Lasso Healthcare Growth (MSA) - H1924-001-0
Benefit Details
|
Miami-Dade |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a
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Lasso Healthcare Growth Plus (MSA) - H1924-004-0
Benefit Details
|
Miami-Dade |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a
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AARP Medicare Advantage Choice (PPO) - H2406-018-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
AARP Medicare Advantage Choice Plan 2 (Regional PPO) - R0759-001-0
Benefit Details
|
Miami-Dade |
$0.00 |
$195 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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AARP Medicare Advantage Patriot (Regional PPO) - R0759-002-0
Benefit Details
|
Miami-Dade |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a
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Aetna Medicare Choice (HMO-POS) - H1609-028-0
Benefit Details
|
Miami-Dade |
$0.00 |
$195 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Aetna Medicare Credit (HMO) - H1609-053-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
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Aetna Medicare Premier (PPO) - H5521-033-0
Benefit Details
|
Miami-Dade |
$0.00 |
$300 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
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Aetna Medicare Select (HMO) - H1609-016-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $9,500
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Align Connect (HMO C-SNP) - H9917-002-0
Benefit Details
|
Miami-Dade |
$0.00 |
$505 Tier 1 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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new |
new |
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AvMed Medicare Access (HMO-POS) - H1016-025-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
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AvMed Medicare Choice (HMO) - H1016-001-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $25.00 Non-Preferred Drug: $35.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
AvMed Medicare Circle (HMO) - H1016-023-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $8,000
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
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BlueMedicare Classic (HMO) - H1035-017-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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BlueMedicare Premier (HMO) - H1035-024-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
BlueMedicare Saver (HMO) - H1035-039-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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BlueMedicare Value (PPO) - H5434-032-0
Benefit Details
|
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
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Bright Advantage Classic Care Plan (HMO) - H4709-035-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $15.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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-- |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Bright Advantage Embrace Care Plan (HMO C-SNP) - H4709-037-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $25.00 Non-Preferred Drug: $90.00 Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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-- |
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Bright Advantage Part B Savings Plan (HMO) - H4709-036-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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-- |
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Bright New Day (HMO-POS) - H4709-040-0
Benefit Details
|
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% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $8,500
Browse Formulary |
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-- |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
CareBreeze (HMO C-SNP) - H1019-114-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $7,000
Browse Formulary |
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CareBreeze Platinum (HMO C-SNP) - H1019-123-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $25.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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CareComplete (HMO C-SNP) - H1019-105-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $7,000
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
CareComplete Platinum (HMO C-SNP) - H1019-121-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $25.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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CareFree (HMO) - H1019-076-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $97.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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CareFree Platinum (HMO) - H1019-136-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
CareOne Plus (HMO) - H1019-006-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $9,500
Browse Formulary |
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Cigna Preferred Medicare (HMO) - H5410-051-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $11,000
Browse Formulary |
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-- |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Preferred Savings Medicare (HMO) - H5410-052-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $10.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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-- |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Cigna True Choice Medicare (PPO) - H7849-101-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $42.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Devoted CORE Miami-Dade (HMO) - H1290-001-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $9,500
Browse Formulary |
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Devoted ESSENTIALS Miami-Dade (HMO) - H1290-013-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
DrExtraCare (HMO-POS C-SNP) - H4140-004-0
Benefit Details
|
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% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $6,000
Browse Formulary |
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DrMax (HMO-POS) - H4140-001-0
Benefit Details
|
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% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $7,000
Browse Formulary |
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DrValue (HMO-POS) - H4140-005-0
Benefit Details
|
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% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
HealthSun HealthAdvantage Plan (HMO) - H5431-001-0
Benefit Details
|
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
all covered insulin pay $35 or less | $6,000
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
HealthSun HealthAdvantage Plus (HMO) - H5431-017-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $42.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) - H1036-121-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Humana Gold Plus H1036-054C (HMO) - H1036-054-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $9,500
Browse Formulary |
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Humana Gold Plus H1036-305 (HMO) - H1036-305-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Drug: $80.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Humana Gold Plus Lung (HMO C-SNP) - H1036-297-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Humana Honor (HMO) - H1036-279-0
Benefit Details
|
Miami-Dade |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a
|
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|
|
|
HumanaChoice Florida H5216-068 (PPO) - H5216-068-0
Benefit Details
|
Miami-Dade |
$0.00 |
$150 Tier 1, 2 and 3 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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HumanaChoice Florida H5216-311 (PPO) - H5216-311-0
Benefit Details
|
Miami-Dade |
$0.00 |
$350 Tier 1, 2 and 3 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $97.00 Specialty Tier: 27%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
HumanaChoice Florida H7284-008 (PPO) - H7284-008-0
Benefit Details
|
Miami-Dade |
$0.00 |
$150 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
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HumanaChoice R5826-018 (Regional PPO) - R5826-018-0
Benefit Details
|
Miami-Dade |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a
|
|
|
|
|
Leon MediExtra (HMO) - H4286-001-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Generic: $0.00 Preferred Brand: $0.00 Non-Preferred Brand: $40.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $9,000
Browse Formulary |
|
new |
new |
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Leon MediMore (HMO) - H4286-003-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Brand: $97.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
new |
new |
Higher cost-sharing at standard network pharmacies. Details:
|
MedicareMax (HMO) - H5420-001-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $5,000
Browse Formulary |
|
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|
|
MedicareMax Chronic (HMO C-SNP) - H5420-014-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $5,000
Browse Formulary |
|
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|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Molina Medicare Choice Care (HMO) - H8130-010-0
Benefit Details
|
Miami-Dade |
$0.00 |
$125 Tier 6 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 31% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Molina Medicare Choice Care Select (HMO) - H8130-011-0
Benefit Details
|
Miami-Dade |
$0.00 |
$450 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $15.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 25% Select Care Drugs: $5.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Molina Medicare Connect Care (HMO C-SNP) - H8130-008-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $8.00 Preferred Brand: $45.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
PHP (HMO C-SNP) - H3132-001-0
Benefit Details
|
Miami-Dade |
$0.00 |
$505 Tier 5 exempt |
Yes, some additional gap coverage. | Generic: 15% Preferred Brand: 15% Non-Preferred Brand: 25% Specialty Tier: 25% Select Care Drugs: 0%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Preferred Choice Dade (HMO) - H1045-001-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $5,000
Browse Formulary |
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Preferred Special Care Miami-Dade (HMO C-SNP) - H1045-018-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $3.00 Non-Preferred Drug: $45.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Simply Care (HMO I-SNP) - H5471-067-0
Benefit Details
|
Miami-Dade |
$0.00 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Brand: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Simply Comfort (HMO I-SNP) - H5471-068-0
Benefit Details
|
Miami-Dade |
$0.00 |
$505 Tier 1 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Brand: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Simply Extra (HMO) - H5471-103-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Simply Freedom (PPO) - H9469-001-0
Benefit Details
|
Miami-Dade |
$0.00 |
$125 Tier 1, 2 and 3 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 31%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
new |
new |
new |
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Simply Level (HMO C-SNP) - H5471-069-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $8,000
Browse Formulary |
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Simply More (HMO) - H5471-065-0
Benefit Details
|
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%
all covered insulin pay $35 or less | $10,000
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
SOLIS SPF 001 (HMO) - H0982-001-0
Benefit Details
|
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% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $7,000
Browse Formulary |
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Solis SPF 003 (HMO) - H0982-014-0
Benefit Details
|
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% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $8,000
Browse Formulary |
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Wellcare Giveback (HMO) - H1032-040-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $15.00 Non-Preferred Drug: $40.00 Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Wellcare No Premium Open (PPO) - H5199-015-0
Benefit Details
|
Miami-Dade |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $37.00 Non-Preferred Drug: $90.00 Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Wellcare Specialty Giveback (HMO C-SNP) - H1032-186-0
Benefit Details
|
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% Select Diabetic Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0
Benefit Details
|
Miami-Dade |
$4.00 |
$395 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 26%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
HumanaChoice Florida H7284-007 (PPO) - H7284-007-0
Benefit Details
|
Miami-Dade |
$10.00 |
$150 Tier 1, 2 and 3 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: $95.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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CareNeeds Plus (HMO D-SNP) - H1019-023-0
Benefit Details
|
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 Discount | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Wellcare Dual Access Open (PPO D-SNP) - H5199-016-0
Benefit Details
|
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 Discount | Tier 1: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Cigna TotalCare (HMO D-SNP) - H5410-056-0
Benefit Details
|
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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Cigna TotalCare Plus (HMO D-SNP) - H5410-049-0
Benefit Details
|
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 Discount | Tier 1: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Aetna Medicare Assure Plus (HMO D-SNP) - H1609-043-0
Benefit Details
|
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 Discount | Preferred Generic: $6.00 Generic: $11.00 Preferred Brand: 25% Non-Preferred Drug: 35% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Wellcare Dual Reserve (HMO D-SNP) - H1032-206-0
Benefit Details
|
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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Humana Fully Integrated H1036-280 (HMO D-SNP) - H1036-280-0
Benefit Details
|
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 Discount | Preferred Generic: $1.00 Generic: $16.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) - H5322-003-0
Benefit Details
|
Miami-Dade |
$30.80 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Wellcare Dual Liberty (HMO D-SNP) - H1032-176-0
Benefit Details
|
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 Discount | Tier 1: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Aetna Medicare Assure (HMO D-SNP) - H1609-017-0
Benefit Details
|
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 Discount | Preferred Generic: $10.00 Generic: $15.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Devoted PRIME (HMO) - H1290-037-1
Benefit Details
|
Miami-Dade |
$32.00 |
$505 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Wellcare Dual Access (HMO D-SNP) - H1032-170-0
Benefit Details
|
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 Discount | Tier 1: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Devoted DUAL Miami-Dade (HMO D-SNP) - H1290-019-0
Benefit Details
|
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: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) - H1036-077-0
Benefit Details
|
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 Discount | Preferred Generic: $4.00 Generic: $16.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Molina Medicare Complete Care Select (HMO D-SNP) - H8130-009-0
Benefit Details
|
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: 36% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Align Thrive (HMO I-SNP) - H9917-001-0
Benefit Details
|
Miami-Dade |
$35.90 |
$505 Tier 1 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
new |
new |
|
AmeriHealth Caritas VIP Care (HMO D-SNP) - H6378-001-0
Benefit Details
|
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 Discount | Generic: $6.75 Brand: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
BlueMedicare Complete (HMO D-SNP) - H1035-027-0
Benefit Details
|
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 Discount | Preferred Generic: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Bright Advantage Embrace Assist Plan (HMO C-SNP) - H4709-039-0
Benefit Details
|
Miami-Dade |
$35.90 |
$505 Tier 1 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: 25% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Bright Advantage Embrace Choice Plan (HMO C-SNP) - H4709-031-0
Benefit Details
|
Miami-Dade |
$35.90 |
$505 Tier 1 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: 25% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
DrPlus (HMO-POS D-SNP) - H4140-002-0
Benefit Details
|
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 Discount | Preferred Generic: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
|
Florida Complete Care (HMO I-SNP) - H9986-001-0
Benefit Details
|
Miami-Dade |
$35.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
new |
new |
|
Florida Complete Care- In The Community (HMO I-SNP) - H9986-002-0
Benefit Details
|
Miami-Dade |
$35.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
HealthSun MediMax (HMO) - H5431-006-0
Benefit Details
|
Miami-Dade |
$35.90 |
$430 Tier 6 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Brand: 25% Specialty Tier: 26% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
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HealthSun MediSun Extra (HMO D-SNP) - H5431-019-0
Benefit Details
|
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 Discount | Preferred Generic: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Brand: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
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Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) - H1036-304-0
Benefit Details
|
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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP) - H7284-010-0
Benefit Details
|
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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
|
Leon MediDual (HMO D-SNP) - H4286-002-0
Benefit Details
|
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 Discount | Generic: 24% Preferred Brand: 24% Non-Preferred Brand: 35% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
new |
new |
Higher cost-sharing at standard network pharmacies. Details:
|
Longevity Health Plan (HMO I-SNP) - H1644-001-0
Benefit Details
|
Miami-Dade |
$35.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
MedicareMax Plus (HMO D-SNP) - H5420-006-0
Benefit Details
|
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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
|
|
|
Molina Medicare Complete Care (HMO D-SNP) - H8130-001-0
Benefit Details
|
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: 35% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
|
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|
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Preferred Medicare Assist (HMO D-SNP) - H1045-012-0
Benefit Details
|
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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
Simply Complete (HMO D-SNP) - H5471-064-0
Benefit Details
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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 Discount | Preferred Generic: $15.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Brand: $95.00 Specialty Tier: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
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SOLIS SPF 002 (HMO D-SNP) - H0982-002-0
Benefit Details
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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 Discount | Preferred Generic: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Brand: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Solis SPF 004 (HMO D-SNP) - H0982-015-0
Benefit Details
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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 Discount | Preferred Generic: 25% Generic: 25% Preferred Brand: 25% Non-Preferred Brand: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
SOLIS SPF 011 (HMO C-SNP) - H0982-011-0
Benefit Details
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Miami-Dade |
$35.90 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: 0% Generic: 0% Preferred Brand: 0% Non-Preferred Brand: 25% Specialty Tier: 25% Supplemental Drugs: 0%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H1889-002-2
Benefit Details
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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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP) - H2509-001-0
Benefit Details
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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 Discount | Tier 1: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
new |
new |
new |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) - R0759-003-0
Benefit Details
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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 Discount | Tier 1: 15%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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UnitedHealthcare Nursing Home Plan (PPO I-SNP) - H0710-010-0
Benefit Details
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Miami-Dade |
$35.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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BlueMedicare Choice (Regional PPO) - R3332-001-0
Benefit Details
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Miami-Dade |
$49.90 |
$250 Tier 1, 2 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 29% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Init. Cov. Lmt. |
Service |
Exper. |
Cost Info |
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0
Benefit Details
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Miami-Dade |
$111.00 |
$100 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 31%
all covered insulin pay $35 or less | $4,660
Browse Formulary |
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