Advantage Index

Special Needs Plans in Walton County, GA

40 special needs plans are approved for Walton County, and 14 of them have no monthly premium. 36 carry a CMS star rating.

60.6% of the 21,815 people eligible for Medicare in Walton 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 40 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).

PlanPremium a monthMost you can pay a yearDrug deductibleStarsEnrolled here
Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)
Kaiser Permanente · HMO D-SNP
$0 $8,850 $615 4.5/5 Fewer than 11
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 4.0/5 327
Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)
Humana · HMO D-SNP
$0 $9,250 $615 4.0/5 204
Humana Gold Plus SNP-DE H4141-024 (HMO D-SNP)
Humana · HMO D-SNP
$0 $9,250 $615 4.0/5 134
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 4.0/5 340
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 3.5/5 194
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 19
Anthem Full Dual Advantage (HMO D-SNP)
Anthem Blue Cross and Blue Shield · HMO D-SNP
$0 $9,250 $520 3.5/5 14
Clear Spring Health Balance+ Diabetes & Heart (HMO C-SNP)
Clear Spring Health · HMO C-SNP
$0 $6,751 $300 2.5/5 Fewer than 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 4.5/5 278
HealthSpring TotalCare (HMO D-SNP)
HealthSpring · HMO D-SNP
$3.40 $6,750 $615 3.5/5 40
HealthSpring TotalCare Plus (HMO D-SNP)
HealthSpring · HMO D-SNP
$3.40 $9,250 $615 3.5/5 25
Aetna Medicare Dual Care (HMO D-SNP)
Aetna Medicare · HMO D-SNP
$4.80 $9,250 $615 4.5/5 53
UHC Dual Complete GA-S3 (HMO-POS D-SNP)
UnitedHealthcare · HMO-POS D-SNP
$11.10 $9,250 $615 4.0/5 250
Aetna Medicare Dual Extra (PPO D-SNP)
Aetna Medicare · PPO D-SNP
$11.40 $9,250 $615 4.0/5 78
Wellcare Dual Reserve (HMO-POS D-SNP)
Wellcare · HMO-POS D-SNP
$13.10 $7,500 $615 3.5/5 22
Aetna Medicare Dual Extra Care (PPO D-SNP)
Aetna Medicare · PPO D-SNP
$13.70 $9,250 $615 4.0/5 51
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 Fewer than 11
Wellcare Dual Access (HMO-POS D-SNP)
Wellcare · HMO-POS D-SNP
$23.50 $9,250 $615 3.5/5 39
Wellcare Dual Liberty (HMO-POS D-SNP)
Wellcare · HMO-POS D-SNP
$23.80 $9,250 $615 3.5/5 38
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 83
UHC Dual Complete GA-S1 (PPO D-SNP)
UnitedHealthcare · PPO D-SNP
$25.40 $9,250 $615 5.0/5 182
UHC Dual Complete GA-V1 (PPO D-SNP)
UnitedHealthcare · PPO D-SNP
$25.40 $7,900 $615 5.0/5 153
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 4.0/5 215
Wellcare Dual Access Open (PPO D-SNP)
Wellcare · PPO D-SNP
$25.40 $9,250 $615 3.5/5 Fewer than 11
HumanaChoice SNP-DE H5216-205 (PPO D-SNP)
Humana · PPO D-SNP
$25.40 $9,250 $615 3.5/5 99
Humana Dual Select H5216-206 (PPO D-SNP)
Humana · PPO D-SNP
$25.40 $9,250 $615 3.5/5 52
PruittHealth Premier (HMO I-SNP)
PruittHealth Premier · HMO I-SNP
$25.40 $9,250 $615 5.0/5 Part D Fewer than 11
DEVOTED C-SNP CHOICE PLUS 016 GA (PPO C-SNP)
Devoted Health · PPO C-SNP
$25.40 $9,250 $615 Too new to be rated 18
DEVOTED C-SNP CHOICE PREMIUM 018 GA (PPO C-SNP)
Devoted Health · PPO C-SNP
$25.40 $8,950 $615 Too new to be rated 19

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 Walton 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: Barrow County (89 of these 95 plans) · Butts County (84 of these 95 plans) · Newton County (84 of these 95 plans) · Oglethorpe County (82 of these 95 plans) · Madison County (81 of these 95 plans) · Oconee County (81 of these 95 plans) · Clarke County (80 of these 95 plans) · Morgan County (80 of these 95 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.