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Clover Health Medicare Advantage Plans in Georgia

The Georgia Medicare Advantage plan offered by Clover Health is designed to give you the benefits you need while being friendly to your budget.

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Clover Health Medicare in Georgia

In Georgia, Clover Health offers PPO Medicare Advantage plans in counties from Savannah to Atlanta, including Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Bulloch, Burke, Butts, Calhoun, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clay, Clayton, Clinch, Cobb, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, Decatur, DeKalb, Dodge, Dooly, Dougherty, Douglas, Early, Echois, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Glynn, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lee, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Ogelthorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitnam, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Seminole, Spalding, Stephens, Stewart, Sumter, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Terrell, Thomas, Tift, Toombs, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, Wilcox, Wilkes, Wilkinson, and Worth.

At Clover Health, our approach to Medicare is simple. Our Medicare Advantage plans can lower your out-of-pocket healthcare costs, and stretch your retirement dollars.


Our Medicare Advantage plan vs. Original Medicare in Georgia

Original Medicare helps to cover the big stuff in Part A, like hospitalization, and in Part B, like doctor appointments. However, it only covers 80% of your Part B expenses. You are responsible for the remaining 20%, which can add up.

Our Georgia Medicare Advantage plan has many advantages over Original Medicare, such as:

  • Prescription drug coverage
  • Lower out-of-pocket expenses, which is great for managing your retirement budget
  • $0/low premiums and copays, so you know how much it will cost to see a doctor or be admitted to a hospital. Origninal Medicare coinsurance, which means you pay a portion of the total cost.
  • Allowances for dental care, eyeweare, and over-the-coutner items which means you keep more money in your pocket.
  • Rides to medical appointments and the SilverSneakers® fitness program, which includes a gym membership and on-demand video classes
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With a Clover Health Medicare Advantage plan, you can have peace of mind knowing…

Peace of mind with the Clover Health Medicare Advantage plan

  • You are still enrolled in Medicare.
  • Clover Health has a contract with the Centers for Medicare & Medicaid Services.
  • Every Clover Health Medicare Advantage plan must include all Part A and Part B.
  • Every Clover Health plan is reviewed and approved by CMS each year.

Core Medicare benefits of our Georgia Medicare plan

The Clover Health LiveHealthy PPO Medicare Advantage plans with prescription drug coverage gives Georgia residents some of the best benefits in the area, including a $0 monthly plan premium, a $0 copay for unlimited primary care visits, a $15 copay for unlimited specialist visits, a $0 copay for many generic drugs, a $0 copay for lab services, a $0 copay for preventive services, a $0 copay for diabetes monitoring supplies, a $0 copay for rides to medical appointments, and a $0 copay for SilverSneakers® fitness membership.

When you’re a Clover Health member, your copays for urgent care, emergency care, inpatient hospital stays, outpatient surgery, ambulance services, and prescription costs are reasonable and affordable.

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The Clover Health Medicare plan gives you the freedom to choose your doctors

Clover Health puts members’ needs first. Our PPO networks are broad and open, enabling our members to see any doctor participating in Medicare who is willing to accept them.

Clover Health also focuses on keeping your out-of-pocket costs as low as possible. Our Georgia PPO Medicare plans allow members to pay the same low cost-shares whether the doctor is in-network or out-of-network.

If you’d like to see a list of providers in your area who are in the Clover Health network:

Find a Provider

What’s new for 2022

For 2022, Clover Health will be offering 2 new benefits designed to keep you healthy and save you money.

Eat better with our new Grocery Plus benefit!

Members who qualify** will be able to use their combined OTC/Grocery allowance to purchase both groceries and OTC items at CVS, Walgreens and Walmart and at supermarket locations including Food Lion and Kroger. Online and home delivery will also be available.

There are thousands of approved foods you can purchase with your allowance, including:

  • Fresh fruits & vegetables
  • Canned fruits & vegetables
  • Frozen produce & meals
  • Fresh salad kits
  • Dairy products
  • Meat & seafood
  • Beans & legumes
  • Pantry staples – flour, sugar, spices, etc.
  • Healthy grains – breads, cereals, pastas, etc.
  • Nutritional shakes & bars
  • Soups
  • Water & vitamin water

Items that do not qualify include non-food and pet items, alcohol, baby formula, candy, chips, coffee shop items, desserts, fresh baked goods, soda, and tobacco.

Save money with the Insulin Savings Program

Our Georgia plan includes our new Insulin Savings Program, where members with diabetes will have predictable copays for insulin. Members in the program will pay as low as $25/month for select insulins with no deductible. This will help you save about $446 in out-of-pocket costs for the year.

**For the grocery portion of the benefit, you must qualify. To qualify, members must have certain health condition(s), such as hypertension, diabetes, congestive heart failure, or chronic kidney disease. A list of qualifying conditions is available at cloverhealth.com/grocery-plus.


Supplemental benefits and services in Georgia

Another advantage of the Clover Health PPO Medicare Advantage plan in Arizona is the supplemental benefits not offered with Original Medicare.

Dental, vision, and hearing

Dental, vision, and hearing

Clover Health plans cover important dental, vision, and hearing services to support your wellness. Georgia LiveHealthy PPO plan members get routine dental exams, cleanings, an annual x-ray, and comprehensive dental coverage with a $1,000 yearly allowance for dentures, crowns, fillings, and other dental services.

With Clover Health, you also get one routine vision exam per year, plus a yearly allowance for routine contacts or glasses. One annual routine hearing exam is also included with a $0 copay in our Georgia Medicare Advantage plan when you visit a TruHearing audiologist, along with hearing aids with affordable copays.

Convenient prescriptions

Convenient prescriptions

Unlike Original Medicare, we cover many prescription drugs and can save you money with a convenient 100-day supply delivered to you. With our Georgia Medicare Advantage plan, Tier 1 prescriptions from a preferred pharmacy have a $0 copay. Preferred pharmacies include CVS as well as many Walmart and Costco pharmacies and other locations nationwide. Check this pharmacy locator for a preferred pharmacy near you. Copays and the percentage of medication costs covered vary by plan and Medicare phase of coverage, so check our formulary to see if your medications are covered.

Over-the-counter items

Over-the-counter items

Our LiveHealthy PPO Medicare Advantage plan also includes an allowance for frequently used over-the-counter products like aspirin, cold and flu medicines, digestive aids, and much more. 

Easy access to a doctor

Easy access to a doctor

In addition to visiting your doctor’s office, you can now see your doctor from the comfort of your home. Clover Health Medicare Advantage plans provide a telehealth solution to all doctors so they can offer video or phone appointments. If your personal doctor isn’t available, Clover Health can connect you with a doctor or nurse practitioner via video or phone.

Fitness memberships

Fitness memberships

Staying fit and active is much easier when you have the Clover Health Medicare Advantage plan, which includes a SilverSneakers® membership. Sign up for the Clover Health plan and you’ll have access to over 16,000 fitness centers nationwide as well as on-demand video fitness and nutrition classes through SilverSneakers®.


Why LiveHealthy PPO Medicare Advantage for Georgia?

Most Georgia residents are looking to lower their out-of-pocket healthcare costs, stretch their retirement dollars, have the freedom to choose the doctor they want and even have yearly allowances for dental care, eyewear, and over-the-counter items. The Clover Health PPO Medicare Advantage plans can help you get all that and more.

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