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The 2021 Medicare Advantage Plans in Miami Dade County FL.
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
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Medicare Advantage Health Plans Without Drug Coverage
|Plan Name ⇅||Premium||Type||MOOP||Overall
|AARP Medicare Advantage Choice Essential (Regional PPO)
||$0||Regional PPO *||$6,700||Enroll|
|HumanaChoice R5826-018 (Regional PPO)
||$0||Regional PPO *||$6,700||Enroll|
2020 Medicare Special Needs Plans in Miami Dade county Florida
|Plan Name ⇅||Monthly
|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 Condition||Too New|
|DrExtra (HMO-POS C-SNP)||$0||$0||Yes||Chronic or Disabling Condition||Too New|
|DrPlus (HMO-POS D-SNP)||$28.50||$0||Yes||Dual-Eligible||Too 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||Institutional||Too 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-Eligible||Too New|
|MMM PLATINUM (HMO D-SNP)||$28.50||$435.0||Yes||Dual-Eligible||Too 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-Eligible||Too 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
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
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.