2017 Medicare Advantage Plans in Brevard County Florida

2017 Medicare Advantage Plans in Brevard County Florida

There are 21 Medicare Advantage Plans available in Brevard County FL from 10 health insurance providers and 14 Special Needs Plans available. 9 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $6700. The highest rated plan available in Brevard County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars.

(Click the Plan Name for More Details)

Name Monthly
Premium
C+D
Part D
Deductible
Type  Gap  Max Out
of
Pocket
Overall Rating Formulary
AARP MedicareComplete (HMO)
(H1045-030)
$0.00 $265.00 Local HMO No $4,400 Browse
Formulary
AARP MedicareComplete Choice Essential (Regional PPO)
(R7444-004)
$0.00 Regional PPO * $6,700
AARP MedicareComplete Choice Plan 2 (Regional PPO)
(R7444-003)
$0.00 $230.00 Regional PPO No $6,700 Browse
Formulary
BlueMedicare HMO LifeTime (HMO)
(H1026-040)
$0.00 $0.00 Local HMO Yes $6,500 Browse
Formulary
BlueMedicare Regional PPO (Regional PPO)
(R3332-001)
$41.00 $280.00 Regional PPO No $6,700 Browse
Formulary
CareOne (HMO)
(H1019-043)
$0.00 $200.00 Local HMO Yes $6,700 Browse
Formulary
FHCP's Premier Plan (HMO)
(H1035-010)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
FHCP's Premier Plus Plan (HMO-POS)
(H1035-011)
$20.00 $0.00 Local HMO Yes $4,000 Browse
Formulary
Freedom Medicare Plan Rx (HMO)
(H5427-059)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Freedom Savings Plan (HMO)
(H5427-052)
$0.00 Local HMO * $3,400
Health First Classic Plan (HMO-POS)
(H1099-001)
$98.00 $0.00 Local HMO Yes $3,750 Browse
Formulary
Health First Rewards Plan (HMO)
(H1099-014)
$0.00 $0.00 Local HMO No $6,650 Browse
Formulary
Health First Secure Plan (HMO)
(H1099-009)
$0.00 Local HMO * $3,400
Health First Value Plan (HMO)
(H1099-006)
$33.00 $0.00 Local HMO Yes $4,950 Browse
Formulary
Humana Gold Choice H8145-061 (PFFS)
(H8145-061)
$110.00 $200.00 PFFS Yes N/A Browse
Formulary
HumanaChoice Florida H5415-076 (PPO)
(H5415-076)
$0.00 $250.00 Local PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-005 (Regional PPO)
(R5826-005)
$95.00 $100.00 Regional PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-018 (Regional PPO)
(R5826-018)
$0.00 Regional PPO * $5,000
HumanaChoice R5826-074 (Regional PPO)
(R5826-074)
$0.00 $400.00 Regional PPO No $6,700 Browse
Formulary
WellCare Dividend (HMO)
(H1032-180)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
WellCare Value (HMO-POS)
(H1032-133)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
Return to 2017 Medicare Advantage Plans in Florida

* Plan Type does not offer Medicare Part D drug coverage.



Medicare Special Needs Plans in Brevard county Florida

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Freedom Medi-Medi Full (HMO SNP)
(H5427- 087)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
Freedom Medi-Medi Partial (HMO SNP)
(H5427- 078)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
Freedom VIP Savings (HMO SNP)
(H5427- 082)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Optimum Diamond Rewards (HMO SNP)
(H5594- 034)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Optimum Emerald Full (HMO SNP)
(H5594- 017)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
Optimum Emerald Partial (HMO SNP)
(H5594- 016)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Assisted Living Plan (PPO SNP)
(H0710- 012)
   $19.20 $120.00  No InstitutionalBrowse
Formulary
UnitedHealthcare Dual Complete LP (HMO SNP)
(H1045- 040)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete RP (Regional PPO SNP)
(R7444- 012)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
(R7444- 013)
   $29.10 $400.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 010)
   $29.10 $400.00  No InstitutionalBrowse
Formulary
WellCare Access (HMO SNP)
(H1032- 124)
   $18.00 $400.00  No Dual-EligibleBrowse
Formulary
WellCare Liberty (HMO SNP)
(H1032- 175)
   $19.80 $400.00  No Dual-EligibleBrowse
Formulary
WellCare Select (HMO SNP)
(H1032- 182)
   $18.60 $400.00  No Dual-EligibleBrowse
Formulary


Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.

  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

  • GAP

    In 2017 once you and your plan provider have spent $3700 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 40% of the plans cost for covered brand-name prescription drugs and 51% on generic drugs unless your plan offers additional coverage.

    Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



    Source: CMS.

    Data as of September 6, 2016.

    Plans are subject to change as contracts are finalized.

    Includes 2017 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2017, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.