2021 Marion County Florida
Medicare Advantage Plans

There are 41 Medicare Advantage Plans available in Marion County FL from 12 different health insurance providers. 24 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. Marion County Florida residents can also pick from 25 Medicare Special Needs Plans. The best Medicare Advantage plan in Marion County Florida received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars.



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Name ⇅ Premium Deductible MOOP Gap Plan
Rating
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AARP Medicare Advantage Choice (PPO)
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$0 $150.00 $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
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 $2,900 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 $5,400 YesEnroll
CareFree (HMO)
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$0 $0 $3,400 NoEnroll
CareOne PLATINUM (HMO)
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$0 $0 $3,400 YesEnroll
CareOne PLUS (HMO-POS)
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$0 $0 $2,750 YesEnroll
Devoted Health Core (HMO)
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$0 $0 $2,900 YesToo NewEnroll
Devoted Health Prime (HMO)
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$30.70 $0 $2,900 YesToo NewEnroll
Freedom Medicare Plan Rx (HMO)
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$0 $0 $3,400 YesEnroll
Freedom Platinum Plan Rx (HMO)
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$0 $0 $2,250 YesEnroll
Freedom Platinum Rewards Plan Rx (HMO)
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$0 $0 $3,400 NoEnroll
Humana Gold Choice H8145-061 (PFFS)
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$101.00 $200.00 $- NoEnroll
Humana Gold Plus H1036-269 (HMO)
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$0 $0 $4,500 YesEnroll
Humana Gold Plus H1036-277 (HMO)
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$0 $0 $2,750 YesEnroll
HumanaChoice Florida H5216-074 (PPO)
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$0 $0 $5,900 NoEnroll
HumanaChoice Florida H7284-001 (PPO)
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$70.00 $0 $2,500 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
Optimum Gold Rewards Plan (HMO)
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$0 $0 $3,400 YesEnroll
Premier by Ultimate (HMO)
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$0 $0 $2,800 YesEnroll
Premier Plus by Ultimate (HMO)
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$0 $0 $3,400 YesEnroll
UnitedHealthcare The Villages Medicare Advantage (HMO)
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$0 $0 $2,900 NoEnroll
WellCare Dividend Prime (HMO)
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$0 $0 $3,400 YesEnroll
WellCare Elite (HMO)
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$0 $0 $2,900 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


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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 Patriot (Regional PPO)
$0 Regional PPO * $6,700 Enroll
BlueMedicare Patriot (PPO)
$0 Local PPO * $5,900 Enroll
Freedom Savings Plan (HMO)
$0 Local HMO * $3,400 Enroll
Humana Honor (HMO)
$0 Local HMO * $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 Marion county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Advantage Care by Ultimate (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Advantage Care COPD by Ultimate (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
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
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)     $14.00 $445.0  No Dual-Eligible
Freedom Medi-Medi Full (HMO D-SNP)     $30.80 $445.0  No Dual-Eligible
Freedom Medi-Medi Partial (HMO D-SNP)     $30.80 $445.0  No Dual-Eligible
Freedom VIP Care (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Freedom VIP Savings (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Freedom VIP Savings COPD (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Humana Fully Integrated H1036-283 (HMO D-SNP)     $19.50 $445.0  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)     $29.60 $445.0  No Dual-Eligible
Optimum Diamond Rewards (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Optimum Diamond Rewards COPD (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Optimum Emerald Full (HMO D-SNP)     $30.80 $445.0  No Dual-Eligible
Optimum Emerald Partial (HMO D-SNP)     $30.80 $445.0  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (PPO D-SNP)     $30.80 $445.0  No Dual-EligibleToo New
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)     $30.80 $445.0  No Dual-Eligible
UnitedHealthcare Medicare Advantage Walgreens (HMO C-SNP)     $0 $150.0  No Chronic or Disabling Condition
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 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

GAP

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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