2019 Medicare Advantage Plans in
Lake County Florida

There are 29 Medicare Advantage Plans available in Lake County FL from 10 different health insurance providers. 15 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1900 and the highest out of pocket is $6700. Lake County Florida residents can also pick from 22 Medicare Special Needs Plans. The highest rated plan available in Lake County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars


(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)
Name ⇅ Premium Deductible MOOP Gap Click
for
Formulary
Plan
Rating
Sign
Up
Aetna Medicare Premier Plan (PPO)
$0 $295.00 $6,700 YesBrowse
Formulary
Enroll
Aetna Medicare Select Plan (HMO)
$0 $0 $3,400 YesBrowse
Formulary
BlueMedicare Choice (Regional PPO)
$42.00 $250.00 $6,700 YesBrowse
Formulary
BlueMedicare Classic (HMO)
$0 $0 $5,500 YesBrowse
Formulary
CareFree (HMO)
$0 $0 $3,400 NoBrowse
Formulary
Enroll
CareOne PLUS (HMO)
$0 $0 $2,750 YesBrowse
Formulary
Enroll
Cigna-HealthSpring Preferred (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Freedom Medicare Plan Rx (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
Freedom Platinum Plan Rx (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
Freedom Platinum Rewards Plan Rx (HMO)
$0 $0 $6,700 NoBrowse
Formulary
Humana Gold Plus H1036-269 (HMO)
$0 $0 $6,700 NoBrowse
Formulary
Enroll
Humana Gold Plus H1036-277 (HMO)
$0 $0 $3,400 YesBrowse
Formulary
HumanaChoice Florida H5216-074 (PPO)
$0 $150.00 $4,900 NoBrowse
Formulary
Enroll
HumanaChoice Florida H7284-001 (PPO)
$75.00 $0 $2,000 NoBrowse
Formulary
Too New
HumanaChoice R5826-005 (Regional PPO)
$96.00 $100.00 $6,700 NoBrowse
Formulary
Enroll
HumanaChoice R5826-074 (Regional PPO)
$0 $395.00 $6,700 NoBrowse
Formulary
Enroll
Optimum Gold Rewards Plan (HMO)
$0 $0 $3,400 YesBrowse
Formulary
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WellCare Dividend (HMO)
$0 $0 $6,700 YesBrowse
Formulary
WellCare Dividend Prime (HMO)
$0 $0 $6,700 YesBrowse
Formulary
WellCare Elite (HMO)
$0 $0 $4,000 YesBrowse
Formulary
WellCare Premier (PPO)
$0 $150.00 $5,900 YesBrowse
Formulary
Too New
WellCare Value (HMO-POS)
$0 $0 $6,700 YesBrowse
Formulary
Enroll


Return to 2019 Medicare Advantage Plans in Florida





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
Freedom Savings Plan (HMO)
$0 Local HMO * $3,400 Enroll
HumanaChoice R5826-018 (Regional PPO)
$0 Regional PPO * $6,700 Enroll





2019 Medicare Special Needs Plans in Lake county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Click
for
Formulary
Allwell Dual Medicare (HMO SNP)
(H5190- 001)
    $30.30 $415.0  Yes Dual-EligibleBrowse
Formulary
CareNeeds (HMO SNP)
(H1019- 077)
    $14.30 $415.0  No Dual-EligibleBrowse
Formulary
CareNeeds PLUS (HMO SNP)
(H1019- 028)
    $15.00 $415.0  No Dual-EligibleBrowse
Formulary
Cigna-HealthSpring TotalCare (HMO SNP)
(H5410- 025)
    $8.40 $415.0  No Dual-EligibleBrowse
Formulary
Freedom Medi-Medi Full (HMO SNP)
(H5427- 087)
    $30.30 $415.0  No Dual-EligibleBrowse
Formulary
Freedom Medi-Medi Partial (HMO SNP)
(H5427- 078)
    $30.30 $415.0  No Dual-EligibleBrowse
Formulary
Freedom VIP Care (HMO SNP)
(H5427- 070)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Freedom VIP Savings (HMO SNP)
(H5427- 072)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Freedom VIP Savings COPD (HMO SNP)
(H5427- 077)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Humana Gold Plus SNP-DE H1036-213 (HMO SNP)
(H1036- 213)
    $25.30 $405.0  No Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H1036-247 (HMO SNP)
(H1036- 247)
    $30.30 $415.0  No Dual-EligibleBrowse
Formulary
Optimum Diamond Rewards (HMO SNP)
(H5594- 030)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Optimum Diamond Rewards COPD (HMO SNP)
(H5594- 031)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Optimum Emerald Full (HMO SNP)
(H5594- 017)
    $30.30 $415.0  No Dual-EligibleBrowse
Formulary
Optimum Emerald Partial (HMO SNP)
(H5594- 016)
    $30.30 $415.0  No Dual-EligibleBrowse
Formulary
WellCare Access (HMO SNP)
(H1032- 124)
    $23.80 $415.0  No Dual-EligibleBrowse
Formulary
WellCare Liberty (HMO SNP)
(H1032- 175)
    $26.60 $415.0  No Dual-EligibleBrowse
Formulary
WellCare Select (HMO SNP)
(H1032- 182)
    $25.40 $415.0  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 2019 once you and your plan provider have spent $3820 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 25% of the plans cost for covered brand-name prescription drugs and 37% 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, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, 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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