There are 127 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. | |
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|
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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. | |
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|
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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 Choice (PPO)
| $0.00 |
$3,400 |
$150 | Yes, some additional gap coverage. |
H2406 -018 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,682 2023 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 |
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. | |
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2023 AARP Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
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 |
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|
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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 |
|
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 Credit (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H1609 -053 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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|
|
|
2023 Aetna Medicare Credit (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
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 |
|
2022 Aetna Medicare Select (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1609 -016 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,701
2022 Formulary |
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|
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2023 Aetna Medicare Select (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,622 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 Align Connect (HMO C-SNP)
| $0.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9917 -002 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,860
2022 Formulary |
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new |
new |
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2023 Align Connect (HMO C-SNP)
| $0.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,833 2023 Formulary |
|
2022 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 | 3,349
2022 Formulary |
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|
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2023 AvMed Medicare Access (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,361 2023 Formulary |
|
2022 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 | 3,349
2022 Formulary |
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|
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2023 AvMed Medicare Choice (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,361 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 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 | 3,349
2022 Formulary |
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|
|
2023 AvMed Medicare Circle (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,361 2023 Formulary |
|
2022 BlueMedicare Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1035 -017 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,479
2022 Formulary |
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2023 BlueMedicare Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,534 2023 Formulary |
|
2022 BlueMedicare Premier (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1035 -024 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,479
2022 Formulary |
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|
|
2023 BlueMedicare Premier (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 Saver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1035 -039 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 2,713
2022 Formulary |
|
|
|
|
2023 BlueMedicare Saver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 2,939 2023 Formulary |
|
2022 BlueMedicare Value (PPO)
| $0.00 |
$3,451 |
$0 | Yes, some additional gap coverage. |
H5434 -032 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 2,713
2022 Formulary |
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|
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2023 BlueMedicare Value (PPO)
| $0.00 |
$3,651 |
$0 | Yes, some additional gap coverage. | $2.00 | $10.00 | $47.00 | $47.00 | 2,939 2023 Formulary |
|
2022 Bright Advantage Classic Care Plan (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. |
H4709 -035 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,133
2022 Formulary |
|
-- |
|
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2023 Bright Advantage Classic Care Plan (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 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 |
2022 Bright Advantage Embrace Care Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics |
H4709 -037 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,133
2022 Formulary |
|
-- |
|
|
2023 Bright Advantage Embrace Care Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,467 2023 Formulary |
|
2022 Bright Advantage Part B Savings Plan (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H4709 -036 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,133
2022 Formulary |
|
-- |
|
|
2023 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 | 3,467 2023 Formulary |
|
2022 Bright New Day (HMO-POS)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. |
H4709 -040 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,133
2022 Formulary |
|
-- |
|
|
2023 Bright New Day (HMO-POS)
| $0.00 |
$599 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 |
2022 CareBreeze (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H1019 -114 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,408
2022 Formulary |
|
|
|
|
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 |
|
-- This plan not offered in 2022 --
|
H1019 -123 -0 | | | | | |
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|
|
2023 CareBreeze Platinum (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $25.00 | $25.00 | 3,404 2023 Formulary |
|
2022 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H1019 -105 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,408
2022 Formulary |
|
|
|
|
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 |
-- This plan not offered in 2022 --
|
H1019 -121 -0 | | | | | |
|
|
|
|
2023 CareComplete Platinum (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $25.00 | $25.00 | 3,404 2023 Formulary |
|
2022 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 | 3,408
2022 Formulary |
|
|
|
|
2023 CareFree (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1019 -136 -0 | | | | | |
|
|
|
|
2023 CareFree Platinum (HMO)
| $0.00 |
$3,900 |
$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 CareOne PLUS (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1019 -006 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareOne Plus (HMO)
| $0.00 |
$1,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -051 -0 | | | | | |
|
-- |
|
|
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$1,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,524 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -052 -0 | | | | | |
|
-- |
|
|
2023 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$3,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 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 -101 -0 | | | | | |
|
|
|
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
|
2022 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 | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted CORE Miami-Dade (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,364 2023 Formulary |
|
2022 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 | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted ESSENTIALS Miami-Dade (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 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 DrExtraCare (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H4140 -004 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 4,013
2022 Formulary |
|
|
|
|
2023 DrExtraCare (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 4,011 2023 Formulary |
|
2022 DrMax (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H4140 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,013
2022 Formulary |
|
|
|
|
2023 DrMax (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,011 2023 Formulary |
|
2022 DrValue (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4140 -005 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 4,013
2022 Formulary |
|
|
|
|
2023 DrValue (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 4,011 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 HealthSun HealthAdvantage Plan (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H5431 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,602
2022 Formulary |
|
-- |
|
|
2023 HealthSun HealthAdvantage Plan (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,588 2023 Formulary |
|
2022 HealthSun HealthAdvantage Plus (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5431 -017 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,602
2022 Formulary |
|
-- |
|
|
2023 HealthSun HealthAdvantage Plus (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,588 2023 Formulary |
|
2022 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H1036 -121 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 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 H1036-054C (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1036 -054 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1036 -305 -0 | | | | | |
|
|
|
|
2023 Humana Gold Plus H1036-305 (HMO)
| $0.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1036 -297 -0 | | | | | |
|
|
|
|
2023 Humana Gold Plus Lung (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 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 Honor (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H1036 -279 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Humana Honor (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 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 | 3,413
2022 Formulary |
|
|
|
|
2023 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$3,850 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5216 -311 -0 | | | | | |
|
|
|
|
2023 HumanaChoice Florida H5216-311 (PPO)
| $0.00 |
$4,850 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $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 H7284-008 (PPO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H7284 -008 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 HumanaChoice Florida H7284-008 (PPO)
| $0.00 |
$2,450 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $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 Leon MediExtra (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H4286 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,528
2022 Formulary |
|
new |
new |
|
2023 Leon MediExtra (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,508 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 Leon MediMore (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H4286 -003 -0 | $0.00 | $47.00 | $97.00 | $97.00 | 3,528
2022 Formulary |
|
new |
new |
|
2023 Leon MediMore (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $47.00 | $97.00 | $97.00 | 3,508 2023 Formulary |
|
2022 MedicareMax (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5420 -001 -0 | $0.00 | $0.00 | $20.00 | $20.00 | 3,654
2022 Formulary |
|
|
|
|
2023 MedicareMax (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,682 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5420 -014 -0 | | | | | |
|
|
|
|
2023 MedicareMax Chronic (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 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 |
|
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 |
|
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 PHP (HMO C-SNP)
| $0.00 |
n/a |
$480 | Few Generics |
H3132 -001 -0 | 15% | 15% | 25% | 25% | 3,133
2022 Formulary |
|
|
|
|
2023 PHP (HMO C-SNP)
| $0.00 |
n/a |
$505 | Yes, some additional gap coverage. | 15% | 15% | 25% | 25% | 3,288 2023 Formulary |
|
2022 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 | 3,654
2022 Formulary |
|
|
|
|
2023 Preferred Choice Dade (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,682 2023 Formulary |
|
2022 Preferred Special Care Miami-Dade (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Some Brands |
H1045 -018 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,654
2022 Formulary |
|
|
|
|
2023 Preferred Special Care Miami-Dade (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $3.00 | $3.00 | 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 Simply Care (HMO I-SNP)
| $0.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5471 -067 -0 | $4.00 | $5.00 | 25% | 25% | 3,948
2022 Formulary |
|
|
|
|
2023 Simply Care (HMO I-SNP)
| $0.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $5.00 | 25% | 25% | 3,927 2023 Formulary |
|
2022 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$480 | Some Generics, Few Brands |
H5471 -068 -0 | $0.00 | $5.00 | 25% | 25% | 3,948
2022 Formulary |
|
|
|
|
2023 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | $5.00 | 25% | 25% | 3,927 2023 Formulary |
|
2022 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5471 -103 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,948
2022 Formulary |
|
|
|
|
2023 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $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 -001 -0 | | | | | |
new |
new |
new |
|
2023 Simply Freedom (PPO)
| $0.00 |
$3,600 |
$125 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,927 2023 Formulary |
|
2022 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H5471 -069 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,948
2022 Formulary |
|
|
|
|
2023 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,927 2023 Formulary |
|
2022 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5471 -065 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,948
2022 Formulary |
|
|
|
|
2023 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 |
2022 SOLIS SPF 001 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0982 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,856
2022 Formulary |
|
-- |
|
|
2023 SOLIS SPF 001 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,816 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H0982 -014 -0 | | | | | |
|
-- |
|
|
2023 Solis SPF 003 (HMO)
| $0.00 |
$2,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,816 2023 Formulary |
|
2022 Wellcare Giveback (HMO)
| $0.00 |
$500 |
$0 | Yes, some additional gap coverage. |
H1032 -040 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 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 Open (PPO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5199 -015 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 Wellcare Specialty Giveback (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H1032 -186 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,373
2022 Formulary |
|
|
|
|
2023 Wellcare Specialty Giveback (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 HumanaChoice Florida H7284-007 (PPO)
| $11.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H7284 -007 -0 | $0.00 | $10.00 | $30.00 | $30.00 | 3,413
2022 Formulary |
|
|
|
|
2023 HumanaChoice Florida H7284-007 (PPO)
| $10.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $30.00 | $30.00 | 3,404 2023 Formulary |
|
2022 CareNeeds PLUS (HMO D-SNP)
| $13.20 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1019 -023 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 CareNeeds Plus (HMO D-SNP)
| $18.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
-- 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 |
|
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 --
|
H5410 -056 -0 | | | | | |
|
-- |
|
|
2023 Cigna TotalCare (HMO D-SNP)
| $20.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5410 -049 -0 | | | | | |
|
-- |
|
|
2023 Cigna TotalCare Plus (HMO D-SNP)
| $20.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 Formulary |
|
2022 Aetna Medicare Assure Plus (HMO D-SNP)
| $27.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1609 -043 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,701
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Assure Plus (HMO D-SNP)
| $24.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $11.00 | 25% | 25% | 3,622 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 Reserve (HMO D-SNP)
| $29.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1032 -206 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Reserve (HMO D-SNP)
| $28.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $19.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1036 -280 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $28.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $16.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
| $36.60 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5322 -003 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP)
| $30.80 |
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 Liberty (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1032 -176 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $30.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Aetna Medicare Assure (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1609 -017 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,701
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Assure (HMO D-SNP)
| $32.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $15.00 | 25% | 25% | 3,622 2023 Formulary |
|
2022 Devoted Health Prime South Florida (HMO)
| $34.30 |
$1,500 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1290 -037 -1 | $0.00 | $0.00 | 25% | 25% | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted PRIME (HMO)
| $32.00 |
$2,900 |
$505 | Yes, some additional gap coverage. | $0.00 | $0.00 | 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 Wellcare Dual Access (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1032 -170 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access (HMO D-SNP)
| $32.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Devoted Health Dual Miami-Dade (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1290 -019 -0 | 25% | 25% | 25% | 25% | 3,349
2022 Formulary |
|
|
|
|
2023 Devoted DUAL Miami-Dade (HMO D-SNP)
| $32.90 |
n/a |
$505 | Yes, some additional gap coverage. | 25% | 25% | 25% | 25% | 3,364 2023 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 |
H1036 -077 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)
| $35.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $16.00 | $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 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 Align Thrive (HMO I-SNP)
| $22.90 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9917 -001 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,860
2022 Formulary |
|
new |
new |
|
2023 Align Thrive (HMO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,833 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H6378 -001 -0 | | | | | |
new |
new |
new |
|
2023 AmeriHealth Caritas VIP Care (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $6.75 | 25% | | | 3,501 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 Complete (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands |
H1035 -027 -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 |
|
2022 Bright Advantage Embrace Assist Plan (HMO C-SNP)
| $34.30 |
n/a |
$480 | Some Generics |
H4709 -039 -0 | $0.00 | 25% | 25% | 25% | 3,133
2022 Formulary |
|
-- |
|
|
2023 Bright Advantage Embrace Assist Plan (HMO C-SNP)
| $35.90 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,467 2023 Formulary |
|
2022 Bright Advantage Embrace Choice Plan (HMO C-SNP)
| $34.30 |
n/a |
$480 | Some Generics |
H4709 -031 -0 | $0.00 | 25% | 25% | 25% | 3,133
2022 Formulary |
|
-- |
|
|
2023 Bright Advantage Embrace Choice Plan (HMO C-SNP)
| $35.90 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 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 |
2022 DrPlus (HMO-POS D-SNP)
| $26.40 |
n/a |
$0 | Many Generics, Some Brands |
H4140 -002 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,013
2022 Formulary |
|
|
|
|
2023 DrPlus (HMO-POS D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 4,011 2023 Formulary |
|
2022 Florida Complete Care (HMO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9986 -001 -0 | | | | | 3,251
2022 Formulary |
|
new |
new |
|
2023 Florida Complete Care (HMO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,258 2023 Formulary |
|
2022 Florida Complete Care- In The Community (HMO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9986 -002 -0 | | | | | 3,251
2022 Formulary |
|
new |
new |
|
2023 Florida Complete Care- In The Community (HMO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,258 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 HealthSun MediMax (HMO)
| $34.30 |
$3,450 |
$430 | No additional gap coverage, only the Donut Hole Discount |
H5431 -006 -0 | 25% | 25% | 25% | 25% | 3,602
2022 Formulary |
|
-- |
|
|
2023 HealthSun MediMax (HMO)
| $35.90 |
$3,450 |
$430 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,588 2023 Formulary |
|
2022 HealthSun MediSun Extra (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5431 -019 -0 | 25% | 25% | 25% | 25% | 3,602
2022 Formulary |
|
-- |
|
|
2023 HealthSun MediSun Extra (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,588 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1036 -304 -0 | | | | | |
|
|
|
|
2023 Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 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 --
|
H7284 -010 -0 | | | | | |
|
|
|
|
2023 HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 Leon MediDual (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4286 -002 -0 | $0.00 | 25% | 34% | 34% | 3,510
2022 Formulary |
|
new |
new |
|
2023 Leon MediDual (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | 24% | 24% | 35% | 35% | 3,506 2023 Formulary |
|
2022 Longevity Health Plan (HMO I-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1644 -001 -0 | | | | | 3,678
2022 Formulary |
|
-- |
|
|
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 |
|
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 MedicareMax Plus 1 (HMO D-SNP)
| $34.30 |
n/a |
$480 | Some Generics, Few Brands |
H5420 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,654
2022 Formulary |
|
|
|
|
2023 MedicareMax Plus (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 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 |
|
2022 Preferred Medicare Assist Plan 1 (HMO D-SNP)
| $34.00 |
n/a |
$480 | Some Generics, Few Brands |
H1045 -012 -0 | $0.00 | $0.00 | 25% | 25% | 3,654
2022 Formulary |
|
|
|
|
2023 Preferred Medicare Assist (HMO 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 |
2022 Simply Complete (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5471 -064 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,948
2022 Formulary |
|
|
|
|
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 |
|
2022 SOLIS SPF 002 (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0982 -002 -0 | 25% | 25% | 25% | 25% | 3,856
2022 Formulary |
|
-- |
|
|
2023 SOLIS SPF 002 (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,816 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H0982 -015 -0 | | | | | |
|
-- |
|
|
2023 Solis SPF 004 (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,816 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 SOLIS SPF 011 (HMO C-SNP)
| $34.30 |
n/a |
$0 | Many Generics, Some Brands |
H0982 -011 -0 | 0% | 0% | 0% | 0% | 3,856
2022 Formulary |
|
-- |
|
|
2023 SOLIS SPF 011 (HMO C-SNP)
| $35.90 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | 0% | 3,816 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 -2 | | | | | 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 |
|
-- 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 |
|
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 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 |
|
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 |
|
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 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 |
|
2022 HealthSun MediSun Plus (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5431 -015 -0 | 25% | 25% | 25% | 25% | 3,602
2022 Formulary |
|
|
|
|
-- Members will be assigned to HealthSun MediSun Extra (HMO D-SNP) H5431-019 --
| | | | | |
|
2022 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 | 3,408
2022 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H1036-305 (HMO) H1036-305 --
| | | | | |
|
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 H5216-065 (PPO)
| $53.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -065 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice Florida H5216-068 (PPO) H5216-068 --
| | | | | |
|
2022 MedicareMax Plus 2 (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5420 -013 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
-- Members will be assigned to MedicareMax Plus (HMO D-SNP) H5420-006 --
| | | | | |
|
2022 Preferred Medicare Assist Plan 2 (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1045 -053 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
-- Members will be assigned to Preferred Medicare Assist (HMO D-SNP) H1045-012 --
| | | | | |
|
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 CareExtra (HMO)
| $19.20 |
$1,500 |
$480 | Yes, some additional gap coverage. |
H1019 -089 -0 | $0.00 | $0.00 | 21% | 21% | 3,408
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 MMM EXTRA (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3293 -003 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 3,189
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 MMM PLATINUM (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H3293 -004 -0 | 25% | 25% | 25% | 25% | 3,189
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
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 MMM ELITE (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3293 -005 -0 | $0.00 | $0.00 | $5.00 | $5.00 | 3,189
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 DrFirst (HMO-POS)
| $29.50 |
$3,400 |
$480 | Yes, some additional gap coverage. |
H4140 -006 -0 | $0.00 | $0.00 | 25% | 25% | 4,013
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 DrChoice (HMO-POS)
| $33.40 |
$3,400 |
$480 | Yes, some additional gap coverage. |
H4140 -007 -0 | $0.00 | $0.00 | 25% | 25% | 4,013
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
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 Medicare (HMO D-SNP)
| $31.70 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5190 -004 -0 | $0.00 | $16.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 Wellcare Dual Nurture (HMO D-SNP)
| $34.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5190 -006 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 Leon Medicare (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H5410 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,886
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
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 Choice H8145-061 (PFFS)
| $102.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|