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The 2017 Medicare Part D Plans in Volusia County Florida.
2014 Medicare Part-D Plans in Volusia county Florida
(Click the Plan Name for More Details)
Medicare Advantage Plans in Volusia county Florida
| Plan Name | Type | Premium C+D | Part D Deductible |
Drug Benefit Type | Gap | Max Out of Pocket | Overall Rating |
| AARP MedicareComplete Choice Essential (Regional PPO) (R5287-002) |
Regional PPO * | $0 | $6,700 | ||||
| AARP MedicareComplete Choice Plan 2 (Regional PPO) (R5287-001) |
Regional PPO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| BlueMedicare Regional PPO (Regional PPO) (R3332-001) |
Regional PPO | $0 | $30.00 | Basic | No Gap Coverage | $6,700 | |
| Day Break (HMO) (H4199-008) |
Local HMO | $0 | $0 | Enhanced | All Generics | $3,400 | NA |
| Day Light (HMO) (H4199-009) |
Local HMO * | $0 | $3,400 | NA | |||
| FHCP Medvantage (HMO-POS) (H1035-007) |
Local HMO * | $0 | $4,500 | ||||
| FHCP Medvantage Rx (HMO) (H1035-006) |
Local HMO | $0 | $160.00 | Enhanced | No Gap Coverage | $4,500 | |
| FHCP Medvantage Rx Plus (HMO-POS) (H1035-002) |
Local HMO | $24.00 | $0 | Enhanced | Many Generics | $2,900 | |
| Florida Hospital Explorer Plan (HMO-POS) (H1099-017) |
Local HMO | $89.00 | $0 | Enhanced | Many Generics | $3,000 | |
| Florida Hospital SunSaver Plan (HMO) (H1099-016) |
Local HMO | $0 | $0 | Enhanced | Few Generics | $6,500 | |
| Freedom Medicare Plan Rx (HMO) (H5427-059) |
Local HMO | $0 | $0 | Enhanced | Many Generics | $3,400 | |
| Freedom Savings Plan (HMO) (H5427-052) |
Local HMO * | $0 | $3,400 | ||||
| Freedom Savings Plan Rx (HMO) (H5427-053) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Humana Gold Choice H8145-061 (PFFS) (H8145-061) |
PFFS | $103.00 | $0 | Enhanced | Few Generics, Few Brands | N/A | |
| Humana Gold Plus H1036-044 (HMO) (H1036-044) |
Local HMO | $0 | $0 | Enhanced | Some Generics, Few Brands | $3,400 | |
| Humana Gold Plus H1036-056 (HMO) (H1036-056) |
Local HMO * | $0 | $3,400 | ||||
| Humana Gold Plus H1036-157 (HMO) (H1036-157) |
Local HMO | $0 | $0 | Enhanced | Few Generics, Few Brands | $6,700 | |
| HumanaChoice H5415-066 (PPO) (H5415-066) |
Local PPO | $135.00 | $0 | Enhanced | Few Generics, Few Brands | $3,400 | |
| HumanaChoice R5826-005 (Regional PPO) (R5826-005) |
Regional PPO | $92.00 | $0 | Enhanced | Few Generics, Few Brands | $5,700 | |
| HumanaChoice R5826-018 (Regional PPO) (R5826-018) |
Regional PPO * | $0 | $4,000 | ||||
| HumanaChoice R5826-074 (Regional PPO) (R5826-074) |
Regional PPO | $0 | $150.00 | Enhanced | Few Generics, Few Brands | $5,900 | |
| Optimum Gold Rewards Plan (HMO-POS) (H5594-022) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Preferred Secure Option (HMO) (H1045-023) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| PUP PLUS (HMO) (H5696-034) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| PUP REWARDS (HMO) (H5696-004) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $4,300 | |
| PUP SIMPLE (HMO) (H5696-033) |
Local HMO | $0 | $0 | Enhanced | Many Generics | $4,200 | |
| Sunrise (HMO) (H4199-007) |
Local HMO | $0 | $0 | Enhanced | All Generics | $3,400 | NA |
| WellCare Advance (HMO) (H1032-037) |
Local HMO * | $0 | $6,700 | ||||
| WellCare Choice (HMO-POS) (H1032-002) |
Local HMO | $46.00 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| WellCare Dividend (HMO) (H1032-179) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| WellCare Value (HMO) (H1032-177) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 |
Medicare Special Needs Plans in Volusia county Florida
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| Advantage by Sunshine Health (HMO SNP) (H5190- 001) |
Local HMO | $21.00 | $310.00 | No Gap Coverage | Dual-Eligible | Too New |
| Clear Skies (HMO SNP) (H4199- 010) |
Local HMO | $0 | $0 | All Generics | Chronic or Disabling Condition | NA |
| FHCP Medvantage Dual Access SNP (HMO SNP) (H1035- 009) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Freedom Medi-Medi Full (HMO SNP) (H5427- 087) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Freedom Medi-Medi Partial (HMO SNP) (H5427- 078) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Freedom VIP Savings (HMO SNP) (H5427- 082) |
Local HMO | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition | |
| Freedom VIP Savings COPD (HMO SNP) (H5427- 083) |
Local HMO | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DB H1036-156 (HMO SNP) (H1036- 156) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DE H1036-154 (HMO SNP) (H1036- 154) |
Local HMO | $18.70 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H1036-209 (HMO SNP) (H1036- 209) |
Local HMO | $12.60 | $270.00 | No Gap Coverage | Dual-Eligible | |
| Optimum Diamond Rewards (HMO-POS SNP) (H5594- 030) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Optimum Emerald Full (HMO SNP) (H5594- 017) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Optimum Emerald Partial (HMO SNP) (H5594- 016) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| PUP EXTRA (HMO SNP) (H5696- 021) |
Local HMO | $9.90 | $0 | No Gap Coverage | Dual-Eligible | |
| Sunny Days (HMO SNP) (H4199- 011) |
Local HMO | $3.60 | $0 | All Generics | Dual-Eligible | NA |
| UnitedHealthcare Dual Complete RP (Regional PPO SNP) (R5287- 003) |
Regional PPO | $21.80 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (HMO SNP) (H5322- 003) |
Local HMO | $19.90 | $310.00 | No Gap Coverage | Institutional | Too New |
| WellCare Access (HMO SNP) (H1032- 175) |
Local HMO | $10.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Liberty (HMO SNP) (H1032- 124) |
Local HMO | $9.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Select (HMO SNP) (H1032- 061) |
Local HMO | $11.60 | $310.00 | No Gap Coverage | Dual-Eligible |
Source: CMS.
Plans as of September 3, 2013.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.
Plan Type Is the type of organization offering the Medicare Plans.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescrition Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
* Plan Type Indicates plan does not offer Part D drug coverage.
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan 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 plans; 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 TypeEnhanced Alternative plans 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.
GAPCoverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.
Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:
- All: 100% of formulary drugs are covered through the gap
- Many: 65% to 100% of formulary drugs are covered through the gap
- Some: 10% to 65 % of formulary drugs are covered through the gap
- Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
- No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
- All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)
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
