Clover Health LiveHealthy Value (PPO) in Twiggs County, Georgia — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
Clover Health LiveHealthy Value (PPO) (H5141-045) is a $25-premium Medicare Advantage PPO from Clover Health Holdings, Inc. available in Twiggs County, Georgia in 2026, with a 3.5-star overall rating, a $6,500 in-network out-of-pocket maximum, and a $150 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Clover Health Holdings, Inc. |
|---|---|
| Plan name | Clover Health LiveHealthy Value (PPO) |
| Contract ID | H5141 |
| Plan ID | 045 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $25.00 |
| Part C premium | $0.00 |
| Part D basic premium | $25.00 |
| Part D total premium | $25.00 |
| Annual Part D deductible | $150.00 |
| Maximum out-of-pocket (in-network) | $6500.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $25 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $6,500 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Twiggs County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Twiggs County
The CMS CY2026 Landscape file lists 83 Medicare Advantage plans in Twiggs County, Georgia, of which 5 carry a 5.0-star overall rating and 51 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $100.00 per month, and in-network out-of-pocket maximums range from $3400.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Twiggs County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| Georgia Health Advantage (HMO I-SNP) | Mitchell Family Office | $25.40 | $9250.00 |
| Georgia Health Advantage Choice (HMO I-SNP) | Mitchell Family Office | $25.40 | $9250.00 |
| UHC Dual Complete GA-S1 (PPO D-SNP) | UnitedHealth Group, Inc. | $25.40 | $9250.00 |
For the full county plan directory, see all Medicare plans in Twiggs County, Georgia.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5141-045.
- Call the plan (Clover Health Holdings, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5141-045 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5141-045, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5141 are the contract number issued to the organization, and the three-digit 045 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is Clover Health LiveHealthy Value (PPO) an HMO or PPO?
Clover Health LiveHealthy Value (PPO) is a PPO Medicare Advantage plan.
Does Clover Health LiveHealthy Value (PPO) include prescription drug coverage?
Yes — Clover Health LiveHealthy Value (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $150.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Clover Health LiveHealthy Value (PPO)?
The 2026 in-network maximum out-of-pocket limit for Clover Health LiveHealthy Value (PPO) is $6500.00, per the CMS CY2026 Landscape file.
What counties offer Clover Health LiveHealthy Value (PPO) (H5141-045)?
Clover Health LiveHealthy Value (PPO) (H5141-045) is offered in 151 Georgia counties: Appling County, Atkinson County, Bacon County, Baker County, Baldwin County, Banks County, Barrow County, Bartow County, Ben Hill County, Berrien County, Bibb County, Bleckley County, Brantley County, Brooks County, Bryan County, Bulloch County, Burke County, Butts County, Calhoun County, Camden County, Candler County, Carroll County, Catoosa County, Charlton County, Chatham County, Chattahoochee County, Chattooga County, Cherokee County, Clarke County, Clay County, Clayton County, Clinch County, Cobb County, Coffee County, Colquitt County, Columbia County, Cook County, Coweta County, Crawford County, Crisp County, Dade County, Dawson County, Decatur County, DeKalb County, Dodge County, Dooly County, Dougherty County, Douglas County, Early County, Echols County, Effingham County, Elbert County, Emanuel County, Evans County, Fannin County, Fayette County, Forsyth County, Franklin County, Fulton County, Gilmer County, Glascock County, Glynn County, Grady County, Greene County, Gwinnett County, Habersham County, Hall County, Hancock County, Haralson County, Harris County, Hart County, Heard County, Henry County, Houston County, Irwin County, Jackson County, Jasper County, Jeff Davis County, Jefferson County, Jenkins County, Johnson County, Jones County, Lamar County, Laurens County, Lee County, Liberty County, Lincoln County, Long County, Lumpkin County, Macon County, Madison County, Marion County, McDuffie County, McIntosh County, Meriwether County, Miller County, Mitchell County, Monroe County, Montgomery County, Morgan County, Murray County, Muscogee County, Newton County, Oconee County, Oglethorpe County, Paulding County, Peach County, Pickens County, Pierce County, Pike County, Polk County, Pulaski County, Putnam County, Quitman County, Rabun County, Randolph County, Richmond County, Rockdale County, Schley County, Screven County, Seminole County, Spalding County, Stephens County, Stewart County, Sumter County, Talbot County, Taliaferro County, Tattnall County, Taylor County, Telfair County, Terrell County, Thomas County, Tift County, Treutlen County, Troup County, Turner County, Twiggs County, Union County, Upson County, Walton County, Ware County, Warren County, Washington County, Wayne County, Webster County, Wheeler County, White County, Wilcox County, Wilkes County, Wilkinson County, and Worth County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.