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2021 Medicare Advantage Plans: SNPs,
    Health (MAs), Health & Rx Drug (MA-PDs)

Not sure where to begin? Just select your state below to get started:
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. . . Or . . . enter your preferences below and click  "Click to Find Plans".
Choose Your Medicare Advantage Plan Preferences
  *required  
Scroll down to see plans meeting your criteria.
Miami-Dade, Florida

  Partial Plan Name(s):
 1:
 2:
ex: AARP
Only plans with MOOP ≤ $3,450   5-star rated plans   limit search to 10 plans   Part B Giveback plans   Insullin $35 or less plans  
 none  
 LIS 100%    LIS 75%  
 LIS 50%    LIS 25%

$  max: $351

$  max: $445
Only show SNPs (All 3 Types)
OR only: Dual-Eligible  
Chronic Condition  
Institutional

$  
tip: enter 0 to show plans with a $0 Tier 1 Co-pay
* required
There are 88 Florida 2021 Medicare Advantage plans (MAPD) meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2021 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
Lasso Healthcare Growth (MSA) - H1924-001-0
Benefits & Contact Info
        
Miami-Dade $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.n/a
 
Lasso Healthcare Growth Plus (MSA) - H1924-004-0
Benefits & Contact Info
        
Miami-Dade $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.n/a
 
AARP Medicare Advantage Choice (PPO) - H2406-018-0
Benefits & Contact Info
           
Miami-Dade $0.00 $150
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%

insulin coverage $35 or less
$3,400
Browse Formulary
AARP Medicare Advantage Choice (PPO) - H2406-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage Choice (PPO) - H2406-018-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) AARP Medicare Advantage Choice (PPO) - H2406-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
AARP Medicare Advantage Choice Plan 2 (Regional PPO) - R0759-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $395
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $14.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 25%

insulin coverage $35 or less
$6,700
Browse Formulary
AARP Medicare Advantage Choice Plan 2 (Regional PPO) - R0759-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage Choice Plan 2 (Regional PPO) - R0759-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Choice Plan 2 (Regional PPO) - R0759-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
AARP Medicare Advantage Patriot (Regional PPO) - R0759-002-0
Benefits & Contact Info
        
Miami-Dade $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,700
AARP Medicare Advantage Patriot (Regional PPO) - R0759-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage Patriot (Regional PPO) - R0759-002-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Patriot (Regional PPO) - R0759-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Aetna Medicare Choice (HMO-POS) - H1609-028-0
Benefits & Contact Info
           
Miami-Dade $0.00 $195
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 29%
$6,700
Browse Formulary
Aetna Medicare Choice (HMO-POS) - H1609-028-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Choice (HMO-POS) - H1609-028-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Choice (HMO-POS) - H1609-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Credit (HMO) - H1609-053-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
$3,450
Browse Formulary
Aetna Medicare Credit (HMO) - H1609-053-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Credit (HMO) - H1609-053-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Credit (HMO) - H1609-053-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Premier (PPO) - H5521-033-0
Benefits & Contact Info
           
Miami-Dade $0.00 $300
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 27%
$6,700
Browse Formulary
Aetna Medicare Premier (PPO) - H5521-033-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Premier (PPO) - H5521-033-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Premier (PPO) - H5521-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Select (HMO) - H1609-016-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $35.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,000
Browse Formulary
Aetna Medicare Select (HMO) - H1609-016-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Select (HMO) - H1609-016-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Select (HMO) - H1609-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Align Connect (HMO C-SNP) - H9917-002-0
Benefits & Contact Info
           
Miami-Dade $0.00 $445 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%

insulin coverage $35 or less
n/a
Browse Formulary
new new new  
Align Thrive (HMO I-SNP) - H9917-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $445 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%

insulin coverage $35 or less
n/a
Browse Formulary
new new new  
AvMed Medicare Access (HMO-POS) - H1016-025-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
AvMed Medicare Access (HMO-POS) - H1016-025-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AvMed Medicare Access (HMO-POS) - H1016-025-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) AvMed Medicare Access (HMO-POS) - H1016-025-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
AvMed Medicare Choice (HMO) - H1016-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $25.00
Non-Preferred Drug: $70.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
AvMed Medicare Choice (HMO) - H1016-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AvMed Medicare Choice (HMO) - H1016-001-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) AvMed Medicare Choice (HMO) - H1016-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
AvMed Medicare Circle (HMO) - H1016-023-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $65.00
Specialty Tier: 33%

insulin coverage $35 or less
$2,500
Browse Formulary
AvMed Medicare Circle (HMO) - H1016-023-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AvMed Medicare Circle (HMO) - H1016-023-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) AvMed Medicare Circle (HMO) - H1016-023-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
BlueMedicare Classic (HMO) - H1035-017-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $93.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,900
Browse Formulary
BlueMedicare Classic (HMO) - H1035-017-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) BlueMedicare Classic (HMO) - H1035-017-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) BlueMedicare Classic (HMO) - H1035-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
BlueMedicare Premier (HMO) - H1035-024-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $50.00
Specialty Tier: 33%

insulin coverage $35 or less
$2,000
Browse Formulary
BlueMedicare Premier (HMO) - H1035-024-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) BlueMedicare Premier (HMO) - H1035-024-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) BlueMedicare Premier (HMO) - H1035-024-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
BlueMedicare Saver (HMO) - H1035-039-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $25.00
Non-Preferred Drug: $50.00
Specialty Tier: 33%

insulin coverage $35 or less
$6,700
Browse Formulary
BlueMedicare Saver (HMO) - H1035-039-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) BlueMedicare Saver (HMO) - H1035-039-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) BlueMedicare Saver (HMO) - H1035-039-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
BlueMedicare Value (PPO) - H5434-032-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $2.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $0.00

insulin coverage $35 or less
$4,500
Browse Formulary
BlueMedicare Value (PPO) - H5434-032-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) BlueMedicare Value (PPO) - H5434-032-0 Medicare Part D Plan Member Experience with Drug Plan - 1 Stars (Poor) BlueMedicare Value (PPO) - H5434-032-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
CareComplete (HMO C-SNP) - H1019-105-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $35.00
Specialty Tier: 33%

insulin coverage $35 or less
n/a
Browse Formulary
CareComplete (HMO C-SNP) - H1019-105-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) CareComplete (HMO C-SNP) - H1019-105-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) CareComplete (HMO C-SNP) - H1019-105-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
CareFree PLUS (HMO) - H1019-076-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $97.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
CareFree PLUS (HMO) - H1019-076-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) CareFree PLUS (HMO) - H1019-076-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) CareFree PLUS (HMO) - H1019-076-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
CareOne PLUS (HMO) - H1019-006-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $25.00
Specialty Tier: 33%

insulin coverage $35 or less
$1,500
Browse Formulary
CareOne PLUS (HMO) - H1019-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) CareOne PLUS (HMO) - H1019-006-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) CareOne PLUS (HMO) - H1019-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Devoted Health Core Miami-Dade (HMO) - H1290-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $35.00
Specialty Tier: 33%

insulin coverage $35 or less
$1,500
Browse Formulary
Devoted Health Core Miami-Dade (HMO) - H1290-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new Devoted Health Core Miami-Dade (HMO) - H1290-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Devoted Health Essentials Miami-Dade (HMO) - H1290-013-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $85.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
Devoted Health Essentials Miami-Dade (HMO) - H1290-013-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new Devoted Health Essentials Miami-Dade (HMO) - H1290-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
DrCare (HMO-POS C-SNP) - H4140-003-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $10.00
Non-Preferred Drug: $40.00
Specialty Tier: 33%
n/a
Browse Formulary
DrCare (HMO-POS C-SNP) - H4140-003-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrCare (HMO-POS C-SNP) - H4140-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
DrExtra (HMO-POS C-SNP) - H4140-004-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $10.00
Non-Preferred Drug: $40.00
Specialty Tier: 33%
n/a
Browse Formulary
DrExtra (HMO-POS C-SNP) - H4140-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrExtra (HMO-POS C-SNP) - H4140-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
DrMax (HMO-POS) - H4140-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $45.00
Specialty Tier: 33%
$7,500
Browse Formulary
DrMax (HMO-POS) - H4140-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrMax (HMO-POS) - H4140-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
DrValue (HMO-POS) - H4140-005-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
$4,500
Browse Formulary
DrValue (HMO-POS) - H4140-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrValue (HMO-POS) - H4140-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
HealthSun HealthAdvantage Plan (HMO) - H5431-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $25.00
Specialty Tier: 33%
Supplemental Drugs: $0.00
$3,450
Browse Formulary
HealthSun HealthAdvantage Plan (HMO) - H5431-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- HealthSun HealthAdvantage Plan (HMO) - H5431-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Humana Gold Plus - Diabetes (HMO C-SNP) - H1036-121-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: $85.00
Specialty Tier: 33%

insulin coverage $35 or less
n/a
Browse Formulary
Humana Gold Plus - Diabetes (HMO C-SNP) - H1036-121-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus - Diabetes (HMO C-SNP) - H1036-121-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Humana Gold Plus - Diabetes (HMO C-SNP) - H1036-121-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Humana Gold Plus H1036-054C (HMO) - H1036-054-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $5.00
Specialty Tier: 33%

insulin coverage $35 or less
$1,500
Browse Formulary
Humana Gold Plus H1036-054C (HMO) - H1036-054-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus H1036-054C (HMO) - H1036-054-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Humana Gold Plus H1036-054C (HMO) - H1036-054-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
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 H1036-237 (HMO) - H1036-237-2
Benefits & Contact Info
           
Miami-Dade $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $40.00
Non-Preferred Drug: $80.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
Humana Gold Plus H1036-237 (HMO) - H1036-237-2 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus H1036-237 (HMO) - H1036-237-2 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Humana Gold Plus H1036-237 (HMO) - H1036-237-2 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice Florida H5216-068 (PPO) - H5216-068-0
Benefits & Contact Info
           
Miami-Dade $0.00 $150
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%
$4,500
Browse Formulary
HumanaChoice Florida H5216-068 (PPO) - H5216-068-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice Florida H5216-068 (PPO) - H5216-068-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice Florida H5216-068 (PPO) - H5216-068-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0
Benefits & Contact Info
        
Miami-Dade $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$7,550
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0
Benefits & Contact Info
           
Miami-Dade $0.00 $395
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $6.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 25%
$7,550
Browse Formulary
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Leon Medicare (HMO) - H5410-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $40.00
Specialty Tier: 33%
$1,000
Browse Formulary
Leon Medicare (HMO) - H5410-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Leon Medicare (HMO) - H5410-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Leon Medicare (HMO) - H5410-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Medica HealthCare Plans MedicareMax (HMO) - H5420-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $65.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
Medica HealthCare Plans MedicareMax (HMO) - H5420-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Medica HealthCare Plans MedicareMax (HMO) - H5420-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Medica HealthCare Plans MedicareMax (HMO) - H5420-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
MMM ELITE (HMO) - H3293-005-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $5.00
Non-Preferred Drug: $15.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
MMM ELITE (HMO) - H3293-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new MMM ELITE (HMO) - H3293-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
MMM EXTRA (HMO) - H3293-003-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

insulin coverage $35 or less
$3,400
Browse Formulary
MMM EXTRA (HMO) - H3293-003-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new MMM EXTRA (HMO) - H3293-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
PHP (HMO C-SNP) - H3132-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $445
Tier Yes exempt
Yes, some additional gap coverage.Generic: 15%
Preferred Brand: 15%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Select Care Drugs: 0%
n/a
Browse Formulary
PHP (HMO C-SNP) - H3132-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) PHP (HMO C-SNP) - H3132-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) PHP (HMO C-SNP) - H3132-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Preferred Choice Dade (HMO) - H1045-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $40.00
Specialty Tier: 33%

insulin coverage $35 or less
$2,900
Browse Formulary
Preferred Choice Dade (HMO) - H1045-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Preferred Choice Dade (HMO) - H1045-001-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Preferred Choice Dade (HMO) - H1045-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Preferred Special Care Miami-Dade (HMO C-SNP) - H1045-018-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $15.00
Non-Preferred Drug: $45.00
Specialty Tier: 33%

insulin coverage $35 or less
n/a
Browse Formulary
Preferred Special Care Miami-Dade (HMO C-SNP) - H1045-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Preferred Special Care Miami-Dade (HMO C-SNP) - H1045-018-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Preferred Special Care Miami-Dade (HMO C-SNP) - H1045-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Simply Care (HMO I-SNP) - H5471-067-0
Benefits & Contact Info
           
Miami-Dade $0.00 $445 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $4.00
Generic: $5.00
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Simply Care (HMO I-SNP) - H5471-067-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Simply Care (HMO I-SNP) - H5471-067-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Simply Care (HMO I-SNP) - H5471-067-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Simply Comfort (HMO I-SNP) - H5471-068-0
Benefits & Contact Info
           
Miami-Dade $0.00 $445
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Simply Comfort (HMO I-SNP) - H5471-068-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Simply Comfort (HMO I-SNP) - H5471-068-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Simply Comfort (HMO I-SNP) - H5471-068-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Simply Extra (HMO) - H5471-103-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Brand: $100.00
Specialty Tier: 33%
$3,450
Browse Formulary
Simply Extra (HMO) - H5471-103-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Simply Extra (HMO) - H5471-103-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Simply Extra (HMO) - H5471-103-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Simply Level (HMO C-SNP) - H5471-069-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $10.00
Specialty Tier: 33%
n/a
Browse Formulary
Simply Level (HMO C-SNP) - H5471-069-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Simply Level (HMO C-SNP) - H5471-069-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Simply Level (HMO C-SNP) - H5471-069-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Simply More (HMO) - H5471-065-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $5.00
Specialty Tier: 33%
$3,450
Browse Formulary
Simply More (HMO) - H5471-065-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Simply More (HMO) - H5471-065-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Simply More (HMO) - H5471-065-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
SOLIS SPF 001 (HMO) - H0982-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $35.00
Specialty Tier: 33%
Supplemental Drugs: $0.00
$1,500
Browse Formulary
new new SOLIS SPF 001 (HMO) - H0982-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
SOLIS SPF 011 (HMO C-SNP) - H0982-011-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: 0%
Generic: 0%
Preferred Brand: 0%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Supplemental Drugs: 0%
n/a
Browse Formulary
new new SOLIS SPF 011 (HMO C-SNP) - H0982-011-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
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
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $25.00
Non-Preferred Drug: $50.00
Specialty Tier: 33%
$500
Browse Formulary
WellCare Dividend (HMO) - H1032-040-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Dividend (HMO) - H1032-040-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Dividend (HMO) - H1032-040-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Guardian (HMO C-SNP) - H1032-186-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $10.00
Non-Preferred Drug: $50.00
Specialty Tier: 33%
Select Care Drugs: $0.00

insulin coverage $35 or less
n/a
Browse Formulary
WellCare Guardian (HMO C-SNP) - H1032-186-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Guardian (HMO C-SNP) - H1032-186-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Guardian (HMO C-SNP) - H1032-186-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Premier (PPO) - H5199-015-0
Benefits & Contact Info
           
Miami-Dade $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
$3,400
Browse Formulary
new new WellCare Premier (PPO) - H5199-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
CareExtra (HMO) - H1019-089-0
Benefits & Contact Info
           
Miami-Dade $16.10 $445 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 23%
Non-Preferred Drug: 24%
Specialty Tier: 25%

insulin coverage $35 or less
$1,500
Browse Formulary
CareExtra (HMO) - H1019-089-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) CareExtra (HMO) - H1019-089-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) CareExtra (HMO) - H1019-089-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
CareNeeds PLUS (HMO D-SNP) - H1019-023-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $99.00
Specialty Tier: 25%
n/a
Browse Formulary
CareNeeds PLUS (HMO D-SNP) - H1019-023-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) CareNeeds PLUS (HMO D-SNP) - H1019-023-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) CareNeeds PLUS (HMO D-SNP) - H1019-023-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Humana Fully Integrated H1036-280 (HMO D-SNP) - H1036-280-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $99.00
Specialty Tier: 25%
n/a
Browse Formulary
Humana Fully Integrated H1036-280 (HMO D-SNP) - H1036-280-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Fully Integrated H1036-280 (HMO D-SNP) - H1036-280-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Humana Fully Integrated H1036-280 (HMO D-SNP) - H1036-280-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
WellCare Reserve (HMO D-SNP) - H1032-206-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 25%
n/a
Browse Formulary
WellCare Reserve (HMO D-SNP) - H1032-206-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Reserve (HMO D-SNP) - H1032-206-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Reserve (HMO D-SNP) - H1032-206-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Allwell Dual Medicare (HMO D-SNP) - H5190-004-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $15.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 25%
n/a
Browse Formulary
Allwell Dual Medicare (HMO D-SNP) - H5190-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Allwell Dual Medicare (HMO D-SNP) - H5190-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) - H1036-077-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $99.00
Specialty Tier: 25%
n/a
Browse Formulary
Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) - H1036-077-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) - H1036-077-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) - H1036-077-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Preferred Medicare Assist Plan 1 (HMO D-SNP) - H1045-012-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Preferred Medicare Assist Plan 1 (HMO D-SNP) - H1045-012-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Preferred Medicare Assist Plan 1 (HMO D-SNP) - H1045-012-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Preferred Medicare Assist Plan 1 (HMO D-SNP) - H1045-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Preferred Complete Care (HMO) - H1045-046-0
Benefits & Contact Info
           
Miami-Dade $27.20 $445 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
$2,900
Browse Formulary
Preferred Complete Care (HMO) - H1045-046-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Preferred Complete Care (HMO) - H1045-046-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Preferred Complete Care (HMO) - H1045-046-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Preferred Medicare Assist Plan 2 (HMO D-SNP) - H1045-053-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountTier 1: $0.00
n/a
Browse Formulary
Preferred Medicare Assist Plan 2 (HMO D-SNP) - H1045-053-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Preferred Medicare Assist Plan 2 (HMO D-SNP) - H1045-053-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Preferred Medicare Assist Plan 2 (HMO D-SNP) - H1045-053-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Assure Plus (HMO D-SNP) - H1609-043-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 28%
n/a
Browse Formulary
Aetna Medicare Assure Plus (HMO D-SNP) - H1609-043-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Assure Plus (HMO D-SNP) - H1609-043-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Assure Plus (HMO D-SNP) - H1609-043-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
HealthSun MediSun Plus (HMO D-SNP) - H5431-015-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: 25%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Supplemental Drugs: $0.00
n/a
Browse Formulary
HealthSun MediSun Plus (HMO D-SNP) - H5431-015-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- HealthSun MediSun Plus (HMO D-SNP) - H5431-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
WellCare Access (HMO D-SNP) - H1032-170-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 47%
Specialty Tier: 25%
n/a
Browse Formulary
WellCare Access (HMO D-SNP) - H1032-170-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Access (HMO D-SNP) - H1032-170-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Access (HMO D-SNP) - H1032-170-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Assure (HMO D-SNP) - H1609-017-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 28%
n/a
Browse Formulary
Aetna Medicare Assure (HMO D-SNP) - H1609-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Assure (HMO D-SNP) - H1609-017-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Assure (HMO D-SNP) - H1609-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Allwell Medicare Nurture (HMO D-SNP) - H5190-006-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $1.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: 49%
Specialty Tier: 25%
n/a
Browse Formulary
Allwell Medicare Nurture (HMO D-SNP) - H5190-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Allwell Medicare Nurture (HMO D-SNP) - H5190-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
BlueMedicare Complete (HMO D-SNP) - H1035-027-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $40.00
Non-Preferred Drug: $92.00
Specialty Tier: 25%
n/a
Browse Formulary
BlueMedicare Complete (HMO D-SNP) - H1035-027-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) BlueMedicare Complete (HMO D-SNP) - H1035-027-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) BlueMedicare Complete (HMO D-SNP) - H1035-027-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Devoted Health Dual Miami-Dade (HMO D-SNP) - H1290-019-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Devoted Health Dual Miami-Dade (HMO D-SNP) - H1290-019-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new Devoted Health Dual Miami-Dade (HMO D-SNP) - H1290-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Devoted Health Prime Miami-Dade (HMO) - H1290-006-0
Benefits & Contact Info
           
Miami-Dade $30.80 $445
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%

insulin coverage $35 or less
$1,500
Browse Formulary
Devoted Health Prime Miami-Dade (HMO) - H1290-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new Devoted Health Prime Miami-Dade (HMO) - H1290-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
DrChoice (HMO-POS) - H4140-007-0
Benefits & Contact Info
           
Miami-Dade $30.80 $445
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
$3,400
Browse Formulary
DrChoice (HMO-POS) - H4140-007-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrChoice (HMO-POS) - H4140-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
DrFirst (HMO-POS) - H4140-006-0
Benefits & Contact Info
           
Miami-Dade $30.80 $445
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
$3,400
Browse Formulary
DrFirst (HMO-POS) - H4140-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrFirst (HMO-POS) - H4140-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
DrPlus (HMO-POS D-SNP) - H4140-002-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $35.00
Specialty Tier: 33%
n/a
Browse Formulary
DrPlus (HMO-POS D-SNP) - H4140-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new DrPlus (HMO-POS D-SNP) - H4140-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
HealthSun MediMax (HMO) - H5431-006-0
Benefits & Contact Info
           
Miami-Dade $30.80 $445
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: 25%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Supplemental Drugs: $0.00
$3,450
Browse Formulary
HealthSun MediMax (HMO) - H5431-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- HealthSun MediMax (HMO) - H5431-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Longevity Health Plan (HMO I-SNP) - H1644-001-0
Benefits & Contact Info
           
Miami-Dade $30.80 $445 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
n/a
Browse Formulary
new new new  
Medica HealthCare Plans MedicareMax Plus (HMO D-SNP) - H5420-006-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Medica HealthCare Plans MedicareMax Plus (HMO D-SNP) - H5420-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Medica HealthCare Plans MedicareMax Plus (HMO D-SNP) - H5420-006-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Medica HealthCare Plans MedicareMax Plus (HMO D-SNP) - H5420-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
MMM PLATINUM (HMO D-SNP) - H3293-004-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $25.00
Non-Preferred Drug: $100.00
Specialty Tier: 25%
n/a
Browse Formulary
MMM PLATINUM (HMO D-SNP) - H3293-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new MMM PLATINUM (HMO D-SNP) - H3293-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Molina Medicare Complete Care (HMO D-SNP) - H8130-001-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 33%
Specialty Tier: 25%
n/a
Browse Formulary
Molina Medicare Complete Care (HMO D-SNP) - H8130-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Molina Medicare Complete Care (HMO D-SNP) - H8130-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Molina Medicare Complete Care (HMO D-SNP) - H8130-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Simply Complete (HMO D-SNP) - H5471-064-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
Simply Complete (HMO D-SNP) - H5471-064-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Simply Complete (HMO D-SNP) - H5471-064-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Simply Complete (HMO D-SNP) - H5471-064-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
SOLIS SPF 002 (HMO D-SNP) - H0982-002-0
Benefits & Contact Info
           
Miami-Dade $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: 0%
Generic: 0%
Preferred Brand: 0%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Supplemental Drugs: 0%
n/a
Browse Formulary
new new SOLIS SPF 002 (HMO D-SNP) - H0982-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
UnitedHealthcare Assisted Living Plan (PPO I-SNP) - H0710-012-0
Benefits & Contact Info
           
Miami-Dade $30.80 $200
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 29%

insulin coverage $35 or less
n/a
Browse Formulary
UnitedHealthcare Assisted Living Plan (PPO I-SNP) - H0710-012-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- UnitedHealthcare Assisted Living Plan (PPO I-SNP) - H0710-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H1889-002-2
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountTier 1: 15%
n/a
Browse Formulary
new new new  
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) - R0759-003-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountTier 1: 15%
n/a
Browse Formulary
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) - R0759-003-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) - R0759-003-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) - R0759-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
UnitedHealthcare Nursing Home Plan (PPO I-SNP) - H0710-010-0
Benefits & Contact Info
           
Miami-Dade $30.80 $445 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
n/a
Browse Formulary
UnitedHealthcare Nursing Home Plan (PPO I-SNP) - H0710-010-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- UnitedHealthcare Nursing Home Plan (PPO I-SNP) - H0710-010-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Liberty (HMO D-SNP) - H1032-176-0
Benefits & Contact Info
           
Miami-Dade $0.00 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 DiscountPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 48%
Specialty Tier: 25%
n/a
Browse Formulary
WellCare Liberty (HMO D-SNP) - H1032-176-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Liberty (HMO D-SNP) - H1032-176-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Liberty (HMO D-SNP) - H1032-176-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
UnitedHealthcare Nursing Home Plan (HMO I-SNP) - H5322-003-0
Benefits & Contact Info
           
Miami-Dade $35.80 $445 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
n/a
Browse Formulary
-- UnitedHealthcare Nursing Home Plan (HMO I-SNP) - H5322-003-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) UnitedHealthcare Nursing Home Plan (HMO I-SNP) - H5322-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
BlueMedicare Choice (Regional PPO) - R3332-001-0
Benefits & Contact Info
           
Miami-Dade $47.90 $250
Tier Yes exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $40.00
Non-Preferred Drug: $93.00
Specialty Tier: 28%
Select Care Drugs: $0.00

insulin coverage $35 or less
$6,500
Browse Formulary
BlueMedicare Choice (Regional PPO) - R3332-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) BlueMedicare Choice (Regional PPO) - R3332-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) BlueMedicare Choice (Regional PPO) - R3332-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice H5216-065 (PPO) - H5216-065-0
Benefits & Contact Info
           
Miami-Dade $52.00 $350
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $15.00
Preferred Brand: $47.00
Non-Preferred Drug: $97.00
Specialty Tier: 26%
$6,700
Browse Formulary
HumanaChoice H5216-065 (PPO) - H5216-065-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice H5216-065 (PPO) - H5216-065-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice H5216-065 (PPO) - H5216-065-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Humana Gold Choice H8145-061 (PFFS) - H8145-061-0
Benefits & Contact Info
           
Miami-Dade $101.00 $200
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $7.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Drug: $97.00
Specialty Tier: 29%
n/a
Browse Formulary
Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
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
Benefits & Contact Info
           
Miami-Dade $105.00 $100
Tier Yes exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Drug: $95.00
Specialty Tier: 31%
$6,700
Browse Formulary
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:



Chart Legend:

Below are a few notes to help with the understanding of the 2021 Medicare Advantage Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.


  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The plan name is followed by the health plan type (HMO, HMO-POS, PPO, PFFS, etc).  The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

      This category includes measures of how drug plans rate on the following areas:
      • Time on Hold When Customer and Pharmacist Calls Drug Plan.
      • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
      • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
      • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

    • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

      This category includes measures of how drug plans rate on the following areas:
      • Drug Plan Provides Information or Help When Members Need It.
      • Members’ Overall Rating of Drug Plan.
      • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

    • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

      This category includes measures of how drug plans rate on the following areas:
      • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
      • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
      • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
      • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
      • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

  • County: Medicare Advantage Plans are only available in specific county and in some cases only in part of a county. This field will note the county where the plan is available or in some cases, "Statewide" if the plan is available in every county. (Search Tip: You must enter your 5-digit ZIP Code in the criteria field to begin your search. We will determine your county from your ZIP code and only show appropriate plans.)

  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

    (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.

  • Deductible: The standard CMS plan initial deductible is $445. Many Medicare plans do not have a deductible; however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage Phase tier 1 cost-sharing.

  • Gap Coverage: In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $5,184 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2021, all formulary drugs will have at least a 75% discount in the coverage gap (Donut Hole). The Gap Coverage Types discussed in this section are supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Rx Cov.: This plan does not include prescription drug coverage. You are 100% responsible for your medication costs. If you would like to see ONLY those plans that do include some type of prescription coverage, please select "Show only plans WITH Drug Coverage" in the "Prescription Drug Coverage" selector above (this is the default setting);
    • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $5,184 depending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Read more...
    • Yes: This plan offers some supplemental gap coverage in addition to the 75% Donut Hole Discount. See plan details for a description of the gap coverage. The description may read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • Plan ID: This is the unique id for this particular plan.

  • Copay / Coinsurance - Cost Sharing - This is what you will pay for formulary drugs in the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

    * When the text "insulin coverage $35 or less" appears, this Part D plan may offer particular forms of insulin as part of the Senior Savings Model.  The Senior Savings Model stipulates that some insulin will cost no more than $35 in the deductible, initial coverage, and coverage gap phases of your Part D plan. Please contact the drug plan for more details.

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.

  • Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.

  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.

  • Members in This Plan ID (July 2020 figures) - This is the total number of members in this plan's service area (a "Plan ID" is a specific contract ID and plan ID, for example H1234-001). The number of members for the selected county and the enrollment for the selected state are shown in addition to the plan ID enrollment on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.

  • Initial Coverage Limit (ICL) - The Initial Coverage Phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2021 is $4,130 and increases each year.

  • Medicare Part B Giveback Amount - If the plan rebates a portion of the Medicare Part B premium back to plan members, the amount will be shown in this column. This is also called "Part B premium Buy-Down", "Part B premium reduction", or "Part B premium give-back".

  • MOOP for Part A & B Benefits - MOOP is the Maximum Out-of-Pocket limit set by the Medicare Advantage Plan. The figure shown is the beneficiaries yearly maximum out of pocket cost-sharing expenditure (co-payments / co-insurance) for Medicare Parts A & B (NOT Part D - prescription drug cost-sharing). Also see, What happens when I reach my Medicare Advantage plan maximum out of pocket limit (MOOP)? N/A means that this plan does not actually offer health cost-sharing benefits. Example: a Medicare Savings Account (MSA).

  • Health Plan Type - This the organization type for the Medicare Advantage Plan. This could be Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), etc. (Search Tip: If you would like to limit your search to a specific type of Medicare Advantage Plans, please select the health plan type in the "Type of Health Coverage" field.)

  • SNP Eligibility Requirements - Special Needs Plans (SNPs) have an eligibility requirement whereas all other Medicare Advantage plans do not. (Search Tip: If you would like to limit your search to specific types of Special Needs Medicare Advantage Plans, please check the appropriate boxes in the "Special Needs Plans (SNP) Options" field.)


(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Medicare plan provider.






Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.