2020 Miami Dade County Florida
Medicare Advantage Plans

There are 44 Medicare Advantage Plans available in Miami Dade County FL from 16 different health insurance providers. 28 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1000 and the highest out of pocket is $6700. Miami Dade County Florida residents can also pick from 34 Medicare Special Needs Plans. The highest rated plan available in Miami Dade 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 Plan
Rating
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AARP Medicare Advantage Choice (PPO)
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$0 $150.00 $3,400 NoEnroll
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
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$0 $395.00 $6,700 NoEnroll
Aetna Medicare Choice (HMO-POS)
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$0 $195.00 $6,700 YesEnroll
Aetna Medicare Premier (PPO)
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$0 $300.00 $6,700 YesEnroll
Aetna Medicare Summit Select (HMO)
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$0 $0 $3,000 YesEnroll
Allwell Medicare (HMO)
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$0 $0 $3,400 YesEnroll
AvMed Medicare Choice (HMO)
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$0 $0 $3,400 YesEnroll
AvMed Medicare Circle (HMO)
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$0 $0 $6,700 YesEnroll
BlueMedicare Choice (Regional PPO)
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$47.90 $250.00 $6,500 YesEnroll
BlueMedicare Classic (HMO)
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$0 $0 $3,900 YesEnroll
BlueMedicare Premier (HMO)
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$0 $0 $2,000 YesEnroll
BlueMedicare Saver (HMO)
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$0 $0 $6,700 YesEnroll
BlueMedicare Value (PPO)
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$0 $0 $4,500 YesEnroll
CareExtra (HMO)
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$11.80 $435.00 $1,500 YesEnroll
CareFree PLUS (HMO)
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$0 $0 $3,400 NoEnroll
CareOne PLUS (HMO)
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$0 $0 $1,000 YesEnroll
Devoted Health Essentials Miami-Dade (HMO)
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$0 $0 $3,400 NoToo NewEnroll
Devoted Health Miami-Dade (HMO)
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$0 $0 $1,500 YesToo NewEnroll
Devoted Health Prime Miami-Dade (HMO)
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$28.50 $435.00 $3,400 YesToo NewEnroll
DrMax (HMO-POS)
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$0 $0 $3,400 YesToo NewEnroll
DrValue (HMO-POS)
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$0 $0 $4,500 YesToo NewEnroll
HealthSun MediMax (HMO)
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$28.50 $435.00 $3,400 NoEnroll
HealthSun SunPlus Advantage Plan (HMO)
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$0 $0 $3,400 YesEnroll
Humana Gold Choice H8145-061 (PFFS)
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$116.00 $200.00 $- NoEnroll
Humana Gold Plus H1036-054C (HMO)
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$0 $0 $1,000 YesEnroll
Humana Gold Plus H1036-237 (HMO)
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$0 $0 $3,400 NoEnroll
Humana Value Plus H1036-264 (HMO)
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$21.60 $435.00 $3,400 NoEnroll
HumanaChoice Florida H5216-068 (PPO)
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$0 $150.00 $5,500 NoEnroll
HumanaChoice H5216-065 (PPO)
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$56.00 $350.00 $6,700 NoEnroll
HumanaChoice R5826-005 (Regional PPO)
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$101.00 $100.00 $6,700 NoEnroll
HumanaChoice R5826-074 (Regional PPO)
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$0 $395.00 $6,700 NoEnroll
Leon Medical Centers Health Plans - Leon Cares (HMO)
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$0 $0 $3,400 YesEnroll
Medica HealthCare Plans MedicareMax (HMO)
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$0 $0 $3,400 YesEnroll
MMM ELITE DADE (HMO)
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$0 $0 $3,400 YesToo NewEnroll
MMM EXTRA (HMO)
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$0 $0 $3,400 NoToo NewEnroll
MMM PLUS (HMO)
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$0 $0 $3,400 YesToo NewEnroll
Preferred Choice Dade (HMO)
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$0 $0 $2,900 YesEnroll
Preferred Complete Care (HMO)
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$26.40 $435.00 $2,900 NoEnroll
Simply Extra (HMO)
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$0 $0 $3,400 YesEnroll
Simply More (HMO)
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$0 $0 $3,400 YesEnroll
SOLIS SPF 001 (HMO)
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$0 $0 $3,400 YesToo NewEnroll
WellCare Dividend (HMO)
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$0 $0 $1,000 YesEnroll


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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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AARP Medicare Advantage Choice Essential (Regional PPO)
$0 Regional PPO * $6,700
HumanaChoice R5826-018 (Regional PPO)
$0 Regional PPO * $6,700 Enroll





2020 Medicare Special Needs Plans in Miami Dade county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure (HMO D-SNP)     $27.80 $250.0  No Dual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP)     $27.80 $250.0  No Dual-Eligible
Aetna Medicare Assure Value (HMO D-SNP)     $28.50 $250.0  No Dual-Eligible
Allwell Dual Medicare (HMO D-SNP)     $28.50 $435.0  Yes Dual-Eligible
BlueMedicare Complete (HMO D-SNP)     $28.50 $435.0  Yes Dual-Eligible
CareNeeds (HMO D-SNP)     $9.80 $435.0  No Dual-Eligible
CareNeeds PLUS (HMO D-SNP)     $7.20 $435.0  No Dual-Eligible
DrCare (HMO-POS C-SNP)     $0 $0  Yes Chronic or Disabling ConditionToo New
DrExtra (HMO-POS C-SNP)     $0 $0  Yes Chronic or Disabling ConditionToo New
DrPlus (HMO-POS D-SNP)     $28.50 $0  Yes Dual-EligibleToo New
Humana Fully Integrated H1036-280 (HMO D-SNP)     $17.00 $435.0  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)     $18.70 $435.0  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-257 (HMO D-SNP)     $23.60 $435.0  No Dual-Eligible
Longevity Health Plan (HMO I-SNP)     $28.50 $435.0  No InstitutionalToo New
Medica HealthCare Plans MedicareMax Plus (HMO D-SNP)     $28.50 $435.0  Yes Dual-Eligible
MMM MORE (HMO D-SNP)     $28.50 $435.0  No Dual-EligibleToo New
MMM PLATINUM (HMO D-SNP)     $28.50 $435.0  Yes Dual-EligibleToo New
Molina Medicare Complete Care (HMO D-SNP)     $28.50 $435.0  Yes Dual-Eligible
PHP (HMO C-SNP)     $0 $435.0  Yes Chronic or Disabling Condition
Preferred Medicare Assist (HMO D-SNP)     $20.00 $435.0  Yes Dual-Eligible
Preferred Special Care Miami-Dade (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Simply Care (HMO I-SNP)     $28.50 $435.0  No Institutional
Simply Comfort (HMO I-SNP)     $28.50 $435.0  Yes Institutional
Simply Complete (HMO D-SNP)     $28.50 $435.0  Yes Dual-Eligible
Simply Level (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
SOLIS SPF 002 (HMO D-SNP)     $28.50 $0  Yes Dual-EligibleToo New
UnitedHealthcare Assisted Living Plan (PPO I-SNP)     $16.30 $200.0  No Institutional
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)     $28.10 $435.0  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $28.50 $435.0  No Institutional
WellCare Access (HMO D-SNP)     $24.80 $435.0  No Dual-Eligible
WellCare Guardian (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
WellCare Liberty (HMO D-SNP)     $27.20 $435.0  No Dual-Eligible
WellCare Reserve (HMO D-SNP)     $24.80 $435.0  No Dual-Eligible
WellCare Select (HMO D-SNP)     $23.70 $435.0  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 2020 once you and your plan provider have spent $4020 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 25% 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 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, 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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