Medicare Special Needs Plans in Georgia
Every Special Needs Plan in Georgia for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
Showing all 62 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Georgia Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only12 of 159 counties | $0 | $9,500 | $9,500 | 4.5★ |
| 2 | Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only6 of 159 counties | $0 | $9,500 | $9,500 | 4.5★ |
| 3 | Kaiser Permanente Dual Complete (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · $0 Medicare cost sharing12 of 159 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 4 | HumanaChoice SNP-DE H5216-205 (PPO D-SNP)Humana · PPO D-SNPCoordination-only · $0 Medicare cost sharing128 of 159 counties | $0 | $9,850 | $9,850 | 4★ |
| 5 | Humana Dual Select H5216-206 (PPO D-SNP)Humana · PPO D-SNPCoordination-only126 of 159 counties | $0.40 | $9,850 | $9,855 | 4★ |
| 6 | Wellcare Peach State Health Plan Dual Reserve (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only141 of 159 counties | $0 | $7,500 | $7,500 | 3.5★ |
| 7 | Wellcare Peach State Health Plan Dual Reserve (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only1 of 159 counties | $0 | $7,500 | $7,500 | 3.5★ |
| 8 | UHC Dual Advantage GA-V1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only142 of 159 counties | $6.30 | $7,900 | $7,976 | 3.5★ |
| 9 | UHC Dual Advantage GA-V1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only11 of 159 counties | $6.30 | $7,900 | $7,976 | 3.5★ |
| 10 | UHC Dual Advantage GA-V1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only4 of 159 counties | $6.30 | $7,900 | $7,976 | 3.5★ |
| 11 | Aetna Medicare Dual Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only44 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 12 | Aetna Medicare Dual Extra (PPO D-SNP)Aetna Medicare · PPO D-SNPCoordination-only107 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 13 | Aetna Medicare Dual Extra Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only66 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 14 | Aetna Medicare Dual Extra Care (PPO D-SNP)Aetna Medicare · PPO D-SNPCoordination-only157 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 15 | Aetna Medicare Full Dual Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing157 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 16 | Anthem Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-only150 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 17 | Anthem Full Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-only · $0 Medicare cost sharing150 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 18 | Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing83 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 19 | Humana Gold Plus SNP-DE H4141-024 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing86 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 20 | UHC Dual Complete GA-Q2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only146 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 21 | UHC Dual Complete GA-Q2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only11 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 22 | UHC Dual Complete GA-Q3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only142 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 23 | UHC Dual Complete GA-Q3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only11 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 24 | UHC Dual Complete GA-Q3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only4 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 25 | UHC Dual Complete GA-S3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only142 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 26 | UHC Dual Complete GA-S3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only11 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 27 | UHC Dual Complete GA-S3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only4 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 28 | Wellcare Peach State Health Plan Dual Access (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing141 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 29 | Wellcare Peach State Health Plan Dual Access (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing1 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 30 | Wellcare Peach State Health Plan Dual Access Open (PPO D-SNP)Wellcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing141 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 31 | Wellcare Peach State Health Plan Dual Liberty (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing141 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 32 | Aetna Medicare Dual Care (PPO D-SNP)Aetna Medicare · PPO D-SNPCoordination-only53 of 159 counties | $1.80 | $9,850 | $9,872 | 3.5★ |
| 33 | HealthSpring TotalCare (HMO D-SNP)HealthSpring · HMO D-SNPCoordination-only3 of 159 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 34 | HealthSpring TotalCare Plus (HMO D-SNP)HealthSpring · HMO D-SNPCoordination-only · $0 Medicare cost sharing3 of 159 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 35 | UHC Dual Complete GA-S2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only146 of 159 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 36 | UHC Dual Complete GA-S2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only11 of 159 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 37 | HealthSpring TotalCare (HMO D-SNP)HealthSpring · HMO D-SNPCoordination-only42 of 159 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 38 | HealthSpring TotalCare Plus (HMO D-SNP)HealthSpring · HMO D-SNPCoordination-only · $0 Medicare cost sharing42 of 159 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 39 | PruittHealth Premier D-SNP (HMO D-SNP)PruittHealth Premier · HMO D-SNPCoordination-only118 of 159 counties | $0 | $9,850 | $9,850 | Not rated |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Anthem Kidney Care (HMO-POS C-SNP)Anthem Blue Cross and Blue Shield · HMO-POS C-SNPChronic kidney disease145 of 159 counties | $0 | $5,900 | $5,900 | 3.5★ |
| 2 | DEVOTED C-SNP CHOICE ENHANCED 015 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 159 counties | $0 | $7,900 | $7,900 | 4★ |
| 3 | UHC Complete Care Support GA-9 (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes147 of 159 counties | $6.30 | $7,900 | $7,976 | 3.5★ |
| 4 | BlueAdvantage Total Heart and Diabetes (PPO C-SNP)BlueCross BlueShield of Tennessee · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 159 counties | $0 | $8,000 | $8,000 | 3.5★ |
| 5 | Humana Kidney Care (PPO C-SNP)Humana · PPO C-SNPChronic kidney disease41 of 159 counties | $0 | $8,450 | $8,450 | 4.5★ |
| 6 | DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 019 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 159 counties | $0 | $8,550 | $8,550 | 4★ |
| 7 | DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 020 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 159 counties | $0 | $8,900 | $8,900 | 4★ |
| 8 | DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 021 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes103 of 159 counties | $0 | $8,900 | $8,900 | 4★ |
| 9 | DEVOTED C-SNP CHOICE ENHANCED 017 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 159 counties | $0 | $8,950 | $8,950 | 4★ |
| 10 | DEVOTED C-SNP CHOICE ENHANCED 018 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes103 of 159 counties | $0 | $8,950 | $8,950 | 4★ |
| 11 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 12 | DEVOTED C-SNP CHOICE PLUS 016 GA (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes133 of 159 counties | $0 | $9,850 | $9,850 | 4★ |
| 13 | Humana Kidney Care (PPO C-SNP)Humana · PPO C-SNPChronic kidney disease41 of 159 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 14 | HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana · PPO C-SNPCardiovascular disorders, Diabetes152 of 159 counties | $0 | $9,850 | $9,850 | 4★ |
| 15 | UHC Complete Care GA-3 (PPO C-SNP)UnitedHealthcare · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes147 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 16 | UHC Complete Care Support GS-1A (Regional PPO C-SNP)UnitedHealthcare · Regional PPO C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 159 counties | $2.10 | $9,850 | $9,875 | 3.5★ |
I-SNPs: institutional care
For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | PruittHealth Premier Advantage (HMO I-SNP)PruittHealth Premier · HMO I-SNPHybrid (at home or in a facility)118 of 159 counties | $0 | $5,900 | $5,900 | Not rated |
| 2 | Georgia Health Advantage Choice (HMO I-SNP)Georgia Health Advantage · HMO I-SNPHybrid (at home or in a facility)131 of 159 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 3 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 159 counties | $0 | $9,850 | $9,850 | 4★ |
| 4 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)158 of 159 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 5 | UHC Nursing Home Plan GA-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based22 of 159 counties | $2.20 | $9,850 | $9,876 | 5★ |
| 6 | Georgia Health Advantage (HMO I-SNP)Georgia Health Advantage · HMO I-SNPHybrid (at home or in a facility)131 of 159 counties | $6.30 | $9,850 | $9,926 | 3.5★ |
| 7 | PruittHealth Premier (HMO I-SNP)PruittHealth Premier · HMO I-SNPHybrid (at home or in a facility)118 of 159 counties | $6.30 | $9,850 | $9,926 | Not rated |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in Georgia for 2027?
CMS lists 62: 39 D-SNPs (Medicare and Medicaid), 16 C-SNPs (chronic conditions) and 7 I-SNPs (institutional), from 11 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Georgia are integrated with Medicaid?
All 39 D-SNPs in Georgia are coordination-only plans: they coordinate with Medicaid, but your Medicaid benefits come separately.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in Georgia →
- Medicare Savings Programs →
- Extra Help with drug costs →
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