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Florida MedicareAdvantage Plans

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Medicare Advantage Plans in Pinellas County, Florida

Below are Medicare Advantage plans available to residents of Pinellas county, Florida. 19 carriers offer 70 plans throughout the county of Pinellas. Residents may choose plans from carriers such as CarePlus Health Plans Inc., Health Options Inc / Blue Cross Blue Shield of FL and WellCare. 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 Pinellas county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Pinellas

Carrier Plan Title Plan Type
CarePlus Health Plans Inc. CareOne (HMO) (H1019-014) HMO

    Premium and Other Important Information

    • $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

    • Authorization rules may apply.
    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
    • $25 copay for each in-area network urgent care Medicare-covered visit
    • $25 copay for each specialist visit for Medicare-covered benefits.
    CarePlus Health Plans Inc. CareNeeds (HMO SNP) (H1019-026) 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.*
      • $23.2 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) (H1019-046) 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. CareOne PLUS (HMO) (H1019-054) 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.
          • $25 copay for each in-area network urgent care Medicare-covered visit
          • $25 copay for each specialist visit for Medicare-covered benefits.
          CarePlus Health Plans Inc. CareDirect (HMO SNP) (H1019-059) 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.
            • $25 copay for each in-area network urgent care Medicare-covered visit
            • $25 copay for each specialist visit for Medicare-covered benefits.
            CarePlus Health Plans Inc. CareFree (HMO) (H1019-060) HMO

              Premium and Other Important Information

              • CarePlus Health Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
              • $4 000 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.
              • $30 copay for each in-area network urgent care Medicare-covered visit
              • $30 copay for each specialist visit for Medicare-covered benefits.
              Health Options Inc / Blue Cross Blue Shield of FL BlueMedicare HMO (HMO) (H1026-038) 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.
                • $20 to $25 copay for each in-area network urgent care Medicare-covered visit
                • $30 copay for each specialist visit for Medicare-covered benefits.
                WellCare WellCare Choice (HMO-POS) (H1032-014) HMO with POS Option

                  Premium and Other Important Information

                  • $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.
                  • $40 copay for each in-area network urgent care Medicare-covered visit
                  • $30 copay for each specialist visit for Medicare-covered benefits.
                  WellCare WellCare Dividend (HMO) (H1032-032) HMO

                    Premium and Other Important Information

                    • WellCare will reduce your monthly Medicare Part B premium by up to $ 96.40.
                    • $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.
                    • $35 copay for each in-area network urgent care Medicare-covered visit
                    • $25 copay for each specialist visit for Medicare-covered benefits.
                    WellCare WellCare Value (HMO-POS) (H1032-035) HMO with POS Option

                      Premium and Other Important Information

                      • $5 500 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.
                      • $10 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) (H1032-124) 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.*
                          Humana Medical Plan Inc. Humana Gold Plus H1036-052 (HMO) (H1036-052) 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.
                            • $25 copay for each in-area network urgent care Medicare-covered visit
                            • $25 copay for each specialist visit for Medicare-covered benefits.
                            Humana Medical Plan Inc. Humana Gold Plus SNP-DE H1036-102 (HMO SNP) (H1036-102) 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.*
                              • $18.2 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 H1036-119 (HMO) (H1036-119) HMO

                                Premium and Other Important Information

                                • Humana Medical Plan Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                • $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

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $25 copay for each in-area network urgent care Medicare-covered visit
                                • $25 copay for each specialist visit for Medicare-covered benefits.
                                Humana Medical Plan Inc. Humana Gold Plus H1036-141 (HMO) (H1036-141) HMO

                                  Premium and Other Important Information

                                  • Humana Medical Plan Inc. will reduce your monthly Medicare Part B premium by up to $ 96.40.
                                  • $4 000 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.
                                  • $30 copay for each in-area network urgent care Medicare-covered visit
                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                  Humana Medical Plan Inc. Humana Gold Plus SNP-DB H1036-160 (HMO SNP) (H1036-160) 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.
                                    • $25 copay for each in-area network urgent care Medicare-covered visit
                                    • $25 copay for each specialist visit for Medicare-covered benefits.
                                    Humana Medical Plan Inc. Humana Gold Plus SNP-DE H1036-161 (HMO SNP) (H1036-161) 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.*
                                      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 Select Care (HMO SNP) (H1045-022) 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.
                                          UnitedHealthcare AARP MedicareComplete Plus Plan 1 (HMO-POS) (H1080-004) HMO with POS Option

                                            Premium and Other Important Information

                                            • $4 950 out-of-pocket limit for Medicare-covered services.
                                            • $9 500 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

                                            • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $30 copay for each in-area network urgent care Medicare-covered visit
                                            • $40 copay for each specialist visit for Medicare-covered benefits.
                                            UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO SNP) (H1080-036) 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.*
                                              • $20 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                              Doctor Office Visits

                                              • 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                                              • 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit*
                                              • 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
                                              Neighborly Care PACE Center Neighborly Care PACE Center (PACE) (H3430-001) National PACE
                                                Neighborly Care PACE Center Neighborly Care PACE Center (PACE) (H3430-002) National PACE
                                                  Universal Health Care Insurance Company Inc. Universal Hassle-Free (PPO) (H5096-001) Local Preferred Provider Organization

                                                    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
                                                    • 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.
                                                    • $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. Universal Hassle-Free MA Only (PPO) (H5096-002) Local Preferred Provider Organization

                                                      Premium and Other Important Information

                                                      • Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 10.00.
                                                      • $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
                                                      • 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.
                                                      • $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 Inc. Medicare Masterpiece (HMO) (H5404-001) HMO

                                                        Premium and Other Important Information

                                                        • Universal Health Care Inc. will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                                        • $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.
                                                        • $30 copay for each specialist 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 MA Only (HMO) (H5404-116) HMO

                                                              Premium and Other Important Information

                                                              • Universal Health Care Inc. will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                                              • $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.
                                                              • $30 copay for each specialist 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 Premier (HMO) (H5404-138) 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.
                                                                      • $20 copay for each specialist visit for Medicare-covered benefits.
                                                                      Citrus Health Care Inc. Citrus Total (HMO) (H5407-004) HMO

                                                                        Premium and Other Important Information

                                                                        • $3 950 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
                                                                        • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                        Citrus Health Care Inc. Citrus Plus (HMO SNP) (H5407-011) 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 for Medicare-covered services.*
                                                                          • $17.9 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.*
                                                                          Aetna Medicare Aetna Medicare Value Plan (HMO) (H5414-009) HMO

                                                                            Premium and Other Important Information

                                                                            • Package: 1 - Advantage Dental:
                                                                            • $16 monthly premium in addition to your $38 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                            • $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.
                                                                            • $38 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

                                                                            • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                            • $50 copay for each in-area network urgent care Medicare-covered visit
                                                                            • $45 copay for each specialist visit for Medicare-covered benefits.
                                                                            UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) (H5417-001) Local Preferred Provider Organization

                                                                              Premium and Other Important Information

                                                                              • $5 000 out-of-pocket limit for Medicare-covered services.
                                                                              • $10 000 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
                                                                              • 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

                                                                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                              • 20% of the cost for each in-area network urgent care Medicare-covered visit
                                                                              • 0% to 20% of the cost 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
                                                                              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 Savings Plan Rx (HMO) (H5427-053) HMO

                                                                                  Premium and Other Important Information

                                                                                  • Freedom Health Inc. will reduce your monthly Medicare Part B premium by up to $ 40.00.
                                                                                  • $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.
                                                                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                                                                  Freedom Health Inc. Freedom Medicare Plan Rx (HMO) (H5427-059) 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.*
                                                                                                Universal Health Care Inc. Medicare Masterpiece (PPO) (H5429-001) Local Preferred Provider Organization

                                                                                                  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
                                                                                                  • 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

                                                                                                  • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                                                  • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                                                  • $25 copay for each primary care doctor visit
                                                                                                  • $40 copay for each specialist visit
                                                                                                  Blue Cross and Blue Shield of Florida Inc. BlueMedicare PPO (PPO) (H5434-002) Local Preferred Provider Organization

                                                                                                    Premium and Other Important Information

                                                                                                    • $6 700 out-of-pocket limit. All plan services included.
                                                                                                    • $1 000 annual deductible. Contact the plan for services that apply.
                                                                                                    • $10 000 out-of-pocket limit. All plan services included.
                                                                                                    • $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.
                                                                                                    • $150 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.
                                                                                                    • $15 to $25 copay for each in-area network urgent care Medicare-covered visit
                                                                                                    • $50 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
                                                                                                    UnitedHealthcare UnitedHealthcare Dual Complete EV (HMO SNP) (H5440-001) 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
                                                                                                      • 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.*
                                                                                                      • $23.8 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                                                      Doctor Office Visits

                                                                                                      • 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                                                                                                      • 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit*
                                                                                                      • 0% or 20% of the cost for each specialist 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
                                                                                                        UnitedHealthcare AARP MedicareComplete Choice (PPO) (H5532-001) Local Preferred Provider Organization

                                                                                                          Premium and Other Important Information

                                                                                                          • Package: 1 - Fitness Rider:
                                                                                                          • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                                                                                                          • $5 900 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
                                                                                                          • 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.
                                                                                                          • $30 copay for each in-area network urgent care Medicare-covered visit
                                                                                                          • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                                                          • $40 copay for each primary care doctor visit
                                                                                                          • $50 copay 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.*
                                                                                                                  Optimum HealthCare Inc. Optimum Diamond Rewards (HMO-POS SNP) (H5594-028) 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.
                                                                                                                    • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                    Optimum HealthCare Inc. Optimum Diamond Rewards COPD (HMO-POS SNP) (H5594-029) 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.
                                                                                                                      • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                      Physicians United Plan PUP EXTRA (HMO SNP) (H5696-021) 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.
                                                                                                                        • $700 out-of-pocket limit for Medicare-covered services.*
                                                                                                                        • $10 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.*
                                                                                                                        Physicians United Plan PUP SIMPLE (HMO) (H5696-037) HMO

                                                                                                                          Premium and Other Important Information

                                                                                                                          • $4 200 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
                                                                                                                          • $5 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                          Physicians United Plan PUP PLUS (HMO) (H5696-038) HMO

                                                                                                                            Premium and Other Important Information

                                                                                                                            • Physicians United Plan 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
                                                                                                                            • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                            Coventry Summit Health Plan Coventry Advantra Maximum (HMO SNP) (H5850-021) 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. All plan services included.*
                                                                                                                              • $17.7 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 Advantra Ideal (HMO) (H5850-025) 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

                                                                                                                                • 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.
                                                                                                                                • $15 copay for each specialist visit for Medicare-covered benefits.
                                                                                                                                Coventry Summit Health Plan Coventry Advantra Select Plus (HMO-POS) (H5850-026) HMO with POS Option

                                                                                                                                  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.
                                                                                                                                  • $20 copay for each specialist 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.*

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