There are 118 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 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 |
2023 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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2024 AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO)
| $0.00 |
$7,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H5521 -308 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H5434 -042 -0 | | | | | |
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2024 BlueMedicare Patriot (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 CareSalute (HMO)
| $0.00 |
$3,900 |
No Rx Coverage |
H1019 -132 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 CareSalute (HMO)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H5410 -057 -0 | | | | | |
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2024 Cigna Courage Medicare (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5427 -052 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Honor (PPO)
| $0.00 |
$5,100 |
No Rx Coverage |
H5216 -257 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,100 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H1045 -028 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC FL-0006 (HMO-POS)
| $0.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
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2023 AARP Medicare Advantage Premier (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H1045 -043 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC FL-0013 (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,634 2024 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 |
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H2406 -011 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC FL-0019 (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. |
R0759 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC FL-0031 (Regional PPO)
| $0.00 |
$7,900 |
$395 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H2962 -021 -0 | | | | | |
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2024 Advantage Care by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $50.00 | $50.00 | 3,782 2024 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 2023 --
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H2962 -022 -0 | | | | | |
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2024 Advantage Care CHF by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $50.00 | $50.00 | 3,782 2024 Formulary |
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2023 Advantage Care COPD by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2962 -025 -0 | $0.00 | $10.00 | $50.00 | $50.00 | 3,806
2023 Formulary |
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2024 Advantage Care COPD by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $50.00 | $50.00 | 3,782 2024 Formulary |
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2023 Aetna Medicare Credit (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H1609 -060 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Credit (HMO)
| $0.00 |
$3,850 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 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 |
-- This plan not offered in 2023 --
|
H5521 -437 -0 | | | | | |
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2024 Aetna Medicare Explorer Premier (PPO)
| $0.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 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 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier (PPO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. |
H5521 -270 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier (PPO)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 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 |
2023 Aetna Medicare Select (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H1609 -034 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,622
2023 Formulary |
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2024 Aetna Medicare Select (HMO)
| $0.00 |
$2,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 3,658 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1609 -067 -0 | | | | | |
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2024 Aetna Medicare Select Plus (HMO)
| $0.00 |
$1,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 3,658 2024 Formulary |
|
2023 BlueMedicare Classic (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H1035 -021 -0 | $0.00 | $8.00 | $40.00 | $40.00 | 3,534
2023 Formulary |
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|
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2024 BlueMedicare Classic (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $40.00 | $40.00 | 3,545 2024 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 |
2023 BlueMedicare Premier (HMO)
| $0.00 |
$2,400 |
$0 | Yes, some additional gap coverage. |
H1035 -034 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,534
2023 Formulary |
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|
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2024 BlueMedicare Premier (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,545 2024 Formulary |
|
2023 BlueMedicare Value (PPO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. |
H5434 -035 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 2,939
2023 Formulary |
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2024 BlueMedicare Value (PPO)
| $0.00 |
$4,700 |
$150 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 2,997 2024 Formulary |
|
2023 CareBreeze Platinum (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1019 -142 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
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2024 CareBreeze Platinum (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,448 2024 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 |
2023 CareComplete Platinum (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1019 -141 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
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|
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2024 CareComplete Platinum (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
|
2023 CareOne Plus (HMO)
| $0.00 |
$1,700 |
$0 | Yes, some additional gap coverage. |
H1019 -103 -2 | $0.00 | $0.00 | $5.00 | $5.00 | 3,404
2023 Formulary |
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|
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2024 CareOne Plus (HMO)
| $0.00 |
$2,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $5.00 | $5.00 | 3,448 2024 Formulary |
|
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$2,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5410 -029 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,524
2023 Formulary |
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2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$2,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $42.00 | $42.00 | 3,535 2024 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 |
2023 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$2,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5410 -030 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$2,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,535 2024 Formulary |
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$5,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7849 -048 -0 | $0.00 | $2.00 | $40.00 | $40.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$4,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,535 2024 Formulary |
|
2023 Devoted CHOICE GIVEBACK Tampa (PPO)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. |
H9884 -005 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
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2024 Devoted CHOICE GIVEBACK Tampa (PPO)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,391 2024 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 |
2023 Devoted CORE Tampa (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H1290 -036 -1 | $0.00 | $0.00 | $8.00 | $8.00 | 3,364
2023 Formulary |
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2024 Devoted CORE Tampa (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $8.00 | $8.00 | 3,391 2024 Formulary |
|
2023 Devoted ESSENTIALS Tampa (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1290 -051 -1 | $0.00 | $5.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
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2024 Devoted ESSENTIALS Tampa (HMO)
| $0.00 |
$4,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1526 -003 -0 | | | | | |
new |
new |
new |
|
2024 Dialysis Plus (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,582 2024 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 |
2023 Freedom VIP Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -070 -0 | $0.00 | $15.00 | $55.00 | $55.00 | 3,308
2023 Formulary |
|
|
|
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2024 Freedom VIP Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $55.00 | $55.00 | 3,310 2024 Formulary |
|
2023 Freedom VIP Savings (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -072 -0 | $0.00 | $25.00 | $65.00 | $65.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Freedom VIP Savings (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 3,310 2024 Formulary |
|
2023 Freedom VIP Savings COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -077 -0 | $0.00 | $20.00 | $60.00 | $60.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Freedom VIP Savings COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 3,309 2024 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 2023 --
|
H1526 -005 -0 | | | | | |
new |
new |
new |
|
2024 Honest Care (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,582 2024 Formulary |
|
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1036 -160 -0 | $0.00 | $0.00 | $5.00 | $5.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $5.00 | $5.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1036 -299 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 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 |
2023 Humana Gold Plus H1036-025 (HMO)
| $0.00 |
$1,800 |
$0 | Yes, some additional gap coverage. |
H1036 -025 -0 | $0.00 | $0.00 | $5.00 | $5.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus H1036-025 (HMO)
| $0.00 |
$1,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $5.00 | $5.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H1036-265 (HMO)
| $0.00 |
$2,400 |
$0 | Yes, some additional gap coverage. |
H1036 -265 -1 | $0.00 | $0.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus H1036-265 (HMO)
| $0.00 |
$2,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1036 -312 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus Lung (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 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 |
2023 Humana Honor (HMO)
| $0.00 |
$3,900 |
No Rx Coverage |
H1036 -119 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Humana USAA Honor (HMO)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 HumanaChoice Florida H5216-072 (PPO)
| $0.00 |
$4,900 |
$150 | Yes, some additional gap coverage. |
H5216 -072 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice Florida H5216-072 (PPO)
| $0.00 |
$5,400 |
$150 | Yes, some additional gap coverage. | $2.00 | $10.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice Florida H5216-304 (PPO)
| $0.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H5216 -304 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice Florida H5216-304 (PPO)
| $0.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 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 2023 --
|
H5216 -393 -0 | | | | | |
|
|
|
|
2024 HumanaChoice Florida H5216-393 (PPO)
| $0.00 |
$6,500 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1526 -006 -0 | | | | | |
new |
new |
new |
|
2024 Loyalty Care (HMO-POS)
| $0.00 |
$4,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2023 --
|
H5594 -036 -0 | | | | | |
|
|
|
|
2024 Optimum Diamond (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $50.00 | $50.00 | 3,310 2024 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 |
2023 Optimum Diamond Rewards (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -028 -0 | $0.00 | $15.00 | $55.00 | $55.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Diamond Rewards (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $55.00 | $55.00 | 3,310 2024 Formulary |
|
2023 Optimum Diamond Rewards COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -029 -0 | $0.00 | $15.00 | $55.00 | $55.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Diamond Rewards COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $55.00 | $55.00 | 3,309 2024 Formulary |
|
2023 Optimum Gold Plus Plan (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H5594 -032 -0 | $0.00 | $20.00 | $60.00 | $60.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Gold Plus Plan (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 3,309 2024 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 |
2023 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H5594 -001 -0 | $0.00 | $30.00 | $70.00 | $70.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $70.00 | $70.00 | 3,309 2024 Formulary |
|
2023 Optimum Platinum Plan (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H5594 -002 -0 | $0.00 | $5.00 | $50.00 | $50.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Platinum Plan (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $50.00 | $50.00 | 3,309 2024 Formulary |
|
2023 Premier by Ultimate (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H2962 -001 -0 | $0.00 | $15.00 | $60.00 | $60.00 | 3,806
2023 Formulary |
|
|
|
|
2024 Premier by Ultimate (HMO)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $60.00 | $60.00 | 3,782 2024 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 2023 --
|
H5471 -068 -0 | | | | | |
|
|
|
|
2024 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$545 | Yes, some additional gap coverage. | $0.00 | $5.00 | 25% | 25% | 3,889 2024 Formulary |
|
2023 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5471 -108 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,927
2023 Formulary |
|
|
|
|
2024 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,889 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5471 -117 -0 | | | | | |
|
|
|
|
2024 Simply Extra Platinum (HMO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,889 2024 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 |
2023 Simply Freedom (PPO)
| $0.00 |
$5,000 |
$150 | Yes, some additional gap coverage. |
H9469 -008 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,927
2023 Formulary |
|
new |
new |
|
2024 Simply Freedom (PPO)
| $0.00 |
$5,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,889 2024 Formulary |
|
2023 Simply Freedom Extra (PPO)
| $0.00 |
$6,100 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H9469 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,927
2023 Formulary |
|
new |
new |
|
2024 Simply Freedom Extra (PPO)
| $0.00 |
$6,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,889 2024 Formulary |
|
2023 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -075 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,927
2023 Formulary |
|
|
|
|
2024 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,889 2024 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 2023 --
|
H5471 -119 -0 | | | | | |
|
|
|
|
2024 Simply Level Platinum (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,889 2024 Formulary |
|
2023 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5471 -078 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,927
2023 Formulary |
|
|
|
|
2024 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,889 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1526 -001 -0 | | | | | |
new |
new |
new |
|
2024 Super Plus (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,582 2024 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 |
2023 UnitedHealthcare Medicare Advantage Walgreens (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1045 -048 -3 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H1032 -200 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare Giveback (HMO)
| $0.00 |
$5,000 |
$545 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$1,200 |
$0 | Yes, some additional gap coverage. |
H1032 -201 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium (HMO)
| $0.00 |
$1,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,372 2024 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 |
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$3,400 |
$100 | Yes, some additional gap coverage. |
H5199 -012 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium Open (PPO)
| $0.00 |
$3,400 |
$100 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1290 -052 -0 | | | | | |
|
|
|
|
2024 Devoted DUAL PLUS Florida (HMO D-SNP)
| $16.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,391 2024 Formulary |
|
2023 Freedom Medi-Medi Full (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5427 -087 -0 | $15.00 | $45.00 | $95.00 | $95.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Freedom Medi-Medi Full (HMO D-SNP)
| $16.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $45.00 | $95.00 | $95.00 | 3,309 2024 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 |
2023 Devoted DUAL Tampa (HMO D-SNP)
| $31.20 |
n/a |
$505 | Yes, some additional gap coverage. |
H1290 -024 -0 | 25% | 25% | 25% | 25% | 3,364
2023 Formulary |
|
|
|
|
2024 Devoted DUAL Tampa (HMO D-SNP)
| $19.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,391 2024 Formulary |
|
2023 Devoted PRIME (HMO)
| $32.00 |
$2,900 |
$505 | Yes, some additional gap coverage. |
H1290 -037 -5 | $0.00 | $0.00 | 25% | 25% | 3,364
2023 Formulary |
|
|
|
|
2024 Devoted PREMIUM Florida (HMO)
| $21.90 |
$3,200 |
$545 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,391 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -392 -0 | | | | | |
|
|
|
|
2024 HumanaChoice Florida H5216-392 (PPO)
| $22.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $30.00 | $30.00 | 3,448 2024 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 |
2023 Optimum Emerald Partial (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5594 -016 -0 | $15.00 | $45.00 | $95.00 | $95.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Emerald Partial (HMO D-SNP)
| $24.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $45.00 | $95.00 | $95.00 | 3,309 2024 Formulary |
|
2023 Optimum Emerald Full (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5594 -017 -0 | $15.00 | $45.00 | $95.00 | $95.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Optimum Emerald Full (HMO D-SNP)
| $25.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $45.00 | $95.00 | $95.00 | 3,309 2024 Formulary |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $18.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5199 -016 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $25.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 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 2023 --
|
H1526 -002 -0 | | | | | |
new |
new |
new |
|
2024 Super Complete (HMO-POS C-SNP)
| $25.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,582 2024 Formulary |
|
2023 Freedom Medi-Medi Partial (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5427 -078 -0 | $15.00 | $45.00 | $95.00 | $95.00 | 3,308
2023 Formulary |
|
|
|
|
2024 Freedom Medi-Medi Partial (HMO D-SNP)
| $25.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $45.00 | $95.00 | $95.00 | 3,309 2024 Formulary |
|
2023 Cigna TotalCare Plus (HMO D-SNP)
| $17.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5410 -032 -0 | | | | | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna TotalCare Plus (HMO D-SNP)
| $26.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 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 |
2023 Cigna TotalCare (HMO D-SNP)
| $19.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5410 -046 -0 | | | | | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna TotalCare (HMO D-SNP)
| $27.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
2023 CareNeeds Plus (HMO D-SNP)
| $14.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1019 -026 -0 | $3.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 CareNeeds Plus (HMO D-SNP)
| $28.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Advantage Plus by Ultimate (Full) (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2962 -035 -0 | 25% | 25% | 25% | 25% | 3,806
2023 Formulary |
|
|
|
|
2024 Advantage Plus by Ultimate (Full) (HMO D-SNP)
| $29.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,782 2024 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 |
2023 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $28.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1036 -280 -0 | $1.00 | $16.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $29.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Simply Complete (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5471 -082 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,927
2023 Formulary |
|
|
|
|
2024 Simply Complete (HMO D-SNP)
| $29.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,889 2024 Formulary |
|
2023 HumanaChoice R5826-074 (Regional PPO)
| $4.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $6.00 | $20.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R5826-074 (Regional PPO)
| $31.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $20.00 | $47.00 | $47.00 | 3,448 2024 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 |
2023 Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)
| $25.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1036 -102 -0 | $4.00 | $6.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)
| $31.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan FL-F001 (PPO I-SNP)
| $32.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1019 -146 -0 | | | | | |
|
|
|
|
2024 CareNeeds Platinum (HMO D-SNP)
| $32.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 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 |
2023 Advantage Plus by Ultimate (Partial) (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2962 -036 -0 | 25% | 25% | 25% | 25% | 3,806
2023 Formulary |
|
|
|
|
2024 Advantage Plus by Ultimate (Partial) (HMO D-SNP)
| $32.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,782 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1036 -314 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)
| $32.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Wellcare Dual Access (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1032 -124 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare All Dual (HMO D-SNP)
| $34.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 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 2023 --
|
H1526 -004 -0 | | | | | |
new |
new |
new |
|
2024 Dialysis Complete (HMO-POS C-SNP)
| $36.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,582 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5471 -118 -0 | | | | | |
|
|
|
|
2024 Simply Complete Platinum (HMO D-SNP)
| $37.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,889 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1032 -175 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $37.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 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 |
2023 Aetna Medicare Assure (HMO D-SNP)
| $28.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1609 -019 -0 | $6.00 | $11.00 | 25% | 25% | 3,622
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure (HMO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | 25% | 25% | 3,658 2024 Formulary |
|
2023 Aetna Medicare Assure Plus (HMO D-SNP)
| $31.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1609 -044 -0 | $10.00 | $15.00 | 25% | 25% | 3,622
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure Plus (HMO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | 25% | 25% | 3,658 2024 Formulary |
|
2023 BlueMedicare Complete (HMO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1035 -032 -0 | 25% | 25% | 25% | 25% | 3,534
2023 Formulary |
|
|
|
|
2024 BlueMedicare Complete (HMO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,545 2024 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 2023 --
|
H5216 -394 -0 | | | | | |
|
|
|
|
2024 HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Longevity Health Plan (HMO I-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1644 -001 -0 | | | | | 3,970
2023 Formulary |
|
-- |
|
|
2024 Longevity Health Plan (HMO I-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 4,149 2024 Formulary |
|
2023 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $35.90 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Care Advantage FL-E001 (PPO I-SNP)
| $37.70 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 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 |
2023 UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1045 -039 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete FL-D002 (HMO-POS D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1889 -002 -1 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete FL-D003 (PPO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
R0759 -003 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete FL-D005 (Regional PPO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 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 |
2023 UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2509 -001 -0 | | | | | 3,682
2023 Formulary |
|
new |
new |
|
2024 UHC Dual Complete FL-Y001 (HMO-POS D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Reserve (HMO D-SNP)
| $33.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1032 -202 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Reserve (HMO D-SNP)
| $37.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 HumanaChoice R5826-018 (Regional PPO)
| $59.00 |
$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 |
2023 BlueMedicare Choice (Regional PPO)
| $49.90 |
$6,500 |
$250 | Yes, some additional gap coverage. |
R3332 -001 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,534
2023 Formulary |
|
|
|
|
2024 BlueMedicare Choice (Regional PPO)
| $67.40 |
$6,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 2,997 2024 Formulary |
|
2023 Wellcare Premium Enhanced Open (PPO)
| $99.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H5199 -010 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare Premium Enhanced Open (PPO)
| $93.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
2023 HumanaChoice R5826-005 (Regional PPO)
| $111.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount |
R5826 -005 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R5826-005 (Regional PPO)
| $173.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,448 2024 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 |
2023 Advantage Care by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2962 -019 -1 | $0.00 | $10.00 | $50.00 | $50.00 | 3,806
2023 Formulary |
|
|
|
|
-- Members will be assigned to Advantage Care by Ultimate (HMO C-SNP) H2962-021 --
| | | | | |
|
2023 Advantage Care CHF by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2962 -024 -0 | $0.00 | $10.00 | $50.00 | $50.00 | 3,806
2023 Formulary |
|
|
|
|
-- Members will be assigned to Advantage Care CHF by Ultimate (HMO C-SNP) H2962-022 --
| | | | | |
|
2023 Cigna Primary Medicare (HMO)
| $18.60 |
$3,500 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5410 -035 -0 | $1.00 | $15.00 | 18% | 18% | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna Preferred Medicare (HMO) H5410-029 --
| | | | | |
|
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 |
2023 Premier Plus by Ultimate (HMO)
| $0.00 |
$1,200 |
$0 | Yes, some additional gap coverage. |
H2962 -032 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,806
2023 Formulary |
|
|
|
|
-- Members will be assigned to Premier by Ultimate (HMO) H2962-001 --
| | | | | |
|
2023 Simply Care (HMO I-SNP)
| $0.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5471 -092 -0 | $4.00 | $5.00 | 25% | 25% | 3,927
2023 Formulary |
|
|
|
|
-- Members will be assigned to Simply Comfort (HMO I-SNP) H5471-068 --
| | | | | |
|
2023 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$505 | Yes, some additional gap coverage. |
H5471 -093 -0 | $0.00 | $5.00 | 25% | 25% | 3,927
2023 Formulary |
|
|
|
|
-- Members will be assigned to Simply Comfort (HMO I-SNP) H5471-068 --
| | | | | |
|
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 |
2023 Wellcare Specialty No Premium (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1032 -184 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,393
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Specialty Giveback (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1032 -203 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,393
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 |
2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|