Medicare Advantage Plans for Miami-Dade County, Florida

  • 126 Total Plans
  • 491,666 Seniors Eligible for Medicare
  • 364,303 Seniors on Medicare Advantage (74%)
  • 16 plans with 69,605 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 82 plans with 287,342 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 73% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Florida Enrollees
HealthSun Health Plans, Inc. HealthSun MediSun Extra (HMO D-SNP)
H5431-019-0 		HMO $125 per Month No $0 Yes $2,000 No No Yes No No 32,679
UnitedHealthcare MedicareMax (HMO)
H5420-001-0 		HMO $170 per Quarter No $680 Yes Yes No Yes Yes No 27,378
Humana Humana Gold Plus H1036-054C (HMO)
H1036-054-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 25,424
Simply Healthcare Plans, Inc. Simply Complete (HMO D-SNP)
H5471-064-0 		HMO $100 per Month No $0 Yes $2,000 No No Yes Yes No 22,812
CarePlus Health Plans, Inc. CareNeeds Plus (HMO D-SNP)
H1019-023-0 		HMO $2,100 per Month No $0 Yes $2,000 No No Yes No No 22,608
Leon Health, Inc. Leon MediDual (HMO D-SNP)
H4286-002-0 		HMO $150 per Month No $0 Yes $2,100 No No No No Yes 20,565
UnitedHealthcare Preferred Choice Dade (HMO)
H1045-001-0 		HMO $220 per Quarter No $880 Yes Yes No Yes Yes No 20,404
UnitedHealthcare Preferred Medicare Assist (HMO D-SNP)
H1045-012-0 		HMO $305 per Month No $0 Yes $2,500 Yes No Yes Yes No 18,610
Leon Health, Inc. Leon MediExtra (HMO)
H4286-001-0 		HMO $70 per Month No $0 Yes $2,100 No No No No Yes 16,798
Humana Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)
H1036-077-0 		HMO $1,800 per Month Yes $0 Yes $2,000 No No Yes No No 14,141
UnitedHealthcare MedicareMax Plus (HMO D-SNP)
H5420-006-0 		HMO $281 per Month No $0 Yes $2,000 Yes No Yes Yes No 11,255
Simply Healthcare Plans, Inc. Simply More (HMO)
H5471-065-0 		HMO $85 per Month No $0 Yes $2,000 No No Yes Yes No 11,049
CarePlus Health Plans, Inc. CareOne Plus (HMO)
H1019-006-0 		HMO $225 per Quarter No $900 Yes $2,000 No No Yes No No 10,069
Wellcare Wellcare Giveback (HMO)
H1032-040-0 		HMO $359 per Quarter No $1,436 Yes $3,000 No No Yes Yes Yes 9,209
Aetna Medicare Aetna Medicare Select (HMO)
H1609-016-0 		HMO $70 per Month No $0 Yes $2,500 No No Yes No No 9,088
Doctors HealthCare Plans, Inc. DrMax (HMO-POS)
H4140-001-0 		HMOPOS $60 per Month No $0 Yes $1,350 No No No No No 8,525
Aetna Medicare Aetna Medicare Assure Plus (HMO D-SNP)
H1609-043-0 		HMO $285 per Month No $0 Yes $5,000 No No Yes No No 8,180
AvMed Medicare AvMed Medicare Choice (HMO)
H1016-001-0 		HMO $25 per Month No $0 Yes $2,400 No No No No No 6,555
HealthSun Health Plans, Inc. HealthSun HealthAdvantage Plan (HMO)
H5431-001-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 6,061
CarePlus Health Plans, Inc. CareFree (HMO)
H1019-076-0 		HMO $25 per Month No $0 Yes $1,500 No No Yes No No 5,082
Florida Blue HMO BlueMedicare Premier (HMO)
H1035-024-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 4,974
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2406-018-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 3,434
Humana Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)
H1036-304-0 		HMO $3,300 per Month Yes $0 Yes $2,000 No No Yes No No 3,082
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H1889-002-2 		Local PPO $220 per Month No $0 Yes $3,600 Yes No Yes Yes No 2,896
Aetna Medicare Aetna Medicare Assure (HMO D-SNP)
H1609-017-0 		HMO $150 per Month No $0 Yes $5,000 No No Yes No No 2,696
AvMed Medicare AvMed Medicare Circle (HMO)
H1016-023-0 		HMO $50 per Month No $0 Yes $3,000 No No No No No 2,587
Doctors HealthCare Plans, Inc. DrPlus (HMO-POS D-SNP)
H4140-002-0 		HMOPOS $105 per Month No $0 Yes $1,300 No No No No No 2,563
HealthSun Health Plans, Inc. HealthSun HealthAdvantage Plus (HMO)
H5431-017-0 		HMO $50 per Month No $0 Yes $2,000 No No Yes No No 1,978
Humana Humana Gold Plus H1036-305 (HMO)
H1036-305-0 		HMO $60 per Quarter Yes $240 Yes $1,000 No No Yes No No 1,683
Simply Healthcare Plans, Inc. Simply Level (HMO C-SNP)
H5471-069-0 		HMO $80 per Month No $0 Yes $2,000 No No Yes Yes No 1,660
Simply Healthcare Plans, Inc. Simply Extra (HMO)
H5471-103-0 		HMO $25 per Month No $0 Yes $1,000 No No Yes Yes No 1,647
UnitedHealthcare Preferred Special Care Miami-Dade (HMO C-SNP)
H1045-018-0 		HMO $50 per Month No $0 Yes Yes No Yes Yes No 1,635
Humana HumanaChoice Florida H5216-068 (PPO)
H5216-068-0 		Local PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 1,201
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1032-176-0 		HMO $205 per Month Yes $0 Yes $5,000 No No Yes Yes No 1,173
Aetna Medicare Aetna Medicare Premier (PPO)
H5521-033-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 1,070
Devoted Health Devoted CORE Miami-Dade (HMO)
H1290-001-0 		HMO $145 per Quarter No $580 Yes No No Yes No No 1,069
Devoted Health Devoted DUAL Miami-Dade (HMO D-SNP)
H1290-019-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 1,050
Solis Health Plans SOLIS SPF 002 (HMO D-SNP)
H0982-002-0 		HMO $125 per Month No $0 Yes $2,000 No No No Yes Yes 992
Florida Blue HMO BlueMedicare Classic (HMO)
H1035-017-0 		HMO No $0 Yes No No Yes No No 961
CarePlus Health Plans, Inc. CareFree Platinum (HMO)
H1019-136-0 		HMO $25 per Month No $0 Yes $1,200 No No Yes No No 874
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 779
Florida Blue HMO BlueMedicare Complete (HMO D-SNP)
H1035-027-0 		HMO $100 per Month No $0 Yes $3,000 No No No No No 763
HealthSun Health Plans, Inc. HealthSun MediMax (HMO)
H5431-006-0 		HMO $100 per Month No $0 Yes $2,000 No No Yes No No 763
Leon Health, Inc. Leon MediMore (HMO)
H4286-003-0 		HMO $50 per Quarter No $200 Yes $2,100 No No No No Yes 749
Florida Blue BlueMedicare Value (PPO)
H5434-032-0 		Local PPO $80 per Quarter No $320 Yes No No Yes No No 717
Florida Pace Centers, Inc. Florida PACE Centers, Inc.
H1043-001-0 		National PACE No $0 No 679
Doctors HealthCare Plans, Inc. DrValue (HMO-POS)
H4140-005-0 		HMOPOS $30 per Month No $0 Yes $1,000 No No No No No 648
AvMed Medicare AvMed Medicare Access (HMO-POS)
H1016-025-0 		HMOPOS $25 per Quarter No $100 Yes $2,000 No No No No No 612
Florida Complete Care Florida Complete Care- In The Community (HMO I-SNP)
H9986-002-0 		HMO $275 per Quarter No $1,100 No 581
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001-0 		Regional PPO No $0 Yes Yes No Yes Yes No 560
Cigna Healthcare Cigna TotalCare Plus (HMO D-SNP)
H5410-049-0 		HMO $225 per Quarter No $900 Yes No No Yes No No 542
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 541
Molina Healthcare of Florida Molina Medicare Complete Care (HMO D-SNP)
H8130-001-0 		HMO $310 per Quarter No $1,240 Yes $2,000 No No No Yes No 526
Devoted Health Devoted ESSENTIALS Miami-Dade (HMO)
H1290-013-0 		HMO $60 per Quarter No $240 Yes No No Yes No No 474
Wellcare Wellcare Specialty Giveback (HMO C-SNP)
H1032-186-0 		HMO $372 per Quarter No $1,488 Yes $3,000 No No Yes Yes Yes 444
Humana HumanaChoice Florida H7284-008 (PPO)
H7284-008-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes No No 422
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-010-0 		Local PPO $270 per Quarter Yes $1,080 Yes $2,000 Yes No Yes Yes No 421
AHF PHP (HMO C-SNP)
H3132-001-0 		HMO $0 per Month No $0 Yes $2,500 No No No Yes Yes 420
Wellcare Wellcare Dual Access (HMO D-SNP)
H1032-170-0 		HMO $157 per Month Yes $0 Yes $4,000 No No Yes Yes No 417
Simply Healthcare Plans, Inc. Simply Comfort (HMO I-SNP)
H5471-068-0 		HMO $90 per Month No $0 Yes $2,000 No No Yes Yes No 413
Florida Blue BlueMedicare Choice (Regional PPO)
R3332-001-0 		Regional PPO No $0 Yes No No Yes No No 404
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 380
UnitedHealthcare MedicareMax Chronic (HMO C-SNP)
H5420-014-0 		HMO $53 per Month No $0 Yes Yes No Yes Yes No 369
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 339
Humana HumanaChoice Florida H5216-311 (PPO)
H5216-311-0 		Local PPO No $0 Yes $1,000 Yes No Yes No No 333
Aetna Medicare Aetna Medicare Credit (HMO)
H1609-053-0 		HMO $30 per Month No $0 Yes $2,000 No No Yes No No 302
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 302
Solis Health Plans SOLIS SPF 001 (HMO)
H0982-001-0 		HMO $85 per Month No $1,020 Yes $3,000 No No No Yes Yes 279
Humana HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)
H7284-010-0 		Local PPO $1,800 per Month No $0 Yes $3,600 No No Yes No No 240
Aetna Medicare Aetna Medicare Choice (HMO-POS)
H1609-028-0 		HMOPOS $35 per Month No $0 Yes $2,500 No No Yes No No 189
Humana Humana Medicare Employer (HMO)
H1036-801-0 		HMO No $0 No 184
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 181
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 171
Humana Humana Honor (HMO)
H1036-279-0 		HMO $15 per Month No $0 Yes $1,000 No No Yes No No 169
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-843-0 		Local PPO No $0 No 169
Cigna Healthcare Cigna Preferred Savings Medicare (HMO)
H5410-052-0 		HMO $135 per Quarter No $540 Yes No No Yes No No 140
Humana HumanaChoice Florida H7284-007 (PPO)
H7284-007-0 		Local PPO $75 per Quarter No $300 Yes $1,000 Yes No Yes No No 117
Wellcare Wellcare Dual Reserve (HMO D-SNP)
H1032-206-0 		HMO $99 per Month Yes $0 Yes $2,000 No No Yes Yes No 105
Align Senior Care Align Thrive (HMO I-SNP)
H9917-001-0 		HMO $175 per Quarter Yes $700 Yes $1,350 Yes No No No No 95
Wellcare Wellcare No Premium Open (PPO)
H5199-015-0 		Local PPO $101 per Quarter No $404 Yes $2,000 No No Yes Yes No 88
Longevity Health Plan Longevity Health Plan (HMO I-SNP)
H1644-001-0 		HMO $200 per Quarter No $800 Yes $1,650 Yes No No Yes No 86
Humana Humana Gold Plus H1036-065C (HMO)
H1036-065-0 		HMO $150 per Quarter Yes $600 Yes $1,200 No No Yes No No 84
Doctors HealthCare Plans, Inc. DrExtraCare (HMO-POS C-SNP)
H4140-004-0 		HMOPOS $65 per Month No $0 Yes $1,350 No No No No No 82
Devoted Health Devoted PRIME (HMO)
H1290-037-5 		HMO $250 per Quarter No $1,000 Yes No No Yes No No 79
UnitedHealthcare UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
R0759-003-0 		Regional PPO $43 per Month No $0 Yes $3,600 Yes No Yes Yes No 76
Humana Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
H1036-121-0 		HMO $35 per Month No $0 Yes $1,500 No No Yes No No 71
Cigna Healthcare Cigna Preferred Medicare (HMO)
H5410-051-0 		HMO $165 per Quarter No $660 Yes No No Yes No No 67
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 61
Florida Complete Care Florida Complete Care (HMO I-SNP)
H9986-001-0 		HMO $365 per Quarter No $1,460 No 58
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 52
Florida Blue HMO BlueMedicare Saver (HMO)
H1035-039-0 		HMO No $0 Yes $600 No No Yes No No 52
Humana HumanaChoice R5826-074 (Regional PPO)
R5826-074-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 52
CarePlus Health Plans, Inc. CareComplete (HMO C-SNP)
H1019-105-0 		HMO $75 per Month No $900 Yes $2,000 No No Yes No No 44
Molina Healthcare of Florida Molina Medicare Choice Care (HMO)
H8130-010-0 		HMO $230 per Quarter No $920 Yes No No No Yes No 40
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 40
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 39
Humana Humana Medicare Employer (PPO)
H5216-806-0 		Local PPO No $0 No 39
Solis Health Plans SOLIS SPF 011 (HMO C-SNP)
H0982-011-0 		HMO $125 per Month No $1,500 Yes $3,000 No No No Yes Yes 36
UnitedHealthcare AARP Medicare Advantage Patriot (Regional PPO)
R0759-002-0 		Regional PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 36
Aetna Medicare Aetna Medicare Select (HMO)
H1609-018-0 		HMO $80 per Month No $0 Yes $2,500 No No Yes No No 34
CarePlus Health Plans, Inc. CareNeeds Plus (HMO D-SNP)
H1019-026-0 		HMO $1,800 per Month No $0 Yes $1,500 No No Yes No No 33
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H5199-016-0 		Local PPO $89 per Month Yes $0 Yes $3,000 No No Yes Yes No 32
Humana HumanaChoice R5826-005 (Regional PPO)
R5826-005-0 		Regional PPO $50 per Quarter No $200 Yes $1,000 Yes No Yes No No 30
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 29
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 29
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-101-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 28
Cigna Healthcare Cigna TotalCare (HMO D-SNP)
H5410-056-0 		HMO $200 per Quarter No $800 Yes No No Yes No No 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 26
CarePlus Health Plans, Inc. CareOne Plus (HMO)
H1019-001-0 		HMO $75 per Month No $0 Yes $2,000 No No Yes No No 23
Molina Healthcare of Florida Molina Medicare Complete Care Select (HMO D-SNP)
H8130-009-0 		HMO $310 per Quarter No $1,240 Yes $2,000 No No No Yes No 23
Simply Healthcare Simply Freedom (PPO)
H9469-001-0 		Local PPO $95 per Month No $0 Yes $2,000 No No Yes Yes No 22
Simply Healthcare Plans, Inc. Simply Complete (HMO D-SNP)
H5471-076-0 		HMO $100 per Month No $0 Yes $2,000 No No Yes Yes No 22
CarePlus Health Plans, Inc. CareComplete Platinum (HMO C-SNP)
H1019-121-0 		HMO $50 per Month No $0 Yes $1,500 No No Yes No No 21
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-273-0 		Local PPO $25 per Month No $0 Yes $2,000 No No Yes No No 20
Simply Healthcare Plans, Inc. Simply More (HMO)
H5471-077-0 		HMO $50 per Month No $0 Yes $2,000 No No Yes Yes No 20
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
H2509-001-0 		HMOPOS $330 per Month No $0 Yes $3,600 Yes No Yes Yes No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 18
Humana HumanaChoice R5826-018 (Regional PPO)
R5826-018-0 		Regional PPO No $0 Yes $1,000 Yes No Yes No No 16
UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
H1045-039-0 		HMOPOS $270 per Month No $0 Yes $3,600 Yes No Yes Yes No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-868-0 		Local PPO No $0 No 14
Aetna Medicare Aetna Medicare Premier Plus (PPO)
H5521-272-0 		Local PPO $30 per Month No $0 Yes $3,000 No No Yes No No 13
Florida Blue BlueMedicare Group PPO (PPO)
H5434-802-0 		Local PPO No $0 No 12
Florida Blue HMO BlueMedicare Premier (HMO)
H1035-025-0 		HMO $140 per Quarter No $560 Yes No No Yes No No 12
Humana Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
H1036-213-0 		HMO $1,800 per Month No $0 Yes No No Yes No No 12
Aetna Medicare Aetna Medicare Assure Plus (HMO D-SNP)
H1609-048-0 		HMO $285 per Month No $0 Yes $5,000 No No Yes No No 11
PMC Medicare Choice MMM Plenitud (HMO-POS)
H4004-065-0 		HMOPOS $25 per Quarter No $100 Yes $1,250 No No No Yes No 11
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