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  "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ga/effingham.jsonld",
  "@type": "schema:Dataset",
  "name": "Atlas Commons research objects — Medicare plans in Effingham, Georgia (CY2026)",
  "description": "CMS CY2026 Medicare Advantage and Part D plans available in Effingham, Georgia: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0.",
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  "about": {
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    "name": "Effingham, Georgia",
    "identifier": "GA-effingham"
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      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ga/effingham/plan-count",
      "@type": "schema:Claim",
      "name": "62 Medicare plans are available in Effingham, Georgia for contract year 2026",
      "text": "The CMS CY2026 Medicare Landscape Files record 62 Medicare Advantage and Part D plans available in Effingham, Georgia. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total.",
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      "epistemicStatus": {
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      "@type": "schema:Claim",
      "name": "Monthly premiums for Medicare plans in Effingham, Georgia range from $0.00/mo to $100.00/mo (CY2026)",
      "text": "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Effingham, Georgia. Across the 62 plans with a published premium, the range is $0.00/mo to $100.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost.",
      "claimType": "official_fact",
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      "commercialInfluence": false,
      "epistemicStatus": {
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        "adjudged": true,
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      "grounding": {
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        "source": "CMS CY2026 Medicare Landscape Files",
        "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information",
        "value": "$0.00/mo–$100.00/mo monthly consolidated premium",
        "adjudicator": {
          "name": "CMS CY2026 Medicare Landscape Files",
          "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information"
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      },
      "falsifier": "Verify in the CMS CY2026 Medicare Landscape Files for Effingham, Georgia. Falsified if the CMS-published per-plan premium figures differ."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ga/effingham/star-ratings",
      "@type": "schema:Claim",
      "name": "CMS assigned star ratings to 57 of 62 Medicare plans in Effingham, Georgia (CY2026); average overall: 3.8 stars",
      "text": "CMS issued Overall star ratings (1–5 stars) to 57 of 62 Medicare plans in Effingham, Georgia for CY2026. The unweighted average overall star rating across rated plans is 3.8; 5 plans received 5 stars. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area.",
      "claimType": "regulatory_determination",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
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        "supported": true,
        "adjudged": true,
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        "value": "3.8 avg overall stars (57 rated plans)",
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      "falsifier": "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 5 unrated plans in this county are not rated, not unqualified."
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      "@type": "schema:Claim",
      "name": "What these Medicare plan figures are — and are NOT — for Effingham, Georgia (the epistemic boundary)",
      "text": "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Effingham, Georgia for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227).",
      "claimType": "interpretation",
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        "value": "plan list + base premiums + CMS star ratings; NOT net cost or a ranking",
        "adjudicator": null
      },
      "falsifier": "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here."
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  "hasPart": [
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            "contract_plan_id": "H0439_002",
            "plan_name": "HealthSpring TotalCare (HMO D-SNP)",
            "category": "SNP",
            "plan_type": "HMO D-SNP",
            "organization": "HealthSpring",
            "monthly_premium_usd": 3.4,
            "overall_stars": 3.5,
            "moop_in_network_usd": 6750,
            "snp": "No"
          }
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          "item": {
            "contract_plan_id": "H0439_012",
            "plan_name": "HealthSpring TotalCare Plus (HMO D-SNP)",
            "category": "SNP",
            "plan_type": "HMO D-SNP",
            "organization": "HealthSpring",
            "monthly_premium_usd": 3.4,
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          "item": {
            "contract_plan_id": "H0439_013",
            "plan_name": "HealthSpring Preferred (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "HealthSpring",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 6751,
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        {
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          "position": 4,
          "item": {
            "contract_plan_id": "H1889_013",
            "plan_name": "UHC Medicare Advantage GA-2 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
          }
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        {
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          "item": {
            "contract_plan_id": "H1889_020",
            "plan_name": "UHC Complete Care GA-3 (PPO C-SNP)",
            "category": "SNP",
            "plan_type": "PPO C-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "position": 6,
          "item": {
            "contract_plan_id": "H1889_022",
            "plan_name": "AARP Medicare Advantage Patriot No Rx GA-MA01 (PPO)",
            "category": "MA",
            "plan_type": "PPO",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": "N/A",
            "overall_stars": 4,
            "moop_in_network_usd": 6700,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H1889_028",
            "plan_name": "UHC Complete Care Support GA-9 (PPO C-SNP)",
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            "plan_type": "PPO C-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 25.4,
            "overall_stars": 4,
            "moop_in_network_usd": 7900,
            "snp": "No"
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        {
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          "item": {
            "contract_plan_id": "H2293_002",
            "plan_name": "Aetna Medicare Dual Extra Care (PPO D-SNP)",
            "category": "SNP",
            "plan_type": "PPO D-SNP",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 13.7,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H2293_004",
            "plan_name": "Aetna Medicare Dual Care (PPO D-SNP)",
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            "plan_type": "PPO D-SNP",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 14.6,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
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            "contract_plan_id": "H2293_009",
            "plan_name": "Aetna Medicare Eagle Plus (PPO)",
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            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": "N/A",
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            "moop_in_network_usd": 8900,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H2293_031",
            "plan_name": "Aetna Medicare Elite (PPO)",
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            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H2293_033",
            "plan_name": "Aetna Medicare Value Plus (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 20.8,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H3256_004",
            "plan_name": "UHC Dual Complete GA-S2 (PPO D-SNP)",
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            "plan_type": "PPO D-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 25.4,
            "overall_stars": 5,
            "moop_in_network_usd": 9250,
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          "item": {
            "contract_plan_id": "H3256_005",
            "plan_name": "UHC Dual Complete GA-S1 (PPO D-SNP)",
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            "plan_type": "PPO D-SNP",
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            "monthly_premium_usd": 25.4,
            "overall_stars": 5,
            "moop_in_network_usd": 9250,
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          "item": {
            "contract_plan_id": "H3256_006",
            "plan_name": "UHC Dual Complete GA-V1 (PPO D-SNP)",
            "category": "SNP",
            "plan_type": "PPO D-SNP",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 25.4,
            "overall_stars": 5,
            "moop_in_network_usd": 7900,
            "snp": "No"
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        },
        {
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          "position": 16,
          "item": {
            "contract_plan_id": "H3288_034",
            "plan_name": "Aetna Medicare Eagle Plus (PPO)",
            "category": "MA",
            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": "N/A",
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            "moop_in_network_usd": 8900,
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          "item": {
            "contract_plan_id": "H3288_042",
            "plan_name": "Aetna Medicare Enhanced (PPO)",
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            "plan_type": "PPO",
            "organization": "Aetna Medicare",
            "monthly_premium_usd": 43,
            "overall_stars": 3.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4036_030",
            "plan_name": "Anthem Medicare Advantage 2 (PPO)",
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            "plan_type": "PPO",
            "organization": "Anthem Blue Cross and Blue Shield",
            "monthly_premium_usd": 82,
            "overall_stars": 4,
            "moop_in_network_usd": 9250,
            "snp": "No"
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            "contract_plan_id": "H4036_040",
            "plan_name": "Anthem Veteran (PPO)",
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            "overall_stars": 4,
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          "item": {
            "contract_plan_id": "H4141_003",
            "plan_name": "Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)",
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            "plan_type": "HMO D-SNP",
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            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4141_024",
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            "plan_type": "HMO D-SNP",
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            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H4141_025",
            "plan_name": "Humana Gold Plus SNP-DE H4141-025 (HMO D-SNP)",
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            "plan_type": "HMO D-SNP",
            "organization": "Humana",
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          "item": {
            "contract_plan_id": "H5141_026",
            "plan_name": "Clover Health LiveHealthy (PPO)",
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            "plan_type": "PPO",
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            "moop_in_network_usd": 6700,
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          "item": {
            "contract_plan_id": "H5141_045",
            "plan_name": "Clover Health LiveHealthy Value (PPO)",
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            "plan_type": "PPO",
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            "monthly_premium_usd": 25,
            "overall_stars": 3.5,
            "moop_in_network_usd": 6500,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5141_056",
            "plan_name": "Clover Health Valor (PPO)",
            "category": "MA",
            "plan_type": "PPO",
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            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 7499,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5141_063",
            "plan_name": "Clover Health LiveHealthy Giveback (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
            "organization": "Clover Health",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_154",
            "plan_name": "HumanaChoice Giveback H5216-154 (PPO)",
            "category": "MA-PD",
            "plan_type": "PPO",
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            "overall_stars": 3.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_157",
            "plan_name": "HumanaChoice H5216-157 (PPO)",
            "category": "MA",
            "plan_type": "PPO",
            "organization": "Humana",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3.5,
            "moop_in_network_usd": 9250,
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          "item": {
            "contract_plan_id": "H5216_206",
            "plan_name": "Humana Dual Select H5216-206 (PPO D-SNP)",
            "category": "SNP",
            "plan_type": "PPO D-SNP",
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            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_217",
            "plan_name": "Humana USAA Honor Giveback (PPO)",
            "category": "MA",
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            "moop_in_network_usd": 6700,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_242",
            "plan_name": "Humana Together in Health (PPO I-SNP)",
            "category": "SNP",
            "plan_type": "PPO I-SNP",
            "organization": "Humana",
            "monthly_premium_usd": 0,
            "overall_stars": 3.5,
            "moop_in_network_usd": 9250,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5216_246",
            "plan_name": "HumanaChoice - Diabetes and Heart (PPO C-SNP)",
            "category": "SNP",
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