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Florida MedicareAdvantage Plans

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Medicare Advantage Plans in Hialeah, Florida

Below are Medicare Advantage plans available to residents of Hialeah, Florida. 28 carriers offer 82 plans throughout the city of Hialeah. Residents may chose plans from carriers such as Coventry Health Plan of Florida, AvMed Medicare and CarePlus Health Plans Inc.. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Hialeah that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the city of Hialeah

Carrier Plan Title Plan Type
Coventry Health Plan of Florida Coventry Vista Ideal (HMO) (H1013-011) HMO

    Premium and Other Important Information

    • Coventry Health Plan of Florida will reduce your monthly Medicare Part B premium by up to $ 50.00.
    • $3 400 out-of-pocket limit. All plan services included.
    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

    Doctor Office Visits

    • Authorization rules may apply.
    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
    Coventry Health Plan of Florida Coventry Vista Maximum (HMO SNP) (H1013-024) HMO

      Premium and Other Important Information

      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
      • $3 400 out-of-pocket limit. All plan services included.*
      • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

      Doctor Office Visits

      • Authorization rules may apply.
      • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
      • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
      • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
      AvMed Medicare AvMed Medicare Choice (HMO) (H1016-001) HMO

        Premium and Other Important Information

        • $3 400 out-of-pocket limit for Medicare-covered services.
        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

        Doctor Office Visits

        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
        • $25 copay for each in-area network urgent care Medicare-covered visit
        • $0 to $25 copay for each specialist visit for Medicare-covered benefits.
        CarePlus Health Plans Inc. CareOne PLUS (HMO) (H1019-006) HMO

          Premium and Other Important Information

          • CarePlus Health Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 40.00.
          • $3 000 out-of-pocket limit for Medicare-covered services.
          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

          Doctor Office Visits

          • Authorization rules may apply.
          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
          • $0 copay for each in-area network urgent care Medicare-covered visit
          • $0 copay for each specialist visit for Medicare-covered benefits.
          CarePlus Health Plans Inc. CareNeeds (HMO SNP) (H1019-024) HMO

            Premium and Other Important Information

            • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
            • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
            • $3 400 out-of-pocket limit for Medicare-covered services.*
            • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

            Doctor Office Visits

            • Authorization rules may apply.
            • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
            • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
            CarePlus Health Plans Inc. CareNeeds PLUS (HMO SNP) (H1019-048) HMO

              Premium and Other Important Information

              • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
              • $0 annual deductible.*
              • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
              • $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
              • $0 monthly plan premium*

              Doctor Office Visits

              • Authorization rules may apply.
              • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
              • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
              CarePlus Health Plans Inc. CareFree PLUS (HMO) (H1019-056) HMO

                Premium and Other Important Information

                • CarePlus Health Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                • $3 400 out-of-pocket limit for Medicare-covered services.
                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                Doctor Office Visits

                • Authorization rules may apply.
                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                • $20 copay for each in-area network urgent care Medicare-covered visit
                • $20 copay for each specialist visit for Medicare-covered benefits.
                Health Options Inc / Blue Cross Blue Shield of FL BlueMedicare HMO (HMO) (H1026-001) HMO

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                  Doctor Office Visits

                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $0 to $25 copay for each in-area network urgent care Medicare-covered visit
                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                  WellCare WellCare Choice (HMO) (H1032-008) HMO

                    Premium and Other Important Information

                    • WellCare will reduce your monthly Medicare Part B premium by up to $ 8.40.
                    • $3 400 out-of-pocket limit for Medicare-covered services.
                    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                    Doctor Office Visits

                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $0 copay for each in-area network urgent care Medicare-covered visit
                    • $0 copay for each specialist visit for Medicare-covered benefits.
                    WellCare WellCare Dividend (HMO) (H1032-040) HMO

                      Premium and Other Important Information

                      • WellCare will reduce your monthly Medicare Part B premium by up to $ 96.40.
                      • $6 700 out-of-pocket limit for Medicare-covered services.
                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                      Doctor Office Visits

                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $0 copay for each in-area network urgent care Medicare-covered visit
                      • $0 copay for each specialist visit for Medicare-covered benefits.
                      WellCare WellCare Select (HMO-POS SNP) (H1032-061) HMO with POS Option

                        Premium and Other Important Information

                        • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                        • $6 700 out-of-pocket limit for Medicare-covered services.*
                        • $6 700 out-of-pocket limit for Medicare-covered services.**
                        • $18.1 monthly plan premium in addition to your monthly Medicare Part B premium.*

                        Doctor Office Visits

                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                        • $0 or $25 copay for each in-area network urgent care Medicare-covered visit*
                        • $0 copay for each specialist visit for Medicare-covered benefits.*
                        WellCare WellCare Access (HMO SNP) (H1032-170) HMO

                          Premium and Other Important Information

                          • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                          • $0 annual deductible.*
                          • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                          • $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                          • $0 monthly plan premium*

                          Doctor Office Visits

                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                          Humana Medical Plan Inc. Humana Gold Plus H1036-054C (HMO) (H1036-054) HMO

                            Premium and Other Important Information

                            • Humana Medical Plan Inc. will reduce your monthly Medicare Part B premium by up to $ 40.00.
                            • $3 000 out-of-pocket limit for Medicare-covered services.
                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                            Doctor Office Visits

                            • Authorization rules may apply.
                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $0 copay for each in-area network urgent care Medicare-covered visit
                            • $0 copay for each specialist visit for Medicare-covered benefits.
                            Humana Medical Plan Inc. Humana Gold Plus SNP-DE H1036-077A (HMO SNP) (H1036-077) HMO

                              Premium and Other Important Information

                              • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                              • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                              • $3 400 out-of-pocket limit for Medicare-covered services.*
                              • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

                              Doctor Office Visits

                              • Authorization rules may apply.
                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                              Humana Medical Plan Inc. Humana Gold Plus SNP-DE H1036-163 (HMO SNP) (H1036-163) HMO

                                Premium and Other Important Information

                                • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                • $0 annual deductible.*
                                • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                • $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                • $0 monthly plan premium*

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                Humana Medical Plan Inc. Humana Gold Plus H1036-164 (HMO) (H1036-164) HMO

                                  Premium and Other Important Information

                                  • Humana Medical Plan Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                  Doctor Office Visits

                                  • Authorization rules may apply.
                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $20 copay for each in-area network urgent care Medicare-covered visit
                                  • $20 copay for each specialist visit for Medicare-covered benefits.
                                  Florida Pace Centers Inc. Florida PACE Centers Inc. (PACE) (H1043-001) National PACE
                                    Florida Pace Centers Inc. Florida PACE Centers Inc (PACE) (H1043-002) National PACE
                                      Preferred Care Partners Inc. Preferred Choice Dade (HMO-POS) (H1045-001) HMO with POS Option

                                        Premium and Other Important Information

                                        • Preferred Care Partners Inc. will reduce your monthly Medicare Part B premium by up to $ 2.00.
                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                        Doctor Office Visits

                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                        Preferred Care Partners Inc. Preferred Medicare Assist (HMO-POS SNP) (H1045-012) HMO with POS Option

                                          Premium and Other Important Information

                                          • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                          • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                          • $3 400 out-of-pocket limit for Medicare-covered services.*
                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                          Doctor Office Visits

                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                          Preferred Care Partners Inc. Preferred Complete Care (HMO) (H1045-016) HMO

                                            Premium and Other Important Information

                                            • Preferred Care Partners Inc. will reduce your monthly Medicare Part B premium by up to $ 60.00.
                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                            Doctor Office Visits

                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                            Preferred Care Partners Inc. Preferred Special Care Miami-Dade (HMO SNP) (H1045-018) HMO

                                              Premium and Other Important Information

                                              • $3 400 out-of-pocket limit for Medicare-covered services.
                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                              Doctor Office Visits

                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                              Preferred Care Partners Inc. Preferred Gold Option (HMO) (H1045-019) HMO

                                                Premium and Other Important Information

                                                • Preferred Care Partners Inc. will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                                • $5 000 out-of-pocket limit for Medicare-covered services.
                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                Doctor Office Visits

                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                • $10 copay for each specialist visit for Medicare-covered benefits.
                                                Preferred Care Partners Inc. Preferred Premium Advantage Miami-Dade (HMO-POS) (H1045-020) HMO with POS Option

                                                  Premium and Other Important Information

                                                  • Preferred Care Partners Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                  Doctor Office Visits

                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                  • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                  • $15 copay for each specialist visit for Medicare-covered benefits.
                                                  Coventry Health Care of Florida Coventry Vista Value (HMO) (H1076-010) HMO

                                                    Premium and Other Important Information

                                                    • Coventry Health Care of Florida will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                                    • $6 700 out-of-pocket limit. All plan services included.
                                                    • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                                    Doctor Office Visits

                                                    • Authorization rules may apply.
                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                    • $25 copay for each specialist visit for Medicare-covered benefits.
                                                    Coventry Health Care of Florida Coventry Vista Maximum Choice (HMO SNP) (H1076-011) HMO

                                                      Premium and Other Important Information

                                                      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                      • $3 400 out-of-pocket limit. All plan services included.*
                                                      • $6.1 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                      Doctor Office Visits

                                                      • Authorization rules may apply.
                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                      • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                      Positive Healthcare Partners Positive Healthcare Partners (HMO SNP) (H3132-001) HMO

                                                        Premium and Other Important Information

                                                        • In this plan you will have no cost sharing responsibility for Medicare-covered services and Non-Medicare Supplemental Services.
                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                        Doctor Office Visits

                                                        • Authorization rules may apply.
                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                        JMH Health Plan JacksonHealth for Life (HMO) (H4155-001) HMO

                                                          Premium and Other Important Information

                                                          • JMH Health Plan will reduce your monthly Medicare Part B premium by up to $ 20.00.
                                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                          Doctor Office Visits

                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                          • $0 copay for each in-area network urgent care Medicare-covered visit
                                                          • $0 copay for each specialist visit for Medicare-covered benefits.
                                                          JMH Health Plan JacksonHealth Secure (HMO SNP) (H4155-003) HMO

                                                            Premium and Other Important Information

                                                            • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                            • JMH Health Plan will reduce your monthly Medicare Part B premium by up to $ 60.00.
                                                            • $0 annual deductible.*
                                                            • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                            • $3 400.01 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                                            • $0 monthly plan premium*

                                                            Doctor Office Visits

                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                            FLORIDA HEALTHCARE PLUS Plan 001 (HMO) (H4199-001) HMO

                                                              Premium and Other Important Information

                                                              • $3 400 out-of-pocket limit. All plan services included.
                                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                              Doctor Office Visits

                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                              FLORIDA HEALTHCARE PLUS Plan 002 (HMO) (H4199-002) HMO

                                                                Premium and Other Important Information

                                                                • FLORIDA HEALTHCARE PLUS will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                • $3 400 out-of-pocket limit. All plan services included.
                                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                Doctor Office Visits

                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                FLORIDA HEALTHCARE PLUS Plan 004 (HMO) (H4199-004) HMO

                                                                  Premium and Other Important Information

                                                                  • FLORIDA HEALTHCARE PLUS will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                  • $3 400 out-of-pocket limit. All plan services included.
                                                                  • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                                                  Doctor Office Visits

                                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                  • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                  Universal Health Care Inc. Medicare Masterpiece Plus (HMO-POS) (H5404-086) HMO with POS Option

                                                                    Premium and Other Important Information

                                                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                    • $29 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                    Doctor Office Visits

                                                                    • Authorization rules may apply.
                                                                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                    • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                    Universal Health Care Inc. Medicare Masterpiece Premier SNP - Dual (HMO SNP) (H5404-111) HMO

                                                                      Premium and Other Important Information

                                                                      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                      • $3 400 out-of-pocket limit for Medicare-covered services.*
                                                                      • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                      Doctor Office Visits

                                                                      • Authorization rules may apply.
                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                      Universal Health Care Inc. Medicare Masterpiece Premier - Diabetes CHF CVD (HMO SNP) (H5404-135) HMO

                                                                        Premium and Other Important Information

                                                                        • Universal Health Care Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                        Doctor Office Visits

                                                                        • Authorization rules may apply.
                                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                        • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                        Universal Health Care Inc. Medicare Masterpiece Premier - Dementia (HMO SNP) (H5404-136) HMO

                                                                          Premium and Other Important Information

                                                                          • Universal Health Care Inc. will reduce your monthly Medicare Part B premium by up to $ 30.00.
                                                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                          Doctor Office Visits

                                                                          • Authorization rules may apply.
                                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                          • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                          Universal Health Care Inc. Medicare Masterpiece Premier - COPD (HMO SNP) (H5404-137) HMO

                                                                            Premium and Other Important Information

                                                                            • Universal Health Care Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                            Doctor Office Visits

                                                                            • Authorization rules may apply.
                                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                            • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                            Universal Health Care Inc. Medicare Masterpiece (HMO) (H5404-143) HMO

                                                                              Premium and Other Important Information

                                                                              • Universal Health Care Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                              • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                              Doctor Office Visits

                                                                              • Authorization rules may apply.
                                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                              HealthSpring of Florida Inc. Leon Medical Centers Health Plans - Leon Cares (HMO) (H5410-001) HMO

                                                                                Premium and Other Important Information

                                                                                • HealthSpring of Florida Inc. will reduce your monthly Medicare Part B premium by up to $ 20.00.
                                                                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                Doctor Office Visits

                                                                                • Authorization rules may apply.
                                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                Aetna Medicare Aetna Medicare Value Plan (HMO) (H5414-019) HMO

                                                                                  Premium and Other Important Information

                                                                                  • Package: 1 - Advantage Dental:
                                                                                  • Package: 2 - Advantage Dental Plus Eye Wear and Hearing Aids:
                                                                                  • $16 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                                  • $26 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Wear Hearing Aid
                                                                                  • $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                                                                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                  Doctor Office Visits

                                                                                  • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                  • $50 copay for each in-area network urgent care Medicare-covered visit
                                                                                  • $50 copay for each specialist visit for Medicare-covered benefits.
                                                                                  Humana Health Insurance Company of FL Inc. HumanaChoice H5415-056 (PPO) (H5415-056) Local Preferred Provider Organization

                                                                                    Premium and Other Important Information

                                                                                    • $5 000 out-of-pocket limit for Medicare-covered services.
                                                                                    • $7 500 out-of-pocket limit for Medicare-covered services.
                                                                                    • $39 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                                    • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                                                    Doctor Office Visits

                                                                                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                                                                    • $35 copay for each specialist visit for Medicare-covered benefits.
                                                                                    • $40 copay [or 30% of the cost] for each primary care doctor visit
                                                                                    • $40 copay for each specialist visit
                                                                                    Medica HealthCare Plans Inc. Medica HealthCare Plans MedicareMax (PSO) (H5420-001) Provider Sponsored Organization

                                                                                      Premium and Other Important Information

                                                                                      • $500 out-of-pocket limit for Medicare-covered services.
                                                                                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                      Doctor Office Visits

                                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                      • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                      Medica HealthCare Plans Inc. Medica HealthCare Plans MedicareMax Plus (PSO SNP) (H5420-006) Provider Sponsored Organization

                                                                                        Premium and Other Important Information

                                                                                        • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                        • $500 out-of-pocket limit for Medicare-covered services.*
                                                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                        Doctor Office Visits

                                                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                        Medica HealthCare Plans Inc. Medica HealthCare Plans MedicareMax Value (PSO) (H5420-007) Provider Sponsored Organization

                                                                                          Premium and Other Important Information

                                                                                          • Medica HealthCare Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                          • $2 500 out-of-pocket limit for Medicare-covered services.
                                                                                          • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                                                                          Doctor Office Visits

                                                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                          Medica HealthCare Plans Inc. Medica HealthCare Plans MedicareMax Value RX (PSO) (H5420-009) Provider Sponsored Organization

                                                                                            Premium and Other Important Information

                                                                                            • Medica HealthCare Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 93.10.
                                                                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                            Doctor Office Visits

                                                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                            • $20 copay for each specialist visit for Medicare-covered benefits.
                                                                                            Medica HealthCare Plans Inc. Medica HealthCare Plans MedicareMax Chronic Care (PSO SNP) (H5420-010) Provider Sponsored Organization

                                                                                              Premium and Other Important Information

                                                                                              • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                              Doctor Office Visits

                                                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                              Freedom Health Inc. Freedom Savings Plan (HMO) (H5427-052) HMO

                                                                                                Premium and Other Important Information

                                                                                                • Freedom Health Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                                                                                Doctor Office Visits

                                                                                                • Authorization rules may apply.
                                                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                                                                                Freedom Health Inc. Freedom Medicare Plan Rx (HMO) (H5427-060) HMO

                                                                                                  Premium and Other Important Information

                                                                                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                  Doctor Office Visits

                                                                                                  • Authorization rules may apply.
                                                                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                  • $20 copay for each specialist visit for Medicare-covered benefits.
                                                                                                  Freedom Health Inc. Freedom VIP Care (HMO SNP) (H5427-070) HMO

                                                                                                    Premium and Other Important Information

                                                                                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                    Doctor Office Visits

                                                                                                    • Authorization rules may apply.
                                                                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                    • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                                                    Freedom Health Inc. Freedom VIP Savings (HMO SNP) (H5427-072) HMO

                                                                                                      Premium and Other Important Information

                                                                                                      • Freedom Health Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                      • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                      Doctor Office Visits

                                                                                                      • Authorization rules may apply.
                                                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                      • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                                                      Freedom Health Inc. Freedom VIP Care COPD (HMO SNP) (H5427-076) HMO

                                                                                                        Premium and Other Important Information

                                                                                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                        Doctor Office Visits

                                                                                                        • Authorization rules may apply.
                                                                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                        • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                                                        Freedom Health Inc. Freedom VIP Savings COPD (HMO SNP) (H5427-077) HMO

                                                                                                          Premium and Other Important Information

                                                                                                          • Freedom Health Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                          Doctor Office Visits

                                                                                                          • Authorization rules may apply.
                                                                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                          • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                                                          Freedom Health Inc. Freedom Medi-Medi Partial (HMO SNP) (H5427-078) HMO

                                                                                                            Premium and Other Important Information

                                                                                                            • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                            • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                                                                            • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                            • $6 700 out-of-pocket limit for Medicare-covered services.*
                                                                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                                            Doctor Office Visits

                                                                                                            • Authorization rules may apply.
                                                                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                            • $0 copay for each specialist visit for Medicare-covered benefits.*
                                                                                                            Freedom Health Inc. Freedom Medi-Medi Full (HMO SNP) (H5427-087) HMO

                                                                                                              Premium and Other Important Information

                                                                                                              • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                              • $0 annual deductible.*
                                                                                                              • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                              • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                                                                                              • $0 monthly plan premium*

                                                                                                              Doctor Office Visits

                                                                                                              • Authorization rules may apply.
                                                                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                                              HealthSun Health Plans Inc. SunPlus Advantage Plan (HMO) (H5431-001) HMO

                                                                                                                Premium and Other Important Information

                                                                                                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                Doctor Office Visits

                                                                                                                • Authorization rules may apply.
                                                                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                HealthSun Health Plans Inc. Healthy Advantage Plan (HMO) (H5431-005) HMO

                                                                                                                  Premium and Other Important Information

                                                                                                                  • HealthSun Health Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                  Doctor Office Visits

                                                                                                                  • Authorization rules may apply.
                                                                                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                  • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                  HealthSun Health Plans Inc. MediMax (HMO) (H5431-006) HMO

                                                                                                                    Premium and Other Important Information

                                                                                                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                    • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                    Doctor Office Visits

                                                                                                                    • Authorization rules may apply.
                                                                                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                    Simply Healthcare Plans Inc. Simply Complete (HMO SNP) (H5471-001) HMO

                                                                                                                      Premium and Other Important Information

                                                                                                                      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                      • $500 out-of-pocket limit for Medicare-covered services.*
                                                                                                                      • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                                                      Doctor Office Visits

                                                                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                      • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                                                      Simply Healthcare Plans Inc. Simply More (HMO) (H5471-002) HMO

                                                                                                                        Premium and Other Important Information

                                                                                                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                        Doctor Office Visits

                                                                                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                        Simply Healthcare Plans Inc. Simply Options (HMO-POS) (H5471-003) HMO with POS Option

                                                                                                                          Premium and Other Important Information

                                                                                                                          • Simply Healthcare Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                                                                                                          • $3 400 out-of-pocket limit. All plan services included.
                                                                                                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                          Doctor Office Visits

                                                                                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                          Simply Healthcare Plans Inc. Simply Extra (HMO) (H5471-004) HMO

                                                                                                                            Premium and Other Important Information

                                                                                                                            • Simply Healthcare Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                            Doctor Office Visits

                                                                                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                            Simply Healthcare Plans Inc. Simply Care (HMO SNP) (H5471-008) HMO

                                                                                                                              Premium and Other Important Information

                                                                                                                              • $3 400 out-of-pocket limit. All plan services included.
                                                                                                                              • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                              Doctor Office Visits

                                                                                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                              • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                              • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                              Simply Healthcare Plans Inc. Simply Comfort (HMO SNP) (H5471-009) HMO

                                                                                                                                Premium and Other Important Information

                                                                                                                                • $3 400 out-of-pocket limit. All plan services included.
                                                                                                                                • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                Doctor Office Visits

                                                                                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                                Aetna Medicare Aetna Medicare Premier Plan (PPO) (H5521-033) Local Preferred Provider Organization

                                                                                                                                  Premium and Other Important Information

                                                                                                                                  • $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                                                                                                                                  • $500 annual deductible. Contact the plan for services that apply.
                                                                                                                                  • $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                                                                                                                                  • $68 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                                                                                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                                                                                                  Doctor Office Visits

                                                                                                                                  • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                  • $50 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                  • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                  • 30% of the cost for each primary care doctor visit
                                                                                                                                  • 30% of the cost for each specialist visit
                                                                                                                                  Optimum HealthCare Inc. Optimum Gold Rewards Plan (HMO-POS) (H5594-001) HMO with POS Option

                                                                                                                                    Premium and Other Important Information

                                                                                                                                    • Optimum HealthCare Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                                    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                    Doctor Office Visits

                                                                                                                                    • Authorization rules may apply.
                                                                                                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                    • $20 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                    Optimum HealthCare Inc. Optimum Platinum Plan (HMO-POS) (H5594-002) HMO with POS Option

                                                                                                                                      Premium and Other Important Information

                                                                                                                                      • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                      Doctor Office Visits

                                                                                                                                      • Authorization rules may apply.
                                                                                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                      • $0 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                      Optimum HealthCare Inc. Optimum Emerald Partial (HMO SNP) (H5594-016) HMO

                                                                                                                                        Premium and Other Important Information

                                                                                                                                        • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                                        • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                                                                                                        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                                        • $6 700 out-of-pocket limit for Medicare-covered services.*
                                                                                                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                                                                        Doctor Office Visits

                                                                                                                                        • Authorization rules may apply.
                                                                                                                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                                        • $0 copay for each specialist visit for Medicare-covered benefits.*
                                                                                                                                        Optimum HealthCare Inc. Optimum Emerald Full (HMO SNP) (H5594-017) HMO

                                                                                                                                          Premium and Other Important Information

                                                                                                                                          • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                                          • $0 annual deductible.*
                                                                                                                                          • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                                          • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                                                                                                                          • $0 monthly plan premium*

                                                                                                                                          Doctor Office Visits

                                                                                                                                          • Authorization rules may apply.
                                                                                                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                                                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                                                                          Physicians United Plan PUP EASY (HMO) (H5696-025) HMO

                                                                                                                                            Premium and Other Important Information

                                                                                                                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                            Doctor Office Visits

                                                                                                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                            • $0 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                            • $0 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                            Physicians United Plan PUP REWARDS (HMO) (H5696-028) HMO

                                                                                                                                              Premium and Other Important Information

                                                                                                                                              • Physicians United Plan will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                                                              • $4 600 out-of-pocket limit for Medicare-covered services.
                                                                                                                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                              Doctor Office Visits

                                                                                                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                              • $0 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                              • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                              Coventry Summit Health Plan Coventry Summit Maximum (HMO SNP) (H5850-002) HMO

                                                                                                                                                Premium and Other Important Information

                                                                                                                                                • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                                                • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                                                • $3 400 out-of-pocket limit. All plan services included.*
                                                                                                                                                • $21.4 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                                                                                Doctor Office Visits

                                                                                                                                                • Authorization rules may apply.
                                                                                                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                                                                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                                                                                Coventry Summit Health Plan Coventry Summit Plus (HMO) (H5850-006) HMO

                                                                                                                                                  Premium and Other Important Information

                                                                                                                                                  • Coventry Summit Health Plan will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                                                                                                                                  • $3 400 out-of-pocket limit. All plan services included.
                                                                                                                                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                                  Doctor Office Visits

                                                                                                                                                  • Authorization rules may apply.
                                                                                                                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                  • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                                                  Coventry Summit Health Plan Coventry Summit Ideal (HMO) (H5850-012) HMO

                                                                                                                                                    Premium and Other Important Information

                                                                                                                                                    • Coventry Summit Health Plan will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                                                                                                                                    • $3 400 out-of-pocket limit. All plan services included.
                                                                                                                                                    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                                    Doctor Office Visits

                                                                                                                                                    • Authorization rules may apply.
                                                                                                                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                    • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                                                                                                                    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                                                    Universal Health Care Insurance Company Inc. Any Any Any Gold (PFFS) (H8098-001) Private Fee for Service

                                                                                                                                                      Premium and Other Important Information

                                                                                                                                                      • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                                                                                                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                                                                                                      Doctor Office Visits

                                                                                                                                                      • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                                                                                                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                      • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                                      • $15 copay for each primary care doctor visit
                                                                                                                                                      • $40 copay for each specialist visit
                                                                                                                                                      Universal Health Care Insurance Company Inc. Any Any Any Gold MA Only (PFFS) (H8098-003) Private Fee for Service

                                                                                                                                                        Premium and Other Important Information

                                                                                                                                                        • Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00.
                                                                                                                                                        • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                        • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                                                                                                                        • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                                                                                                        Doctor Office Visits

                                                                                                                                                        • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                                                                                                        • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                        • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                                        • $15 copay for each primary care doctor visit
                                                                                                                                                        • $40 copay for each specialist visit
                                                                                                                                                        Molina Healthcare of Florida Molina Medicare Options Plus (HMO SNP) (H8130-001) HMO

                                                                                                                                                          Premium and Other Important Information

                                                                                                                                                          • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                                                          • $0 annual deductible.*
                                                                                                                                                          • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                                                          • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                                                                                                                                          • $0 monthly plan premium*

                                                                                                                                                          Doctor Office Visits

                                                                                                                                                          • Authorization rules may apply.
                                                                                                                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                                                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                                                                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                                                                                          Molina Healthcare of Florida Molina Medicare Options (HMO) (H8130-002) HMO

                                                                                                                                                            Premium and Other Important Information

                                                                                                                                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                                            Doctor Office Visits

                                                                                                                                                            • Authorization rules may apply.
                                                                                                                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                            • $15 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                                                                                                                            Humana Insurance Company Humana Gold Choice H8145-061 (PFFS) (H8145-061) Private Fee for Service

                                                                                                                                                              Premium and Other Important Information

                                                                                                                                                              • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                              • $99 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                                                                                                              • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                                                                                                              Doctor Office Visits

                                                                                                                                                              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                                                                                                              • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                              • $30 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                                              • $30 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                                              • $10 copay for each primary care doctor visit
                                                                                                                                                              • $30 copay for each specialist visit
                                                                                                                                                              Amerigroup Community Care Amerivantage Specialty + Rx (HMO SNP) (H8991-017) HMO

                                                                                                                                                                Premium and Other Important Information

                                                                                                                                                                • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                                                                • $0 annual deductible.*
                                                                                                                                                                • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                                                                • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                                                                                                                                                • $0 monthly plan premium*

                                                                                                                                                                Doctor Office Visits

                                                                                                                                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                                                                • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                                                                                                                                • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                                                                                                                                UnitedHealthcare AARP MedicareComplete Plan 1 (HMO) (H9011-003) HMO

                                                                                                                                                                  Premium and Other Important Information

                                                                                                                                                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                                  • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                                                  Doctor Office Visits

                                                                                                                                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                                  • $5 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                                                  • $0 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                                                  UnitedHealthcare UnitedHealthcare Dual Complete (HMO SNP) (H9011-011) HMO

                                                                                                                                                                    Premium and Other Important Information

                                                                                                                                                                    • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                                                                                                                                    • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                                                                                                                    • $6 700 out-of-pocket limit for Medicare-covered services.*
                                                                                                                                                                    • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                                                                                                    Doctor Office Visits

                                                                                                                                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                                                                                    • $0 copay for each in-area network urgent care Medicare-covered visit*
                                                                                                                                                                    • $0 copay for each specialist visit for Medicare-covered benefits.*
                                                                                                                                                                    UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H9011-016) HMO with POS Option

                                                                                                                                                                      Premium and Other Important Information

                                                                                                                                                                      • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                                      • $10 000 out-of-pocket limit for Medicare-covered services.
                                                                                                                                                                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                                                                                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                                                                                                                      Doctor Office Visits

                                                                                                                                                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                                                                                      • $5 copay for each in-area network urgent care Medicare-covered visit
                                                                                                                                                                      • $0 copay for each specialist visit for Medicare-covered benefits.

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