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The 2023 Medicare Advantage Plans in Miami Dade County FL.



2022 Miami Dade County Florida
Medicare Advantage Plans

There are 58 Medicare Advantage Plans available in Miami Dade County FL from 19 different health insurance providers. 38 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $500 and the highest out of pocket is $7550. Miami Dade County Florida residents can also pick from 49 Medicare Special Needs Plans. The best Medicare Advantage plan in Miami Dade 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 Choice (PPO)
(H2406-018)

$0$150.00$3,400YesBrowse
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 Credit (HMO)
(H1609-053)

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

$0$300.00$6,700YesBrowse
Formulary
Aetna Medicare Select (HMO)
(H1609-016)

$0$0$1,500YesBrowse
Formulary
AvMed Medicare Access (HMO-POS)
(H1016-025)

$0$0$3,400YesBrowse
Formulary
AvMed Medicare Choice (HMO)
(H1016-001)

$0$0$3,400YesBrowse
Formulary
AvMed Medicare Circle (HMO)
(H1016-023)

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

$51.90$250.00$6,500YesBrowse
Formulary
BlueMedicare Classic (HMO)
(H1035-017)

$0$0$3,900YesBrowse
Formulary
BlueMedicare Premier (HMO)
(H1035-024)

$0$0$1,500YesBrowse
Formulary
BlueMedicare Saver (HMO)
(H1035-039)

$0$0$6,700YesBrowse
Formulary
BlueMedicare Value (PPO)
(H5434-032)

$0$0$3,451YesBrowse
Formulary
Bright Advantage Classic Care Plan (HMO)
(H4709-035)

$0$0$999YesNABrowse
Formulary
Bright Advantage Part B Savings Plan (HMO)
(H4709-036)

$0$0$3,450YesNABrowse
Formulary
Bright New Day (HMO-POS)
(H4709-040)

$0$0$999YesNABrowse
Formulary
CareExtra (HMO)
(H1019-089)

$19.20$480.00$1,500YesBrowse
Formulary
CareFree PLUS (HMO)
(H1019-076)

$0$0$3,400NoBrowse
Formulary
CareOne PLUS (HMO)
(H1019-006)

$0$0$1,500YesBrowse
Formulary
Devoted Health Core Miami Dade (HMO)
(H1290-001)

$0$0$1,500YesBrowse
Formulary
Devoted Health Essentials Miami Dade (HMO)
(H1290-013)

$0$0$3,400NoBrowse
Formulary
Devoted Health Prime South Florida (HMO)
(H1290-037)

$34.30$480.00$1,500NoBrowse
Formulary
DrChoice (HMO-POS)
(H4140-007)

$33.40$480.00$3,400YesBrowse
Formulary
DrFirst (HMO-POS)
(H4140-006)

$29.50$480.00$3,400YesBrowse
Formulary
DrMax (HMO-POS)
(H4140-001)

$0$0$3,000YesBrowse
Formulary
DrValue (HMO-POS)
(H4140-005)

$0$0$3,400YesBrowse
Formulary
HealthSun HealthAdvantage Plan (HMO)
(H5431-001)

$0$0$1,500YesBrowse
Formulary
HealthSun HealthAdvantage Plus (HMO)
(H5431-017)

$0$0$3,450YesBrowse
Formulary
HealthSun MediMax (HMO)
(H5431-006)

$34.30$430.00$3,450NoBrowse
Formulary
Humana Gold Choice H8145-061 (PFFS)
(H8145-061)

$102.00$200.00$-NoBrowse
Formulary
Humana Gold Plus H1036-054C (HMO)
(H1036-054)

$0$0$1,500YesBrowse
Formulary
Humana Gold Plus H1036-237 (HMO)
(H1036-237)

$0$0$3,400NoBrowse
Formulary
HumanaChoice Florida H5216-068 (PPO)
(H5216-068)

$0$150.00$4,500NoBrowse
Formulary
HumanaChoice Florida H7284-007 (PPO)
(H7284-007)

$11.00$150.00$4,500NoBrowse
Formulary
HumanaChoice Florida H7284-008 (PPO)
(H7284-008)

$0$150.00$3,400NoBrowse
Formulary
HumanaChoice H5216-065 (PPO)
(H5216-065)

$53.00$350.00$6,700NoBrowse
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
Leon Medicare (HMO)
(H5410-001)

$0$0$1,000YesBrowse
Formulary
Leon MediExtra (HMO)
(H4286-001)

$0$0$1,000YesToo NewBrowse
Formulary
Leon MediMore (HMO)
(H4286-003)

$0$0$3,450YesToo NewBrowse
Formulary
MedicareMax (HMO)
(H5420-001)

$0$0$3,400YesBrowse
Formulary
MMM ELITE (HMO)
(H3293-005)

$0$0$3,400YesBrowse
Formulary
MMM EXTRA (HMO)
(H3293-003)

$0$0$3,400NoBrowse
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
Preferred Choice Dade (HMO)
(H1045-001)

$0$0$2,900YesBrowse
Formulary
Simply Extra (HMO)
(H5471-103)

$0$0$3,450YesBrowse
Formulary
Simply More (HMO)
(H5471-065)

$0$0$3,450YesBrowse
Formulary
SOLIS SPF 001 (HMO)
(H0982-001)

$0$0$3,400YesBrowse
Formulary
Wellcare Giveback (HMO)
(H1032-040)

$0$0$500YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H5199-015)

$0$0$3,400YesBrowse
Formulary


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Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Miami Dade county Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP) $27.50$480.0No Gap CoverageDual-Eligible
Align Connect (HMO C-SNP) $0$480.0No Gap CoverageChronic or Disabling ConditionToo New
Align Thrive (HMO I-SNP) $22.90$480.0No Gap CoverageInstitutionalToo New
BlueMedicare Complete (HMO D-SNP) $34.30$480.0SomeDual-Eligible
Bright Advantage Embrace Assist Plan (HMO C-SNP) $34.30$480.0Some GenericsChronic or Disabling ConditionNA
Bright Advantage Embrace Care Plan (HMO C-SNP) $0$0Some GenericsChronic or Disabling ConditionNA
Bright Advantage Embrace Choice Plan (HMO C-SNP) $34.30$480.0Some GenericsChronic or Disabling ConditionNA
CareBreeze (HMO C-SNP) $0$0SomeChronic or Disabling Condition
CareComplete (HMO C-SNP) $0$0SomeChronic or Disabling Condition
CareNeeds PLUS (HMO D-SNP) $13.20$480.0No Gap CoverageDual-Eligible
Devoted Health Dual Miami Dade (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
DrExtraCare (HMO-POS C-SNP) $0$0ManyChronic or Disabling Condition
DrPlus (HMO-POS D-SNP) $26.40$0ManyDual-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
HealthSun MediSun Extra (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
HealthSun MediSun Plus (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Humana Fully Integrated H1036-280 (HMO D-SNP) $19.50$480.0No Gap CoverageDual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) $21.80$480.0No Gap CoverageDual-Eligible
Leon MediDual (HMO D-SNP) $34.30$480.0No Gap CoverageDual-EligibleToo New
Longevity Health Plan (HMO I-SNP) $34.30$480.0No Gap CoverageInstitutionalNA
MedicareMax Plus 1 (HMO D-SNP) $34.30$480.0SomeDual-Eligible
MedicareMax Plus 2 (HMO D-SNP) $31.50$480.0No Gap CoverageDual-Eligible
MMM PLATINUM (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
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
Preferred Medicare Assist Plan 1 (HMO D-SNP) $34.00$480.0SomeDual-Eligible
Preferred Medicare Assist Plan 2 (HMO D-SNP) $31.50$480.0No Gap CoverageDual-Eligible
Preferred Special Care Miami Dade (HMO C-SNP) $0$0Some Generics and SoChronic or Disabling Condition
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
SOLIS SPF 002 (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
SOLIS SPF 011 (HMO C-SNP) $34.30$0ManyChronic or Disabling Condition
UnitedHealthcare Dual Complete Choice (PPO 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 (HMO-POS I-SNP) $36.60$480.0No Gap CoverageInstitutional
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $34.30$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Medicare (HMO D-SNP) $31.70$480.0No Gap CoverageDual-Eligible
Wellcare Dual Nurture (HMO D-SNP) $34.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Reserve (HMO D-SNP) $29.10$480.0No Gap CoverageDual-Eligible
Wellcare Specialty Giveback (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.