Medicare Advantage Plans in Lawrence County, TN:
Your Complete 2026 Guide
In Lawrence County, TN, Medicare beneficiaries have 35 Medicare Advantage plans to consider for 2026. Among them, 21 are offered at a $0 premium. About 3,042 people in the County are currently enrolled, and 49% of plans are rated 4 stars or higher. Special Needs Plans are not included in the figures shown above. Explore SNP options for Lawrence County, TN here.
Page last revised:
Enrollment data refreshed: May 2, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans offer flexibility by allowing you to see both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs may appeal to people who want more choice in doctors and hospitals.
- Total PPO Plans 16
- Average Premium $32.23/mo
- Beneficiaries Enrolled 1,642
- $0 Premium PPOs 8
- Average MOOP $5,730
- Most Popular PPO BlueAdvantage Garnet (PPO) with 1,201 enrollees
- PPOs Without Drug Coverage 4
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $8,200 | N/A | H5521 279 0 | |
| Aetna Medicare Enhanced | $28 | $6,750 | $615 | H5521 501 0 | |
| Humana Value Plus H7617-088 | $28 | $4,900 | $615 | H7617 088 0 | |
| BlueAdvantage Diamond | $157 | $2,975 | $250 | H7917 009 0 | |
| BlueAdvantage Extra | $28 | $5,100 | $615 | H7917 041 0 | |
| BlueAdvantage Freedom | $0 | $3,200 | N/A | H7917 039 0 | |
| BlueAdvantage Garnet | $0 | $5,900 | $250 | H7917 032 0 | |
| BlueAdvantage Ruby | $107 | $4,150 | $250 | H7917 013 0 | |
| DEVOTED CHOICE 015 TN | $0 | $6,400 | $375 | H9231 015 0 | |
| DEVOTED CHOICE GIVEBACK 005 TN | $0 | $8,300 | $605 | H9231 005 0 | |
| Humana USAA Honor Giveback | $0 | $3,400 | N/A | H5216 235 0 | |
| Humana Value Plus H5216-180 | $28 | $4,900 | $615 | H5216 180 0 | |
| HumanaChoice H5216-097 | $55 | $8,850 | $590 | H5216 097 0 | |
| HumanaChoice R0110-017 | $0 | $4,650 | N/A | R0110 017 0 | |
| HumanaChoice R0110-018 | $86 | $6,500 | $590 | R0110 018 0 | |
| HealthSpring True Choice | $0 | $7,500 | $250 | H7849 153 0 |
What is the total number of PPO plans offered in Lawrence?
There are 16 PPO plans in 2026, covering 1,642 beneficiaries.
How much do PPO plans cost on average in Lawrence?
The average PPO premium is $32.23, with 8 costing $0.
What is the most popular PPO plan in Lawrence?
BlueAdvantage Garnet (PPO) is the top PPO in Lawrence, with 1,201 enrollees.
What is the number of PPO plans without Part D coverage in Lawrence?
There are 4 PPO plans in Lawrence without prescription drug coverage.
Medicare Advantage HMO Plans
With an HMO, you’ll typically get care from providers and facilities in the plan’s network. In exchange for this limitation, HMO plans usually feature lower monthly premiums and reduced cost-sharing, which can help enrollees better manage their healthcare expenses.
- Total HMO Plans
- 7
- Average Premium
- $2.16/mo
- Beneficiaries Enrolled
- 619
- $0 Premium HMOs
- 6
- Average MOOP
- $5,557
- Most Popular HMO
- Humana Gold Plus H4461-025 (HMO) with 368 enrollees
- HMOs Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Value Plus | $15 | $6,750 | $615 | H3146 012 0 | |
| HealthSpring Courage | $0 | $3,900 | N/A | H4513 033 0 | |
| HealthSpring Preferred | $0 | $4,900 | $200 | H4513 049 2 | |
| Humana Gold Plus H4461-025 | $0 | $4,700 | $615 | H4461 025 0 | |
| Humana USAA Honor Giveback | $0 | $3,750 | N/A | H4461 004 0 | |
| DEVOTED CORE 007 TN | $0 | $6,400 | $375 | H7605 007 0 | |
| DEVOTED GIVEBACK 008 TN | $0 | $8,500 | $605 | H7605 008 0 |
What is the average monthly premium for HMO plans?
On average, HMO plans in Lawrence cost $2.16 per month.
Which HMO plan is most popular in Lawrence?
The leading HMO in Lawrence is Humana Gold Plus H4461-025 (HMO), with 368 members.
How many HMO plans in Lawrence do not include drug coverage?
There are 2 HMO plans available in Lawrence without Part D benefits.
Medicare Advantage HMO-POS Plans
With HMO Point-of-Service (HMO-POS) plans, you can enjoy the cost savings of an HMO while still having the flexibility to see out-of-network providers when necessary. Though out-of-network care typically costs more, this type of plan offers a good middle ground for those who want some freedom in their provider choices.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC TN-0006 | $63 | $5,400 | $520 | H5253 084 0 | |
| AARP Medicare Advantage Giveback from UHC TC-4 | $0 | $6,700 | $600 | H5253 121 0 | |
| AARP Medicare Advantage Patriot No Rx TC-MA01 | $0 | $3,900 | N/A | H5253 113 0 | |
| HealthSpring Premier | $45 | $6,150 | $250 | H4513 036 0 | |
| Wellcare Assist | $24 | $4,800 | $615 | H1416 083 0 | |
| Wellcare Assist | $28 | $4,800 | $615 | H1416 042 0 | |
| Wellcare Giveback | $0 | $6,700 | $615 | H1416 079 0 | |
| Wellcare Patriot Giveback | $0 | $4,800 | N/A | H1416 061 0 | |
| Wellcare Simple | $0 | $4,800 | $615 | H1416 077 0 | |
| Wellpoint Extra Help | $0 | $9,000 | $390 | H5828 008 0 | |
| Wellpoint Medicare Advantage | $19 | $6,750 | $200 | H5828 013 0 | |
| Wellpoint Medicare Advantage 2 | $0 | $6,460 | $200 | H5828 016 0 |
What is the leading HMO-POS plan in Lawrence?
AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) is the most popular HMO-POS plan in Lawrence, with 357 enrollees.
What is the number of HMO-POS plans without Part D coverage in Lawrence?
2 HMO-POS plans in Lawrence do not include drug coverage.
The table below shows the quality ratings for Medicare Advantage plans offered in Lawrence County, TN for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 17 | 49% |
| 3 Stars | 18 | 51% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.66 | |
In Lawrence County, Medicare Advantage enrollment follows specific timelines. Understanding these options—whether it’s your first time enrolling or switching plans—helps you choose coverage that matches your health and budget.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
How to Sign Up for a Medicare Advantage Plan
- Licensed Agent Assistance: For one-on-one guidance, contact HealthCompare at 1-833-748-3201 (TTY 711). Agents are available Monday through Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Ethridge, Iron City, Lawrenceburg, Leoma, Loretto, Summertown, and all other areas of Lawrence County, Tennessee.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed May 2, 2026
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2026 Medicare Advantage plans available in Lawrence County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.