2020 St Lucie County Florida
Medicare Advantage Plans

There are 27 Medicare Advantage Plans available in St Lucie County FL from 7 different health insurance providers. 15 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2000 and the highest out of pocket is $6700. St Lucie County Florida residents can also pick from 0 Medicare Special Needs Plans. The highest rated plan available in St Lucie 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 (HMO-POS)
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$0 $0 $4,900 NoEnroll
AARP Medicare Advantage Choice (PPO)
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$0 $150.00 $4,900 NoEnroll
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
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$0 $395.00 $6,700 NoEnroll
AARP Medicare Advantage Focus (HMO-POS)
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$0 $0 $3,900 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 Premier Plus (PPO)
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$0 $150.00 $4,900 YesEnroll
Aetna Medicare Summit Select (HMO)
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$0 $0 $3,400 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 $5,000 YesEnroll
BlueMedicare Select (PPO)
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$145.50 $305.00 $5,900 YesEnroll
BlueMedicare Value (PPO)
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$0 $0 $4,500 YesEnroll
Freedom Platinum Plan Rx (HMO)
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$0 $0 $3,000 YesEnroll
Humana Gold Choice H8145-061 (PFFS)
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$116.00 $200.00 $- NoEnroll
Humana Gold Plus H1036-229 (HMO)
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$0 $0 $4,800 NoEnroll
HumanaChoice Florida H5216-062 (PPO)
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$0 $150.00 $5,000 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
WellCare Dividend (HMO)
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$0 $0 $6,700 YesEnroll
WellCare Dividend Prime (HMO)
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$0 $0 $3,400 YesEnroll
WellCare Elite (HMO)
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$0 $0 $3,000 YesEnroll
WellCare Essential (HMO-POS)
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$0 $0 $6,700 YesEnroll
WellCare Premier (PPO)
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$0 $100.00 $3,400 YesNAEnroll
WellCare Prime (PPO)
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$75.00 $0 $2,000 YesNAEnroll


Return to 2020 Medicare Advantage Plans in Florida





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
Freedom Savings Plan (HMO)
$0 Local HMO * $3,400 Enroll
HumanaChoice R5826-018 (Regional PPO)
$0 Regional PPO * $6,700 Enroll







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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