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The 2021 Medicare Advantage Plans in Hillsborough County FL.
2014 Medicare Advantage Plans in Hillsborough County Florida
There are 40 Medicare Advantage Plans available in Hillsborough County FL from 16 health insurance providers and 33 Special Needs Plans available. 17 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3200 and the highest out of pocket is $6700. The highest rated plan available in Hillsborough County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars.
(Click the Plan Name for More Details)
| Plan Name | Type | Premium C+D | Part D Deductible |
Gap | Max Out of Pocket | Overall Rating |
| Return to Counties In Florida | ||||||
| AARP MedicareComplete (HMO) (H1080-004) |
Local HMO | $0 | $0 | No Gap Coverage | $5,900 | |
| AARP MedicareComplete Choice (PPO) (H5532-001) |
Local PPO | $0 | $0 | No Gap Coverage | $5,900 | |
| AARP MedicareComplete Choice Essential (Regional PPO) (R5287-002) |
Regional PPO * | $0 | $6,700 | |||
| AARP MedicareComplete Choice Plan 2 (Regional PPO) (R5287-001) |
Regional PPO | $0 | $0 | No Gap Coverage | $6,700 | |
| Aetna Medicare Premier Plan (HMO) (H5414-024) |
Local HMO | $0 | $0 | Few Generics | $5,000 | |
| Aetna Medicare Premier Plan (PPO) (H5521-033) |
Local PPO | $35.00 | $310.00 | No Gap Coverage | $6,700 | |
| Aetna Medicare Value Plan (HMO) (H5414-009) |
Local HMO | $37.00 | $310.00 | No Gap Coverage | $4,900 | |
| Amerivantage Classic+ Rx Plan (HMO) (H8991-028) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| BlueMedicare HMO LifeTime (HMO) (H1026-040) |
Local HMO | $0 | $0 | Many Generics | $4,900 | |
| BlueMedicare HMO PrimeTime (HMO) (H1026-054) |
Local HMO | $0 | $0 | No Gap Coverage | $3,400 | |
| BlueMedicare PPO (PPO) (H5434-002) |
Local PPO | $127.00 | $0 | Many Generics | $3,200 | |
| BlueMedicare Regional PPO (Regional PPO) (R3332-001) |
Regional PPO | $0 | $30.00 | No Gap Coverage | $6,700 | |
| CareFree (HMO) (H1019-060) |
Local HMO | $0 | $0 | Few Generics, Few Brands | $5,000 | |
| CareOne (HMO) (H1019-014) |
Local HMO | $0 | $0 | Some Generics, Few Brands | $5,700 | |
| CareOne PLUS (HMO) (H1019-054) |
Local HMO | $0 | $0 | Some Generics, Few Brands | $3,400 | |
| Coventry Summit Plus (HMO) (H5850-027) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| Day Break (HMO) (H4199-018) |
Local HMO | $0 | $0 | All Generics | $3,400 | NA |
| Day Light (HMO) (H4199-019) |
Local HMO * | $0 | $3,400 | NA | ||
| Freedom Medicare Plan Rx (HMO) (H5427-060) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Freedom Savings Plan (HMO) (H5427-052) |
Local HMO * | $0 | $3,400 | |||
| Freedom Savings Plan Rx (HMO) (H5427-054) |
Local HMO | $0 | $0 | No Gap Coverage | $3,400 | |
| Humana Gold Choice H8145-061 (PFFS) (H8145-061) |
PFFS | $103.00 | $0 | Few Generics, Few Brands | N/A | |
| Humana Gold Plus H1036-025 (HMO) (H1036-025) |
Local HMO | $0 | $0 | Some Generics, Few Brands | $3,400 | |
| Humana Gold Plus H1036-119 (HMO) (H1036-119) |
Local HMO * | $0 | $3,400 | |||
| Humana Gold Plus H1036-141 (HMO) (H1036-141) |
Local HMO | $0 | $0 | Few Generics, Few Brands | $5,000 | |
| HumanaChoice R5826-005 (Regional PPO) (R5826-005) |
Regional PPO | $92.00 | $0 | Few Generics, Few Brands | $5,700 | |
| HumanaChoice R5826-018 (Regional PPO) (R5826-018) |
Regional PPO * | $0 | $4,000 | |||
| HumanaChoice R5826-074 (Regional PPO) (R5826-074) |
Regional PPO | $0 | $150.00 | Few Generics, Few Brands | $5,900 | |
| Optimum Gold Rewards Plan (HMO-POS) (H5594-001) |
Local HMO | $0 | $0 | No Gap Coverage | $3,400 | |
| Optimum Platinum Plan (HMO-POS) (H5594-002) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Preferred Secure Option (HMO) (H1045-023) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| PUP PLUS (HMO) (H5696-040) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| PUP SIMPLE (HMO) (H5696-039) |
Local HMO | $0 | $0 | Many Generics | $4,200 | |
| Simply Extra (HMO) (H5471-024) |
Local HMO | $0 | $0 | No Gap Coverage | $3,400 | |
| Simply More (HMO) (H5471-005) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Sunrise (HMO) (H4199-017) |
Local HMO | $0 | $0 | All Generics | $3,400 | NA |
| WellCare Advance (HMO) (H1032-037) |
Local HMO * | $0 | $6,700 | |||
| WellCare Dividend (HMO) (H1032-032) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| WellCare Essential (HMO) (H1032-174) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| WellCare Value (HMO-POS) (H1032-035) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 |
* Plan Type Indicates plan does not offer Part D drug coverage.
Medicare Special Needs Plans in Hillsborough county Florida
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| Advantage by Sunshine Health (HMO SNP) (H5190- 002) |
Local HMO | $21.00 | $310.00 | No Gap Coverage | Dual-Eligible | Too New |
| Amerivantage Specialty + Rx (HMO SNP) (H8991- 017) |
Local HMO | $22.10 | $310.00 | Some Generics | Dual-Eligible | |
| CareDirect (HMO SNP) (H1019- 059) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| CareNeeds (HMO SNP) (H1019- 026) |
Local HMO | $18.70 | $310.00 | No Gap Coverage | Dual-Eligible | |
| CareNeeds PLUS (HMO SNP) (H1019- 046) |
Local HMO | $11.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Clear Skies (HMO SNP) (H4199- 020) |
Local HMO | $35.20 | $0 | All Generics | Chronic or Disabling Condition | NA |
| Coventry Summit Maximum (HMO SNP) (H5850- 023) |
Local HMO | $17.70 | $0 | No Gap Coverage | Dual-Eligible | |
| Freedom Medi-Medi Full (HMO SNP) (H5427- 087) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Freedom Medi-Medi Partial (HMO SNP) (H5427- 078) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Freedom VIP Care (HMO SNP) (H5427- 070) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Freedom VIP Care COPD (HMO SNP) (H5427- 076) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Freedom VIP Savings (HMO SNP) (H5427- 072) |
Local HMO | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition | |
| Freedom VIP Savings COPD (HMO SNP) (H5427- 077) |
Local HMO | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DB H1036-160 (HMO SNP) (H1036- 160) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DE H1036-102 (HMO SNP) (H1036- 102) |
Local HMO | $8.60 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H1036-161 (HMO SNP) (H1036- 161) |
Local HMO | $10.90 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Molina Medicare Options Plus (HMO SNP) (H8130- 001) |
Local HMO | $22.00 | $310.00 | Many Generics, Few Brands | Dual-Eligible | NA |
| Optimum Diamond Rewards (HMO-POS SNP) (H5594- 028) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Optimum Diamond Rewards COPD (HMO-POS SNP) (H5594- 029) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Optimum Emerald Full (HMO SNP) (H5594- 017) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Optimum Emerald Partial (HMO SNP) (H5594- 016) |
Local HMO | $22.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| PUP EXTRA (HMO SNP) (H5696- 021) |
Local HMO | $9.90 | $0 | No Gap Coverage | Dual-Eligible | |
| Simply Care (HMO SNP) (H5471- 010) |
Local HMO | $22.10 | $0 | Many Generics | Institutional | |
| Simply Comfort (HMO SNP) (H5471- 011) |
Local HMO | $22.10 | $0 | Many Generics | Institutional | |
| Simply Complete (HMO SNP) (H5471- 007) |
Local HMO | $22.10 | $310.00 | Many Generics | Dual-Eligible | |
| Simply Level (HMO SNP) (H5471- 020) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| Sunny Days (HMO SNP) (H4199- 021) |
Local HMO | $17.40 | $0 | All Generics | Dual-Eligible | NA |
| UnitedHealthcare Dual Complete LP (HMO SNP) (H1080- 036) |
Local HMO | $17.00 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete RP (Regional PPO SNP) (R5287- 003) |
Regional PPO | $21.80 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (PPO SNP) (H5417- 001) |
Local PPO | $19.80 | $310.00 | No Gap Coverage | Institutional | |
| WellCare Access (HMO SNP) (H1032- 175) |
Local HMO | $10.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Liberty (HMO SNP) (H1032- 124) |
Local HMO | $9.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Select (HMO SNP) (H1032- 061) |
Local HMO | $11.60 | $310.00 | No Gap Coverage | Dual-Eligible |
Source: CMS.
Plans as of September 3, 2013.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.
Plan Type Is the type of organization offering the Medicare Plans.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescrition 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 plan 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 plans; 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 TypeEnhanced Alternative plans 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.
GAPCoverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.
Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:
- All: 100% of formulary drugs are covered through the gap
- Many: 65% to 100% of formulary drugs are covered through the gap
- Some: 10% to 65 % of formulary drugs are covered through the gap
- Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
- No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
- All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)
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
