Medicare Advantage Plans
Go BackMedicare Advantage (Part C) PPO Plans and HMO Plans
Florida Blue Medicare has Medicare Advantage plans with a complete approach to your health.
Choosing the Right Medicare Advantage Plan for Your Needs
You have options when it comes to Medicare Part C plans. Our Medicare Advantage (MA) plans can give you prescription drug coverage and extra benefits, like transportation services to doctor appointments and discount and reward programs. Many plans even have a $0 monthly plan premium.
Florida Blue Medicare HMO Plans
Looking for a Medicare plan that saves you money? If you prefer having one doctor to coordinate your care with specialists and other healthcare providers, one of our Medicare Advantage HMO plans could be a great choice for you.
Florida Blue Medicare PPO Plans
Do you want the savings of a provider network and the flexibility to see doctors and specialists outside the network? If you do not like to wait for a primary care doctor referral to go to a specialist, one of our Medicare Advantage PPO plans may be a better fit for your unique needs.
What Does a Medicare Advantage Plan Cost?
Like Original Medicare, Medicare Advantage (Part C) plans share the cost of care through deductibles, co-payments (copays) and co-insurance. These costs vary by plan. Our HMO plans offer zero dollar premiums, low out-of-pocket costs, and low prescription drug costs. While our PPO plans cost a bit more for the opportunity to go out-of-network and see specialists without a referral, they still offer low out-of-pocket costs for in-network visits.
Medicare Advantage plans also have an out-of-pocket-maximum. Once you reach the maximum, your Medicare Advantage plan pays 100% toward covered services and you don’t pay anything.
Factors that play into your Medicare Advantage plan costs:
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Deductible - The amount you pay before Florida Blue Medicare begins to pay its share of the cost. Some MA plans have a separate drug deductible before they start to pay for your prescriptions.
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Copay - A flat dollar amount (for example, $10) you pay each time you receive care or fill a drug.
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Coinsurance - A percentage (for example, 10%) you pay for your care or drugs after you meet your deductible.
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Premium - A fixed, monthly amount you pay for your MA plan coverage. Many Florida Blue Part C plans have a $0 premium.
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Out-of-pocket maximum - The most you pay for covered health care services during your plan’s calendar year. All of your Medicare-covered expenses go toward this maximum.
Compare Medicare Advantage Plan Benefits and Features
Monthly Plan Premiums
HMO: 0
HMO DSNP: $0-$28.50, depending on your level of assistance
PPO: Varies by plan
Medical deductible
HMO: -
HMO DSNP: -
PPO: Varies by plan
Limited out-of-pocket costs for care each year
HMO:
HMO DSNP:
PPO:
Hospital, ER & urgent care coverage
HMO:
HMO DSNP:
PPO:
Preventive Care
HMO:
HMO DSNP:
PPO:
Non-Emergency/Non-Urgent Coverage Outside of Florida
HMO: -
HMO DSNP: -
PPO:
Dental Coverage
HMO:
HMO DSNP:
PPO: In Select Plans
Vision, Hearing & Prescription Drug (Rx) Coverage
HMO:
HMO DSNP:
PPO:
Rehabilitation & Mental Health coverage
HMO:
HMO DSNP:
PPO:
Skilled Nursing Facility & Home Health coverage
HMO:
HMO DSNP:
PPO:
Able to see specialists without a referral & not have a Primary Care Physician
HMO: -
HMO DSNP: -
PPO:
Able to use out-of-network providers
HMO: -
HMO DSNP: -
PPO:
Rx mail-order benefit
HMO:
HMO DSNP:
PPO:
Over the Counter (OTC) medication allowance
HMO: In Select Plans
HMO DSNP:
PPO: In Select Plans
Transportation benefit
HMO: In Select Plans
HMO DSNP:
PPO: -
Meals-at-home program
HMO: -
HMO DSNP:
PPO: -
Fitness benefit – Silver Sneakers
HMO:
HMO DSNP:
PPO:
Member Rewards program
HMO:
HMO DSNP:
PPO:
Florida Blue Medicare Health Management Portal
HMO:
HMO DSNP:
PPO:
Have questions or want to know more about Medicare Advantage (Part C) plans? Send us your information and one of our agents will reach out to help!
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Reach out to us for help or any questions you have about your Part C insurance plan needs.
Call Us at: 1-888-902-5708 TTY 1-800-955-8770
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