There are 86 Medicare Advantage plans meeting your criteria.
2016 / 2017 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 |
-- This plan not offered in 2016 --
|
R7444 -004 -0 | | | | | |
|
|
|
|
2017 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2016 --
|
R7444 -003 -0 | | | | | |
|
|
|
|
2017 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$230 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | tbd |
|
2016 Aetna Medicare Premier Plan (PPO)
| $49.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5521 -033 -0 | $3.00 | $8.00 | $45.00 | $45.00 | 3,417
2016 Formulary |
|
|
|
|
2017 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,894 2017 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 2016 --
|
H4627 -001 -0 | | | | | |
|
|
|
|
2017 Allegro Maximum (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,597 2017 Formulary |
|
2016 AvMed Medicare Choice (HMO)
| $0.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H1016 -001 -0 | $0.00 | $3.00 | $35.00 | $35.00 | 3,572
2016 Formulary |
|
|
|
|
2017 AvMed Medicare Choice (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $40.00 | $40.00 | 3,339 2017 Formulary |
|
2016 BlueMedicare HMO LifeTime (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1026 -001 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,993
2016 Formulary |
|
|
|
|
2017 BlueMedicare HMO LifeTime (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $40.00 | $40.00 | 4,112 2017 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 2016 --
|
H1026 -060 -0 | | | | | |
|
|
|
|
2017 BlueMedicare HMO MyTime Plus (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 4,112 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H4627 -002 -0 | | | | | |
|
|
|
|
2017 Bolero Plus (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,597 2017 Formulary |
|
2016 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1019 -076 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,826 2017 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 |
2016 CareOne PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1019 -006 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,607
2016 Formulary |
|
|
|
|
2017 CareOne PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,826 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H1609 -016 -0 | | | | | |
|
|
|
|
2017 Coventry Summit Ideal (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $3.00 | $3.00 | 3,894 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H1609 -014 -0 | | | | | |
|
|
|
|
2017 Coventry Vista Ideal (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $3.00 | $3.00 | 3,894 2017 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 |
2016 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5427 -060 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $40.00 | $85.00 | $85.00 | 3,148 2017 Formulary |
|
2016 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5427 -052 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2017 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2016 Freedom VIP Care (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -070 -0 | $0.00 | $25.00 | $75.00 | $75.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom VIP Care (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $25.00 | $75.00 | $75.00 | 3,148 2017 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 |
2016 Freedom VIP Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -072 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom VIP Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,148 2017 Formulary |
|
2016 Freedom VIP Savings COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -077 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom VIP Savings COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,148 2017 Formulary |
|
2016 HealthSun SunPlus Advantage Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5431 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,355
2016 Formulary |
|
-- |
|
|
2017 HealthSun SunPlus Advantage Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,453 2017 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 |
2016 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1036 -054 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,607
2016 Formulary |
|
|
|
|
2017 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $5.00 | $5.00 | 3,826 2017 Formulary |
|
2016 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1036 -237 -2 | $0.00 | $15.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,826 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H5415 -075 -0 | | | | | |
|
|
|
|
2017 HumanaChoice Florida H5415-075 (PPO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. | $2.00 | $12.00 | $47.00 | $47.00 | 3,820 2017 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 |
2016 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2017 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2016 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $7.00 | $17.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2017 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$400 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $17.00 | $47.00 | $47.00 | tbd |
|
2016 Leon Medical Centers Health Plans - Leon Cares (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5410 -001 -0 | $0.00 | $0.00 | 33% | | 4,338
2016 Formulary |
|
|
|
|
2017 Leon Medical Centers Health Plans - Leon Cares (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | 33% | | tbd |
|
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 |
2016 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5420 -001 -0 | $0.00 | $0.00 | $20.00 | $20.00 | 3,531
2016 Formulary |
|
|
|
|
2017 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,683 2017 Formulary |
|
2016 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5594 -001 -0 | $0.00 | $35.00 | $85.00 | $85.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $85.00 | $85.00 | 3,148 2017 Formulary |
|
2016 Optimum Platinum Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5594 -002 -0 | $0.00 | $10.00 | $69.00 | $69.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Optimum Platinum Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $69.00 | $69.00 | 3,148 2017 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 |
2016 PHP (HMO SNP)
| $0.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H3132 -001 -0 | 25% | 25% | 25% | 25% | 3,222
2016 Formulary |
|
|
|
|
2017 PHP (HMO SNP)
| $0.00 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,504 2017 Formulary |
|
2016 Preferred Choice Dade (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1045 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,531
2016 Formulary |
|
-- |
|
|
2017 Preferred Choice Dade (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,683 2017 Formulary |
|
2016 Preferred Special Care Miami-Dade (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1045 -018 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,531
2016 Formulary |
|
-- |
|
|
2017 Preferred Special Care Miami-Dade (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,683 2017 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 |
2016 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -012 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,737
2016 Formulary |
|
|
|
|
2017 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,042 2017 Formulary |
|
2016 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -002 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,737
2016 Formulary |
|
|
|
|
2017 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,042 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H9276 -004 -0 | | | | | |
new |
new |
new |
|
2017 Sunshine Health Medicare Advantage (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,290 2017 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 |
2016 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -040 -0 | $0.00 | $14.00 | $32.00 | $32.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $25.00 | $25.00 | 2,914 2017 Formulary |
|
2016 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -174 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $15.00 | $15.00 | 2,914 2017 Formulary |
|
2016 CareNeeds PLUS (HMO SNP)
| $17.60 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1019 -024 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 CareNeeds PLUS (HMO SNP)
| $5.50 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,826 2017 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 |
2016 CareNeeds (HMO SNP)
| $17.20 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1019 -083 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 CareNeeds (HMO SNP)
| $8.70 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,826 2017 Formulary |
|
2016 Molina Medicare Options Plus (HMO SNP)
| $26.10 |
n/a |
$360 | Yes, some additional gap coverage. |
H8130 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,041
2016 Formulary |
|
-- |
|
|
2017 Molina Medicare Options Plus (HMO SNP)
| $12.00 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,142 2017 Formulary |
|
2016 WellCare Select (HMO SNP)
| $21.60 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1032 -061 -0 | $0.00 | $11.00 | $47.00 | $47.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Select (HMO SNP)
| $16.40 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,113 2017 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 |
2016 Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
| $20.30 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1036 -077 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
| $17.70 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,826 2017 Formulary |
|
2016 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $22.90 |
n/a |
$75 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,529
2016 Formulary |
|
-- |
|
|
2017 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $19.20 |
n/a |
$120 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,683 2017 Formulary |
|
2016 Humana Gold Plus SNP-DE H1036-257 (HMO SNP)
| $20.50 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1036 -257 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 Humana Gold Plus SNP-DE H1036-257 (HMO SNP)
| $19.70 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,826 2017 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 |
2016 WellCare Access (HMO SNP)
| $22.20 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1032 -170 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Access (HMO SNP)
| $20.20 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,113 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H1609 -017 -0 | | | | | |
|
|
|
|
2017 Coventry Summit Maximum (HMO SNP)
| $21.70 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,894 2017 Formulary |
|
2016 WellCare Liberty (HMO SNP)
| $26.60 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1032 -176 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Liberty (HMO SNP)
| $23.70 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,113 2017 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 |
2016 UnitedHealthcare Nursing Home Plan (HMO SNP)
| $31.90 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5322 -003 -0 | | | | | 3,529
2016 Formulary |
|
|
|
|
2017 UnitedHealthcare Nursing Home Plan (HMO SNP)
| $24.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,683 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H1609 -015 -0 | | | | | |
|
|
|
|
2017 Coventry Vista Maximum (HMO SNP)
| $25.80 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,894 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H4627 -003 -0 | | | | | |
|
|
|
|
2017 Concerto Duals (HMO SNP)
| $29.10 |
n/a |
$74 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2017 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 2016 --
|
H4627 -004 -0 | | | | | |
|
|
|
|
2017 Flamenco Nursing Home Plan (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. | $5.00 | $10.00 | $15.00 | $15.00 | 3,597 2017 Formulary |
|
2016 Freedom Medi-Medi Full (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5427 -087 -0 | | | | | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom Medi-Medi Full (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,148 2017 Formulary |
|
2016 Freedom Medi-Medi Partial (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5427 -078 -0 | | | | | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom Medi-Medi Partial (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,148 2017 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 |
2016 HealthSun MediMax (HMO)
| $28.10 |
$3,400 |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5431 -006 -0 | 25% | 25% | 25% | 25% | 3,402
2016 Formulary |
|
-- |
|
|
2017 HealthSun MediMax (HMO)
| $29.10 |
$3,400 |
$400 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,498 2017 Formulary |
|
2016 Medica HealthCare Plans MedicareMax Plus (HMO SNP)
| $28.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H5420 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,531
2016 Formulary |
|
|
|
|
2017 Medica HealthCare Plans MedicareMax Plus (HMO SNP)
| $29.10 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,683 2017 Formulary |
|
2016 Optimum Emerald Full (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5594 -017 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Optimum Emerald Full (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,148 2017 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 |
2016 Optimum Emerald Partial (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5594 -016 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Optimum Emerald Partial (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,148 2017 Formulary |
|
2016 Preferred Medicare Assist (HMO SNP)
| $28.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H1045 -012 -0 | $0.00 | $0.00 | 25% | 25% | 3,531
2016 Formulary |
|
-- |
|
|
2017 Preferred Medicare Assist (HMO SNP)
| $29.10 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,683 2017 Formulary |
|
2016 Simply Care (HMO SNP)
| $28.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -008 -0 | $5.00 | $10.00 | $15.00 | $15.00 | 3,737
2016 Formulary |
|
|
|
|
2017 Simply Care (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. | $5.00 | $10.00 | $15.00 | $15.00 | 4,042 2017 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 |
2016 Simply Comfort (HMO SNP)
| $28.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -009 -0 | $5.00 | $10.00 | $15.00 | $15.00 | 3,737
2016 Formulary |
|
|
|
|
2017 Simply Comfort (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. | $5.00 | $10.00 | $15.00 | $15.00 | 4,042 2017 Formulary |
|
2016 Simply Complete (HMO SNP)
| $28.10 |
n/a |
$360 | Yes, some additional gap coverage. |
H5471 -001 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,737
2016 Formulary |
|
|
|
|
2017 Simply Complete (HMO SNP)
| $29.10 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 4,042 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H4627 -005 -0 | | | | | |
|
|
|
|
2017 Sonata Community Plan (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. | $5.00 | $10.00 | $15.00 | $15.00 | 3,597 2017 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 |
2016 Sunshine Health Advantage (HMO SNP)
| $28.00 |
n/a |
$360 | Yes, some additional gap coverage. |
H5190 -004 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,191
2016 Formulary |
-- |
-- |
|
|
2017 Sunshine Health Medicare Advantage (HMO SNP)
| $29.10 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $18.00 | $44.00 | $44.00 | 3,382 2017 Formulary |
|
-- This plan not offered in 2016 --
|
R7444 -012 -0 | | | | | |
|
|
|
|
2017 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | tbd |
|
-- This plan not offered in 2016 --
|
R7444 -013 -0 | | | | | |
|
|
|
|
2017 UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | tbd |
|
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 2016 --
|
H0710 -010 -0 | | | | | |
|
-- |
|
|
2017 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,683 2017 Formulary |
|
2016 BlueMedicare Regional PPO (Regional PPO)
| $39.90 |
$6,700 |
$260 | No additional gap coverage, only the Donut Hole Discount |
R3332 -001 -0 | $10.00 | $15.00 | $42.00 | $42.00 | n/a |
|
|
|
|
2017 BlueMedicare Regional PPO (Regional PPO)
| $41.00 |
$6,700 |
$280 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $13.00 | $40.00 | $40.00 | tbd |
|
2016 HumanaChoice H5415-056 (PPO)
| $55.00 |
$6,700 |
$350 | Yes, some additional gap coverage. |
H5415 -056 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,615
2016 Formulary |
|
|
|
|
2017 HumanaChoice H5415-056 (PPO)
| $56.00 |
$6,700 |
$350 | Yes, some additional gap coverage. | $5.00 | $15.00 | $47.00 | $47.00 | 3,820 2017 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 |
2016 HumanaChoice R5826-005 (Regional PPO)
| $95.00 |
$6,700 |
$100 | Yes, some additional gap coverage. |
R5826 -005 -0 | $3.00 | $8.00 | $40.00 | $40.00 | n/a |
|
|
|
|
2017 HumanaChoice R5826-005 (Regional PPO)
| $95.00 |
$6,700 |
$100 | Yes, some additional gap coverage. | $3.00 | $8.00 | $40.00 | $40.00 | tbd |
|
2016 Humana Gold Choice H8145-061 (PFFS)
| $106.00 |
n/a |
$200 | Yes, some additional gap coverage. |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,615
2016 Formulary |
|
|
|
|
2017 Humana Gold Choice H8145-061 (PFFS)
| $110.00 |
n/a |
$200 | Yes, some additional gap coverage. | $7.00 | $17.00 | $47.00 | $47.00 | 3,820 2017 Formulary |
|
2016 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R5287 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to AARP MedicareComplete Choice Essential (Regional PPO) R7444-004 --
| | | | | |
|
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 |
2016 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
R5287 -001 -0 | $2.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- Members will be assigned to AARP MedicareComplete Choice Plan 2 (Regional PPO) R7444-003 --
| | | | | |
|
2016 Coventry Summit Ideal (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5414 -032 -0 | $0.00 | $3.00 | 50% | 50% | 3,543
2016 Formulary |
|
|
|
|
-- Members will be assigned to Coventry Summit Ideal (HMO) H1609-016 --
| | | | | |
|
2016 Coventry Summit Maximum (HMO SNP)
| $11.70 |
n/a |
$0 | Yes, some additional gap coverage. |
H5414 -030 -0 | $0.00 | $47.00 | 50% | 50% | 3,543
2016 Formulary |
|
|
|
|
-- Members will be assigned to Coventry Summit Maximum (HMO SNP) H1609-017 --
| | | | | |
|
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 |
2016 Coventry Vista Ideal (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5414 -027 -0 | $0.00 | $10.00 | 50% | 50% | 3,543
2016 Formulary |
|
|
|
|
-- Members will be assigned to Coventry Vista Ideal (HMO) H1609-014 --
| | | | | |
|
2016 Coventry Vista Maximum (HMO SNP)
| $7.20 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5414 -029 -0 | $0.00 | $47.00 | 50% | 50% | 3,543
2016 Formulary |
|
|
|
|
-- Members will be assigned to Coventry Vista Maximum (HMO SNP) H1609-015 --
| | | | | |
|
2016 Preferred Complete Care (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1045 -016 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,531
2016 Formulary |
|
-- |
|
|
-- Members will be assigned to Preferred Choice Dade (HMO) H1045-001 --
| | | | | |
|
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 |
2016 Simply Extra (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -004 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,737
2016 Formulary |
|
|
|
|
-- Members will be assigned to Simply More (HMO) H5471-002 --
| | | | | |
|
2016 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $20.60 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
R5287 -003 -0 | | | | | n/a |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Dual Complete RP (Regional PPO SNP) R7444-012 --
| | | | | |
|
2016 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $24.30 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H0710 -011 -0 | | | | | 3,529
2016 Formulary |
|
-- |
|
|
-- Members will be assigned to UnitedHealthcare Nursing Home Plan (PPO SNP) H0710-010 --
| | | | | |
|
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 |
2016 CareHeart (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1019 -063 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,607
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 Humana Gold Plus - Diabetes (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1036 -188 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,607
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 Humana Gold Plus - Heart (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1036 -189 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,607
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
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 |
2016 Aetna Medicare Connect Plus (HMO)
| $138.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5414 -025 -0 | $0.00 | $7.00 | $47.00 | $47.00 | 3,417
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 HealthSun SunPlus Advantage POS (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5431 -011 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,360
2016 Formulary |
|
-- |
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 Aetna Medicare Connect Plus (PPO)
| $188.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5521 -052 -0 | $0.00 | $7.00 | $47.00 | $47.00 | 3,417
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
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 |
2016 Eden Gold (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0981 -001 -0 | $0.00 | $7.00 | $20.00 | $20.00 | n/a |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 BlueMedicare PPO (PPO)
| $147.80 |
$5,900 |
$285 | No additional gap coverage, only the Donut Hole Discount |
H5434 -002 -0 | $14.00 | $15.00 | $42.00 | $42.00 | 3,993
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|