There are 85 Medicare Advantage plans meeting your criteria.
2022 / 2023 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 |
2022 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H1045 -026 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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|
|
|
2023 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 3,682 2023 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 |
2022 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,900 |
$175 | Yes, some additional gap coverage. |
H2406 -013 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,654
2022 Formulary |
|
|
|
|
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,682 2023 Formulary |
|
2022 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | Yes, some additional gap coverage. |
R0759 -001 -0 | $3.00 | $14.00 | $47.00 | $47.00 | n/a |
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|
|
|
2023 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 AARP Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R0759 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 AARP Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
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 |
2022 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 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Choice (HMO-POS)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H5521 -347 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 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 | 3,672
2022 Formulary |
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|
|
|
2023 Aetna Medicare Premier (PPO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 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 |
2022 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. |
H5521 -269 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Aetna Medicare Select (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H1609 -021 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,698
2022 Formulary |
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|
|
|
2023 Aetna Medicare Select (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,622 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H9943 -003 -0 | | | | | |
new |
new |
new |
|
2023 Alignment Health Heart & Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,467 2023 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 2022 --
|
H9943 -001 -0 | | | | | |
new |
new |
new |
|
2023 Alignment Health Platinum (HMO-POS)
| $0.00 |
$2,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,467 2023 Formulary |
|
2022 Ascension Complete St. Vincent's Reward (HMO)
| $0.00 |
$2,900 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8225 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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|
|
2023 Ascension Complete Florida Reward (HMO)
| $0.00 |
$2,900 |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H8225 -009 -0 | | | | | |
|
|
|
|
2023 Ascension Complete Florida Reward II (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,392 2023 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 |
2022 Ascension Complete St. Vincent's Access POS (HMO-POS)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8225 -007 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Ascension Complete St. Vincent's Access POS (HMO-POS)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Ascension Complete St. Vincent's Secure (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H8225 -003 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Ascension Complete St. Vincent's Secure (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $1.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 BlueMedicare Classic (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H1035 -019 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,479
2022 Formulary |
|
|
|
|
2023 BlueMedicare Classic (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,534 2023 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 |
2022 BlueMedicare Patriot (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H5434 -041 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 BlueMedicare Patriot (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 BlueMedicare Premier (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H1035 -033 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,479
2022 Formulary |
|
|
|
|
2023 BlueMedicare Premier (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,534 2023 Formulary |
|
2022 BlueMedicare Value (PPO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. |
H5434 -031 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 2,713
2022 Formulary |
|
|
|
|
2023 BlueMedicare Value (PPO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $4.00 | $47.00 | $47.00 | 2,939 2023 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 2022 --
|
H1019 -127 -0 | | | | | |
|
|
|
|
2023 CareBreeze (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,404 2023 Formulary |
|
2022 CareBreeze (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H1019 -118 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareBreeze Platinum (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1019 -128 -0 | | | | | |
|
|
|
|
2023 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,404 2023 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 |
2022 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H1019 -109 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareComplete Platinum (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
|
2022 CareFree (HMO)
| $0.00 |
$3,900 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H1019 -094 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareFree Platinum (HMO)
| $0.00 |
$3,900 |
$100 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
|
2022 CareOne PLATINUM (HMO)
| $0.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H1019 -113 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareOne Platinum (HMO)
| $0.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,404 2023 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 |
2022 CareOne (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1019 -069 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareOne Plus (HMO)
| $0.00 |
$3,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -043 -0 | | | | | |
|
-- |
|
|
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,524 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -044 -0 | | | | | |
|
-- |
|
|
2023 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,524 2023 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 2022 --
|
H7849 -047 -0 | | | | | |
|
|
|
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$4,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $4.00 | $40.00 | $40.00 | 3,524 2023 Formulary |
|
2022 Devoted Health Latitude Greater Jacksonville (PPO)
| $0.00 |
$4,900 |
$150 | Yes, some additional gap coverage. |
H9884 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,349
2022 Formulary |
|
new |
new |
|
2023 Devoted CHOICE (PPO)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,364 2023 Formulary |
|
2022 Devoted Health Core Greater Jacksonville (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1290 -029 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted CORE Jacksonville (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,364 2023 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 |
2022 Devoted Health Essentials Greater Jacksonville (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1290 -031 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted ESSENTIALS Jacksonville (HMO)
| $0.00 |
$3,900 |
$100 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,364 2023 Formulary |
|
2022 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H1036 -175 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1036 -302 -0 | | | | | |
|
|
|
|
2023 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,404 2023 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 |
2022 Humana Gold Plus H1036-068 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1036 -068 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus H1036-068 (HMO)
| $0.00 |
$3,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,404 2023 Formulary |
|
2022 Humana Gold Plus H1036-270 (HMO)
| $0.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1036 -270 -0 | $4.00 | $20.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus H1036-270 (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
|
2022 Humana Honor (HMO)
| $0.00 |
$5,500 |
No Rx Coverage |
H1036 -293 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Humana Honor (HMO)
| $0.00 |
$5,500 |
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 |
-- This plan not offered in 2022 --
|
H5216 -257 -0 | | | | | |
|
|
|
|
2023 Humana Honor (PPO)
| $0.00 |
$5,100 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 HumanaChoice Florida H5216-070 (PPO)
| $0.00 |
$5,550 |
$175 | No additional gap coverage, only the Donut Hole Discount |
H5216 -070 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice Florida H5216-070 (PPO)
| $0.00 |
$5,500 |
$175 | Yes, some additional gap coverage. | $2.00 | $10.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 HumanaChoice Florida H7284-006 (PPO)
| $76.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7284 -006 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice Florida H7284-006 (PPO)
| $0.00 |
$3,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 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 |
2022 HumanaChoice Florida H7284-009 (PPO)
| $0.00 |
$5,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7284 -009 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 HumanaChoice Florida H7284-009 (PPO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Molina Medicare Choice Care (HMO)
| $0.00 |
$7,550 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H8130 -010 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,218
2022 Formulary |
|
-- |
|
|
2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,221 2023 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 |
2022 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8130 -011 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,218
2022 Formulary |
|
-- |
|
|
2023 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$450 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,221 2023 Formulary |
|
2022 Molina Medicare Connect Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8130 -008 -0 | $2.00 | $8.00 | $45.00 | $45.00 | 3,263
2022 Formulary |
|
-- |
|
|
2023 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 | 3,270 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5471 -112 -0 | | | | | |
|
|
|
|
2023 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,927 2023 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 2022 --
|
H9469 -003 -0 | | | | | |
new |
new |
new |
|
2023 Simply Freedom (PPO)
| $0.00 |
$6,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,927 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5471 -110 -0 | | | | | |
|
|
|
|
2023 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,927 2023 Formulary |
|
2022 Wellcare Giveback (HMO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. |
H1032 -204 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,393 2023 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 |
2022 Wellcare No Premium (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H1032 -205 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,393 2023 Formulary |
|
2022 Wellcare No Premium Open (PPO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. |
H5199 -008 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 HumanaChoice R5826-074 (Regional PPO)
| $8.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $6.00 | $20.00 | $47.00 | $47.00 | 3,421
2022 Formulary |
|
|
|
|
2023 HumanaChoice R5826-074 (Regional PPO)
| $4.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $20.00 | $47.00 | $47.00 | 3,404 2023 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 |
2022 Ascension Complete St. Vincent's DSNP (HMO D-SNP)
| $18.20 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8225 -005 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Ascension Complete St. Vincent's DSNP (HMO D-SNP)
| $13.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $20.00 | $47.00 | $47.00 | 3,392 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H9943 -004 -0 | | | | | |
new |
new |
new |
|
2023 Alignment Health the ONE (HMO D-SNP)
| $15.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | 25% | 25% | 3,467 2023 Formulary |
|
2022 CareNeeds PLUS (HMO D-SNP)
| $14.50 |
n/a |
$355 | No additional gap coverage, only the Donut Hole Discount |
H1019 -073 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareNeeds Plus (HMO D-SNP)
| $17.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $15.00 | $47.00 | $47.00 | 3,404 2023 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 2022 --
|
H5199 -016 -0 | | | | | |
|
|
|
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $18.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -031 -0 | | | | | |
|
-- |
|
|
2023 Cigna TotalCare Plus (HMO D-SNP)
| $19.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -045 -0 | | | | | |
|
-- |
|
|
2023 Cigna TotalCare (HMO D-SNP)
| $19.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 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 |
2022 Aetna Medicare Assure Plus (HMO D-SNP)
| $29.70 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1609 -045 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,698
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Assure Plus (HMO D-SNP)
| $22.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $15.00 | 25% | 25% | 3,622 2023 Formulary |
|
2022 Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
| $21.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1036 -210 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)
| $23.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $14.00 | $19.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Devoted Health Dual Greater Jacksonville (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1290 -023 -0 | 25% | 25% | 25% | 25% | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted DUAL Jacksonville (HMO D-SNP)
| $28.10 |
n/a |
$505 | Yes, some additional gap coverage. | 25% | 25% | 25% | 25% | 3,364 2023 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 |
2022 Molina Medicare Complete Care Select (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands |
H8130 -009 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,263
2022 Formulary |
|
-- |
|
|
2023 Molina Medicare Complete Care Select (HMO D-SNP)
| $35.20 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,270 2023 Formulary |
|
2022 BlueMedicare Complete (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands |
H1035 -031 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,479
2022 Formulary |
|
|
|
|
2023 BlueMedicare Complete (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,534 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1290 -044 -2 | | | | | |
|
|
|
|
2023 Devoted PREMIUM (HMO)
| $35.90 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,364 2023 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 2022 --
|
H1644 -001 -0 | | | | | |
|
-- |
|
|
2023 Longevity Health Plan (HMO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,970 2023 Formulary |
|
2022 Molina Medicare Complete Care (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands |
H8130 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,263
2022 Formulary |
|
-- |
|
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $35.90 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,270 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5471 -111 -0 | | | | | |
|
|
|
|
2023 Simply Complete (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,927 2023 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 2022 --
|
H0710 -012 -0 | | | | | |
|
-- |
|
|
2023 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $35.90 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1889 -002 -1 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete LP (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1045 -039 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 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 2022 --
|
H2509 -001 -0 | | | | | |
new |
new |
new |
|
2023 UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
R0759 -003 -0 | | | | | 3,663
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | | | | | 3,654
2022 Formulary |
|
-- |
|
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 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 |
2022 Wellcare Dual Access (HMO D-SNP)
| $32.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1032 -124 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Wellcare Dual Liberty (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1032 -175 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Wellcare Dual Select (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1032 -182 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Select (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 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 |
2022 BlueMedicare Choice (Regional PPO)
| $51.90 |
$6,500 |
$250 | Yes, some additional gap coverage. |
R3332 -001 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,486
2022 Formulary |
|
|
|
|
2023 BlueMedicare Choice (Regional PPO)
| $49.90 |
$6,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,534 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5199 -010 -0 | | | | | |
|
|
|
|
2023 Wellcare Premium Enhanced Open (PPO)
| $99.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 HumanaChoice R5826-005 (Regional PPO)
| $114.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount |
R5826 -005 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 3,416
2022 Formulary |
|
|
|
|
2023 HumanaChoice R5826-005 (Regional PPO)
| $111.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,404 2023 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 |
2022 Aetna Medicare Assure (HMO D-SNP)
| $24.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1609 -039 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,698
2022 Formulary |
|
|
|
|
-- Members will be assigned to Aetna Medicare Assure Plus (HMO D-SNP) H1609-045 --
| | | | | |
|
2022 Devoted Health Prime Greater Jacksonville (HMO)
| $34.30 |
$3,100 |
$0 | Yes, some additional gap coverage. |
H1290 -030 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,349
2022 Formulary |
|
|
|
|
-- Members will be assigned to Devoted PREMIUM (HMO) H1290-044 --
| | | | | |
|
2022 Humana Gold Plus SNP-DE H1036-243 (HMO D-SNP)
| $20.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1036 -243 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP) H1036-210 --
| | | | | |
|
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 |
2022 Wellcare Premium Enhanced Open (PPO)
| $90.00 |
$1,700 |
$0 | Yes, some additional gap coverage. |
H5199 -013 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare Premium Enhanced Open (PPO) H5199-010 --
| | | | | |
|