The Medicare Project   
a consumer's guide to Florida Medicare Insurance, Medicare Part D Prescription Drug Plans and Coverage

topics: Medicare Prescription Drug Help, Medicare coverage, Medicare Advantage prescription drug programs, supplement insurance, what is Medicare? help

Medicare Florida help & articles Florida Medicare Prescription Drug Plans The Medicare Project (Home) Florida MEDICAID help

Florida Medicare Insurance, Part D Prescription Drug Coverage
Medicare Help & Information, Medicare Part D In Florida, Medicare help

Gettiong answers and information about Medicare insurance, prescription drug coverage and health plans involves searching through hundreds of pages at government and private websites. To help seniors and caregivers get started in their search, our editors have compiled this digest of Florida Medicare help and information resources.
 

Florida Medicare Insurance; FL; Medicare Part D in Florida


 
Topics on this page:
Florida Medicare eligibility • Medicare Reform • Medicare Basic Information • Medicare Insurance  • Part D, Drug & Prescription Programs

 
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how to use this data

Florida Medicare Insurance Coverage, Eligibility

The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.
 

Florida Medicare Insurance Coverage, Eligibility

web page :
The Medicare Buy-In

source:FamiliesUSA
languages: English
from the web page: "Medicare buy-in benefits were created by Congress to help low-income Medicare beneficiaries pay their share of Medicare premiums, and in some instances, deductibles and copayments. Medicare beneficiaries are eligible for different buy-in programs depending on their incomes..."

web page:
Enrolling in Medicare

source:Medicare Rights center
languages: English
from the web page: "...If you are getting Social Security when you turn 65, you will automatically get both Medicare Part A and Part B on the first day of the month in which you turn 65. A card will be mailed to you about three months before your birthday. The Medicare card is red, white and blue. It will come with your name and Medicare number printed on it...."

Medicare brochure or publication:
Your Medicare Rights and Protections

source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
44pp   languages: English
Fairly detailed explanations and descriptions about your Medicare rights and protections.

brochure or publication:
Medicare Supplement Insurance - A Guide For Consumers (Florida)

source: Florida Department of Financial Services
file size: 56 pg.   languages: English
topics: * Medicare Supplement Insurance; * Sample annual premiums; * Medicare's legislative changes; * Other insurance for seniors; * Companies licensed to sell Medicare in Florida

brochure or publication:
MEDICARE CHOICES AVAILABLE TO FLORIDA RESIDENTS - 2007

source: Florida Department of Elder Affairs
file size: 1 pg.   languages: English
(2007) Explains the various types of Medicare health insurance options currently available in Florida including Original Medicare, Medicare Advantage Plans, and Supplemental Insurance.
 
more from Florida Department of Elder Affairs:
brochure or publication:
Health Insurance Programs
26 pages; languages: English
from the brochure:Medicare will not pay for all of the procedures you may need. Not only are there certain limitations of the types of services Medicare will pay, you may be surprised by the required copayments and deductibles. To help you better understand how your Medicare health insurance works, the Department of Elder Affairs provides free health insurance counseling for seniors through the SHINE program..."

web page:
MEDICARE+CHOICE IN PALM BEACH: WATCHING AND WAITING?

source:Center for Health Services Research and Policy - George Washington University
1 page languages: English
from the web page: December 2003 "...Medicare+Choice has not been as successful as policymakers had hoped-- enrollment dropped between 2000 and 2003 as significant numbers of health plans withdrew from the program or reduced benefits and service areas. In 2003, only eleven percent of beneficiaries remain enrolled in a Medicare HMO....."

brochure :
Your Eligibility for Extra Help with Medicare Prescription Drug Costs in 2008 If You Automatically Qualified in 2007

source:MAP Rx
1 page languages: English
from the brochure: "You will automatically qualify for Extra Help in 2008 if you:..."

brochure:
MEDICARE CHOICES AVAILABLE TO FLORIDA RESIDENTS - 2007

source: SHINE (Serving Health Insurance Needs of Elders)
file size: 1 pg.   languages: English
"You may review various types of Medicare health insurance options currently available in Florida including Original Medicare, Medicare Advantage Plans, and Supplemental Insurance"

 
more from SHINE - Serving Health Insurance Needs of Elders:
brochure:
MEDICARE PREVENTIVE SERVICES
file size: 2 pg.   languages: English
from the brochure:"...A fact sheet explaining preventive health services covered by Medicare including information on who and what is covered, how often services are given, and your out-of-pocket costs"


Part D Medicare and Prescription Drug Topics

brochure or publication:
Understanding Prescription Drug Costs


source:FloridaHealthFinder.gov
11 pg.   languages: English
Iinformation about Florida prescription drug plans, useful definitions and vocabulary of drug coverage terms. from the brochure: "This brochure contains information for everyone that needs or might need to take prescription drugs – whether you have or do not have health insurance for these drugs. The purpose of this brochure is to help you know what cost-saving options there are and what questions to ask..."

web site:
Florida Prescription Drug Prices

languages: English
Joint project from the Florida Attorney General and the Agency for Health Care Administration from the web site: "...The Florida Prescription Drug Price website provides pricing information for the 100 most commonly used prescription drugs in Florida. The prices are the “usual and customary prices,” also known as retail prices, reported monthly by pharmacies. This is the price that an uninsured consumer, with no discount or supplemental plan, would normally pay. Prices at your local pharmacy may change daily, so this website is only meant to help you compare prices at different pharmacies and are not a guaranteed price...."

Medicare brochure or publication:
Florida Medicare Drug Plan Ratings

source:AARP
file size:5 pg.  languages: English
from the brochure: "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...."

Medicare brochure or publication:
State-level Medicare Part D Plan Characteristics, A 2007 Update

source: Kaiser Family Foundation - Medicare
file size: 2 pg.   languages: English
(Includes information about Florida Medicare) "This fact sheet contains new state-specific summary data about available Medicare drug benefit options, including the number of stand-alone plans with gap coverage in the "doughnut hole," and the number of plans available at no cost to qualifying beneficiaries...."

web page:
Medicare Prescription Drug Plan Finder

source:Medicare: The Official U.S. Government Site for People with Medicare
languages: English
Find and compare plans for all states, including Florida Medicare Prescription Drug plans

Medicare brochure or publication:
Landscape: 2007 Florida Stand-Alone Prescription Drug Plans

source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services
file size:6 pg.   languages: English
Companies, insurers, health care providers approved to offer Medicare Stand Alone Prescription Drug Plans in Florida."

Medicare brochure or publication:
Landscape: 2007 Florida Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services
file size:34 pg.   languages: English  date:2006
Companies, insurers, health care providers approved to offer Medicare Advantage Prescription Drug Plans in Florida."
.
.

How to get more information about Florida Medicare Prescription Drug Programs
Medicare.gov has summary information about the plans offered by the companies listed in the tables above. The data sheets are called "Landscapes".
  1. The Landscape of Local Plans is a list of all plans available in your area. You can get answers to important questions for people with Medicare based on what matters to them, including:
    • Cost (premiums, deductibles and payments)
    • Coverage (important issues around what and how drugs are covered)
    • Convenience (pharmacy and mail-order options)
  2. Medicare.gov has an important help page that explains how to read and interpret the information in both Medicare Prescription Drug Plan "Landscapes. You can access the help page through this link: How to read the Medicare Prescription Drug Plans Landscape
  3. We have provided links to the landscape documents for this state in the list of publications above. 


Medicare in FL - Special Programs, Medicare HMO

brochure:
HMOs, a Guide for Consumers

source: Florida Department of Financial Services
52 pages; languages: English
"HMOs offer an alternative to health insurance that has become increasingly popular. Learn how they differ from standard health insurance, and how to choose a program that is right for you..."

web page:
People with Medicare

source: FMQAI, Florida's Medicare Quality Improvement Organization
languages: English
from the web page: "Most doctors and healthcare organizations want to give the very best care to their patients. However, all healthcare providers are human and therefore not perfect. If you believe a physician or healthcare organization may have placed your health at risk, call FMQAI’s beneficiary helpline at..."

web page:
Medicare HMO - What if your Medicare HMO does not approve care you need?

source: Medicare Advocacy Project
languages: English
"Ask the Medicare HMO for a letter explaining why your request was not approved... Tip: You do not need a reason to get this information in writing. You have a right to it. If anyone at your Medicare HMO asks you why you want the information in writing, tell them Medicare says you have a right to it..."

web page:
Health Insurance: Best Health Plans 2006: (Florida)

source: U.S. News & World Report
languages: English
"Commercial, Medicare and medicaid plans.."

web page:
Medicare HMOs Neglect Rural Seniors HMOs Not The Answer for Millions of Rural Beneficiaries

source: FamiliesUSA
languages: English
(September 9, 1999) "Nine out of ten Medicare beneficiaries in rural areas have no choices when it comes to Medicare HMOs, according to a new report by the consumer watchdog group Families USA..."


 

Florida Medicare prescription drug and health coverage plans

Important advice about how to use this data: The data for the table below came from www.medicare.gov, "The Official U.S. Government Site for People with Medicare", in December, 2006, and is subject to change at any time. To check for changes and the newest data, you should visit www.medicare.gov. Your state insurance administrator might have different data; be sure to check with them before making any decisions. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.

 

These are plans which offer prescription drug coverage:

Florida Medicare prescription drug coverage plans, Florida Part D Medicare

  This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
Aetna Medicare Rx Essentials
Aetna Medicare No gap coverage Non-Members 1-800-445-1796
TTY Users should call:
1-800-628-3323
Members 1-877-238-6211
TTY Users should call:
1-877-238-6211
Aetna Medicare Rx Plus
Aetna Medicare
Generic Only
Aetna Medicare Rx Premier
Aetna Medicare
Generic Only
AmeriHealth Advantage Rx Option l
AmeriHealth Advantage No gap coverage Non-Members 1-866-456-1694
TTY Users should call:
1-866-456-1683
Members 1-888-457-3007
TTY Users should call:
1-888-457-3007
BlueScript for Medicare Part D Option 1
Blue Cross and Blue Shield of Florida, Inc. No gap coverage Non-Members 1-800-876-2227
TTY Users should call:
1-800-955-1339
Members 1-877-352-2583
TTY Users should call:
1-904-905-0000
BlueScript for Medicare Part D Option 2
Blue Cross and Blue Shield of Florida, Inc.
Generic Only
CIGNATURE Rx Complete Plan
CIGNA HealthCare Generic Only Non-Members 1-800-735-1459
Members 1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Plus Plan
CIGNA HealthCare
No gap coverage
CIGNATURE Rx Value Plan
CIGNA HealthCare
No gap coverage
AdvantraRx Premier
Coventry AdvantraRx No gap coverage Non-Members 1-800-882-3822
TTY Users should call:
1-800-508-9548
Members 1-866-823-5178
TTY Users should call:
1-866-823-5178
AdvantraRx Premier Plus
Coventry AdvantraRx
No gap coverage
AdvantraRx Value
Coventry AdvantraRx
No gap coverage
Humana PDP Complete S5884-039
Humana Insurance Company Generic and Brand Non-Members 1-800-706-0872
TTY Users should call:
1-877-833-4486
Members 1-800-281-6918
TTY Users should call:
1-800-281-6918
Humana PDP Enhanced S5884-010
Humana Insurance Company
No gap coverage
Humana PDP Standard S5884-069
Humana Insurance Company
No gap coverage
Prescription Pathway Gold Plan Reg 11
Marquette National Life Insurance Company No gap coverage Non-Members 1-800-845-2551
TTY Users should call:
1-866-222-3904
Members 1-800-698-8395
TTY Users should call:
1-800-698-8395
Prescription Pathway Platinum Plan Reg 11
Marquette National Life Insurance Company
No gap coverage
Prescription Pathway Silver Plan Reg 11
Marquette National Life Insurance Company
No gap coverage
YOURx PLAN
Medco YOURx PLAN No gap coverage Non-Members 1-800-758-3605
TTY Users should call:
1-800-716-3231
Members 1-800-758-4574
TTY Users should call:
1-800-758-4574
Community Care Rx CHOICE
MEMBERHEALTH
No gap coverage
Community Care Rx GOLD
MEMBERHEALTH
No gap coverage
Prescription Pathway Bronze Plan Reg 11
Pennsylvania Life Insurance Company No gap coverage Non-Members 1-800-765-8900
TTY Users should call:
1-866-222-3904
Members 1-800-698-8394
TTY Users should call:
1-850-432-1700
Prescription Pathway Gold Plan Reg 11
Pennsylvania Life Insurance Company
No gap coverage
Prescription Pathway Silver Plan Reg11
Pennsylvania Life Insurance Company
No gap coverage
SilverScript
SilverScript Insurance Company No gap coverage Non-Members 1-866-552-6106
TTY Users should call:
1-866-552-6288
Members 1-866-235-5660
TTY Users should call:
1-866-235-5660
SilverScript Plus
SilverScript
No gap coverage
Sterling Prescription Drug Plan
Sterling Life Insurance Company No gap coverage Non-Members 1-888-909-1713
TTY Users should call:
1-888-858-8567
Members 1-866-865-0664
TTY Users should call:
1-866-865-0664
MedicareRx Rewards
Unicare No gap coverage Non-Members 1-866-892-5335
Members 1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Plus
Unicare
No gap coverage
MedicareRx Rewards Premier
Unicare
Generic Only
UA Medicare Part D Prescription Drug Cov
United American Insurance Company No gap coverage Non-Members 1-866-524-4169
TTY Users should call:
1-866-524-4170
Members 1-866-524-4169
TTY Users should call:
1-866-524-4169
AARP MedicareRx Plan
UnitedHealthcare No gap coverage Non-Members 1-888-867-5564
TTY Users should call:
1-877-730-4192
Members 1-888-867-5575
TTY Users should call:
1-888-867-5575
PacifiCare Comprehensive Plan
UnitedHealthcare
Generic Only Non-Members 1-800-943-0399
Members 1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Saver Plan
UnitedHealthcare
No gap coverage
PacifiCare Select Plan
UnitedHealthcare
No gap coverage
United Medicare MedAdvance
UnitedHealthcare
No gap coverage Non-Members 1-888-556-6657
TTY Users should call:
1-888-556-7065
Members 1-888-556-7047
TTY Users should call:
1-888-556-7047
Masterpiece Rx
Universal Health Care, Inc. No gap coverage Non-Members 1-866-690-4842
TTY Users should call:
1-800-617-0177
Members 1-866-690-4842
TTY Users should call:
1-727-822-3446
Masterpiece Rx Choice
Universal Health Care, Inc.
Generic and Brand
WellCare Complete
WellCare No gap coverage Non-Members 1-888-423-5252
Members 1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Premier
WellCare
No gap coverage
WellCare Signature
WellCare
No gap coverage

 

These are plans which mostly offer health insurance and prescription drug coverage in one plan:

Florida Medicare Health Plans (commonly called "Medicare Supplement insurance")

  This list is to familiarize you with Medicare Health Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
AdvantageCare
AdvantageCare No gap coverage Non-Members 1-877-692-3822
TTY Users should call:
1-800-955-8771
Members1-877-874-1234
TTY Users should call:
1-800-955-8771
AdvantageCare
AdvantageCare
No gap coverage
Aetna Golden Choice Standard Plan
Aetna Medicare No gap coverage Non-Members 1-800-445-1796
TTY Users should call:
1-800-628-3323
Members 1-800-282-5366
TTY Users should call:
1-800-628-3323
Aetna Golden Medicare Standard Plan
Aetna Medicare No gap coverage
FloridianCare Complete
American Pioneer Life Insurance Company Generic Only Non-Members 1-866-556-4607
TTY Users should call:
1-866-338-4681
Members 1-800-817-3516
TTY Users should call:
1-866-338-4681
FloridianCare Plus
American Pioneer Life Insurance Company
Generic Only
FloridianCare Plus
American Pioneer Life Insurance Company
Generic Only
America's Health Choice Healthy Rewards Pl
America's Health Choice Generic and Brand Non-Members 1-800-781-9830
TTY Users should call:
1-877-660-6651
Members 1-800-781-9830
TTY Users should call:
1-877-660-6651
America's Health Choice Healthy Rewards Pl
America's Health Choice Generic and Brand
America's Health Choice Healthy Rewards Pl
America's Health Choice Generic and Brand
America's Health Choice Premier Plan
America's Health Choice Generic and Brand See above
America's Health Choice Premier Plan
America's Health Choice Generic and Brand See above
America's Health Choice Premier Plan
America's Health Choice Generic and Brand See above
AvMed Premier Care
AvMed Medicare Preferred Generic Only Non-Members 1-800-250-9243
TTY Users should call:
1-877-442-8633
Members 1-800-782-8633
TTY Users should call:
1-877-442-8633
AvMed Premier Care
AvMed Medicare Preferred
No gap coverage
AvMed Medicare Preferred PPO
AvMed Medicare Preferred PPO
No gap coverage
AvMed Medicare Preferred PPO
AvMed Medicare Preferred PPO
No gap coverage See above
BluePreferred Plan 1
Blue Cross and Blue Shield of Florida No gap coverage Non-Members 1-800-876-2227
TTY Users should call:
1-800-955-1339
Members 1-877-352-2583
TTY Users should call:
1-800-955-1339
BluePreferred Plan 1
Blue Cross and Blue Shield of Florida
No gap coverage
Capital Health Plan Advantage Plus
Capital Health Plan No gap coverage Non-Members 1-800-390-1434
TTY Users should call:
1-800-955-8771
Members 1-800-390-1434
TTY Users should call:
1-800-955-8771
CareCenters Plan
CarePlus Health Plans, Inc. Generic Only Non-Members 1-800-794-4105
TTY Users should call:
1-877-245-7930
Members 1-305-423-3371
TTY Users should call:
1-877-245-7930
CareExtra Plan
CarePlus Health Plans, Inc.
No gap coverage
CareExtra Plan
CarePlus Health Plans, Inc.
No gap coverage
CareExtra Plan
CarePlus Health Plans, Inc.

No gap coverage See above
CareFree Plan
CarePlus Health Plans, Inc.
No gap coverage See above
CareFree Plan
CarePlus Health Plans, Inc.
No gap coverage See above
CareFree Plan
CarePlus Health Plans, Inc.
No gap coverage See above
CareOne Plan
CarePlus Health Plans, Inc.
Generic Only See above
CareOne Plan
CarePlus Health Plans, Inc.
Generic Only See above
CareOne Plan
CarePlus Health Plans, Inc.
Generic Only See above
CareOne Plan
CarePlus Health Plans, Inc.
No gap coverage See above
CareOne Plan
CarePlus Health Plans, Inc.
No gap coverage See above
CitrusCare
Citrus Health Care, Inc. Generic and Brand Non-Members 1-866-769-1157
TTY Users should call:
1-888-248-7875
Members 1-877-624-8787
TTY Users should call:
1-866-248-7875
CitrusCare
Citrus Health Care, Inc.
Generic and Brand
CitrusCare
Citrus Health Care, Inc.
Generic and Brand
CitrusCare
Citrus Health Care, Inc.
Generic and Brand See above
CitrusCare
Citrus Health Care, Inc.
Generic and Brand See above
CitrusCare
Citrus Health Care, Inc.
Generic and Brand See above
CitrusCare Platinum
Citrus Health Care, Inc.
Generic and Brand See above
CitrusCare Platinum Plan
Citrus Health Care, Inc.
Generic and Brand See above
DoctorCare Health Advantage
Doctorcare, Inc. No gap coverage Non-Members 1-800-379-8961
TTY Users should call:
1-800-379-8960
Members 1-800-379-8961
TTY Users should call:
1-800-379-8960
FHCP Medvantage Rx
Florida Health Care Plan, Inc. No gap coverage Non-Members 1-800-232-0578
TTY Users should call:
1-877-260-8312
Members 1-800-352-9824
TTY Users should call:
1-877-260-8312
FHCP Medvantage Rx Plus
Florida Health Care Plan, Inc.
Generic and Brand
Freedom Medicare Plan
Freedom Health, Inc. Generic and Brand Non-Members 1-888-796-0946
TTY Users should call:
1-800-955-8771
Members 1-800-401-2740
TTY Users should call:
1-800-955-8771
Freedom Medicare Plan
Freedom Health, Inc.
Generic and Brand
The Classic Secure Plan
Health First Medicare Plans Generic and Brand Non-Members 1-800-856-8652
TTY Users should call:
1-800-955-8771
Members 1-800-716-7737
TTY Users should call:
1-800-955-8771
The Value Secure Plan
Health First Medicare Plans
Generic and Brand See above
ActivelyYou
Health Options, Inc.\BCBSF Generic Only Non-Members 1-800-876-2227
TTY Users should call:
1-800-955-1339
Members 1-877-352-2583
TTY Users should call:
1-800-955-1339
ActivelyYou
Health Options, Inc.\BCBSF
Generic Only
ActivelyYou
Health Options, Inc.\BCBSF
Generic Only
Medicare & More
Health Options, Inc.\BCBSF
No gap coverage See above
Medicare & More
Health Options, Inc.\BCBSF
No gap coverage See above
Medicare & More
Health Options, Inc.\BCBSF
No gap coverage See above
SunPlus Advantage Plan
HealthSun Health Plans, Inc. Generic and Brand Non-Members 1-877-207-4900
TTY Users should call:
1-877-206-0500
Members 1-877-207-4900
TTY Users should call:
1-305-256-8880
HumanaChoicePPO PPO H5415-006
Humana Health Insurance Company Of Fl, Inc. No gap coverage Non-Members 1-800-833-2364
TTY Users should call:
1-800-833-3301
Members 1-800-457-4708
TTY Users should call:
1-877-833-4486
HumanaChoicePPO PPO H5415-011
Humana Health Insurance Company Of Fl, Inc. No gap coverage
HumanaChoicePPO PPO H5415-021
Humana Health Insurance Company Of Fl, Inc. No gap coverage
HumanaChoicePPO PPO H5415-039
Humana Health Insurance Company Of Fl, Inc. No gap coverage See above
Humana Gold Choice PFFS H1804-122
Humana Insurance Company No gap coverage See above
Humana Gold Choice PFFS H1804-123
Humana Insurance Company No gap coverage See above
Humana Gold Choice PFFS H1804-145
Humana Insurance Company No gap coverage See above
HumanaChoicePPO PPO R5826-005
Humana Insurance Company No gap coverage See above
HumanaChoicePPO PPO R5826-032
Humana Insurance Company No gap coverage See above
Humana Gold Plus HMO H1036-011A
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-025
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-034A
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-035A
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-037C
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-040
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-044
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-047
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-052
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-054C
Humana Medical Plan, Inc. Generic Only See above
Humana Gold Plus HMO H1036-062C
Humana Medical Plan, Inc. Generic Only See above
Humana Gold Plus HMO H1036-065C
Humana Medical Plan, Inc. Generic Only See above
Humana Gold Plus HMO H1036-067
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-068
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-071B
Humana Medical Plan, Inc. Generic Only See above
Humana Gold Plus HMO H1036-072B
Humana Medical Plan, Inc. Generic Only See above
Humana Gold Plus HMO H1036-073B
Humana Medical Plan, Inc. Generic Only See above
Humana Gold Plus HMO H1036-074
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-078A
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-081D
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-087C
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO H1036-089C
Humana Medical Plan, Inc. No gap coverage See above
Humana Gold Plus HMO
Humana Medical Plan, Inc. No gap coverage See above
Leon Cares
Leon Medical Centers Health, Inc. Generic Only Non-Members 1-866-393-5366
TTY Users should call:
1-305-220-5752
Members 1-866-393-5366
TTY Users should call:
1-305-220-5752
MedicareMax
Medica HealthCare Plans, Inc. Generic and Brand Non-Members 1-305-267-5267
TTY Users should call:
1-800-517-6923
Members 1-800-407-9069
TTY Users should call:
1-305-421-1251
MedicareMax
Medica HealthCare Plans, Inc.
Generic and Brand Non-Members 1-954-491-3141
TTY Users should call:
1-800-517-6923
Members 1-800-407-9069
TTY Users should call:
1-800-865-4057
American Spirit Plan
Physicians United Plan Generic and Brand Non-Members 1-866-571-0693
TTY Users should call:
1-866-671-0693
Members 1-866-571-0693
TTY Users should call:
1-866-671-0693
PSO Health Plan
Preferred Care Partners, Inc. Generic Only Non-Members 1-866-473-0218
TTY Users should call:
1-800-406-8076
Members 1-866-231-7201
TTY Users should call:
1-800-406-8076
PSO Health Plan
Preferred Care Partners, Inc.
Generic Only
Senior Health Choice
Preferred Care Partners, Inc.
Generic Only
Advantage
Quality Health Plans, Inc. Generic and Brand Non-Members 1-866-747-2700
TTY Users should call:
1-800-483-3434
Members 1-866-747-2700
TTY Users should call:
1-800-483-3434
Advantage Gold
Quality Health Plans, Inc.
Generic and Brand
Advantage Gold
Quality Health Plans, Inc.
Generic and Brand
Advantage Gold Plus
Quality Health Plans, Inc.
No gap coverage See above
Advantage Silver
Quality Health Plans, Inc.
Generic and Brand See above
Advantage Silver
Quality Health Plans, Inc.
Generic and Brand See above
Advantage Silver
Quality Health Plans, Inc.
Generic and Brand See above
UnitedHealthcare Medicare Comp Choice Rx
SecureHorizons No gap coverage Non-Members 1-800-711-6088
TTY Users should call:
1-888-685-8480
Members 1-800-711-6088
TTY Users should call:
1-888-685-8480
UnitedHealthcare Medicare Comp Choice Rx
SecureHorizons No gap coverage
UnitedHealthcare Medicare Comp Select C Rx
SecureHorizons No gap coverage
UnitedHealthcare Medicare Comp Select Rx
SecureHorizons No gap coverage See above
UnitedHealthcare Medicare Complete Rx
SecureHorizons No gap coverage See above
UnitedHealthcare Medicare Complete Rx
SecureHorizons No gap coverage See above
UnitedHealthcare Medicare Complete Rx
SecureHorizons No gap coverage See above
UnitedHealthcare Medicare Complete Rx
SecureHorizons No gap coverage See above
UnitedHealthcare Medicare Complete Rx
SecureHorizons No gap coverage See above
Summit Ideal Plan
Summit Health Plan, Inc. No gap coverage Non-Members 1-800-356-7485
TTY Users should call:
1-800-490-7704
Members 1-800-847-3995
TTY Users should call:
1-800-490-7704
Medicare Masterpiece
Universal Health Care, Inc. No gap coverage Non-Members 1-866-690-4842
TTY Users should call:
1-800-617-0177
Members 1-866-690-4842
TTY Users should call:
1-800-617-0177
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Plus A
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Plus B
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Premier
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Premier
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Premier
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Premier
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Premier
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Medicare Masterpiece Ultra
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 01
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 01
)
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 01
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 01
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 01
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 01
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 02
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 02
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 02
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 02
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 02
Universal Health Care, Inc.
No gap coverage See above
Universal Freedom PPO 02
Universal Health Care, Inc.
No gap coverage See above
Platinum Plan
Vista Healthplan of South Florida, Inc. No gap coverage Non-Members 1-800-826-1013
TTY Users should call:
1-888-444-7352
Members 1-800-441-5501
TTY Users should call:
1-888-444-7352
Platinum Plan
Vista Healthplan of South Florida, Inc.
No gap coverage
Platinum Plus Plan
Vista Healthplan of South Florida, Inc.
Generic and Brand
Platinum Select Plan
Vista Healthplan of South Florida, Inc.
No gap coverage See above
Platinum Select Plan
Vista Healthplan of South Florida, Inc.
No gap coverage See above
Preferred Options
Vista Healthplan of South Florida, Inc.
No gap coverage See above
Platinum Plus Plan
Vista Healthplan, Inc.
Generic and Brand See above
Platinum Prime Plan
Vista Healthplan, Inc.
No gap coverage See above
Platinum Select Plan
Vista Healthplan, Inc.
No gap coverage See above
Preferred Options
Vista Healthplan, Inc.
No gap coverage See above
Preferred Options
Vista Healthplan, Inc.
No gap coverage See above
WellCare Choice
WellCare Generic Only Non-Members 1-866-238-3885
TTY Users should call:
1-877-247-6272
Members 1-888-888-9355
TTY Users should call:
1-877-247-6272
WellCare Choice
WellCare Generic Only
WellCare Choice
WellCare Generic Only
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare Generic Only See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare No gap coverage See above
WellCare Choice
WellCare Generic Only See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Dividend
WellCare No gap coverage See above
WellCare Essential
WellCare No gap coverage See above
WellCare Essential
WellCare No gap coverage See above
WellCare Essential
WellCare No gap coverage See above
WellCare Prescription Plus
WellCare Generic Only See above
WellCare Prescription Plus
WellCare Generic Only See above
WellCare Prescription Plus
WellCare Generic Only See above
WellCare Prescription Plus
WellCare Generic Only See above
WellCare Prescription Plus
WellCare Generic Only See above
WellCare Prescription Plus
WellCare Generic Only See above
WellCare Value
WellCare Generic Only See above
WellCare Value
WellCare Generic Only See above
WellCare Value
WellCare Generic Only See above
WellCare Value
WellCare No gap coverage See above
WellCare Value
WellCare Generic Only See above
WellCare Value
WellCare No gap coverage See above
WellCare Value
WellCare No gap coverage See above
WellCare Value
WellCare No gap coverage See above

  These are plans which mostly offer health insurance and prescription drug coverage for people with special needs:

Medicare Special Needs Plans in Florida

  This list is to familiarize you with Medicare Special Needs Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Special Rules for Enrolling Contact Service
Phones
FloridianCare Choice
(H5936-003-0)
American Pioneer Life Insurance Company For people who are eligible for both Medicare and Medicaid. Non-Members 1-866-556-4607
TTY Users should call:
1-866-338-4681
Members 1-866-553-0351
TTY Users should call:
1-866-338-4681
Citrus Special Needs Plan
(H5407-011-0)
Citrus Health Care, Inc. For people who are eligible for both Medicare and Medicaid. Non-Members 1-877-769-1157
TTY Users should call:
1-888-248-7875
Members 1-877-624-8787
TTY Users should call:
1-888-248-7875
The Sunshine Plan
(H1099-008-0)
Health First Medicare Plans For people who are eligible for both Medicare and Medicaid. Non-Members 1-800-856-8652
TTY Users should call:
1-800-955-8771
Members 1-800-716-7737
TTY Users should call:
1-800-955-8771
Humana Gold Plus HMO H1036-077C
(H1036-077-0)
Humana Medical Plan, Inc. For people who are eligible for both Medicare and Medicaid. Non-Members 1-800-833-2364
TTY Users should call:
1-800-833-3301
Members 1-800-457-4708
TTY Users should call:
1-877-833-4486
CareOne Advocate
(H5729-001-0)
PartnerCare Golden Advocate Plan For people in certain long-term care facilities. Non-Members 1-888-901-9208
TTY Users should call:
1-866-268-1800
Members 1-888-901-9208
TTY Users should call:
1-866-268-1800
Medicare Assist
(H1045-002-0)
Preferred Care Partners, Inc. For people who are eligible for both Medicare and Medicaid. Non-Members 1-866-473-0218
TTY Users should call:
1-800-406-8076
Members 1-866-231-7201
TTY Users should call:
1-800-406-8076
Medicare Assist
(H1045-006-0)
Preferred Care Partners, Inc.
For people who are eligible for both Medicare and Medicaid.
UnitedHealthcare Medicare Comp Plus Rx
(H9011-011-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid. Non-Members 1-800-221-6746
TTY Users should call:
1-888-685-8480
Members 1-800-642-7552
TTY Users should call:
1-888-685-8480
UnitedHealthcare Medicare Complete Plus Rx
(H1080-036-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid.
UnitedHealthcareMedicareCompChoicePlus Rx
(R5287-003-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid.
Summit Maximum Plan
(H5850-002-0)
Summit Health Plan, Inc. For people who are eligible for both Medicare and Medicaid. Non-Members 1-800-356-7485
TTY Users should call:
1-800-490-7704
Members 1-800-847-3995
TTY Users should call:
1-800-490-7704
Evercare Plan DH
(H5440-001-0)
United Healthcare Insurance Company For people who are eligible for both Medicare and Medicaid. Non-Members 1-800-791-9233
TTY Users should call:
1-888-685-8480
Members 1-877-702-5114
TTY Users should call:
1-888-685-8480
Evercare Plan IP
(H5417-001-0)
United Healthcare Insurance Company For people in certain long-term care facilities.
Platinum Choice Plan
Vista Healthplan of South Florida, Inc. For people who are eligible for both Medicare and Medicaid. Non-Members 1-800-826-1013
TTY Users should call:
1-888-444-7352
Members 1-800-441-5501
TTY Users should call:
1-888-444-7352
Platinum Choice Plan
Vista Healthplan, Inc. For people who are eligible for both Medicare and Medicaid.
WellCare Access
WellCare For people who are eligible for both Medicare and Medicaid. Non-Members 1-866-238-3885
TTY Users should call:
1-877-247-6272
Members 1-888-888-9355
TTY Users should call:
1-877-247-6272
WellCare Access
WellCare For people who are eligible for both Medicare and Medicaid.
WellCare Access
WellCare For people who are eligible for both Medicare and Medicaid.
WellCare Access
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Access
(H1032-089-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-059-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-060-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-061-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-062-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-063-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-064-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-065-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-066-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-100-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-101-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-102-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-104-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-106-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-107-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above
WellCare Select
(H1032-114-0)
WellCare For people who are eligible for both Medicare and Medicaid. see above

 

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