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The 2019 Medicare Advantage Plans in Pinellas County FL.



2018 Medicare Advantage Plans in Pinellas County Florida

There are 30 Medicare Advantage Plans available in Pinellas County FL from 13 different health insurance providers. 14 of these Medicare 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 Pinellas County received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Pinellas County Florida residents can also pick from 29 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
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 $5,900 Formulary
Allwell Medicare Premier (HMO)
$0.00 $0.00 No $6,700 Formulary
BlueMedicare Choice (Regional PPO)
$41.00 $260.00 Yes $6,700 Formulary
BlueMedicare Preferred (HMO)
$0.00 $0.00 Yes $3,400 Formulary
BlueMedicare Preferred POS (HMO-POS)
$0.00 $0.00 Yes $4,900 Formulary
BlueMedicare Select (PPO)
$147.80 $305.00 Yes $5,900 Formulary
CareFree (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
Freedom Medicare Plan Rx (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Freedom Savings Plan (HMO)
$0.00 $3,400 Enroll
Humana Gold Choice H8145-061 (PFFS)
$117.00 $200.00 No N/A FormularyEnroll
Humana Gold Plus H1036-025 (HMO)
$0.00 $0.00 Yes $3,400 FormularyEnroll
Humana Gold Plus H1036-119 (HMO)
$0.00 $6,700 Enroll
Humana Gold Plus H1036-265 (HMO)
$0.00 $0.00 No $6,700 FormularyEnroll
HumanaChoice Florida H5216-072 (PPO)
$0.00 $150.00 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
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
Simply More (HMO)
$0.00 $0.00 Yes $6,700 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 Pinellas county Florida

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Allwell Dual Medicare (HMO SNP)
(H5190- 002)
   $29.00 $405.00  Yes Dual-Eligible
CareNeeds (HMO SNP)
(H1019- 079)
   $8.90 $405.00  No Dual-Eligible
CareNeeds PLUS (HMO SNP)
(H1019- 026)
   $4.50 $405.00  No Dual-Eligible
Coventry Medicare Summit Plan (HMO SNP)
(H1609- 019)
   $25.70 $0.00  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 Care (HMO SNP)
(H5427- 070)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Freedom VIP Savings (HMO SNP)
(H5427- 072)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Freedom VIP Savings COPD (HMO SNP)
(H5427- 077)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Humana Gold Plus - Diabetes (HMO SNP)
(H1036- 160)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-102 (HMO SNP)
(H1036- 102)
   $16.60 $360.00  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-251 (HMO SNP)
(H1036- 251)
   $12.70 $405.00  No Dual-Eligible
Molina Medicare Options Plus (HMO SNP)
(H8130- 001)
   $29.10 $405.00  Yes Dual-Eligible
Optimum Diamond Rewards (HMO SNP)
(H5594- 028)
   $0.00 $0.00  Yes Chronic or Disabling Condition
Optimum Diamond Rewards COPD (HMO SNP)
(H5594- 029)
   $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
Simply Advantage (HMO SNP)
(H5471- 062)
   $29.10 $405.00  Yes Dual-Eligible
Simply Complete (HMO SNP)
(H5471- 056)
   $29.10 $405.00  Yes Dual-Eligible
Simply Level (HMO SNP)
(H5471- 049)
   $0.00 $0.00  Yes Chronic or Disabling Condition
WellCare Access (HMO SNP)
(H1032- 124)
   $21.50 $405.00  No Dual-Eligible
WellCare Guardian (HMO SNP)
(H1032- 184)
   $0.00 $0.00  No Chronic or Disabling Condition
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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