There are 60 Medicare Advantage plans meeting your criteria.
2017 / 2018 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 |
2017 AARP MedicareComplete (HMO)
| $0.00 |
$4,400 |
$265 | No additional gap coverage, only the Donut Hole Discount |
H1045 -030 -0 | $2.00 | $9.00 | $45.00 | $45.00 | 3,683
2017 Formulary |
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|
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2018 AARP MedicareComplete (HMO)
| $0.00 |
$4,400 |
$265 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $45.00 | $45.00 | 3,779 2018 Formulary |
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-- This plan not offered in 2017 --
|
H2406 -010 -0 | | | | | |
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2018 AARP MedicareComplete Choice (PPO)
| $0.00 |
$5,900 |
$265 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $45.00 | $45.00 | 3,779 2018 Formulary |
|
2017 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R7444 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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2018 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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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 |
2017 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$230 | No additional gap coverage, only the Donut Hole Discount |
R7444 -003 -0 | $2.00 | $12.00 | $47.00 | $47.00 | n/a |
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|
|
2018 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $14.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
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-- This plan not offered in 2017 --
|
H1609 -028 -0 | | | | | |
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2018 Aetna Medicare Choice Plan (HMO-POS)
| $0.00 |
$6,700 |
$200 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
2017 Aetna Medicare Select Plan (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1609 -024 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,894
2017 Formulary |
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2018 Aetna Medicare Select Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 5,215 2018 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 2017 --
|
H9276 -003 -0 | | | | | |
new |
new |
new |
|
2018 Allwell Medicare (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 4,096 2018 Formulary |
|
2017 BlueMedicare HMO MyTime (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H1026 -056 -0 | $10.00 | $13.00 | $40.00 | $40.00 | 4,112
2017 Formulary |
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2018 BlueMedicare Classic (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | $5.00 | $15.00 | $40.00 | $40.00 | 3,301 2018 Formulary |
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-- This plan not offered in 2017 --
|
H1019 -092 -0 | | | | | |
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2018 CareFree (HMO)
| $0.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $35.00 | $35.00 | 3,671 2018 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 |
2017 CareOne PLUS (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H1019 -057 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,826
2017 Formulary |
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|
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2018 CareOne PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,671 2018 Formulary |
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-- This plan not offered in 2017 --
|
H1035 -010 -0 | | | | | |
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2018 FHCP's Premier Plan (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $42.00 | $42.00 | 2,529 2018 Formulary |
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-- This plan not offered in 2017 --
|
H1099 -016 -0 | | | | | |
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2018 Florida Hospital SunSaver Plan (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $45.00 | $45.00 | 3,084 2018 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 |
2017 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5427 -060 -0 | $0.00 | $40.00 | $85.00 | $85.00 | 3,148
2017 Formulary |
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2018 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $40.00 | $85.00 | $85.00 | 3,205 2018 Formulary |
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2017 Freedom Platinum Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5427 -089 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 3,148
2017 Formulary |
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2018 Freedom Platinum Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $75.00 | $75.00 | 3,205 2018 Formulary |
|
2017 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5427 -052 -0 | This plan does NOT include Prescription Drug coverage. | |
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2018 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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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 |
2017 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 | 3,148
2017 Formulary |
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2018 Freedom VIP Care (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $25.00 | $75.00 | $75.00 | 3,205 2018 Formulary |
|
2017 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 | 3,148
2017 Formulary |
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2018 Freedom VIP Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,205 2018 Formulary |
|
2017 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 | 3,148
2017 Formulary |
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|
|
|
2018 Freedom VIP Savings COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,205 2018 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 |
2017 Humana Gold Plus H1036-146 (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1036 -146 -0 | $0.00 | $10.00 | $35.00 | $35.00 | 3,826
2017 Formulary |
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2018 Humana Gold Plus H1036-146 (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $35.00 | $35.00 | 3,671 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H1036 -269 -0 | | | | | |
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2018 Humana Gold Plus H1036-269 (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $45.00 | $45.00 | 3,671 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5216 -072 -0 | | | | | |
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2018 HumanaChoice Florida H5216-072 (PPO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,666 2018 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 |
2017 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
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|
|
2018 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$400 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $6.00 | $17.00 | $47.00 | $47.00 | n/a |
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2018 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount | $9.00 | $20.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 Optimum Diamond Rewards (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -030 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 3,148
2017 Formulary |
|
|
|
|
2018 Optimum Diamond Rewards (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,205 2018 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 |
2017 Optimum Diamond Rewards COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -031 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 3,148
2017 Formulary |
|
|
|
|
2018 Optimum Diamond Rewards COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,205 2018 Formulary |
|
2017 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5594 -022 -0 | $0.00 | $40.00 | $95.00 | $95.00 | 3,148
2017 Formulary |
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|
|
|
2018 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $40.00 | $95.00 | $95.00 | 3,205 2018 Formulary |
|
2017 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -042 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 4,042
2017 Formulary |
|
|
|
|
2018 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 4,054 2018 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 |
2017 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -043 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 4,042
2017 Formulary |
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|
|
2018 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 4,054 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H1032 -187 -2 | | | | | |
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|
|
2018 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $35.00 | $35.00 | 2,933 2018 Formulary |
|
2017 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -091 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 2,914
2017 Formulary |
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|
|
|
2018 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $35.00 | $35.00 | 2,933 2018 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 2017 --
|
H5199 -003 -0 | | | | | |
new |
new |
new |
|
2018 WellCare Premier (PPO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 2,933 2018 Formulary |
|
2017 CareNeeds PLUS (HMO SNP)
| $14.40 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1019 -028 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,826
2017 Formulary |
|
|
|
|
2018 CareNeeds PLUS (HMO SNP)
| $10.30 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $47.00 | $47.00 | 3,671 2018 Formulary |
|
2017 CareNeeds (HMO SNP)
| $13.50 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1019 -077 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,826
2017 Formulary |
|
|
|
|
2018 CareNeeds (HMO SNP)
| $12.70 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $47.00 | $47.00 | 3,671 2018 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 |
2017 Aetna Medicare Maximum Plan (HMO SNP)
| $10.80 |
n/a |
$0 | Yes, some additional gap coverage. |
H1609 -023 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,894
2017 Formulary |
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|
|
|
2018 Aetna Medicare Select Plan (HMO SNP)
| $17.10 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 5,215 2018 Formulary |
|
2017 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
R7444 -012 -0 | | | | | n/a |
|
|
|
|
2018 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $19.80 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 Formulary |
|
2017 UnitedHealthcare Dual Complete LP (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1045 -040 -0 | | | | | 3,683
2017 Formulary |
|
|
|
|
2018 UnitedHealthcare Dual Complete LP (HMO SNP)
| $21.30 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 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 |
2017 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $19.20 |
n/a |
$120 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,683
2017 Formulary |
|
-- |
|
|
2018 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $21.40 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
|
2017 WellCare Access (HMO SNP)
| $18.00 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1032 -124 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,113
2017 Formulary |
|
|
|
|
2018 WellCare Access (HMO SNP)
| $21.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $45.00 | $45.00 | 3,119 2018 Formulary |
|
2017 WellCare Select (HMO SNP)
| $16.40 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1032 -061 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,113
2017 Formulary |
|
|
|
|
2018 WellCare Select (HMO SNP)
| $22.40 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | $47.00 | $47.00 | 3,119 2018 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 2017 --
|
H1035 -011 -0 | | | | | |
|
|
|
|
2018 FHCP's Premier Plus Plan (HMO)
| $24.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 2,529 2018 Formulary |
|
2017 Humana Gold Plus SNP-DE H1036-213 (HMO SNP)
| $26.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1036 -213 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,826
2017 Formulary |
|
|
|
|
2018 Humana Gold Plus SNP-DE H1036-213 (HMO SNP)
| $26.40 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $47.00 | $47.00 | 3,671 2018 Formulary |
|
2017 WellCare Liberty (HMO SNP)
| $19.80 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1032 -175 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,113
2017 Formulary |
|
|
|
|
2018 WellCare Liberty (HMO SNP)
| $26.60 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,119 2018 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 |
2017 UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
R7444 -013 -0 | | | | | n/a |
|
|
|
|
2018 UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
| $26.90 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 Formulary |
|
2017 Sunshine Health Medicare Advantage (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5190 -002 -0 | $0.00 | $20.00 | $46.00 | $46.00 | 3,382
2017 Formulary |
|
-- |
|
|
2018 Allwell Dual Medicare (HMO SNP)
| $29.00 |
n/a |
$405 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,470 2018 Formulary |
|
2017 Freedom Medi-Medi Full (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5427 -087 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,148
2017 Formulary |
|
|
|
|
2018 Freedom Medi-Medi Full (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,205 2018 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 |
2017 Freedom Medi-Medi Partial (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5427 -078 -0 | | | | | 3,148
2017 Formulary |
|
|
|
|
2018 Freedom Medi-Medi Partial (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,205 2018 Formulary |
|
2017 Humana Gold Plus SNP-DE H1036-247 (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1036 -247 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,826
2017 Formulary |
|
|
|
|
2018 Humana Gold Plus SNP-DE H1036-247 (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $47.00 | $47.00 | 3,671 2018 Formulary |
|
2017 Optimum Emerald Full (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5594 -017 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,148
2017 Formulary |
|
|
|
|
2018 Optimum Emerald Full (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,205 2018 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 |
2017 Optimum Emerald Partial (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5594 -016 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,148
2017 Formulary |
|
|
|
|
2018 Optimum Emerald Partial (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,205 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5471 -060 -0 | | | | | |
|
|
|
|
2018 Simply Advantage (HMO SNP)
| $29.10 |
n/a |
$405 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 4,054 2018 Formulary |
|
2017 Simply Complete (HMO SNP)
| $29.10 |
n/a |
$400 | Yes, some additional gap coverage. |
H5471 -039 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 4,042
2017 Formulary |
|
|
|
|
2018 Simply Complete (HMO SNP)
| $29.10 |
n/a |
$405 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 4,054 2018 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 |
2017 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | | | | | 3,683
2017 Formulary |
|
-- |
|
|
2018 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 Formulary |
|
2017 BlueMedicare Regional PPO (Regional PPO)
| $41.00 |
$6,700 |
$280 | No additional gap coverage, only the Donut Hole Discount |
R3332 -001 -0 | $10.00 | $13.00 | $40.00 | $40.00 | n/a |
|
|
|
|
2018 BlueMedicare Choice (Regional PPO)
| $41.00 |
$6,700 |
$260 | Yes, some additional gap coverage. | $3.00 | $10.00 | $47.00 | $47.00 | 3,301 2018 Formulary |
|
2017 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 |
|
|
|
|
2018 HumanaChoice R5826-005 (Regional PPO)
| $98.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $9.00 | $20.00 | $47.00 | $47.00 | 3,666 2018 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 |
2017 Humana Gold Choice H8145-061 (PFFS)
| $110.00 |
n/a |
$200 | Yes, some additional gap coverage. |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
2018 Humana Gold Choice H8145-061 (PFFS)
| $117.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 HumanaChoice Florida H5415-071 (PPO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. |
H5415 -071 -0 | $4.00 | $17.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice Florida H5216-072 (PPO) H5216-072 --
| | | | | |
|
2017 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -179 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 2,914
2017 Formulary |
|
|
|
|
-- Members will be assigned to WellCare Dividend (HMO) H1032-187 --
| | | | | |
|
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 |
2017 FHCP's Medvantage Rx Plus Plan (HMO-POS)
| $49.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H1035 -002 -0 | $0.00 | $4.00 | $40.00 | $40.00 | 2,348
2017 Formulary |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|
2017 FHCP's Medvantage Rx Plan (HMO)
| $0.00 |
$6,700 |
$160 | No additional gap coverage, only the Donut Hole Discount |
H1035 -006 -0 | $2.00 | $7.00 | $42.00 | $42.00 | 2,348
2017 Formulary |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|
2017 FHCP's Medvantage Plan (HMO-POS)
| $0.00 |
$6,700 |
No Rx Coverage |
H1035 -007 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|