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See How Your 2013 Medicare Advantage Plan is Changing in 2014

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
MA-Compare offers a one-click comparison of all 2013 and 2014 Medicare Advantage Plans.

Just enter your ZIP Code and click the button "Click to Compare Annual Plan Changes" to review changes in all Medicare Advantage plans available in your county.
Choose Your Medicare Advantage Plan Preferences
    
Scroll down to see plans meeting your criteria.

MIAMI-DADE, Florida

  Only show plans discontinued in 2014
  Only show plans new for 2014
Only show SNPs (All 3 Types)
OR only: Dual-Eligible   Chronic Cond.  
Institutional  
  ex: AARP
2013
2014
2013: $ max: $343
2014: $ max: $344
2013: $ max: $325
2014: $ max: $310
2013:
2014:
There are 101 Medicare Advantage plans meeting your criteria.
2013 / 2014 Medicare Advantage Plan Information
Click here to jump to the Chart Legend
Plan Name Monthly
Premium
Part A&B
Maximum
Out-Of
Pocket
Part D
Deduct-
ible
(Donut Hole)
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Formulary Drugs
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Tier
1
Tier
2
Tier
3
Tier
4
2013 AARP MedicareComplete Choice Essential (Regional PPO)
Details      
$0.00 $3,500 No Rx Coverage R5287
-002
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 AARP MedicareComplete Choice Essential (Regional PPO)
Details      
$0.00 $6,700 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2013 AARP MedicareComplete Choice Plan 2 (Regional PPO)
Details        
$0.00 $4,900 $0No additional gap coverage, only the Donut Hole Discount R5287
-001
-0
$0.00$6.00$45.00$45.003,825

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 AARP MedicareComplete Choice Plan 2 (Regional PPO)
Details        
$0.00 $6,700 $0No additional gap coverage, only the Donut Hole Discount $4.00$8.00$45.00$45.003,604
2014 Formulary
2013 Aetna Medicare Value Plan (HMO)
Details        
$0.00 $3,600 $0No additional gap coverage, only the Donut Hole Discount H5414
-019
-0
$7.00$33.00$45.00$45.003,323

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Aetna Medicare Value Plan (HMO)
Details        
$0.00 $6,700 $0Few Generics $10.00$45.00$95.00$95.003,134
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Amerivantage Classic+ Rx Plan (HMO)
Details        
$0.00 $6,700 $0No additional gap coverage, only the Donut Hole Discount H8991
-028
-0
$2.00$4.00$35.00$35.002,941

2013 Formulary
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Amerivantage Classic+ Rx Plan (HMO)
Details        
$0.00 $6,700 $0No additional gap coverage, only the Donut Hole Discount $4.00$10.00$45.00$45.002,885
2014 Formulary
2013 AvMed Medicare Choice (HMO)
Details        
$0.00 $4,000 $0Many Generics,
Few Brands
H1016
-001
-0
$0.00$0.00$25.00$25.004,574

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 AvMed Medicare Choice (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.00$5.00$5.003,599
2014 Formulary

-- This plan not offered in 2013 --

H1016
-022
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 AvMed Medicare Choice Elect (HMO)
Details        
$0.00 $5,000 $0Many Generics $0.00$4.00$35.00$35.003,599
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 BlueMedicare HMO (HMO)
Details        
$0.00 $3,400 $0All Generics H1026
-001
-0
$0.00$0.00$25.00$25.003,729

2013 Formulary
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 BlueMedicare HMO LifeTime (HMO)
Details        
$0.00 $4,400 $0Many Generics $0.00$0.00$25.00$25.003,663
2014 Formulary

-- This plan not offered in 2013 --

H1026
-048
-0
     
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 BlueMedicare HMO PrimeTime (HMO)
Details        
$0.00 $3,400 $0No additional gap coverage, only the Donut Hole Discount $0.00$0.00$25.00$25.003,663
2014 Formulary
2013 BlueMedicare Regional PPO (Regional PPO)
Details        
$0.00 $5,900 $0No additional gap coverage, only the Donut Hole Discount R3332
-001
-0
$6.00$10.00$45.00$45.003,729

2013 Formulary
 Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 BlueMedicare Regional PPO (Regional PPO)
Details        
$0.00 $6,700 $30No additional gap coverage, only the Donut Hole Discount $10.00$33.00$45.00$45.003,663
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2013 --

H1019
-075
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 CareDirect (HMO SNP)
Details        
$0.00 n/a $0Some Generics,
Few Brands
$0.00$0.00$5.00$5.003,696
2014 Formulary

-- This plan not offered in 2013 --

H1019
-076
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 CareFree PLUS (HMO)
Details        
$0.00 $3,400 $0Few Generics,
Few Brands
$0.00$0.00$35.00$35.003,696
2014 Formulary
2013 CareHeart (HMO SNP)
Details        
$0.00 n/a $0Many Generics,
Few Brands
H1019
-063
-0
$0.00$0.00$0.00$0.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 CareHeart (HMO SNP)
Details        
$0.00 n/a $0Some Generics,
Few Brands
$0.00$0.00$5.00$5.003,696
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 CareOne PLUS (HMO)
Details        
$0.00 $3,000 $0Many Generics,
Few Brands
H1019
-006
-0
$0.00$0.00$0.00$0.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 CareOne PLUS (HMO)
Details        
$0.00 $3,000 $0Some Generics,
Few Brands
$0.00$0.00$5.00$5.003,696
2014 Formulary
2013 Clear Skies (HMO SNP)
Details        
$0.00 n/a $0All Generics H4199
-005
-0
$0.00$0.00$20.00$20.002,887

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Clear Skies (HMO SNP)
Details        
$0.00 n/a $0All Generics $0.00$0.00$20.00$20.002,918
2014 Formulary
2013 Coventry Summit Ideal (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics H5850
-012
-0
$0.00$0.00$25.00$25.003,282

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Coventry Summit Ideal (HMO)
Details        
$0.00 $3,000 $0Many Generics $0.00$5.00$35.00$35.003,228
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Coventry Summit Plus (HMO)
Details        
$0.00 $3,400 $0Many Generics H5850
-006
-0
$0.00$0.00$50.00$50.003,282

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Coventry Summit Plus (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$10.00$60.00$60.003,228
2014 Formulary
2013 Coventry Vista Ideal (HMO)
Details        
$0.00 $3,400 $0Many Generics H1013
-011
-0
$0.00$0.00$20.00$20.003,282

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Coventry Vista Ideal (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.00$30.00$30.003,228
2014 Formulary
2013 Day Break (HMO)
Details        
$0.00 $3,400 $0All Generics H4199
-002
-0
$0.00$0.00$20.00$20.002,887

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Day Break (HMO)
Details        
$0.00 $3,400 $0All Generics $0.00$0.00$20.00$20.002,918
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Day Light (HMO)
Details      
$0.00 $3,400 No Rx Coverage H4199
-004
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Day Light (HMO)
Details      
$0.00 $3,400 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2013 Freedom Medicare Plan Rx (HMO)
Details        
$0.00 $3,400 $0Many Generics H5427
-060
-0
$0.00$20.00$60.00$60.002,768

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom Medicare Plan Rx (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$30.00$80.00$80.002,770
2014 Formulary
2013 Freedom Savings Plan (HMO)
Details      
$0.00 $3,400 No Rx Coverage H5427
-052
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom Savings Plan (HMO)
Details      
$0.00 $3,400 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Freedom VIP Care (HMO SNP)
Details        
$0.00 n/a $0Many Generics H5427
-070
-0
$0.00$5.00$60.00$60.002,768

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom VIP Care (HMO SNP)
Details        
$0.00 n/a $0Many Generics $0.00$20.00$80.00$80.002,770
2014 Formulary
2013 Freedom VIP Care COPD (HMO SNP)
Details        
$0.00 n/a $0Many Generics H5427
-076
-0
$0.00$5.00$60.00$60.002,768

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom VIP Care COPD (HMO SNP)
Details        
$0.00 n/a $0Many Generics $0.00$20.00$80.00$80.002,770
2014 Formulary
2013 Freedom VIP Savings (HMO SNP)
Details        
$0.00 n/a $0No additional gap coverage, only the Donut Hole Discount H5427
-072
-0
$0.00$20.00$60.00$60.002,768

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom VIP Savings (HMO SNP)
Details        
$0.00 n/a $0No additional gap coverage, only the Donut Hole Discount $0.00$30.00$80.00$80.002,770
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Freedom VIP Savings COPD (HMO SNP)
Details        
$0.00 n/a $0No additional gap coverage, only the Donut Hole Discount H5427
-077
-0
$0.00$20.00$60.00$60.002,768

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom VIP Savings COPD (HMO SNP)
Details        
$0.00 n/a $0No additional gap coverage, only the Donut Hole Discount $0.00$30.00$80.00$80.002,770
2014 Formulary
2013 Healthy Advantage Plan (HMO)
Details        
$0.00 $3,400 $0Many Generics H5431
-005
-0
$0.00$0.0025%25%3,026

2013 Formulary
-- --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Healthy Advantage Plan (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.0025%25%3,003
2014 Formulary
2013 Humana Gold Plus H1036-054C (HMO)
Details        
$0.00 $3,000 $0Many Generics,
Few Brands
H1036
-054
-0
$0.00$0.00$0.00$0.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus H1036-054C (HMO)
Details        
$0.00 $3,000 $0Some Generics,
Few Brands
$0.00$0.00$5.00$5.003,696
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Humana Gold Plus H1036-164 (HMO)
Details        
$0.00 $3,400 $0Few Generics,
Few Brands
H1036
-164
-0
$0.00$0.00$24.00$24.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus H1036-164 (HMO)
Details        
$0.00 $3,400 $0Few Generics,
Few Brands
$0.00$0.00$35.00$35.003,696
2014 Formulary
2013 Humana Gold Plus SNP-CVD/CHF H1036-189 (HMO SNP)
Details        
$0.00 n/a $0Many Generics,
Few Brands
H1036
-189
-0
$0.00$0.00$0.00$0.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus SNP-CVD/CHF H1036-189 (HMO SNP)
Details        
$0.00 n/a $0Some Generics,
Few Brands
$0.00$0.00$5.00$5.003,696
2014 Formulary
2013 Humana Gold Plus SNP-DB H1036-188 (HMO SNP)
Details        
$0.00 n/a $0Many Generics,
Few Brands
H1036
-188
-0
$0.00$0.00$0.00$0.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus SNP-DB H1036-188 (HMO SNP)
Details        
$0.00 n/a $0Some Generics,
Few Brands
$0.00$0.00$5.00$5.003,696
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 HumanaChoice R5826-018 (Regional PPO)
Details      
$0.00 $4,000 No Rx Coverage R5826
-018
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 HumanaChoice R5826-018 (Regional PPO)
Details      
$0.00 $4,000 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2013 Humana Reader's Digest Healthy Living Plan (Regional PPO)
Details        
$0.00 $4,950 $0Few Generics,
Few Brands
R5826
-074
-0
$6.00$15.00$45.00$45.003,906

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 HumanaChoice R5826-074 (Regional PPO)
Details        
$0.00 $5,900 $150Few Generics,
Few Brands
$6.00$15.00$45.00$45.003,711
2014 Formulary
2013 Leon Medical Centers Health Plans - Leon Cares (HMO)
Details        
$0.00 $3,400 $0All Generics H5410
-001
-0
$0.00$0.0033% 4,005

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Leon Medical Centers Health Plans - Leon Cares (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.0033% 3,946
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Medica HealthCare Plans MedicareMax (HMO)
Details        
$0.00 $500 $0Many Generics H5420
-001
-0
$0.00$5.00$20.00$20.004,137

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Medica HealthCare Plans MedicareMax (HMO-POS)
Details        
$0.00 $3,000 $0Many Generics $0.00$5.00$25.00$25.003,596
2014 Formulary
2013 Optimum Gold Rewards Plan (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics H5594
-001
-0
$0.00$20.00$69.00$69.002,768

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Optimum Gold Rewards Plan (HMO-POS)
Details        
$0.00 $3,400 $0No additional gap coverage, only the Donut Hole Discount $0.00$30.00$80.00$80.002,770
2014 Formulary
2013 Optimum Platinum Plan (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics H5594
-002
-0
$0.00$5.00$60.00$60.002,768

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Optimum Platinum Plan (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics $0.00$5.00$69.00$69.002,770
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Positive Healthcare Partners (HMO SNP)
Details        
$0.00 n/a $325No additional gap coverage, only the Donut Hole Discount H3132
-001
-0
25%25%25% 2,532

2013 Formulary
--  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 PHP (HMO SNP)
Details        
$0.00 n/a $310No additional gap coverage, only the Donut Hole Discount 25%25%25% 2,474
2014 Formulary
2013 Preferred Choice Dade (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics,
Few Brands
H1045
-001
-0
$0.00$0.00$20.00$20.002,742

2013 Formulary
--  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2014 Preferred Choice Dade (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.00$25.00$25.003,596
2014 Formulary
2013 Preferred Complete Care (HMO)
Details        
$0.00 $3,400 $0Many Generics,
Some Brands
H1045
-016
-0
$0.00$0.00$20.00$20.002,742

2013 Formulary
--  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2014 Preferred Complete Care (HMO)
Details        
$0.00 $3,400 $0Many Generics,
Some Brands
$0.00$0.00$25.00$25.003,596
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Preferred Medical Plan Choice (HMO)
Details        
$0.00 $3,400 $0Many Generics,
Some Brands
H3712
-001
-0
$0.00$0.00$0.00$0.003,458

2013 Formulary
-- -- --  
2014 Preferred Medical Plan Choice (HMO)
Details        
$0.00 $3,400 $0Many Generics,
Many Brands
$0.00$0.00$0.00$0.003,267
2014 Formulary
2013 Preferred Medical Plan Value (HMO)
Details        
$0.00 $3,400 $0Many Generics H3712
-002
-0
$0.00$0.00$25.00$25.003,458

2013 Formulary
-- -- --  
2014 Preferred Medical Plan Value (HMO)
Details        
$0.00 $3,400 $0Some Generics $0.00$0.00$25.00$25.003,267
2014 Formulary
2013 Preferred Special Care Miami-Dade (HMO SNP)
Details        
$0.00 n/a $0Many Generics,
Some Brands
H1045
-018
-0
$0.00$0.00$20.00$20.002,742

2013 Formulary
--  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2014 Preferred Special Care Miami-Dade (HMO SNP)
Details        
$0.00 n/a $0Many Generics $0.00$0.00$25.00$25.003,596
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2013 --

H5696
-046
-0
     
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 PUP PLUS (HMO)
Details        
$0.00 $3,000 $0Many Generics,
Some Brands
$0.00$0.00$20.00$20.003,267
2014 Formulary

-- This plan not offered in 2013 --

H5471
-025
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Clear (HMO SNP)
Details        
$0.00 n/a $0No additional gap coverage, only the Donut Hole Discount 25%25%25%25%3,786
2014 Formulary
2013 Simply Extra (HMO)
Details        
$0.00 $3,400 $0Many Generics H5471
-004
-0
$0.00$0.00$30.00$30.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Extra (HMO)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.00$40.00$40.003,561
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Simply Level (HMO SNP)
Details        
$0.00 n/a $0Many Generics H5471
-012
-0
$0.00$0.00$0.00$0.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Level (HMO SNP)
Details        
$0.00 n/a $0Many Generics,
Few Brands
$0.00$0.00$0.00$0.003,561
2014 Formulary
2013 Simply More (HMO)
Details        
$0.00 $3,400 $0All Generics,
All Brands
H5471
-002
-0
$0.00$0.00$0.00$0.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply More (HMO)
Details        
$0.00 $3,400 $0All Generics,
All Brands
$0.00$0.00$0.00$0.003,561
2014 Formulary
2013 Simply Options (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics H5471
-003
-0
$0.00$0.00$15.00$15.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Options (HMO-POS)
Details        
$0.00 $3,400 $0Many Generics $0.00$0.00$15.00$15.003,561
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 SunPlus Advantage Plan (HMO)
Details        
$0.00 $3,400 $0All Generics,
All Brands
H5431
-001
-0
$0.00$0.00$0.00$0.003,026

2013 Formulary
-- --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 SunPlus Advantage Plan (HMO)
Details        
$0.00 $3,400 $0All Generics,
All Brands
$0.00$0.00$0.00$0.003,003
2014 Formulary
2013 SunPlus Diabetes Special Needs Plan (HMO SNP)
Details        
$0.00 n/a $0All Generics,
All Brands
H5431
-007
-0
$0.00$0.00$0.00$0.003,026

2013 Formulary
-- --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 SunPlus Diabetes Special Needs Plan (HMO SNP)
Details        
$0.00 n/a $0All Generics,
All Brands
$0.00$0.00$0.00$0.003,003
2014 Formulary
2013 Sunrise (HMO)
Details        
$0.00 $3,400 $0All Generics H4199
-001
-0
$0.00$0.00$20.00$20.002,887

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Sunrise (HMO)
Details        
$0.00 $3,400 $0All Generics $0.00$0.00$10.00$10.002,918
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 WellCare Dividend (HMO)
Details        
$0.00 $3,400 $0All Generics H1032
-040
-0
$0.00$25.00$49.00$49.002,835

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 WellCare Dividend (HMO-POS)
Details        
$0.00 $6,700 $0No additional gap coverage, only the Donut Hole Discount $0.00$10.00$25.00$25.002,844
2014 Formulary

-- This plan not offered in 2013 --

H1032
-174
-0
     
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 WellCare Essential (HMO)
Details        
$0.00 $6,700 $0No additional gap coverage, only the Donut Hole Discount $0.00$10.00$20.00$20.002,844
2014 Formulary
2013 Sunny Days (HMO SNP)
Details        
$4.90 n/a $325n/a H4199
-006
-0
25%25%25%25%2,887

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Sunny Days (HMO SNP)
Details        
$3.60 n/a $0All Generics $0.0025%25%25%2,918
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Humana Gold Plus SNP-I H1036-187 (HMO SNP)
Details        
$21.30 n/a $325No additional gap coverage, only the Donut Hole Discount H1036
-187
-0
$0.00$0.00$45.00$45.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus SNP-I H1036-187 (HMO SNP)
Details        
$7.80 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$0.00$45.00$45.003,696
2014 Formulary
2013 PUP EXTRA (HMO SNP)
Details        
$4.90 n/a $0n/a H5696
-021
-0
$0.00$0.00$0.00$0.003,542

2013 Formulary
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 PUP EXTRA (HMO SNP)
Details        
$9.90 n/a $0No additional gap coverage, only the Donut Hole Discount $0.00$0.00$0.00$0.003,267
2014 Formulary
2013 WellCare Select (HMO-POS SNP)
Details        
$8.50 n/a $325n/a H1032
-061
-0
$0.00$45.00$95.00$95.002,835

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 WellCare Select (HMO SNP)
Details        
$11.60 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$4.00$35.00$35.002,844
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
Details        
$17.90 n/a $325n/a H1036
-077
-0
$0.00$0.00$45.00$45.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
Details        
$11.80 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$0.00$45.00$45.003,696
2014 Formulary
2013 Humana Gold Plus SNP-DE H1036-163 (HMO SNP)
Details        
$21.90 n/a $325n/a H1036
-163
-0
$0.00$0.00$45.00$45.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Plus SNP-DE H1036-163 (HMO SNP)
Details        
$12.10 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$0.00$45.00$45.003,696
2014 Formulary
2013 WellCare Access (HMO SNP)
Details        
$12.20 n/a $0n/a H1032
-176
-0
$0.00$0.00$30.00$30.002,835

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 WellCare Access (HMO SNP)
Details        
$12.80 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$7.00$35.00$35.002,844
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 CareNeeds PLUS (HMO SNP)
Details        
$24.80 n/a $325n/a H1019
-048
-0
$0.00$0.00$45.00$45.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 CareNeeds PLUS (HMO SNP)
Details        
$13.60 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$0.00$45.00$45.003,696
2014 Formulary
2013 CareNeeds (HMO SNP)
Details        
$20.30 n/a $325n/a H1019
-024
-0
$0.00$0.00$45.00$45.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 CareNeeds (HMO SNP)
Details        
$17.50 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$0.00$45.00$45.003,696
2014 Formulary
2013 WellCare Liberty (HMO SNP)
Details        
$11.80 n/a $0n/a H1032
-170
-0
$0.00$0.00$30.00$30.002,835

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 WellCare Liberty (HMO SNP)
Details        
$17.80 n/a $310No additional gap coverage, only the Donut Hole Discount $0.00$8.00$35.00$35.002,844
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Coventry Summit Maximum (HMO SNP)
Details        
$18.20 n/a $0n/a H5850
-002
-0
$0.00$40.00$76.00$76.003,282

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Coventry Summit Maximum (HMO SNP)
Details        
$18.90 n/a $0Many Generics $0.00$45.00$76.00$76.003,228
2014 Formulary

-- This plan not offered in 2013 --

H5322
-003
-0
     
new new new  
2014 UnitedHealthcare Nursing Home Plan (HMO SNP)
Details        
$19.90 n/a $310No additional gap coverage, only the Donut Hole Discount 25%25%25%25%3,604
2014 Formulary
2013 Medica HealthCare Plans MedicareMax Plus (HMO SNP)
Details        
$23.40 n/a $325n/a H5420
-006
-0
$0.0025%35%35%4,137

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP)
Details        
$20.60 n/a $0Many Generics $0.0025%25%25%3,596
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2013 --

H5190
-003
-0
     
-- -- --  
2014 Advantage by Sunshine Health (HMO SNP)
Details        
$21.00 n/a $310Many Generics $0.00$45.00$95.00$95.002,966
2014 Formulary
2013 Preferred Medicare Assist (HMO-POS SNP)
Details        
$4.50 n/a $0n/a H1045
-012
-0
$0.00$0.00$0.00$0.002,742

2013 Formulary
--  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2014 Preferred Medicare Assist (HMO-POS SNP)
Details        
$21.20 n/a $0Many Generics $0.00$0.0025%25%3,596
2014 Formulary

-- This plan not offered in 2013 --

R5287
-003
-0
     
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
Details        
$21.80 n/a $310No additional gap coverage, only the Donut Hole Discount 15%15%15%15%3,604
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Molina Medicare Options Plus (HMO SNP)
Details        
$18.70 n/a $325n/a H8130
-001
-0
$0.00$0.00$95.00$95.002,941

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Molina Medicare Options Plus (HMO SNP)
Details        
$22.00 n/a $310Many Generics,
Few Brands
$0.00$0.00$95.00$95.002,885
2014 Formulary
2013 Amerivantage Specialty + Rx (HMO SNP)
Details        
$24.70 n/a $325Some Generics H8991
-017
-0
$0.0025%25%25%2,941

2013 Formulary
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Amerivantage Specialty + Rx (HMO SNP)
Details        
$22.10 n/a $310Some Generics $0.0025%25%25%2,885
2014 Formulary
2013 Coventry Vista Maximum (HMO SNP)
Details        
$24.70 n/a $0n/a H1013
-024
-0
$0.00$45.00$76.00$76.003,282

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Coventry Vista Maximum (HMO SNP)
Details        
$22.10 n/a $0No additional gap coverage, only the Donut Hole Discount $0.00$45.00$76.00$76.003,228
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Coventry Vista Maximum Choice (HMO SNP)
Details        
$25.50 n/a $0n/a H1076
-011
-0
$0.00$45.00$76.00$76.003,282

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Coventry Vista Maximum Choice (HMO SNP)
Details        
$22.10 n/a $0No additional gap coverage, only the Donut Hole Discount $0.00$45.00$76.00$76.003,228
2014 Formulary
2013 Freedom Medi-Medi Full (HMO SNP)
Details        
$23.10 n/a $325n/a H5427
-087
-0
25%   2,764

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom Medi-Medi Full (HMO SNP)
Details        
$22.10 n/a $310No additional gap coverage, only the Donut Hole Discount 0%   2,770
2014 Formulary
2013 Freedom Medi-Medi Partial (HMO SNP)
Details        
$24.70 n/a $325n/a H5427
-078
-0
25%   2,764

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Freedom Medi-Medi Partial (HMO SNP)
Details        
$22.10 n/a $310No additional gap coverage, only the Donut Hole Discount 15%   2,770
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 MediMax (HMO)
Details        
$24.70 $3,400 $325No additional gap coverage, only the Donut Hole Discount H5431
-006
-0
25%25%25%25%3,026

2013 Formulary
-- --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 MediMax (HMO)
Details        
$22.10 $3,400 $310Call plan for details 25%25%25%25%3,003
2014 Formulary
2013 Optimum Emerald Full (HMO SNP)
Details        
$24.80 n/a $325n/a H5594
-017
-0
25%   2,764

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Optimum Emerald Full (HMO SNP)
Details        
$22.10 n/a $310No additional gap coverage, only the Donut Hole Discount 0%   2,770
2014 Formulary
2013 Optimum Emerald Partial (HMO SNP)
Details        
$24.80 n/a $325n/a H5594
-016
-0
25%   2,764

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Optimum Emerald Partial (HMO SNP)
Details        
$22.10 n/a $310No additional gap coverage, only the Donut Hole Discount 15%   2,770
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Simply Care (HMO SNP)
Details        
$24.80 n/a $0Many Generics H5471
-008
-0
$0.00$0.00$10.00$10.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Care (HMO SNP)
Details        
$22.10 n/a $0Many Generics $0.00$0.00$10.00$10.003,561
2014 Formulary
2013 Simply Comfort (HMO SNP)
Details        
$25.80 n/a $0Many Generics H5471
-009
-0
$0.00$0.00$10.00$10.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Comfort (HMO SNP)
Details        
$22.10 n/a $0Many Generics $0.00$0.00$10.00$10.003,561
2014 Formulary
2013 Simply Complete (HMO SNP)
Details        
$24.80 n/a $0n/a H5471
-001
-0
$0.00$0.00$45.00$45.003,401

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Simply Complete (HMO SNP)
Details        
$22.10 n/a $310Many Generics $0.00$0.00$45.00$45.003,561
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2013 --

H8991
-029
-0
     
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2014 Touch Institutional Special Needs Plan (HMO SNP)
Details        
$22.10 n/a $310Some Generics $0.0025%25%25%2,885
2014 Formulary
2013 Aetna Medicare Premier Plan (PPO)
Details        
$33.00 $6,700 $0No additional gap coverage, only the Donut Hole Discount H5521
-033
-0
$7.00$33.00$45.00$45.003,323

2013 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Aetna Medicare Premier Plan (PPO)
Details        
$35.00 $6,700 $310No additional gap coverage, only the Donut Hole Discount $4.00$45.00$95.00$95.003,134
2014 Formulary
2013 HumanaChoice H5415-056 (PPO)
Details        
$42.00 $5,000 $0Few Generics,
Few Brands
H5415
-056
-0
$6.00$43.00$80.00$80.003,906

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 HumanaChoice H5415-056 (PPO)
Details        
$45.00 $5,000 $0Few Generics,
Few Brands
$5.00$10.00$45.00$45.003,711
2014 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 HumanaChoice R5826-005 (Regional PPO)
Details        
$85.00 $4,750 $0Few Generics,
Few Brands
R5826
-005
-0
$3.00$8.00$40.00$40.003,906

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 HumanaChoice R5826-005 (Regional PPO)
Details        
$92.00 $5,700 $0Few Generics,
Few Brands
$3.00$8.00$40.00$40.003,711
2014 Formulary
2013 Humana Gold Choice H8145-061 (PFFS)
Details        
$102.00 n/a $0Few Generics,
Few Brands
H8145
-061
-0
$6.00$15.00$45.00$45.003,906

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2014 Humana Gold Choice H8145-061 (PFFS)
Details        
$103.00 n/a $0Few Generics,
Few Brands
$6.00$15.00$45.00$45.003,711
2014 Formulary
2013 CareFree PLUS (HMO)
Details        
$0.00 $3,400 $0Few Generics,
Few Brands
H1019
-056
-0
$0.00$0.00$24.00$24.005,233

2013 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to CareOne PLUS (HMO) H1019-006 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Medica HealthCare Plans MedicareMax Value RX (HMO)
Details        
$0.00 $3,400 $0No additional gap coverage, only the Donut Hole Discount H5420
-009
-0
$0.00$25.00$40.00$40.004,137

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to Medica HealthCare Plans MedicareMax (HMO) H5420-003 --

     
2013 Preferred Premium Advantage Miami-Dade (HMO)
Details        
$0.00 $3,400 $0Many Generics,
Few Brands
H1045
-020
-0
$0.00$10.00$50.00$50.002,742

2013 Formulary
--  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  

-- Members will be assigned to Preferred Choice Dade (HMO-POS) H1045-001 --

     
2013 WellCare Choice (HMO)
Details        
$0.00 $2,500 $0All Generics,
All Brands
H1032
-008
-0
$0.00$0.00$30.00$30.002,835

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to WellCare Dividend (HMO-POS) H1032-0040 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Coventry Vista Value (HMO)
Details      
$0.00 $6,700 No Rx Coverage H1076
-010
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2014 --

     
2013 JacksonHealth for Life (HMO)
Details        
$0.00 $3,400 $0Many Generics H4155
-001
-0
$0.00$10.00$25.00$25.003,407

2013 Formulary
 

-- This plan not offered in 2014 --

     
2013 Medica HealthCare Plans MedicareMax Value (HMO)
Details      
$0.00 $2,500 No Rx Coverage H5420
-007
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- This plan not offered in 2014 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 PUP REWARDS (HMO)
Details        
$0.00 $4,600 $0No additional gap coverage, only the Donut Hole Discount H5696
-028
-0
$0.00$15.00$90.00$90.003,542

2013 Formulary
 Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- This plan not offered in 2014 --

     
2013 AARP MedicareComplete Plan 1 (HMO)
Details        
$0.00 $3,400 $0Some Generics H9011
-003
-0
$0.00$0.00$0.00$0.003,825

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2014 --

     
2013 AARP MedicareComplete Plus (HMO-POS)
Details        
$0.00 $3,400 $0No additional gap coverage, only the Donut Hole Discount H9011
-016
-0
$0.00$0.00$0.00$0.003,825

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2014 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 JacksonHealth Secure (HMO SNP)
Details        
$0.00 n/a $0n/a H4155
-003
-0
$0.0025%25%25%3,407

2013 Formulary
 

-- This plan not offered in 2014 --

     
2013 Medica HealthCare Plans MedicareMax Chronic Care (HMO SNP)
Details        
$0.00 n/a $0Many Generics H5420
-010
-0
$0.00$5.00$20.00$20.004,137

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- This plan not offered in 2014 --

     
2013 Preferred Secure Option (HMO)
Details        
$0.00 $6,700 $0Many Generics,
Few Brands
H1045
-023
-0
$0.00$40.00$95.00$95.002,742

2013 Formulary
--  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  

-- This plan not offered in 2014 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2013 Sunshine State Health Plan (HMO SNP)
Details        
$24.00 n/a $325n/a H5190
-001
-0
$0.00$45.00$95.00$95.003,010

2013 Formulary
-- -- --  

-- This plan not offered in 2014 --

     
2013 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
Details        
$24.80 n/a $325n/a R5287
-003
-0
25%25%25%25%3,825

2013 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- This plan not offered in 2014 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2014 Medicare Part D Plan information above.



A few notes to help with the understanding of the 2014 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

    This category includes measures of how drug plans rate on the following areas:
    • Time on Hold When Customer and Pharmacist Calls Drug Plan.
    • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
    • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
    • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

  • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

    This category includes measures of how drug plans rate on the following areas:
    • Drug Plan Provides Information or Help When Members Need It.
    • Members’ Overall Rating of Drug Plan.
    • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

  • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

    This category includes measures of how drug plans rate on the following areas:
    • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
    • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
    • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
    • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
    • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

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  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

  • Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)

  • Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3605 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2014, ALL formulary generics will have at least a 28% discount and ALL brand drugs will have at least a 52.5% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3605;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.

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  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. For 2014 Medicare Part D plans, the smallest formularies include the Blue Cross MedicareRx Basic (IL, NM, OK, TX), Blue MedicareRx Value (AZ) and Standard (NC) plan formularies with 2,244 total medications and the largest formulary is the AmeriHealth Rx Option II formulary (PA & WV) with 5,236 total formulary drugs. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
  • Members in This State (updated: December 2014 figures) - This is the total number of members in this plan for this CMS Region. For regions which contain more than one state, this is the total for all of those states combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.
  • Members Nation Wide (updated: December 2014 figures) - This is the total number of member for this plan in all CMS Regions (States) combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.

  • Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2014 is $2850 and increases each year.
  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.


(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.





Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.