 86 plans) · Oglethorpe County (79 of these 86 plans) · Bartow County (78 of these 86 plans) · Morgan County (78 of these 86 plans) · Newton County (77 of these 86 plans)
All Georgia counties · What changed recently
CMS files as loaded on 17 September 2026. Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file as published in the September 2026 release. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. The only figures we calculate are the averages and medians marked as ours, from those same files. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.