Discover the Top Medicare Advantage Plans Florida Offers
Choosing from the top Medicare Advantage plans Florida offers can feel like navigating a maze, especially with the abundance of options. Whether you’re new to Medicare or simply seeking a better plan, it’s important to know that not all plans are created equal.
If you are familiar with Medicare Advantage, you can jump directly to the plan in your Florida County by entering your zip code in our Plan Finder look up tool below. Otherwise, keep reading.
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Your individual health needs and budget will heavily influence the plan that best suits you. Understanding these factors is crucial for navigating the vast landscape of Medicare Advantage plans available in Florida.
This in-depth guide will be a roadmap, providing clarity on Florida's Medicare Advantage plan options. We’ll highlight the top-rated plans, explain crucial factors to consider during your selection process and equip you with the knowledge to make an informed choice.
Florida’s Top Medicare Advantage Plans: An Overview
Instead of sticking with Original Medicare (Parts A and B), nearly half of Medicare beneficiaries nationwide opt for Medicare Advantage plans. Also known as Medicare Part C, these bundled plans are provided through private insurance companies approved by Medicare. They’re required to cover everything Original Medicare does.
However, plans can differ in several ways, such as provider networks, cost-sharing structures, and additional benefits. These differences are why it's essential to compare your options carefully to find the best plan for your needs and preferences.
Understanding the 5-Star Rating System
You’ve likely seen or heard of Medicare's Star Ratings when evaluating Medicare Advantage plans available in Florida. This system, used by the Centers for Medicare & Medicaid Services (CMS), rates plans on a scale of 1 to 5, with five stars representing the highest quality.
This comprehensive rating system considers member experiences, preventive care, screenings, management of chronic conditions, and customer service. It provides a valuable tool for comparing the performance and quality of different plans.
Not every Florida County provides access to 5-star plans. That does not mean a 4-star plan isn't good. It simply means it isn't the best of the best. Before selecting your Medicare Advantage plan, remember to check the plan's Star Rating.
Beyond the Stars: Additional Factors to Consider
While a plan's star rating offers significant insight into its quality, relying solely on this metric would be like choosing a car based only on its color. It's important to assess your unique needs. For instance, if you value wellness programs, check if the plan offers gym memberships or fitness discounts.
Prescription Drug Coverage (Part D)
Many Medicare Advantage plans come bundled with prescription drug coverage, referred to as Part D. If you require regular medication, remember to carefully analyze a plan’s formulary – a list outlining the specific drugs covered and at what cost-sharing level.
Pay attention to any restrictions, such as prior authorization requirements or quantity limits, that might apply to certain medications. Understanding the nuances of a plan’s formulary is vital for managing your healthcare costs effectively.
Provider Networks
Unlike Original Medicare, most Advantage plans require members to stay within the plan's network of providers, except for emergencies. This network may consist of doctors, specialists, and hospitals. Verify whether your preferred providers are included in a plan's network before enrolling.
If you have doctors you see regularly, ensuring they are in the plan's network can provide continuity of care and peace of mind. It’s also essential to consider the network’s geographical coverage, especially if you frequently travel or reside in multiple locations.
Out-of-Pocket Costs
Medicare Advantage plans come with varying out-of-pocket costs. Deductibles, copayments, and coinsurance influence how much you’ll pay for medical care. Carefully evaluate plan materials or use the Plan Finder tool on Medicare.gov to estimate your potential annual expenses based on your healthcare needs.
Choosing a plan aligned with your health status and anticipated healthcare usage can lead to considerable savings. Factor in any potential costs for additional benefits, such as dental or vision care, to develop a comprehensive picture of your financial responsibility.
Unveiling the Standout Performers: High-Ranked Medicare Advantage Plans in Florida
Choosing from the best Medicare Advantage plans Florida offers should involve scrutinizing their offerings and understanding what sets them apart. It’s about finding the plan that aligns with your healthcare needs and financial situation.
Top Medicare Advantage Plans in Florida
Provider | Plan ID | Plan Name | Premium | Limit | Stars |
---|---|---|---|---|---|
Devoted Health | H1290-045 | Devoted ESSENTIALS East Coast Florida (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-046 | Devoted CORE East Coast Florida (HMO) | $0.00 | $3,400 | 5.0 |
Devoted Health | H1290-002 | Devoted CORE Broward (HMO) | $0.00 | $2,500 | 5.0 |
Devoted Health | H1290-014 | Devoted ESSENTIALS Broward (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-037 | Devoted PREMIUM Florida (HMO) | $21.90 | $3,400 | 5.0 |
Devoted Health | H1290-029 | Devoted CORE Jacksonville (HMO) | $0.00 | $3,400 | 5.0 |
Devoted Health | H1290-031 | Devoted ESSENTIALS Jacksonville (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-049 | Devoted ESSENTIALS Daytona (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-050 | Devoted CORE Daytona (HMO) | $0.00 | $3,700 | 5.0 |
Devoted Health | H1290-036 | Devoted CORE Tampa (HMO) | $0.00 | $1,900 | 5.0 |
Devoted Health | H1290-051 | Devoted ESSENTIALS Tampa (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-027 | Devoted CORE North Florida (HMO) | $0.00 | $2,750 | 5.0 |
Devoted Health | H1290-035 | Devoted ESSENTIALS North Florida (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-025 | Devoted CORE Manatee (HMO) | $0.00 | $3,200 | 5.0 |
Devoted Health | H1290-032 | Devoted ESSENTIALS Manatee (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-001 | Devoted CORE Miami-Dade (HMO) | $0.00 | $1,500 | 5.0 |
Devoted Health | H1290-013 | Devoted ESSENTIALS Miami-Dade (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-005 | Devoted CORE Orlando (HMO) | $0.00 | $2,900 | 5.0 |
Devoted Health | H1290-018 | Devoted ESSENTIALS Orlando (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-015 | Devoted ESSENTIALS Palm Beach (HMO) | $0.00 | $4,900 | 5.0 |
Devoted Health | H1290-003 | Devoted CORE Palm Beach (HMO) | $0.00 | $3,400 | 5.0 |
Erickson Advantage | H5652-001 | Erickson Advantage Signature (HMO-POS) | $168.00 | $2,600 | 5.0 |
Erickson Advantage | H5652-006 | Erickson Advantage Freedom (HMO-POS) | $64.00 | $4,300 | 5.0 |
Erickson Advantage | H5652-008 | Erickson Advantage Liberty (HMO-POS) | $0.00 | $7,300 | 5.0 |
Humana | H1036-068 | Humana Gold Plus H1036-068 (HMO) | $0.00 | $3,300 | 5.0 |
Humana | H1036-270 | Humana Gold Plus H1036-270 (HMO) | $0.00 | $3,900 | 5.0 |
Humana | H1036-143 | Humana Gold Plus H1036-143 (HMO) | $0.00 | $4,800 | 5.0 |
Humana | H1036-271 | Humana Gold Plus H1036-271 (HMO) | $0.00 | $6,200 | 5.0 |
Humana | H1036-065 | Humana Gold Plus H1036-065C (HMO) | $0.00 | $1,000 | 5.0 |
Humana | H1036-305 | Humana Gold Plus H1036-305 (HMO) | $0.00 | $3,200 | 5.0 |
Humana | H1036-217 | Humana Gold Plus H1036-217 (HMO) | $0.00 | $3,800 | 5.0 |
Humana | H1036-278 | Humana Gold Plus H1036-278 (HMO) | $0.00 | $4,400 | 5.0 |
Humana | H1036-074 | Humana Gold Plus H1036-074 (HMO) | $0.00 | $3,000 | 5.0 |
Humana | H1036-265 | Humana Gold Plus H1036-265 (HMO) | $0.00 | $2,400 | 5.0 |
Humana | H1036-266 | Humana Gold Plus H1036-266 (HMO) | $0.00 | $3,400 | 5.0 |
Humana | H1036-044 | Humana Gold Plus H1036-044 (HMO) | $0.00 | $3,200 | 5.0 |
Humana | H1036-157 | Humana Gold Plus H1036-157 (HMO) | $0.00 | $3,700 | 5.0 |
Humana | H1036-229 | Humana Gold Plus H1036-229 (HMO) | $0.00 | $2,500 | 5.0 |
Humana | H1036-230 | Humana Gold Plus H1036-230 (HMO) | $0.00 | $2,400 | 5.0 |
Humana | H1036-025 | Humana Gold Plus H1036-025 (HMO) | $0.00 | $1,800 | 5.0 |
Humana | H1036-286 | Humana Gold Plus H1036-286 (HMO) | $0.00 | $6,500 | 5.0 |
Humana | H1036-146 | Humana Gold Plus H1036-146 (HMO) | $0.00 | $2,600 | 5.0 |
Humana | H1036-269 | Humana Gold Plus H1036-269 (HMO) | $0.00 | $3,200 | 5.0 |
Humana | H1036-295 | Humana Community (HMO) | $0.00 | $2,500 | 5.0 |
Humana | H1036-054 | Humana Gold Plus H1036-054C (HMO) | $0.00 | $500 | 5.0 |
Humana | H1036-062 | Humana Gold Plus H1036-062C (HMO) | $0.00 | $1,000 | 5.0 |
Leon Health Plans | H4286-001 | Leon MediExtra (HMO) | $0.00 | $1,000 | 5.0 |
Leon Health Plans | H4286-003 | Leon MediMore (HMO) | $0.00 | $3,450 | 5.0 |
Optimum HealthCare, Inc. | H5594-001 | Optimum Gold Rewards Plan (HMO) | $0.00 | $1,900 | 5.0 |
Optimum HealthCare, Inc. | H5594-002 | Optimum Platinum Plan (HMO) | $0.00 | $1,000 | 5.0 |
Optimum HealthCare, Inc. | H5594-019 | Optimum Gold Plan (HMO) | $0.00 | $3,400 | 5.0 |
Optimum HealthCare, Inc. | H5594-032 | Optimum Gold Plus Plan (HMO) | $0.00 | $1,900 | 5.0 |
Simply Healthcare Plans, Inc. | H5471-077 | Simply More (HMO) | $0.00 | $3,450 | 5.0 |
Simply Healthcare Plans, Inc. | H5471-104 | Simply Extra (HMO) | $0.00 | $3,450 | 5.0 |
Simply Healthcare Plans, Inc. | H5471-123 | Simply Extra Platinum (HMO) | $0.00 | $3,200 | 5.0 |
Simply Healthcare Plans, Inc. | H5471-124 | Simply More Platinum (HMO) | $0.00 | $3,200 | 5.0 |
UnitedHealthcare | H5420-003 | UHC MedicareMax Medicare Advantage FL-0029 (HMO) | $0.00 | $2,900 | 5.0 |
UnitedHealthcare | H5420-001 | UHC MedicareMax Medicare Advantage FL-0028 (HMO) | $0.00 | $3,400 | 5.0 |
BayCare Health Plans | H2235-001 | BayCarePlus Complete (HMO) | $0.00 | $3,100 | 4.5 |
BayCare Health Plans | H2235-002 | BayCarePlus Rewards (HMO) | $0.00 | $4,500 | 4.5 |
BayCare Health Plans | H2235-003 | BayCarePlus Premier (HMO) | $42.00 | $2,500 | 4.5 |
BayCare Health Plans | H2235-005 | BayCarePlus Value (HMO) | $0.00 | $4,500 | 4.5 |
BayCare Health Plans | H2235-006 | BayCarePlus Freedom (HMO-POS) | $0.00 | $3,850 | 4.5 |
Capital Health Plan | H5938-001 | Capital Health Plan Advantage Plus (HMO) | $26.00 | $3,850 | 4.5 |
Capital Health Plan | H5938-006 | Capital Health Plan Preferred Advantage (HMO) | $86.00 | $3,850 | 4.5 |
Capital Health Plan | H5938-008 | Capital Health Plan Silver Advantage (HMO) | $0.00 | $3,850 | 4.5 |
Cigna Healthcare | H5410-018 | Cigna Preferred Medicare (HMO) | $0.00 | $4,750 | 4.5 |
Cigna Healthcare | H5410-028 | Cigna Preferred Savings Medicare (HMO) | $0.00 | $3,300 | 4.5 |
Freedom Health, Inc. | H5427-059 | Freedom Medicare Plan Rx (HMO) | $0.00 | $3,000 | 4.5 |
Freedom Health, Inc. | H5427-088 | Freedom Platinum Plan Rx (HMO) | $0.00 | $1,750 | 4.5 |
Freedom Health, Inc. | H5427-106 | Freedom Platinum Rewards Plan Rx (HMO) | $0.00 | $3,400 | 4.5 |
Freedom Health, Inc. | H5427-109 | Freedom Platinum Plus Plan Rx (HMO) | $43.00 | $1,500 | 4.5 |
Freedom Health, Inc. | H5427-113 | Freedom M?ximo (HMO-POS) | $0.00 | $1,900 | 4.5 |
HealthSun Health Plans, Inc. | H5431-006 | HealthSun MediMax (HMO) | $23.90 | $3,450 | 4.5 |
HealthSun Health Plans, Inc. | H5431-012 | HealthSun HealthAdvantage Plan (HMO) | $0.00 | $2,500 | 4.5 |
HealthSun Health Plans, Inc. | H5431-018 | HealthSun HealthAdvantage Plus (HMO) | $0.00 | $3,450 | 4.5 |
Humana | H5216-070 | HumanaChoice Florida H5216-070 (PPO) | $0.00 | $6,200 | 4.5 |
Humana | H5216-392 | HumanaChoice Florida H5216-392 (PPO) | $22.00 | $3,400 | 4.5 |
Humana | H5216-393 | HumanaChoice Florida H5216-393 (PPO) | $0.00 | $6,500 | 4.5 |
Humana | H5216-062 | HumanaChoice Florida H5216-062 (PPO) | $0.00 | $3,350 | 4.5 |
Humana | H5216-311 | HumanaChoice Florida H5216-311 (PPO) | $0.00 | $4,850 | 4.5 |
Humana | H5216-068 | HumanaChoice Florida H5216-068 (PPO) | $0.00 | $3,850 | 4.5 |
Humana | H5216-072 | HumanaChoice Florida H5216-072 (PPO) | $0.00 | $5,400 | 4.5 |
Humana | H5216-304 | HumanaChoice Florida H5216-304 (PPO) | $0.00 | $4,700 | 4.5 |
Humana | H5216-074 | HumanaChoice Florida H5216-074 (PPO) | $0.00 | $5,800 | 4.5 |
UnitedHealthcare | H1045-033 | AARP Medicare Advantage from UHC FL-0009 (HMO-POS) | $0.00 | $3,800 | 4.5 |
UnitedHealthcare | H1045-026 | AARP Medicare Advantage from UHC FL-0005 (HMO-POS) | $0.00 | $3,400 | 4.5 |
UnitedHealthcare | H1045-031 | AARP Medicare Advantage from UHC FL-0008 (HMO-POS) | $0.00 | $3,800 | 4.5 |
UnitedHealthcare | H1045-030 | AARP Medicare Advantage from UHC FL-0007 (HMO-POS) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-005 | UHC Preferred Medicare Advantage FL-0002 (HMO) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-041 | AARP Medicare Advantage from UHC FL-0011 (HMO-POS) | $0.00 | $3,500 | 4.5 |
UnitedHealthcare | H1045-028 | AARP Medicare Advantage from UHC FL-0006 (HMO-POS) | $0.00 | $3,800 | 4.5 |
UnitedHealthcare | H1045-034 | AARP Medicare Advantage from UHC FL-0010 (HMO-POS) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-043 | AARP Medicare Advantage from UHC FL-0013 (HMO-POS) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-042 | AARP Medicare Advantage from UHC FL-0012 (HMO-POS) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-045 | AARP Medicare Advantage from UHC FL-003P (HMO-POS) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-036 | AARP Medicare Advantage from UHC FL-001P (HMO-POS) | $0.00 | $2,900 | 4.5 |
UnitedHealthcare | H1045-025 | UHC The Villages Medicare Advantage FL-0004 (HMO-POS) | $0.00 | $2,700 | 4.5 |
UnitedHealthcare | H1045-056 | UHC The Villages Medicare Advantage FL-004P (HMO-POS) | $0.00 | $2,400 | 4.5 |
UnitedHealthcare | H1045-001 | UHC Preferred Medicare Advantage FL-0001 (HMO) | $0.00 | $2,900 | 4.5 |
Finding Your Ideal Plan: Practical Tips for Comparing Options
Don’t rush the selection process, particularly with something as crucial as your healthcare. Consider the best Medicare Advantage plans Florida offers through several reliable sources and comparison methods.
Start with Medicare’s official Plan Finder tool (Medicare.gov), which enables side-by-side plan comparison based on your location and specific requirements. Utilize online resources, read reviews, and speak with friends or family members enrolled in Medicare Advantage for insights.
Seeking Expert Assistance
If navigating the complexities of Medicare Advantage proves challenging, know that resources and assistance are available to guide you. Use a Medicare agent/broker or contact Medicare directly at 1-800-MEDICARE for personalized help.
These professionals can provide objective advice, answer your questions, and assist you in finding a plan that aligns with your budget and health needs. Don’t hesitate to seek expert guidance to make the Medicare Advantage selection process less overwhelming.
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