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Florida MedicareAdvantage Plans

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Medicare Advantage Plans in Santa Rosa County, Florida

Below are Medicare Advantage plans available to residents of Santa Rosa county, Florida. 6 carriers offer 16 plans throughout the county of Santa Rosa. Residents may choose plans from carriers such as WellCare, Humana Medical Plan Inc. and Universal Health Care Insurance Company Inc.. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Santa Rosa county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Santa Rosa

Carrier Plan Title Plan Type
WellCare WellCare Choice (HMO-POS) (H1032-025) HMO with POS Option

    Premium and Other Important Information

    • $6 000 out-of-pocket limit for Medicare-covered services.
    • $49.5 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

    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
    • $45 copay for each in-area network urgent care Medicare-covered visit
    • $35 copay for each specialist visit for Medicare-covered benefits.
    WellCare WellCare Value (HMO) (H1032-079) HMO

      Premium and Other Important Information

      • $6 000 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

      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
      • $45 copay for each in-area network urgent care Medicare-covered visit
      • $35 copay for each specialist visit for Medicare-covered benefits.
      WellCare WellCare Select (HMO-POS SNP) (H1032-101) HMO with POS Option

        Premium and Other Important Information

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

        • $0 or $5 copay for each primary care doctor visit for Medicare-covered benefits.*
        • $0 or $35 copay for each in-area network urgent care Medicare-covered visit*
        • $0 or $25 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 H1036-143 (HMO) (H1036-143) 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.
            • $5 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 H1036-144 (HMO) (H1036-144) HMO

              Premium and Other Important Information

              • $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.
              • $25 copay for each in-area network urgent care Medicare-covered visit
              • $25 copay for each specialist visit for Medicare-covered benefits.
              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
                  HealthSpring of Florida Inc. HealthyAdvantage (HMO) (H5410-004) HMO

                    Premium and Other Important Information

                    • $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.
                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $35 copay for each in-area network urgent care Medicare-covered visit
                    • $35 copay for each specialist visit for Medicare-covered benefits.
                    HealthSpring of Florida Inc. HealthyAdvantage Preferred (HMO) (H5410-005) 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.
                      • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $40 copay for each in-area network urgent care Medicare-covered visit
                      • $40 copay for each specialist visit for Medicare-covered benefits.
                      HealthSpring of Florida Inc. HealthyAdvantage Premier (HMO-POS) (H5410-012) HMO with POS Option

                        Premium and Other Important Information

                        • $3 400 out-of-pocket limit for Medicare-covered services.
                        • $60 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.
                        • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $40 copay for each in-area network urgent care Medicare-covered visit
                        • $40 copay for each specialist visit for Medicare-covered benefits.
                        HealthSpring of Florida Inc. TotalCare (HMO SNP) (H5410-013) HMO

                          Premium and Other Important Information

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

                          Doctor Office Visits

                          • Authorization rules may apply.
                          • $0 or $15 copay for each primary care doctor visit for Medicare-covered benefits.*
                          • $0 or $40 copay for each in-area network urgent care Medicare-covered visit*
                          • $0 or $40 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
                            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
                                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

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