2021 Duval County Florida
Medicare Advantage Plans

There are 34 Medicare Advantage Plans available in Duval County FL from 10 different health insurance providers. 18 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1700 and the highest out of pocket is $7550. Duval County Florida residents can also pick from 22 Medicare Special Needs Plans. The best Medicare Advantage plan in Duval County Florida received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars.

(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage (HMO-POS)
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$0 $0 $3,700 NoEnroll
AARP Medicare Advantage Choice (PPO)
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$0 $175.00 $5,900 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 Premier Plus (PPO)
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$0 $150.00 $5,900 YesEnroll
Aetna Medicare Select (HMO)
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$0 $0 $3,450 YesEnroll
Ascension Complete St Vincent's Reward (HMO)
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$0 $360.00 $5,000 NoToo NewEnroll
Ascension Complete St Vincent's Secure (HMO)
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$0 $0 $3,450 NoToo NewEnroll
BlueMedicare Choice (Regional PPO)
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$47.90 $250.00 $6,500 YesEnroll
BlueMedicare Classic (HMO)
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$0 $0 $4,900 YesEnroll
BlueMedicare Premier (HMO)
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$0 $0 $3,000 YesEnroll
BlueMedicare Select (PPO)
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$146.80 $305.00 $5,900 YesEnroll
BlueMedicare Value (PPO)
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$0 $150.00 $4,500 YesEnroll
CareFree (HMO)
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$0 $100.00 $3,900 NoEnroll
CareOne (HMO)
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$0 $0 $3,400 YesEnroll
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$0 $0 $4,000 YesEnroll
Devoted Health Core Greater Jacksonville (HMO)
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$0 $0 $3,400 YesToo NewEnroll
Devoted Health Essentials Greater Jacksonville (HMO)
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$0 $0 $3,400 NoToo NewEnroll
Devoted Health Prime Greater Jacksonville (HMO)
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$30.70 $0 $3,400 YesToo NewEnroll
Humana Gold Plus H1036-081D (HMO)
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$0 $0 $3,400 YesEnroll
Humana Gold Plus H1036-270 (HMO)
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$0 $0 $4,500 NoEnroll
HumanaChoice Florida H5216-070 (PPO)
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$0 $175.00 $5,500 NoEnroll
HumanaChoice Florida H7284-006 (PPO)
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$75.00 $445.00 $3,900 NoToo NewEnroll
HumanaChoice R5826-005 (Regional PPO)
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$105.00 $100.00 $6,700 NoEnroll
HumanaChoice R5826-074 (Regional PPO)
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$0 $395.00 $7,550 NoEnroll
WellCare Dividend Prime (HMO)
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$0 $0 $3,200 YesEnroll
WellCare Elite (HMO)
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$0 $0 $2,500 YesEnroll
WellCare Premier (PPO)
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$0 $150.00 $4,500 YesToo NewEnroll
WellCare Prime (PPO)
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$90.00 $0 $1,700 YesToo NewEnroll

Return to 2021 Medicare Advantage Plans in Florida

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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AARP Medicare Advantage Patriot (Regional PPO)
$0 Regional PPO * $6,700 Enroll
HumanaChoice R5826-018 (Regional PPO)
$0 Regional PPO * $7,550 Enroll
Lasso Healthcare Growth (MSA)
MSA * $- Too NewEnroll
Lasso Healthcare Growth Plus (MSA)
MSA * $- Too NewEnroll

2021 Medicare Special Needs Plans in Duval county Florida

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Aetna Medicare Assure (HMO D-SNP)     $25.30 $250.0  Yes Dual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP)     $29.00 $250.0  Yes Dual-Eligible
Allwell Dual Medicare (HMO D-SNP)     $25.10 $445.0  No Dual-Eligible
Allwell Medicare Nurture (HMO D-SNP)     $30.80 $445.0  No Dual-Eligible
American Health Advantage of Florida (HMO I-SNP)     $30.80 $445.0  No InstitutionalToo New
BlueMedicare Complete (HMO D-SNP)     $30.80 $445.0  Yes Dual-Eligible
CareComplete (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
CareNeeds PLUS (HMO D-SNP)     $19.10 $355.0  No Dual-Eligible
Devoted Health Dual Greater Jacksonville (HMO D-SNP)     $30.70 $445.0  Yes Dual-EligibleToo New
Humana Gold Plus - Diabetes (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)     $22.30 $290.0  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-243 (HMO D-SNP)     $26.10 $350.0  No Dual-Eligible
PHP (HMO C-SNP)     $0 $445.0  Yes Chronic or Disabling Condition
UnitedHealthcare Assisted Living Plan (PPO I-SNP)     $30.80 $200.0  No Institutional
UnitedHealthcare Dual Complete Choice (PPO D-SNP)     $30.80 $445.0  No Dual-EligibleToo New
UnitedHealthcare Dual Complete LP (HMO D-SNP)     $30.80 $445.0  No Dual-Eligible
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)     $30.80 $445.0  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $30.80 $445.0  No Institutional
WellCare Access (HMO D-SNP)     $28.10 $445.0  No Dual-Eligible
WellCare Guardian (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
WellCare Liberty (HMO D-SNP)     $30.50 $445.0  No Dual-Eligible
WellCare Select (HMO D-SNP)     $30.00 $445.0  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 2021 once you and your plan provider have spent $4130 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 8, 2020.
Plans are subject to change as contracts are finalized.
Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2021, 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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