2011 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
|||||||||
AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $85.00 Specialty Tier Drugs: 33% | $4,750 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Benefit Details |
Statewide | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $85.00 Specialty Tier Drugs: 33% | $4,750 Browse Formulary | |||||
AARP MedicareComplete Plan 1 (HMO) - H9011-003-0 Benefit Details |
Dade | $0.00 | $0 | Some Generics | Preferred Generic Drugs: 0% Generic and Preferred Brand Drugs: $10.00 Non-Preferred Generic and Non-Preferred Brand Drug: $35.00 Specialty Tier Drugs: 33% | $2,950 Browse Formulary | |||||
AARP MedicareComplete Plus (HMO-POS) - H9011-016-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $4.00 Generic and Preferred Brand Drugs: $19.00 Non-Preferred Generic and Non-Preferred Brand Drug: $49.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advantage Health Florida (HMO SNP) - H5402-035-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: $15.00 Non-Preferred Brand Drugs: $45.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Amerivantage Classic + Rx (HMO) - H8991-022-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Any, Any, Any Gold (PFFS) - H8098-001-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $4.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any Gold MA Only (PFFS) - H8098-003-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
new | new | new | |||||||||
AvMed Medicare Choice (HMO) - H1016-001-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
BlueMedicare HMO (HMO) - H1026-001-0 Benefit Details |
Dade | $0.00 | $0 | All Generics | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareDirect (HMO SNP) - H1019-035-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: 0% Non-Preferred Brand Drugs: $35.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
CareFree Plus (HMO) - H1019-056-0 Benefit Details |
Dade | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Preferred Generic and Brand Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $84.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
CareOne Plus (HMO) - H1019-006-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: 0% Non-Preferred Brand Drugs: $30.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Coventry Summit Ideal (HMO) - H5850-012-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Preferred Brand Drugs: 0% Non-Preferred Generic and Non-Preferred Brand Drug: $25.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Coventry Summit Maximum (HMO SNP) - H5850-002-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Many Generics | Preferred Generic Drugs: 0% Preferred Brand Drugs: $40.00 Non-Preferred Generic and Non-Preferred Brand Drug: $76.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Coventry Summit Plus (HMO) - H5850-006-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Preferred Brand Drugs: 0% Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Coventry Vista Ideal (HMO) - H1013-011-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Preferred Brand Drugs: 0% Non-Preferred Generic and Non-Preferred Brand Drug: $30.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Coventry Vista Maximum (HMO SNP) - H1013-024-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Many Generics | Preferred Generic Drugs: 0% Preferred Brand Drugs: $25.00 Non-Preferred Generic and Non-Preferred Brand Drug: $77.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Coventry Vista Maximum Choice (HMO SNP) - H1076-011-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Preferred Brand Drugs: $40.00 Non-Preferred Generic and Non-Preferred Brand Drug: $76.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Coventry Vista Value (HMO) - H1076-010-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
e-Any, Any, Any Gold Direct (PFFS) - H8098-005-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
new | new | new | |||||||||
Freedom Medicare Plan Rx (HMO) - H5427-062-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: 0% Non-Preferred Generic and Non-Preferred Brand Drug: $30.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Freedom Savings Plan (HMO) - H5427-052-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Freedom VIP Care (HMO SNP) - H5427-070-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Freedom VIP Care COPD (HMO SNP) - H5427-076-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Freedom VIP Savings (HMO SNP) - H5427-072-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Freedom VIP Savings COPD (HMO SNP) - H5427-077-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Healthy Advantage Plan (HMO) - H5431-005-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Non-Preferred Generic Drugs: 0% Brand Drugs: 33% Non-Preferred Brand Drugs: 33% Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H1036-034A (HMO) - H1036-034-0 Benefit Details |
Dade | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $15.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | $5,000 Browse Formulary | |||||
Humana Gold Plus H1036-054C (HMO) - H1036-054-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: 0% Non-Preferred Brand Drugs: $30.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Humana Gold Plus H5426-021 (HMO) - H5426-021-0 Benefit Details |
Dade | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Preferred Generic and Brand Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $90.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus SNP-DB H1036-125C (HMO SNP) - H1036-125-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: 0% Non-Preferred Brand Drugs: $35.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 | ||||||
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
JacksonHealth for Life (HMO) - H4155-001-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: $10.00 Non-Preferred Brand Drugs: $25.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
-- | -- | ||||||||||
JacksonHealth Success (HMO SNP) - H4155-004-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: $10.00 Non-Preferred Generic Drugs: $25.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
-- | -- | ||||||||||
Leon Medical Centers Health Plans - Leon Cares (HMO) - H5410-001-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Tier 1: tbd | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica HealthCare Plans MedicareMax (PSO) - H5420-001-0 Benefit Details |
Dade | $0.00 | $0 | All Generics, All Brands | Generic Drugs: 0% Brand Drugs: 0% Preferred Brand Drugs: $5.00 Non-Preferred Brand Drugs: $10.00 Specialty Tier Drugs: 25% | $5,000 Browse Formulary | |||||
Medica HealthCare Plans MedicareMax Value (PSO) - H5420-007-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $2,500 | ||||||
Medica HealthCare Plans MedicareMax Value RX (PSO) - H5420-009-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 0% Brand Drugs: 0% Preferred Brand Drugs: $25.00 Non-Preferred Brand Drugs: $40.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece (HMO) - H5404-034-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $60.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Medicare Masterpiece Premier (HMO) - H5404-138-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Medicare Masterpiece Premier SNP - COPD (HMO SNP) - H5404-137-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) - H5404-136-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Diabetes (HMO SNP) - H5404-135-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Institutional (HMO SNP) - H5404-113-0 Benefit Details |
Dade | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Molina Medicare Options Miami-Dade & Broward Co. (HMO) - H8130-002-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: 0% Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
-- | -- | ||||||||||
Optimum Gold Plan (HMO-POS) - H5594-001-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $39.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Optimum Platinum Plan (HMO) - H5594-002-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $39.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
POSITIVE HEALTHCARE PARTNERS (HMO SNP) - H3132-001-0 Benefit Details |
Dade | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
-- | |||||||||||
Preferred Care Partners Preferred Choice Dade (HMO-POS) - H1045-001-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Few Brands | Generic and Brand Drugs: 0% Generic and Preferred Brand Drugs: 0% Generic and Non-Preferred Brand Drugs: $20.00 Specialty Tier Drugs: 20% | $3,400 Browse Formulary | |||||
Preferred Care Partners Preferred Complete Care (HMO) - H1045-016-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Some Brands | Generic and Brand Drugs: 0% Generic and Preferred Brand Drugs: 0% Generic and Non-Preferred Brand Drugs: $20.00 Specialty Tier Drugs: 20% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Preferred Care Partners Preferred Medicare Assist (HMO SNP) - H1045-012-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 25% Generic and Preferred Brand Drugs: 25% Generic and Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Preferred Care Partners Preferred PremiumAdvantage (HMO-POS) - H1045-010-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 0% Generic and Preferred Brand Drugs: $35.00 Generic and Non-Preferred Brand Drugs: $60.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Preferred Care Partners Preferred Special Care (HMO SNP) - H1045-018-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics, Some Brands | Generic and Brand Drugs: 0% Generic and Preferred Brand Drugs: 0% Generic and Non-Preferred Brand Drugs: $20.00 Specialty Tier Drugs: 20% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
PUP Easy (HMO) - H5696-025-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic and Brand Drugs: 0% Preferred Brand Drugs: $30.00 Non-Preferred Generic and Non-Preferred Brand Drug: $80.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
PUP Perks (HMO) - H5696-019-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,400 | ||||||
PUP Rewards (HMO) - H5696-028-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic and Brand Drugs: 0% Preferred Brand Drugs: $40.00 Non-Preferred Generic and Non-Preferred Brand Drug: $90.00 Specialty Tier Drugs: 33% | $4,600 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SunPlus Advantage Plan (HMO) - H5431-001-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Tier 1: tbd | $3,400 Browse Formulary | |||||
Value One Florida (HMO SNP) - H5402-041-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Generic and Non-Preferred Brand Drug: 25% Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
WellCare Choice (HMO) - H1032-008-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 0% Preferred Brand Drugs: 0% Non-Preferred Brand Drugs: $30.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
WellCare Dividend (HMO) - H1032-040-0 Benefit Details |
Dade | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 0% Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Freedom Medi-Medi (HMO SNP) - H5427-078-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Optimum Emerald Partial (HMO SNP) - H5594-016-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Optimum Emerald Full (HMO SNP) - H5594-017-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Aetna Medicare Value Plan (HMO) - H5414-010-0 Sanctioned Plan |
Dade | $16.10 | $0 | n/a | Tier 1: Preferred Generic Drugs: $8.00 Tier 2: Non-Preferred Generic Drugs: $37.00 Tier 3: Preferred Brand Drugs: $40.00 Tier 4: Non-Preferred Brand Drugs: $80.00 Tier 5: Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medica HealthCare Plans MedicareMax Plus (PSO SNP) - H5420-006-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Many Generics, Few Brands | Generic Drugs: 0% Brand Drugs: 0% Preferred Brand Drugs: 35% Non-Preferred Brand Drugs: 35% Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareNeeds (HMO SNP) - H1019-024-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $79.00 Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Amerivantage Specialty + Rx (HMO SNP) - H8991-017-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
CareNeeds Plus (HMO SNP) - H1019-048-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $81.00 Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Evercare Plan RDP (Regional PPO SNP) - R5287-003-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Evercare Plan RDP (Regional PPO SNP) - R5287-003-0 Benefit Details |
Statewide | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Humana Gold Plus SNP-DE H1036-077A (HMO SNP) - H1036-077-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $73.00 Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
JacksonHealth Secure (HMO SNP) - H4155-003-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
-- | -- | ||||||||||
MediMax (HMO) - H5431-006-0 Benefit Details |
Dade | $25.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 25% Non-Preferred Generic Drugs: 25% Brand Drugs: 25% Non-Preferred Brand Drugs: 25% Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
UnitedHealthcare Personal Care Plus (HMO SNP) - H9011-011-0 Benefit Details |
Dade | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H8145-010 (PFFS) - H8145-010-0 Benefit Details |
Dade | $29.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
new | new | new | |||||||||
Medicare Masterpiece Plus (HMO-POS) - H5404-086-0 Benefit Details |
Dade | $29.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $4.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $79.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Aetna Medicare Standard Plan (PPO) - H5521-031-0 Sanctioned Plan |
Dade | $36.00 | $0 | n/a | Tier 1: Preferred Generic Drugs: $8.00 Tier 2: Non-Preferred Generic Drugs: $38.00 Tier 3: Preferred Brand Drugs: $40.00 Tier 4: Non-Preferred Brand Drugs: $85.00 Tier 5: Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H5415-056 (PPO) - H5415-056-0 Benefit Details |
Dade | $41.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,000 Browse Formulary | |||||
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Benefit Details |
Dade | $50.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $4,500 Browse Formulary | |||||
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Benefit Details |
Statewide | $50.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $4,500 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Benefit Details |
Dade | $63.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $4,500 Browse Formulary | |||||
-- | -- | ||||||||||
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Benefit Details |
Statewide | $63.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $4,500 Browse Formulary | |||||
-- | -- | ||||||||||
Any, Any, Any Platinum (PFFS) - H8098-009-0 Benefit Details |
Dade | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: $3.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Benefit Details |
Dade | $80.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,000 Browse Formulary | |||||
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Benefit Details |
Statewide | $80.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,000 Browse Formulary | |||||
Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Benefit Details |
Dade | $87.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $7.00 Non-Preferred Generic and Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,300 Browse Formulary | |||||
new | new | new |
|