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The 2022 Medicare Advantage Plans in Miami Dade County FL.
2014 Medicare Advantage Plans in Miami Dade County Florida
There are 44 Medicare Advantage Plans available in Miami Dade County FL from 23 health insurance providers and 42 Special Needs Plans available. 32 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. The highest rated plan available in Miami Dade County received a 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 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 (PPO) (H5521-033) |
Local PPO | $35.00 | $310.00 | No Gap Coverage | $6,700 | |
| Aetna Medicare Value Plan (HMO) (H5414-019) |
Local HMO | $0 | $0 | Few Generics | $6,700 | |
| Amerivantage Classic+ Rx Plan (HMO) (H8991-028) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| AvMed Medicare Choice (HMO) (H1016-001) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| AvMed Medicare Choice Elect (HMO) (H1016-022) |
Local HMO | $0 | $0 | Many Generics | $5,000 | |
| BlueMedicare HMO LifeTime (HMO) (H1026-001) |
Local HMO | $0 | $0 | Many Generics | $4,400 | |
| BlueMedicare HMO PrimeTime (HMO) (H1026-048) |
Local HMO | $0 | $0 | No Gap Coverage | $3,400 | |
| BlueMedicare Regional PPO (Regional PPO) (R3332-001) |
Regional PPO | $0 | $30.00 | No Gap Coverage | $6,700 | |
| CareFree PLUS (HMO) (H1019-076) |
Local HMO | $0 | $0 | Few Generics, Few Brands | $3,400 | |
| CareOne PLUS (HMO) (H1019-006) |
Local HMO | $0 | $0 | Some Generics, Few Brands | $3,000 | |
| Coventry Summit Ideal (HMO) (H5850-012) |
Local HMO | $0 | $0 | Many Generics | $3,000 | |
| Coventry Summit Plus (HMO) (H5850-006) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Coventry Vista Ideal (HMO) (H1013-011) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Day Break (HMO) (H4199-002) |
Local HMO | $0 | $0 | All Generics | $3,400 | NA |
| Day Light (HMO) (H4199-004) |
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 | |||
| Healthy Advantage Plan (HMO) (H5431-005) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Humana Gold Choice H8145-061 (PFFS) (H8145-061) |
PFFS | $103.00 | $0 | Few Generics, Few Brands | N/A | |
| Humana Gold Plus H1036-054C (HMO) (H1036-054) |
Local HMO | $0 | $0 | Some Generics, Few Brands | $3,000 | |
| Humana Gold Plus H1036-164 (HMO) (H1036-164) |
Local HMO | $0 | $0 | Few Generics, Few Brands | $3,400 | |
| HumanaChoice H5415-056 (PPO) (H5415-056) |
Local PPO | $45.00 | $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 | |
| Leon Medical Centers Health Plans - Leon Cares (HMO) (H5410-001) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Medica HealthCare Plans MedicareMax (HMO-POS) (H5420-001) |
Local HMO | $0 | $0 | Many Generics | $3,000 | |
| MediMax (HMO) (H5431-006) |
Local HMO | $22.10 | $310.00 | Call plan for details | $3,400 | |
| 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 Choice Dade (HMO-POS) (H1045-001) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Preferred Complete Care (HMO) (H1045-016) |
Local HMO | $0 | $0 | Many Generics, Some Brands | $3,400 | |
| Preferred Medical Plan Choice (HMO) (H3712-001) |
Local HMO | $0 | $0 | Many Generics, Many Brands | $3,400 | Too New |
| Preferred Medical Plan Value (HMO) (H3712-002) |
Local HMO | $0 | $0 | Some Generics | $3,400 | Too New |
| PUP PLUS (HMO) (H5696-046) |
Local HMO | $0 | $0 | Many Generics, Some Brands | $3,000 | |
| Simply Extra (HMO) (H5471-004) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| Simply More (HMO) (H5471-002) |
Local HMO | $0 | $0 | All Generics, All Brands | $3,400 | |
| Simply Options (HMO-POS) (H5471-003) |
Local HMO | $0 | $0 | Many Generics | $3,400 | |
| SunPlus Advantage Plan (HMO) (H5431-001) |
Local HMO | $0 | $0 | All Generics, All Brands | $3,400 | |
| Sunrise (HMO) (H4199-001) |
Local HMO | $0 | $0 | All Generics | $3,400 | NA |
| WellCare Dividend (HMO-POS) (H1032-040) |
Local HMO | $0 | $0 | No Gap Coverage | $6,700 | |
| WellCare Essential (HMO) (H1032-174) |
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 Miami Dade 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- 003) |
Local HMO | $21.00 | $310.00 | Many Generics | 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- 075) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| CareHeart (HMO SNP) (H1019- 063) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| CareNeeds (HMO SNP) (H1019- 024) |
Local HMO | $17.50 | $310.00 | No Gap Coverage | Dual-Eligible | |
| CareNeeds PLUS (HMO SNP) (H1019- 048) |
Local HMO | $13.60 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Clear Skies (HMO SNP) (H4199- 005) |
Local HMO | $0 | $0 | All Generics | Chronic or Disabling Condition | NA |
| Coventry Summit Maximum (HMO SNP) (H5850- 002) |
Local HMO | $18.90 | $0 | Many Generics | Dual-Eligible | |
| Coventry Vista Maximum (HMO SNP) (H1013- 024) |
Local HMO | $22.10 | $0 | No Gap Coverage | Dual-Eligible | |
| Coventry Vista Maximum Choice (HMO SNP) (H1076- 011) |
Local HMO | $22.10 | $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-CVD/CHF H1036-189 (HMO SNP) (H1036- 189) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DB H1036-188 (HMO SNP) (H1036- 188) |
Local HMO | $0 | $0 | Some Generics, Few Brands | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DE H1036-077A (HMO SNP) (H1036- 077) |
Local HMO | $11.80 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H1036-163 (HMO SNP) (H1036- 163) |
Local HMO | $12.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-I H1036-187 (HMO SNP) (H1036- 187) |
Local HMO | $7.80 | $310.00 | No Gap Coverage | Institutional | |
| Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP) (H5420- 006) |
Local HMO | $20.60 | $0 | Many Generics | Dual-Eligible | |
| Molina Medicare Options Plus (HMO SNP) (H8130- 001) |
Local HMO | $22.00 | $310.00 | Many Generics, Few Brands | Dual-Eligible | NA |
| 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 | |
| PHP (HMO SNP) (H3132- 001) |
Local HMO | $0 | $310.00 | No Gap Coverage | Chronic or Disabling Condition | NA |
| Preferred Medicare Assist (HMO-POS SNP) (H1045- 012) |
Local HMO | $21.20 | $0 | Many Generics | Dual-Eligible | |
| Preferred Special Care Miami-Dade (HMO SNP) (H1045- 018) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| PUP EXTRA (HMO SNP) (H5696- 021) |
Local HMO | $9.90 | $0 | No Gap Coverage | Dual-Eligible | |
| Simply Care (HMO SNP) (H5471- 008) |
Local HMO | $22.10 | $0 | Many Generics | Institutional | |
| Simply Clear (HMO SNP) (H5471- 025) |
Local HMO | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition | |
| Simply Comfort (HMO SNP) (H5471- 009) |
Local HMO | $22.10 | $0 | Many Generics | Institutional | |
| Simply Complete (HMO SNP) (H5471- 001) |
Local HMO | $22.10 | $310.00 | Many Generics | Dual-Eligible | |
| Simply Level (HMO SNP) (H5471- 012) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| Sunny Days (HMO SNP) (H4199- 006) |
Local HMO | $3.60 | $0 | All Generics | Dual-Eligible | NA |
| SunPlus Diabetes Special Needs Plan (HMO SNP) (H5431- 007) |
Local HMO | $0 | $0 | All Generics, All Brands | Chronic or Disabling Condition | |
| Touch Institutional Special Needs Plan (HMO SNP) (H8991- 029) |
Local HMO | $22.10 | $310.00 | Some Generics | Institutional | |
| UnitedHealthcare Dual Complete RP (Regional PPO SNP) (R5287- 003) |
Regional PPO | $21.80 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (HMO SNP) (H5322- 003) |
Local HMO | $19.90 | $310.00 | No Gap Coverage | Institutional | Too New |
| WellCare Access (HMO SNP) (H1032- 176) |
Local HMO | $12.80 | $310.00 | No Gap Coverage | Dual-Eligible | |
| WellCare Liberty (HMO SNP) (H1032- 170) |
Local HMO | $17.80 | $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