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 $3,400 YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
(R0759-001)
$0 $395.00 $6,700 YesBrowse
Formulary
Aetna Medicare Choice (HMO-POS)
(H1609-028)
$0 $195.00 $6,700 YesBrowse
Formulary
Aetna Medicare Credit (HMO)
(H1609-053)
$0 $0 $3,450 YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H5521-033)
$0 $300.00 $6,700 YesBrowse
Formulary
Aetna Medicare Select (HMO)
(H1609-016)
$0 $0 $1,500 YesBrowse
Formulary
AvMed Medicare Access (HMO-POS)
(H1016-025)
$0 $0 $3,400 YesBrowse
Formulary
AvMed Medicare Choice (HMO)
(H1016-001)
$0 $0 $3,400 YesBrowse
Formulary
AvMed Medicare Circle (HMO)
(H1016-023)
$0 $0 $2,500 YesBrowse
Formulary
BlueMedicare Choice (Regional PPO)
(R3332-001)
$51.90 $250.00 $6,500 YesBrowse
Formulary
BlueMedicare Classic (HMO)
(H1035-017)
$0 $0 $3,900 YesBrowse
Formulary
BlueMedicare Premier (HMO)
(H1035-024)
$0 $0 $1,500 YesBrowse
Formulary
BlueMedicare Saver (HMO)
(H1035-039)
$0 $0 $6,700 YesBrowse
Formulary
BlueMedicare Value (PPO)
(H5434-032)
$0 $0 $3,451 YesBrowse
Formulary
Bright Advantage Classic Care Plan (HMO)
(H4709-035)
$0 $0 $999 YesNABrowse
Formulary
Bright Advantage Part B Savings Plan (HMO)
(H4709-036)
$0 $0 $3,450 YesNABrowse
Formulary
Bright New Day (HMO-POS)
(H4709-040)
$0 $0 $999 YesNABrowse
Formulary
CareExtra (HMO)
(H1019-089)
$19.20 $480.00 $1,500 YesBrowse
Formulary
CareFree PLUS (HMO)
(H1019-076)
$0 $0 $3,400 NoBrowse
Formulary
CareOne PLUS (HMO)
(H1019-006)
$0 $0 $1,500 YesBrowse
Formulary
Devoted Health Core Miami Dade (HMO)
(H1290-001)
$0 $0 $1,500 YesBrowse
Formulary
Devoted Health Essentials Miami Dade (HMO)
(H1290-013)
$0 $0 $3,400 NoBrowse
Formulary
Devoted Health Prime South Florida (HMO)
(H1290-037)
$34.30 $480.00 $1,500 NoBrowse
Formulary
DrChoice (HMO-POS)
(H4140-007)
$33.40 $480.00 $3,400 YesBrowse
Formulary
DrFirst (HMO-POS)
(H4140-006)
$29.50 $480.00 $3,400 YesBrowse
Formulary
DrMax (HMO-POS)
(H4140-001)
$0 $0 $3,000 YesBrowse
Formulary
DrValue (HMO-POS)
(H4140-005)
$0 $0 $3,400 YesBrowse
Formulary
HealthSun HealthAdvantage Plan (HMO)
(H5431-001)
$0 $0 $1,500 YesBrowse
Formulary
HealthSun HealthAdvantage Plus (HMO)
(H5431-017)
$0 $0 $3,450 YesBrowse
Formulary
HealthSun MediMax (HMO)
(H5431-006)
$34.30 $430.00 $3,450 NoBrowse
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 $1,500 YesBrowse
Formulary
Humana Gold Plus H1036-237 (HMO)
(H1036-237)
$0 $0 $3,400 NoBrowse
Formulary
HumanaChoice Florida H5216-068 (PPO)
(H5216-068)
$0 $150.00 $4,500 NoBrowse
Formulary
HumanaChoice Florida H7284-007 (PPO)
(H7284-007)
$11.00 $150.00 $4,500 NoBrowse
Formulary
HumanaChoice Florida H7284-008 (PPO)
(H7284-008)
$0 $150.00 $3,400 NoBrowse
Formulary
HumanaChoice H5216-065 (PPO)
(H5216-065)
$53.00 $350.00 $6,700 NoBrowse
Formulary
HumanaChoice R5826-005 (Regional PPO)
(R5826-005)
$114.00 $100.00 $6,700 NoBrowse
Formulary
HumanaChoice R5826-074 (Regional PPO)
(R5826-074)
$8.00 $395.00 $7,550 NoBrowse
Formulary
Leon Medicare (HMO)
(H5410-001)
$0 $0 $1,000 YesBrowse
Formulary
Leon MediExtra (HMO)
(H4286-001)
$0 $0 $1,000 YesToo NewBrowse
Formulary
Leon MediMore (HMO)
(H4286-003)
$0 $0 $3,450 YesToo NewBrowse
Formulary
MedicareMax (HMO)
(H5420-001)
$0 $0 $3,400 YesBrowse
Formulary
MMM ELITE (HMO)
(H3293-005)
$0 $0 $3,400 YesBrowse
Formulary
MMM EXTRA (HMO)
(H3293-003)
$0 $0 $3,400 NoBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H8130-010)
$0 $125.00 $7,550 NoBrowse
Formulary
Molina Medicare Choice Care Select (HMO)
(H8130-011)
$0 $480.00 $7,550 NoBrowse
Formulary
Preferred Choice Dade (HMO)
(H1045-001)
$0 $0 $2,900 YesBrowse
Formulary
Simply Extra (HMO)
(H5471-103)
$0 $0 $3,450 YesBrowse
Formulary
Simply More (HMO)
(H5471-065)
$0 $0 $3,450 YesBrowse
Formulary
SOLIS SPF 001 (HMO)
(H0982-001)
$0 $0 $3,400 YesBrowse
Formulary
Wellcare Giveback (HMO)
(H1032-040)
$0 $0 $500 YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H5199-015)
$0 $0 $3,400 YesBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Florida





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (Regional PPO)
(R0759-002)
$0 Regional PPO * $6,700
Humana Honor (HMO)
(H1036-279)
$0 Local HMO * $3,400
HumanaChoice R5826-018 (Regional PPO)
(R5826-018)
$0 Regional PPO * $7,550
Lasso Healthcare Growth (MSA)
(H1924-001)
MSA * $- NA
Lasso Healthcare Growth Plus (MSA)
(H1924-004)
MSA * $- NA





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 $480.0  No Gap Coverage Dual-Eligible
Aetna Medicare Assure Plus (HMO D-SNP)     $27.50 $480.0  No Gap Coverage Dual-Eligible
Align Connect (HMO C-SNP)     $0 $480.0  No Gap Coverage Chronic or Disabling ConditionToo New
Align Thrive (HMO I-SNP)     $22.90 $480.0  No Gap Coverage InstitutionalToo New
BlueMedicare Complete (HMO D-SNP)     $34.30 $480.0  Some Dual-Eligible
Bright Advantage Embrace Assist Plan (HMO C-SNP)     $34.30 $480.0  Some Generics Chronic or Disabling ConditionNA
Bright Advantage Embrace Care Plan (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling ConditionNA
Bright Advantage Embrace Choice Plan (HMO C-SNP)     $34.30 $480.0  Some Generics Chronic or Disabling ConditionNA
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)     $13.20 $480.0  No Gap Coverage Dual-Eligible
Devoted Health Dual Miami Dade (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
DrExtraCare (HMO-POS C-SNP)     $0 $0  Many Chronic or Disabling Condition
DrPlus (HMO-POS D-SNP)     $26.40 $0  Many Dual-Eligible
Florida Complete Care (HMO I-SNP)     $34.30 $480.0  No Gap Coverage InstitutionalToo New
Florida Complete Care- In The Community (HMO I-SNP)     $34.30 $480.0  No Gap Coverage InstitutionalToo New
HealthSun MediSun Extra (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
HealthSun MediSun Plus (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Humana Fully Integrated H1036-280 (HMO D-SNP)     $19.50 $480.0  No Gap Coverage Dual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)     $21.80 $480.0  No Gap Coverage Dual-Eligible
Leon MediDual (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-EligibleToo New
Longevity Health Plan (HMO I-SNP)     $34.30 $480.0  No Gap Coverage InstitutionalNA
MedicareMax Plus 1 (HMO D-SNP)     $34.30 $480.0  Some Dual-Eligible
MedicareMax Plus 2 (HMO D-SNP)     $31.50 $480.0  No Gap Coverage Dual-Eligible
MMM PLATINUM (HMO D-SNP)     $34.30 $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
PHP (HMO C-SNP)     $0 $480.0  Few Generics Chronic or Disabling Condition
Preferred Medicare Assist Plan 1 (HMO D-SNP)     $34.00 $480.0  Some Dual-Eligible
Preferred Medicare Assist Plan 2 (HMO D-SNP)     $31.50 $480.0  No Gap Coverage Dual-Eligible
Preferred Special Care Miami Dade (HMO C-SNP)     $0 $0  Some Generics and So Chronic or Disabling Condition
Simply Care (HMO I-SNP)     $0 $480.0  No Gap Coverage Institutional
Simply Comfort (HMO I-SNP)     $0 $480.0  Some Institutional
Simply Complete (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Simply Level (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
SOLIS SPF 002 (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
SOLIS SPF 011 (HMO C-SNP)     $34.30 $0  Many Chronic or Disabling Condition
UnitedHealthcare Dual Complete Choice (PPO 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 (HMO-POS I-SNP)     $36.60 $480.0  No Gap Coverage Institutional
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $34.30 $480.0  No Gap Coverage Institutional
Wellcare Dual Access (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Liberty (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Medicare (HMO D-SNP)     $31.70 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Nurture (HMO D-SNP)     $34.30 $480.0  No Gap Coverage Dual-Eligible
Wellcare Dual Reserve (HMO D-SNP)     $29.10 $480.0  No Gap Coverage Dual-Eligible
Wellcare Specialty Giveback (HMO C-SNP)     $0 $0  Many Chronic 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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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