There are 111 Medicare Advantage plans meeting your criteria.
2021 / 2022 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 |
2021 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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|
|
|
2022 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2021 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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|
|
|
2022 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2021 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2406 -018 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,604
2021 Formulary |
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|
|
2022 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$3,400 |
$150 | Yes, some additional gap coverage. | $3.00 | $12.00 | $47.00 | $47.00 | 3,654 2022 Formulary |
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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 |
2021 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R0759 -001 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,604
2021 Formulary |
|
-- |
|
|
2022 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | Yes, some additional gap coverage. | $3.00 | $14.00 | $47.00 | $47.00 | tbd |
|
2021 AARP Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R0759 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
-- |
|
|
2022 AARP Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2021 Aetna Medicare Choice (HMO-POS)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. |
H1609 -028 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,659
2021 Formulary |
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|
|
|
2022 Aetna Medicare Choice (HMO-POS)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,672 2022 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 |
2021 Aetna Medicare Credit (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H1609 -053 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,659
2021 Formulary |
|
|
|
|
2022 Aetna Medicare Credit (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,672 2022 Formulary |
|
2021 Aetna Medicare Premier (PPO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. |
H5521 -033 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,659
2021 Formulary |
|
|
|
|
2022 Aetna Medicare Premier (PPO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,672 2022 Formulary |
|
2021 Aetna Medicare Select (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H1609 -016 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,682
2021 Formulary |
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2022 Aetna Medicare Select (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,701 2022 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 |
2021 Align Connect (HMO C-SNP)
| $0.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H9917 -002 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,941
2021 Formulary |
|
new |
new |
|
2022 Align Connect (HMO C-SNP)
| $0.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,860 2022 Formulary |
|
2021 AvMed Medicare Access (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1016 -025 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,339
2021 Formulary |
|
|
|
|
2022 AvMed Medicare Access (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,349 2022 Formulary |
|
2021 AvMed Medicare Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1016 -001 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,339
2021 Formulary |
|
|
|
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2022 AvMed Medicare Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,349 2022 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 |
2021 AvMed Medicare Circle (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H1016 -023 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,339
2021 Formulary |
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|
|
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2022 AvMed Medicare Circle (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,349 2022 Formulary |
|
2021 BlueMedicare Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1035 -017 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 4,319
2021 Formulary |
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2022 BlueMedicare Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,479 2022 Formulary |
|
2021 BlueMedicare Premier (HMO)
| $0.00 |
$2,000 |
$0 | Yes, some additional gap coverage. |
H1035 -024 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,319
2021 Formulary |
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|
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2022 BlueMedicare Premier (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,479 2022 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 |
2021 BlueMedicare Saver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1035 -039 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 2,744
2021 Formulary |
|
|
|
|
2022 BlueMedicare Saver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 2,713 2022 Formulary |
|
2021 BlueMedicare Value (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5434 -032 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 2,744
2021 Formulary |
|
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|
|
2022 BlueMedicare Value (PPO)
| $0.00 |
$3,451 |
$0 | Yes, some additional gap coverage. | $2.00 | $10.00 | $47.00 | $47.00 | 2,713 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4709 -035 -0 | | | | | |
|
new |
new |
|
2022 Bright Advantage Classic Care Plan (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,133 2022 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 2021 --
|
H4709 -037 -0 | | | | | |
|
new |
new |
|
2022 Bright Advantage Embrace Care Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics | $0.00 | $0.00 | $47.00 | $47.00 | 3,133 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4709 -036 -0 | | | | | |
|
new |
new |
|
2022 Bright Advantage Part B Savings Plan (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $47.00 | $47.00 | 3,133 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4709 -040 -0 | | | | | |
|
new |
new |
|
2022 Bright New Day (HMO-POS)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,133 2022 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 2021 --
|
H1019 -114 -0 | | | | | |
|
|
|
|
2022 CareBreeze (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands | $0.00 | $0.00 | $0.00 | $0.00 | 3,408 2022 Formulary |
|
2021 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1019 -105 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,382
2021 Formulary |
|
|
|
|
2022 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands | $0.00 | $0.00 | $0.00 | $0.00 | 3,408 2022 Formulary |
|
2021 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1019 -076 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,382
2021 Formulary |
|
|
|
|
2022 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,408 2022 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 |
2021 CareOne PLUS (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1019 -006 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,382
2021 Formulary |
|
|
|
|
2022 CareOne PLUS (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,408 2022 Formulary |
|
2021 Devoted Health Core Miami-Dade (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1290 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,173
2021 Formulary |
|
|
|
|
2022 Devoted Health Core Miami-Dade (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,349 2022 Formulary |
|
2021 Devoted Health Essentials Miami-Dade (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1290 -013 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,173
2021 Formulary |
|
|
|
|
2022 Devoted Health Essentials Miami-Dade (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $30.00 | $30.00 | 3,349 2022 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 |
2021 DrExtra (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4140 -004 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,975
2021 Formulary |
|
|
|
|
2022 DrExtraCare (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands | $0.00 | $0.00 | $10.00 | $10.00 | 4,013 2022 Formulary |
|
2021 DrMax (HMO-POS)
| $0.00 |
$7,500 |
$0 | Yes, some additional gap coverage. |
H4140 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,975
2021 Formulary |
|
|
|
|
2022 DrMax (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,013 2022 Formulary |
|
2021 DrValue (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H4140 -005 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,975
2021 Formulary |
|
|
|
|
2022 DrValue (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 4,013 2022 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 |
2021 HealthSun HealthAdvantage Plan (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5431 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,581
2021 Formulary |
|
-- |
|
|
2022 HealthSun HealthAdvantage Plan (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,602 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H5431 -017 -0 | | | | | |
|
-- |
|
|
2022 HealthSun HealthAdvantage Plus (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,602 2022 Formulary |
|
2021 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1036 -121 -0 | $0.00 | $3.00 | $40.00 | $40.00 | 3,382
2021 Formulary |
|
|
|
|
2022 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands | $0.00 | $0.00 | $40.00 | $40.00 | 3,408 2022 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 |
2021 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1036 -054 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,382
2021 Formulary |
|
|
|
|
2022 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,408 2022 Formulary |
|
2021 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1036 -237 -2 | $0.00 | $0.00 | $40.00 | $40.00 | 3,382
2021 Formulary |
|
|
|
|
2022 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,408 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H1036 -279 -0 | | | | | |
|
|
|
|
2022 Humana Honor (HMO)
| $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 |
2021 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5216 -068 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,386
2021 Formulary |
|
|
|
|
2022 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,413 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H7284 -008 -0 | | | | | |
|
|
|
|
2022 HumanaChoice Florida H7284-008 (PPO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,413 2022 Formulary |
|
2021 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2022 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$7,550 |
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 |
2021 Leon Medicare (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H5410 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 4,157
2021 Formulary |
|
|
|
|
2022 Leon Medicare (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,886 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4286 -001 -0 | | | | | |
new |
new |
new |
|
2022 Leon MediExtra (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,528 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4286 -003 -0 | | | | | |
new |
new |
new |
|
2022 Leon MediMore (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $47.00 | $97.00 | $97.00 | 3,528 2022 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 |
2021 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5420 -001 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,604
2021 Formulary |
|
|
|
|
2022 MedicareMax (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $20.00 | $20.00 | 3,654 2022 Formulary |
|
2021 MMM ELITE (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3293 -005 -0 | $0.00 | $0.00 | $5.00 | $5.00 | 3,340
2021 Formulary |
|
-- |
|
|
2022 MMM ELITE (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $5.00 | $5.00 | 3,189 2022 Formulary |
|
2021 MMM EXTRA (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3293 -003 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,340
2021 Formulary |
|
-- |
|
|
2022 MMM EXTRA (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $47.00 | $47.00 | 3,189 2022 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 2021 --
|
H8130 -010 -0 | | | | | |
|
-- |
|
|
2022 Molina Medicare Choice Care (HMO)
| $0.00 |
$7,550 |
$125 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,218 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H8130 -011 -0 | | | | | |
|
-- |
|
|
2022 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,218 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H8130 -008 -0 | | | | | |
|
-- |
|
|
2022 Molina Medicare Connect Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $45.00 | $45.00 | 3,263 2022 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 |
2021 PHP (HMO C-SNP)
| $0.00 |
n/a |
$445 | Yes, some additional gap coverage. |
H3132 -001 -0 | 15% | 15% | 25% | 25% | 3,207
2021 Formulary |
|
-- |
|
|
2022 PHP (HMO C-SNP)
| $0.00 |
n/a |
$480 | Few Generics | 15% | 15% | 25% | 25% | 3,133 2022 Formulary |
|
2021 Preferred Choice Dade (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H1045 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,604
2021 Formulary |
|
|
|
|
2022 Preferred Choice Dade (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,654 2022 Formulary |
|
2021 Preferred Special Care Miami-Dade (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1045 -018 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,604
2021 Formulary |
|
|
|
|
2022 Preferred Special Care Miami-Dade (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Some Brands | $0.00 | $0.00 | $15.00 | $15.00 | 3,654 2022 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 |
2021 Simply Care (HMO I-SNP)
| $0.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H5471 -067 -0 | $4.00 | $5.00 | 25% | 25% | 3,912
2021 Formulary |
|
|
|
|
2022 Simply Care (HMO I-SNP)
| $0.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $5.00 | 25% | 25% | 3,948 2022 Formulary |
|
2021 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$445 | Yes, some additional gap coverage. |
H5471 -068 -0 | $0.00 | $5.00 | 25% | 25% | 3,912
2021 Formulary |
|
|
|
|
2022 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$480 | Some Generics, Few Brands | $0.00 | $5.00 | 25% | 25% | 3,948 2022 Formulary |
|
2021 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5471 -103 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,912
2021 Formulary |
|
|
|
|
2022 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,948 2022 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 |
2021 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -069 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,912
2021 Formulary |
|
|
|
|
2022 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands | $0.00 | $0.00 | $0.00 | $0.00 | 3,948 2022 Formulary |
|
2021 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5471 -065 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,912
2021 Formulary |
|
|
|
|
2022 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,948 2022 Formulary |
|
2021 SOLIS SPF 001 (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H0982 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,920
2021 Formulary |
|
-- |
|
|
2022 SOLIS SPF 001 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,856 2022 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 |
2021 WellCare Dividend (HMO)
| $0.00 |
$500 |
$0 | Yes, some additional gap coverage. |
H1032 -040 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,348
2021 Formulary |
|
|
|
|
2022 Wellcare Giveback (HMO)
| $0.00 |
$500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,375 2022 Formulary |
|
2021 WellCare Premier (PPO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5199 -015 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,348
2021 Formulary |
|
|
|
|
2022 Wellcare No Premium Open (PPO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,375 2022 Formulary |
|
2021 WellCare Guardian (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1032 -186 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,348
2021 Formulary |
|
|
|
|
2022 Wellcare Specialty Giveback (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands | $0.00 | $0.00 | $0.00 | $0.00 | 3,373 2022 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 |
2021 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $6.00 | $20.00 | $47.00 | $47.00 | 3,386
2021 Formulary |
|
|
|
|
2022 HumanaChoice R5826-074 (Regional PPO)
| $8.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $20.00 | $47.00 | $47.00 | 3,421 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H7284 -007 -0 | | | | | |
|
|
|
|
2022 HumanaChoice Florida H7284-007 (PPO)
| $11.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $30.00 | $30.00 | 3,413 2022 Formulary |
|
2021 CareNeeds PLUS (HMO D-SNP)
| $16.30 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1019 -023 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,382
2021 Formulary |
|
|
|
|
2022 CareNeeds PLUS (HMO D-SNP)
| $13.20 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,408 2022 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 |
2021 CareExtra (HMO)
| $16.10 |
$1,500 |
$445 | Yes, some additional gap coverage. |
H1019 -089 -0 | $0.00 | $0.00 | 23% | 23% | 3,382
2021 Formulary |
|
|
|
|
2022 CareExtra (HMO)
| $19.20 |
$1,500 |
$480 | Yes, some additional gap coverage. | $0.00 | $0.00 | 21% | 21% | 3,408 2022 Formulary |
|
2021 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $21.20 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1036 -280 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,382
2021 Formulary |
|
|
|
|
2022 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $19.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,408 2022 Formulary |
|
2021 Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)
| $25.70 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1036 -077 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,382
2021 Formulary |
|
|
|
|
2022 Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)
| $21.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,408 2022 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 |
2021 Align Thrive (HMO I-SNP)
| $0.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H9917 -001 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,941
2021 Formulary |
|
new |
new |
|
2022 Align Thrive (HMO I-SNP)
| $22.90 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,860 2022 Formulary |
|
2021 DrPlus (HMO-POS D-SNP)
| $30.80 |
n/a |
$0 | Yes, some additional gap coverage. |
H4140 -002 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,975
2021 Formulary |
|
|
|
|
2022 DrPlus (HMO-POS D-SNP)
| $26.40 |
n/a |
$0 | Many Generics, Some Brands | $0.00 | $0.00 | $0.00 | $0.00 | 4,013 2022 Formulary |
|
2021 Aetna Medicare Assure Plus (HMO D-SNP)
| $29.50 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1609 -043 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2021 Formulary |
|
|
|
|
2022 Aetna Medicare Assure Plus (HMO D-SNP)
| $27.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,701 2022 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 |
2021 WellCare Reserve (HMO D-SNP)
| $23.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1032 -206 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,348
2021 Formulary |
|
|
|
|
2022 Wellcare Dual Reserve (HMO D-SNP)
| $29.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,375 2022 Formulary |
|
2021 DrFirst (HMO-POS)
| $30.80 |
$3,400 |
$445 | Yes, some additional gap coverage. |
H4140 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,975
2021 Formulary |
|
|
|
|
2022 DrFirst (HMO-POS)
| $29.50 |
$3,400 |
$480 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 4,013 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H5420 -013 -0 | | | | | |
|
|
|
|
2022 MedicareMax Plus 2 (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,654 2022 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 |
2021 Preferred Medicare Assist Plan 2 (HMO D-SNP)
| $27.20 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1045 -053 -0 | | | | | 3,604
2021 Formulary |
|
|
|
|
2022 Preferred Medicare Assist Plan 2 (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,654 2022 Formulary |
|
2021 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
R0759 -003 -0 | | | | | 3,604
2021 Formulary |
|
-- |
|
|
2022 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,663 2022 Formulary |
|
2021 Allwell Dual Medicare (HMO D-SNP)
| $23.60 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H5190 -004 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,352
2021 Formulary |
|
-- |
|
|
2022 Wellcare Dual Medicare (HMO D-SNP)
| $31.70 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $16.00 | $47.00 | $47.00 | 3,375 2022 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 |
2021 DrChoice (HMO-POS)
| $30.80 |
$3,400 |
$445 | Yes, some additional gap coverage. |
H4140 -007 -0 | $0.00 | $0.00 | 25% | 25% | 3,975
2021 Formulary |
|
|
|
|
2022 DrChoice (HMO-POS)
| $33.40 |
$3,400 |
$480 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 4,013 2022 Formulary |
|
2021 Preferred Medicare Assist Plan 1 (HMO D-SNP)
| $27.10 |
n/a |
$445 | Yes, some additional gap coverage. |
H1045 -012 -0 | $0.00 | $0.00 | 25% | 25% | 3,604
2021 Formulary |
|
|
|
|
2022 Preferred Medicare Assist Plan 1 (HMO D-SNP)
| $34.00 |
n/a |
$480 | Some Generics, Few Brands | $0.00 | $0.00 | 25% | 25% | 3,654 2022 Formulary |
|
2021 Aetna Medicare Assure (HMO D-SNP)
| $30.80 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1609 -017 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2021 Formulary |
|
|
|
|
2022 Aetna Medicare Assure (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,701 2022 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 |
2021 BlueMedicare Complete (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. |
H1035 -027 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 4,319
2021 Formulary |
|
|
|
|
2022 BlueMedicare Complete (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands | $0.00 | $0.00 | $40.00 | $40.00 | 3,479 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4709 -039 -0 | | | | | |
|
new |
new |
|
2022 Bright Advantage Embrace Assist Plan (HMO C-SNP)
| $34.30 |
n/a |
$480 | Some Generics | $0.00 | 25% | 25% | 25% | 3,133 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4709 -031 -0 | | | | | |
|
new |
new |
|
2022 Bright Advantage Embrace Choice Plan (HMO C-SNP)
| $34.30 |
n/a |
$480 | Some Generics | $0.00 | 25% | 25% | 25% | 3,133 2022 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 |
2021 Devoted Health Dual Miami-Dade (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. |
H1290 -019 -0 | $0.00 | $0.00 | 25% | 25% | 3,173
2021 Formulary |
|
|
|
|
2022 Devoted Health Dual Miami-Dade (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,349 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H1290 -037 -1 | | | | | |
|
|
|
|
2022 Devoted Health Prime South Florida (HMO)
| $34.30 |
$1,500 |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | 25% | 25% | 3,349 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H9986 -001 -0 | | | | | |
new |
new |
new |
|
2022 Florida Complete Care (HMO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,251 2022 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 2021 --
|
H9986 -002 -0 | | | | | |
new |
new |
new |
|
2022 Florida Complete Care- In The Community (HMO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,251 2022 Formulary |
|
2021 HealthSun MediMax (HMO)
| $30.80 |
$3,450 |
$445 | No additional gap coverage, only the Donut Hole Discount |
H5431 -006 -0 | 25% | 25% | 25% | 25% | 3,581
2021 Formulary |
|
-- |
|
|
2022 HealthSun MediMax (HMO)
| $34.30 |
$3,450 |
$430 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,602 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H5431 -019 -0 | | | | | |
|
-- |
|
|
2022 HealthSun MediSun Extra (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,602 2022 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 |
2021 HealthSun MediSun Plus (HMO D-SNP)
| $29.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5431 -015 -0 | 25% | 25% | 25% | 25% | 3,581
2021 Formulary |
|
-- |
|
|
2022 HealthSun MediSun Plus (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,602 2022 Formulary |
|
-- This plan not offered in 2021 --
|
H4286 -002 -0 | | | | | |
new |
new |
new |
|
2022 Leon MediDual (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | 25% | 34% | 34% | 3,510 2022 Formulary |
|
2021 Longevity Health Plan (HMO I-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1644 -001 -0 | | | | | 3,764
2021 Formulary |
|
new |
|
|
2022 Longevity Health Plan (HMO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,678 2022 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 |
2021 Medica HealthCare Plans MedicareMax Plus (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. |
H5420 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,604
2021 Formulary |
|
|
|
|
2022 MedicareMax Plus 1 (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands | $0.00 | $0.00 | 25% | 25% | 3,654 2022 Formulary |
|
2021 MMM PLATINUM (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. |
H3293 -004 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,234
2021 Formulary |
|
-- |
|
|
2022 MMM PLATINUM (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,189 2022 Formulary |
|
2021 Molina Medicare Complete Care (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. |
H8130 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,245
2021 Formulary |
|
-- |
|
|
2022 Molina Medicare Complete Care (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands | $0.00 | $0.00 | $47.00 | $47.00 | 3,263 2022 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 2021 --
|
H8130 -009 -0 | | | | | |
|
-- |
|
|
2022 Molina Medicare Complete Care Select (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands | $0.00 | $0.00 | $47.00 | $47.00 | 3,263 2022 Formulary |
|
2021 Simply Complete (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. |
H5471 -064 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,912
2021 Formulary |
|
|
|
|
2022 Simply Complete (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $20.00 | $47.00 | $47.00 | 3,948 2022 Formulary |
|
2021 SOLIS SPF 002 (HMO D-SNP)
| $30.80 |
n/a |
$0 | Yes, some additional gap coverage. |
H0982 -002 -0 | 0% | 0% | 0% | 0% | 3,920
2021 Formulary |
|
-- |
|
|
2022 SOLIS SPF 002 (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,856 2022 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 |
2021 SOLIS SPF 011 (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0982 -011 -0 | 0% | 0% | 0% | 0% | 3,920
2021 Formulary |
|
-- |
|
|
2022 SOLIS SPF 011 (HMO C-SNP)
| $34.30 |
n/a |
$0 | Many Generics, Some Brands | 0% | 0% | 0% | 0% | 3,856 2022 Formulary |
|
2021 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1889 -002 -2 | | | | | 3,604
2021 Formulary |
|
new |
|
|
2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,654 2022 Formulary |
|
2021 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | | | | | 3,604
2021 Formulary |
|
-- |
|
|
2022 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,654 2022 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 |
2021 WellCare Access (HMO D-SNP)
| $29.70 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1032 -170 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,348
2021 Formulary |
|
|
|
|
2022 Wellcare Dual Access (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,375 2022 Formulary |
|
2021 WellCare Liberty (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1032 -176 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,348
2021 Formulary |
|
|
|
|
2022 Wellcare Dual Liberty (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,375 2022 Formulary |
|
2021 Allwell Medicare Nurture (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H5190 -006 -0 | $1.00 | $20.00 | $47.00 | $47.00 | 3,352
2021 Formulary |
|
-- |
|
|
2022 Wellcare Dual Nurture (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,375 2022 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 |
2021 UnitedHealthcare Nursing Home Plan (HMO I-SNP)
| $35.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount |
H5322 -003 -0 | | | | | 3,604
2021 Formulary |
|
|
|
|
2022 UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
| $36.60 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,654 2022 Formulary |
|
2021 BlueMedicare Choice (Regional PPO)
| $47.90 |
$6,500 |
$250 | Yes, some additional gap coverage. |
R3332 -001 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,450
2021 Formulary |
|
|
|
|
2022 BlueMedicare Choice (Regional PPO)
| $51.90 |
$6,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,486 2022 Formulary |
|
2021 HumanaChoice H5216-065 (PPO)
| $52.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -065 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,386
2021 Formulary |
|
|
|
|
2022 HumanaChoice H5216-065 (PPO)
| $53.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,413 2022 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 |
2021 Humana Gold Choice H8145-061 (PFFS)
| $101.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,386
2021 Formulary |
|
|
|
|
2022 Humana Gold Choice H8145-061 (PFFS)
| $102.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,413 2022 Formulary |
|
2021 HumanaChoice R5826-005 (Regional PPO)
| $105.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount |
R5826 -005 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 3,386
2021 Formulary |
|
|
|
|
2022 HumanaChoice R5826-005 (Regional PPO)
| $114.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,416 2022 Formulary |
|
2021 Devoted Health Prime Miami-Dade (HMO)
| $30.80 |
$1,500 |
$445 | Yes, some additional gap coverage. |
H1290 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,173
2021 Formulary |
|
|
|
|
-- Members will be assigned to Devoted Health Prime South Florida (HMO) H1290-037 --
| | | | | |
|
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 |
2021 DrCare (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4140 -003 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,975
2021 Formulary |
|
|
|
|
-- Members will be assigned to DrExtraCare (HMO-POS C-SNP) H4140-004 --
| | | | | |
|
2021 Preferred Complete Care (HMO)
| $27.20 |
$2,900 |
$445 | No additional gap coverage, only the Donut Hole Discount |
H1045 -046 -0 | | | | | 3,604
2021 Formulary |
|
|
|
|
-- Members will be assigned to Preferred Choice Dade (HMO) H1045-001 --
| | | | | |
|
2021 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $30.80 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,604
2021 Formulary |
|
-- |
|
|
-- This plan not offered in 2022 --
|
| | | | |
|