2018 Medicare Advantage Plans in Martin County Florida

2018 Medicare Advantage Plans in Martin County Florida

There are 21 Medicare Advantage Plans available in Martin County FL from 9 different health insurance providers. 6 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. The highest rated plan available in Martin County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Martin County Florida residents can also pick from 18 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
Type  Gap  MOOP Overall Rating Sign Up
AARP MedicareComplete (HMO)
$0.00 $245.00 Local HMO No $4,900 Enroll
AARP MedicareComplete Choice Essential (Regional PPO)
$0.00 Regional PPO * $6,700 Enroll
AARP MedicareComplete Choice Plan 2 (Regional PPO)
$0.00 $395.00 Regional PPO No $6,700 Enroll
AARP MedicareComplete Focus (HMO)
$0.00 $250.00 Local HMO No $3,000 Enroll
Aetna Medicare Choice Plan (HMO-POS)
$0.00 $200.00 Local HMO Yes $6,700
Aetna Medicare Premier Plan (PPO)
$0.00 $250.00 Local PPO Yes $6,700 Enroll
BlueMedicare Choice (Regional PPO)
$41.00 $260.00 Regional PPO Yes $6,700
BlueMedicare Classic (HMO)
$0.00 $0.00 Local HMO Yes $6,500
Coventry Medicare Summit Plan (HMO)
$0.00 $0.00 Local HMO Yes $3,400 Enroll
Freedom Medicare Plan Rx (HMO)
$0.00 $0.00 Local HMO Yes $3,400 Enroll
Freedom Savings Plan (HMO)
$0.00 Local HMO * $3,400 Enroll
Humana Gold Choice H8145-061 (PFFS)
$117.00 $200.00 PFFS No N/A Enroll
Humana Gold Plus H1036-229 (HMO)
$0.00 $0.00 Local HMO No $5,600 Enroll
HumanaChoice Florida H5216-062 (PPO)
$0.00 $150.00 Local PPO No $6,700 Enroll
HumanaChoice H5216-060 (PPO)
$55.00 $0.00 Local PPO No $6,700 Enroll
HumanaChoice R5826-005 (Regional PPO)
$98.00 $100.00 Regional PPO No $6,700 Enroll
HumanaChoice R5826-018 (Regional PPO)
$0.00 Regional PPO * $6,700 Enroll
HumanaChoice R5826-074 (Regional PPO)
$0.00 $405.00 Regional PPO No $6,700 Enroll
WellCare Dividend (HMO)
$0.00 $0.00 Local HMO No $6,700 Enroll
WellCare Essential (HMO-POS)
$0.00 $0.00 Local HMO No $6,700 Enroll
WellCare Premier (PPO)
$0.00 $250.00 Local PPO No $6,700
Return to 2018 Medicare Advantage Plans in Florida

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

2018 Medicare Special Needs Plans in Martin county Florida

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Allwell Dual Medicare (HMO SNP)
(H5190- 001)
   $29.00 $405.00  Yes Dual-Eligible
Freedom Medi-Medi Full (HMO SNP)
(H5427- 087)
   $29.10 $405.00  No Dual-Eligible
Freedom Medi-Medi Partial (HMO SNP)
(H5427- 078)
   $29.10 $405.00  No Dual-Eligible
Freedom VIP Savings (HMO SNP)
(H5427- 082)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Freedom VIP Savings COPD (HMO SNP)
(H5427- 083)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-226 (HMO SNP)
(H1036- 226)
   $22.00 $365.00  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-249 (HMO SNP)
(H1036- 249)
   $23.40 $405.00  No Dual-Eligible
Optimum Diamond Rewards (HMO SNP)
(H5594- 034)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Optimum Diamond Rewards COPD (HMO SNP)
(H5594- 035)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Optimum Emerald Full (HMO SNP)
(H5594- 017)
   $29.10 $405.00  No Dual-Eligible
Optimum Emerald Partial (HMO SNP)
(H5594- 016)
   $29.10 $405.00  No Dual-Eligible
UnitedHealthcare Assisted Living Plan (PPO SNP)
(H0710- 012)
   $21.40 $200.00  No Institutional
UnitedHealthcare Dual Complete RP (Regional PPO SNP)
(R7444- 012)
   $19.80 $405.00  No Dual-Eligible
UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
(R7444- 013)
   $26.90 $405.00  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 010)
   $29.10 $405.00  No Institutional
WellCare Access (HMO SNP)
(H1032- 124)
   $21.50 $405.00  No Dual-Eligible
WellCare Liberty (HMO SNP)
(H1032- 175)
   $26.60 $405.00  No Dual-Eligible
WellCare Select (HMO SNP)
(H1032- 061)
   $22.40 $405.00  No Dual-Eligible

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 2018 once you and your plan provider have spent $3750 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 35% of the plans cost for covered brand-name prescription drugs and 44% 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 5, 2017.

    Plans are subject to change as contracts are finalized.

    Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, 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.

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