MedicarePartD.guide

A non-government resource built from CMS public data

Capital Health Plan Giveback Advantage (HMO)

Available to residents of Jefferson County, FL for 2026. Contract H5938, plan 009, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$250.00Tier 1, 2 and 6 exempt
Plan typeMedicare Advantage
Contract / planH5938-009-0
Offered byCapital Health Plan
Parent organizationGuidewell Mutual Holding Corporation
Formulary drugs3,247

CMS star ratings

Overall
4.5 out of 5 stars for Overall
Health plan (Part C)
5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$0.00
Tier 3$40.00
Tier 4$93.00
Tier 530%
Tier 6$0.00

Also available in 8 other FL counties