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The 2023 Medicare Advantage Plans in Hernando County FL.



2022 Hernando County Florida
Medicare Advantage Plans

There are 43 Medicare Advantage Plans available in Hernando County FL from 13 different health insurance providers. 26 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1200 and the highest out of pocket is $7550. Hernando County Florida residents can also pick from 37 Medicare Special Needs Plans. The best Medicare Advantage plan in Hernando 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)
(H1045-028)

$0$0$4,900YesBrowse
Formulary
AARP Medicare Advantage Choice (PPO)
(H2406-011)

$0$150.00$5,500YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
(R0759-001)

$0$395.00$6,700YesBrowse
Formulary
Aetna Medicare Credit (HMO)
(H1609-060)

$0$0$3,450YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H5521-033)

$0$300.00$6,700YesBrowse
Formulary
Aetna Medicare Premier Plus (PPO)
(H5521-270)

$0$150.00$5,500YesBrowse
Formulary
Aetna Medicare Select (HMO)
(H1609-034)

$0$0$2,500YesBrowse
Formulary
BlueMedicare Choice (Regional PPO)
(R3332-001)

$51.90$250.00$6,500YesBrowse
Formulary
BlueMedicare Classic (HMO)
(H1035-021)

$0$0$4,900YesBrowse
Formulary
BlueMedicare Premier (HMO)
(H1035-034)

$0$0$2,400YesBrowse
Formulary
BlueMedicare Value (PPO)
(H5434-035)

$0$150.00$4,500YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H5410-029)

$0$0$3,650NoBrowse
Formulary
Cigna Preferred Savings Medicare (HMO)
(H5410-030)

$0$0$3,950NoBrowse
Formulary
Cigna Primary Medicare (HMO)
(H5410-035)

$22.40$480.00$3,500NoBrowse
Formulary
Cigna True Choice Medicare (PPO)
(H7849-048)

$0$0$5,650NoBrowse
Formulary
Devoted Health Core Greater Tampa Bay (HMO)
(H1290-036)

$0$0$1,900YesBrowse
Formulary
Devoted Health Essentials Greater Tampa Bay (HMO)
(H1290-016)

$0$0$3,400NoBrowse
Formulary
Devoted Health Latitude Greater Tampa Bay (PPO)
(H9884-005)

$0$150.00$4,900YesToo NewBrowse
Formulary
Devoted Health Prime (HMO)
(H1290-038)

$34.30$480.00$2,900NoBrowse
Formulary
Humana Gold Choice H8145-061 (PFFS)
(H8145-061)

$102.00$200.00$-NoBrowse
Formulary
Humana Gold Plus H1036-025 (HMO)
(H1036-025)

$0$0$1,900YesBrowse
Formulary
Humana Gold Plus H1036-265 (HMO)
(H1036-265)

$0$0$2,750YesBrowse
Formulary
HumanaChoice Florida H5216-072 (PPO)
(H5216-072)

$0$150.00$5,000NoBrowse
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
Optimum Gold Plus Plan (HMO)
(H5594-032)

$0$0$1,900YesBrowse
Formulary
Optimum Gold Rewards Plan (HMO)
(H5594-001)

$0$0$1,900YesBrowse
Formulary
Optimum Platinum Plan (HMO)
(H5594-002)

$0$0$1,200YesBrowse
Formulary
Premier by Ultimate (HMO)
(H2962-001)

$0$0$2,800YesBrowse
Formulary
Premier Plus by Ultimate (HMO)
(H2962-014)

$0$0$1,500YesBrowse
Formulary
Simply Extra (HMO)
(H5471-108)

$0$0$3,450YesBrowse
Formulary
Simply More (HMO)
(H5471-078)

$0$0$3,450YesBrowse
Formulary
Wellcare Giveback (HMO)
(H1032-200)

$0$0$2,500YesBrowse
Formulary
Wellcare No Premium (HMO)
(H1032-201)

$0$0$1,200YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H5199-012)

$0$100.00$3,400YesBrowse
Formulary
Wellcare Premium Enhanced Open (PPO)
(H5199-010)

$85.00$0$1,700YesBrowse
Formulary


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Highlands County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Hernando county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Advantage Care by Ultimate (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Advantage Care CHF by Ultimate (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Advantage Care COPD by Ultimate (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Advantage Plus by Ultimate (Full) (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Advantage Plus by Ultimate (Partial) (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Aetna Medicare Assure (HMO D-SNP) $28.40$480.0No Gap CoverageDual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP) $30.00$480.0No Gap CoverageDual-Eligible
BlueMedicare Complete (HMO D-SNP) $34.30$480.0SomeDual-Eligible
Cigna TotalCare Plus (HMO D-SNP) $21.30$480.0No Gap CoverageDual-Eligible
Devoted Health Dual Greater Tampa Bay (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Freedom Medi-Medi Full (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Freedom Medi-Medi Partial (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Freedom VIP Care (HMO C-SNP) $0$0Some Generics and SoChronic or Disabling Condition
Freedom VIP Savings (HMO C-SNP) $0$0Some Generics and SoChronic or Disabling Condition
Freedom VIP Savings COPD (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Humana Fully Integrated H1036-283 (HMO D-SNP) $15.60$480.0No Gap CoverageDual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP) $24.30$480.0No Gap CoverageDual-Eligible
Optimum Diamond Rewards (HMO C-SNP) $0$0Some Generics and SoChronic or Disabling Condition
Optimum Diamond Rewards COPD (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Optimum Emerald Full (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Optimum Emerald Partial (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Simply Care (HMO I-SNP) $0$480.0No Gap CoverageInstitutional
Simply Comfort (HMO I-SNP) $0$480.0SomeInstitutional
Simply Complete (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Simply Level (HMO C-SNP) $0$0ManyChronic 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 Medicare Advantage Walgreens (HMO C-SNP) $0$150.0Some GenericsChronic or Disabling Condition
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 Reserve (HMO D-SNP) $31.60$480.0No Gap CoverageDual-Eligible
Wellcare Specialty Giveback (HMO C-SNP) $0$0ManyChronic or Disabling Condition
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.