2022 Clay County Florida
Medicare Advantage Plans

There are 41 Medicare Advantage Plans available in Clay County FL from 11 different health insurance providers. 22 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. Clay County Florida residents can also pick from 21 Medicare Special Needs Plans. The best Medicare Advantage plan in Clay County Florida received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.



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Name ⇅ Premium Deductible MOOP Gap Plan
Rating
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AARP Medicare Advantage (HMO-POS)
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$0 $0 $3,700 YesEnroll
AARP Medicare Advantage Choice (PPO)
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$0 $175.00 $5,900 YesEnroll
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
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$0 $395.00 $6,700 YesEnroll
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 Vincents Access POS (HMO-POS)
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$0 $0 $2,900 NoEnroll
Ascension Complete St Vincents Reward (HMO)
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$0 $480.00 $2,900 NoEnroll
Ascension Complete St Vincents Secure (HMO)
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$0 $0 $2,900 YesEnroll
BlueMedicare Choice (Regional PPO)
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$51.90 $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 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
CareOne PLATINUM (HMO)
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$0 $0 $4,000 YesEnroll
Devoted Health Core Greater Jacksonville (HMO)
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$0 $0 $3,400 YesEnroll
Devoted Health Essentials Greater Jacksonville (HMO)
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$0 $0 $3,400 NoEnroll
Devoted Health Latitude Greater Jacksonville (PPO)
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$0 $150.00 $4,900 YesToo NewEnroll
Devoted Health Prime Greater Jacksonville (HMO)
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$34.30 $0 $3,100 YesEnroll
Humana Gold Plus H1036-068 (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 $5,550 NoEnroll
HumanaChoice Florida H7284-006 (PPO)
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$76.00 $0 $3,900 NoEnroll
HumanaChoice Florida H7284-009 (PPO)
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$0 $0 $5,550 NoEnroll
HumanaChoice R5826-005 (Regional PPO)
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$114.00 $100.00 $6,700 NoEnroll
HumanaChoice R5826-074 (Regional PPO)
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$8.00 $395.00 $7,550 NoEnroll
Molina Medicare Choice Care (HMO)
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$0 $125.00 $7,550 NoEnroll
Molina Medicare Choice Care Select (HMO)
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$0 $480.00 $7,550 NoEnroll
Wellcare Giveback (HMO)
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$0 $0 $3,200 YesEnroll
Wellcare No Premium (HMO)
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$0 $0 $2,500 YesEnroll
Wellcare No Premium Open (PPO)
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$0 $150.00 $4,500 YesEnroll
Wellcare Premium Enhanced Open (PPO)
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$90.00 $0 $1,700 YesEnroll


Return to 2022 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 Patriot (Regional PPO)
$0 Regional PPO * $6,700 Enroll
Aetna Medicare Eagle (PPO)
$0 Local PPO * $5,000 Enroll
BlueMedicare Patriot (PPO)
$0 Local PPO * $5,500 Enroll
Humana Honor (HMO)
$0 Local HMO * $5,500 Enroll
HumanaChoice R5826-018 (Regional PPO)
$0 Regional PPO * $7,550 Enroll
Lasso Healthcare Growth (MSA)
MSA * $- NAEnroll
Lasso Healthcare Growth Plus (MSA)
MSA * $- NAEnroll





2022 Medicare Special Needs Plans in Clay county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure (HMO D-SNP)     $24.40 $480.0  No Gap Coverage Dual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP)     $29.70 $480.0  No Gap Coverage Dual-Eligible
Ascension Complete St. Vincents DSNP (HMO D-SNP)     $18.20 $480.0  No Gap Coverage Dual-Eligible
BlueMedicare Complete (HMO D-SNP)     $34.30 $480.0  Some Dual-Eligible
CareBreeze (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
CareComplete (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
CareNeeds PLUS (HMO D-SNP)     $14.50 $355.0  No Gap Coverage Dual-Eligible
Devoted Health Dual Greater Jacksonville (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Humana Gold Plus - Diabetes (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)     $21.10 $480.0  No Gap Coverage Dual-Eligible
Humana Gold Plus SNP-DE H1036-243 (HMO D-SNP)     $20.80 $480.0  No Gap Coverage Dual-Eligible
Molina Medicare Complete Care (HMO D-SNP)     $34.30 $480.0  Some Dual-Eligible
Molina Medicare Complete Care Select (HMO D-SNP)     $34.30 $480.0  Some Dual-Eligible
Molina Medicare Connect Care (HMO C-SNP)     $0 $0  No Gap Coverage Chronic or Disabling Condition
UnitedHealthcare Dual Complete Choice (PPO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete LP (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)     $31.50 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $34.30 $480.0  No Gap Coverage Institutional
Wellcare Dual Access (HMO D-SNP)     $32.30 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Liberty (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Select (HMO D-SNP)     $34.30 $480.0  No Gap Coverage 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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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