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The 2019 Medicare Advantage Plans in Miami Dade County FL.



2018 Medicare Advantage Plans in Miami Dade County Florida

There are 36 Medicare Advantage Plans available in Miami Dade County FL from 16 different health insurance providers. 19 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3200 and the highest out of pocket is $6700. The highest rated plan available in Miami Dade County received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Miami Dade County Florida residents can also pick from 0 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete Choice Essential (Regional PPO)
$0.00 $6,700 Enroll
AARP MedicareComplete Choice Plan 2 (Regional PPO)
$0.00 $395.00 No $6,700 FormularyEnroll
Aetna Medicare Choice Plan (HMO-POS)
$0.00 $200.00 Yes $6,700 Formulary
Aetna Medicare Premier Plan (PPO)
$0.00 $250.00 Yes $6,700 FormularyEnroll
Allwell Medicare (HMO)
$0.00 $0.00 Yes $3,400 Formulary
Allwell Medicare Premier (HMO)
$0.00 $0.00 No $6,700 Formulary
AvMed Medicare Choice (HMO)
$0.00 $0.00 Yes $4,500 Formulary
BlueMedicare Choice (Regional PPO)
$41.00 $260.00 Yes $6,700 Formulary
BlueMedicare Classic (HMO)
$0.00 $0.00 Yes $5,500 Formulary
BlueMedicare Premier (HMO)
$0.00 $0.00 Yes $3,200 Formulary
CareExtra (HMO)
$12.50 $405.00 No $3,400 FormularyEnroll
CareFree PLUS (HMO)
$0.00 $0.00 No $3,400 FormularyEnroll
CareOne PLUS (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Coventry Medicare Summit Plan (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Coventry Medicare Vista Plan (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Freedom Medicare Plan Rx (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Freedom Savings Plan (HMO)
$0.00 $3,400 Enroll
HealthSun MediMax (HMO)
$29.10 $405.00 No $3,400 Formulary
HealthSun SunPlus Advantage Plan (HMO)
$0.00 $0.00 Yes $3,400 Formulary
Humana Gold Choice H8145-061 (PFFS)
$117.00 $200.00 No N/A FormularyEnroll
Humana Gold Plus H1036-054C (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Humana Gold Plus H1036-237 (HMO)
$0.00 $0.00 No $3,400 FormularyEnroll
Humana Value Plus H1036-264 (HMO)
$16.30 $405.00 No $3,400 FormularyEnroll
HumanaChoice Florida H5216-068 (PPO)
$0.00 $150.00 No $6,700 FormularyEnroll
HumanaChoice H5216-065 (PPO)
$57.00 $350.00 No $6,700 FormularyEnroll
HumanaChoice R5826-005 (Regional PPO)
$98.00 $100.00 No $6,700 FormularyEnroll
HumanaChoice R5826-018 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R5826-074 (Regional PPO)
$0.00 $405.00 No $6,700 FormularyEnroll
Leon Medical Centers Health Plans - Leon Cares (HMO)
$0.00 $0.00 Yes $6,700 Formulary
Medica HealthCare Plans MedicareMax (HMO)
$0.00 $0.00 Yes $6,700 Formulary
Optimum Gold Rewards Plan (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Optimum Platinum Plan (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Preferred Choice Dade (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Simply More (HMO)
$0.00 $0.00 Yes $3,400 Formulary
WellCare Dividend (HMO)
$0.00 $0.00 No $6,700 FormularyEnroll
WellCare Essential (HMO-POS)
$0.00 $0.00 No $6,700 FormularyEnroll
Return to 2018 Medicare Advantage Plans in Florida

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



2018 Medicare Special Needs Plans in Miami Dade county Florida

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Sorry, No Special Needs Plans in miami dade County Found!


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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1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 10:00am-2:00pm (ET)

  • Call to Enroll!

    Call For A licensed Sales Agent

    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 9:00am-3:00pm (ET)

  • Call to Enroll!