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The 2023 Medicare Advantage Plans in Duval County FL.



2022 Duval County Florida
Medicare Advantage Plans

There are 42 Medicare Advantage Plans available in Duval County FL from 11 different health insurance providers. 23 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 30 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 stars.



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

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage (HMO-POS)
(H1045-026)

$0$0$3,700YesBrowse
Formulary
AARP Medicare Advantage Choice (PPO)
(H2406-013)

$0$175.00$5,900YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
(R0759-001)

$0$395.00$6,700YesBrowse
Formulary
Aetna Medicare Choice (HMO-POS)
(H1609-028)

$0$195.00$6,700YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H5521-033)

$0$300.00$6,700YesBrowse
Formulary
Aetna Medicare Premier Plus (PPO)
(H5521-269)

$0$150.00$5,900YesBrowse
Formulary
Aetna Medicare Select (HMO)
(H1609-021)

$0$0$3,450YesBrowse
Formulary
Ascension Complete St Vincents Access POS (HMO-POS)
(H8225-007)

$0$0$2,900NoBrowse
Formulary
Ascension Complete St Vincents Reward (HMO)
(H8225-001)

$0$480.00$2,900NoBrowse
Formulary
Ascension Complete St Vincents Secure (HMO)
(H8225-003)

$0$0$2,900YesBrowse
Formulary
BlueMedicare Choice (Regional PPO)
(R3332-001)

$51.90$250.00$6,500YesBrowse
Formulary
BlueMedicare Classic (HMO)
(H1035-019)

$0$0$4,900YesBrowse
Formulary
BlueMedicare Premier (HMO)
(H1035-033)

$0$0$2,900YesBrowse
Formulary
BlueMedicare Select (PPO)
(H5434-002)

$147.90$305.00$5,900YesBrowse
Formulary
BlueMedicare Value (PPO)
(H5434-031)

$0$150.00$4,500YesBrowse
Formulary
CareFree (HMO)
(H1019-094)

$0$100.00$3,900NoBrowse
Formulary
CareOne (HMO)
(H1019-069)

$0$0$3,400YesBrowse
Formulary
CareOne PLATINUM (HMO)
(H1019-113)

$0$0$4,000YesBrowse
Formulary
Devoted Health Core Greater Jacksonville (HMO)
(H1290-029)

$0$0$3,400YesBrowse
Formulary
Devoted Health Essentials Greater Jacksonville (HMO)
(H1290-031)

$0$0$3,400NoBrowse
Formulary
Devoted Health Latitude Greater Jacksonville (PPO)
(H9884-004)

$0$150.00$4,900YesToo NewBrowse
Formulary
Devoted Health Prime Greater Jacksonville (HMO)
(H1290-030)

$34.30$0$3,100YesBrowse
Formulary
Humana Gold Plus H1036-068 (HMO)
(H1036-068)

$0$0$3,400YesBrowse
Formulary
Humana Gold Plus H1036-270 (HMO)
(H1036-270)

$0$0$4,500NoBrowse
Formulary
HumanaChoice Florida H5216-070 (PPO)
(H5216-070)

$0$175.00$5,550NoBrowse
Formulary
HumanaChoice Florida H7284-006 (PPO)
(H7284-006)

$76.00$0$3,900NoBrowse
Formulary
HumanaChoice Florida H7284-009 (PPO)
(H7284-009)

$0$0$5,550NoBrowse
Formulary
HumanaChoice R5826-005 (Regional PPO)
(R5826-005)

$114.00$100.00$6,700NoBrowse
Formulary
HumanaChoice R5826-074 (Regional PPO)
(R5826-074)

$8.00$395.00$7,550NoBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H8130-010)

$0$125.00$7,550NoBrowse
Formulary
Molina Medicare Choice Care Select (HMO)
(H8130-011)

$0$480.00$7,550NoBrowse
Formulary
Wellcare Giveback (HMO)
(H1032-204)

$0$0$3,200YesBrowse
Formulary
Wellcare No Premium (HMO)
(H1032-205)

$0$0$2,500YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H5199-008)

$0$150.00$4,500YesBrowse
Formulary
Wellcare Premium Enhanced Open (PPO)
(H5199-013)

$90.00$0$1,700YesBrowse
Formulary


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Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Duval county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure (HMO D-SNP) $24.40$480.0No Gap CoverageDual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP) $29.70$480.0No Gap CoverageDual-Eligible
American Health Advantage of Florida (HMO I-SNP) $34.30$480.0No Gap CoverageInstitutionalToo New
Ascension Complete St. Vincents DSNP (HMO D-SNP) $18.20$480.0No Gap CoverageDual-Eligible
BlueMedicare Complete (HMO D-SNP) $34.30$480.0SomeDual-Eligible
CareBreeze (HMO C-SNP) $0$0SomeChronic or Disabling Condition
CareComplete (HMO C-SNP) $0$0SomeChronic or Disabling Condition
CareNeeds PLUS (HMO D-SNP) $14.50$355.0No Gap CoverageDual-Eligible
Devoted Health Dual Greater Jacksonville (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Florida Complete Care (HMO I-SNP) $34.30$480.0No Gap CoverageInstitutionalToo New
Florida Complete Care- In The Community (HMO I-SNP) $34.30$480.0No Gap CoverageInstitutionalToo New
Humana Gold Plus - Diabetes (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP) $21.10$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H1036-243 (HMO D-SNP) $20.80$480.0No Gap CoverageDual-Eligible
Longevity Health Plan (HMO I-SNP) $34.30$480.0No Gap CoverageInstitutionalNA
Molina Medicare Complete Care (HMO D-SNP) $34.30$480.0SomeDual-Eligible
Molina Medicare Complete Care Select (HMO D-SNP) $34.30$480.0SomeDual-Eligible
Molina Medicare Connect Care (HMO C-SNP) $0$0No Gap CoverageChronic or Disabling Condition
PHP (HMO C-SNP) $0$480.0Few GenericsChronic or Disabling Condition
UnitedHealthcare Assisted Living Plan (PPO I-SNP) $34.30$200.0No Gap CoverageInstitutional
UnitedHealthcare Dual Complete Choice (PPO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete LP (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP) $31.50$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $34.30$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $32.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Medicare (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Nurture (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Select (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Specialty No Premium (HMO C-SNP) $0$0ManyChronic or Disabling Condition



Plan Type Is the type of organization offering the Medicare Plan.

  • 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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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.