2022 Indian River County Florida
Medicare Advantage Plans

There are 38 Medicare Advantage Plans available in Indian River 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 $1500 and the highest out of pocket is $7550. Indian River County Florida residents can also pick from 24 Medicare Special Needs Plans. The best Medicare Advantage plan in Indian River 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 $4,900 YesEnroll
AARP Medicare Advantage Choice (PPO)
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$0 $150.00 $4,900 YesEnroll
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
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$0 $395.00 $6,700 YesEnroll
AARP Medicare Advantage Focus (HMO-POS)
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$0 $0 $3,400 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 $4,900 YesEnroll
BlueMedicare Choice (Regional PPO)
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$51.90 $250.00 $6,500 YesEnroll
BlueMedicare Value (PPO)
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$0 $150.00 $3,600 YesEnroll
CareOne (HMO)
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$0 $0 $3,400 NoEnroll
CareOne PLATINUM (HMO-POS)
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$0 $0 $3,750 YesEnroll
Cigna Preferred Medicare (HMO)
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$0 $0 $3,600 YesEnroll
Cigna Preferred Savings Medicare (HMO)
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$0 $0 $3,900 YesEnroll
Cigna True Choice Medicare (PPO)
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$0 $150.00 $5,400 YesEnroll
Freedom Platinum Plan Rx (HMO)
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$0 $0 $2,500 YesEnroll
Freedom Platinum Rewards Plan Rx (HMO)
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$0 $0 $3,400 NoEnroll
Health First Classic Plan (HMO-POS)
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$97.00 $0 $3,750 YesEnroll
Health First Rewards Plan (HMO)
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$0 $0 $5,500 YesEnroll
Health First Value Plan (HMO)
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$33.00 $0 $4,950 YesEnroll
Humana Gold Choice H8145-061 (PFFS)
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$102.00 $200.00 $- NoEnroll
Humana Gold Plus H1036-229 (HMO)
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$0 $0 $3,900 NoEnroll
Humana Gold Plus H1036-286 (HMO)
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$0 $0 $6,700 NoEnroll
HumanaChoice Florida H5216-062 (PPO)
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$0 $150.00 $4,500 NoEnroll
HumanaChoice Florida H7284-007 (PPO)
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$11.00 $150.00 $4,500 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
Premier by Ultimate (HMO)
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$0 $0 $2,800 YesEnroll
Premier Plus by Ultimate (HMO)
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$0 $0 $1,500 YesEnroll
Wellcare Giveback (HMO)
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$0 $0 $3,400 YesEnroll
Wellcare No Premium (HMO)
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$0 $0 $2,900 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


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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
Freedom Savings Plan (HMO)
$0 Local HMO * $3,400 Enroll
Health First Secure Plan (HMO)
$0 Local HMO * $3,000 Enroll
Humana Honor (PPO)
$0 Local PPO * $4,900 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 Indian River county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Advantage Care by Ultimate (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Advantage Care COPD by Ultimate (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Advantage Plus by Ultimate (Full) (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Advantage Plus by Ultimate (Partial) (HMO D-SNP)     $34.30 $480.0  No Gap Coverage 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
Freedom Medi-Medi Full (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Freedom Medi-Medi Partial (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Freedom VIP Rewards (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
Freedom VIP Savings (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
Freedom VIP Savings COPD (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)     $0 $0  No Gap Coverage Chronic or Disabling Condition
Optimum Diamond Rewards (HMO C-SNP)     $0 $0  No Gap Coverage Chronic or Disabling Condition
Optimum Diamond Rewards COPD (HMO C-SNP)     $0 $0  No Gap Coverage Chronic or Disabling Condition
Optimum Emerald Full (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Optimum Emerald Partial (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
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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