Medicare Advantage Plans

You have options when selecting the right Medicare Advantage plan for your needs.

Florida Blue Medicare Advantage plans give you prescription drug coverage and extra benefits like discount and reward programs. Some plans have a $0 premium.

Medicare Advantage HMO Plans from Florida Blue Medicare

Some people are comfortable having one doctor to coordinate their care with specialists and other health care providers.

  • You choose a primary care physician (PCP) to coordinate your medical needs.
  • With most plans you must use doctors, specialists, or hospitals in network, except in a few cases, like medical emergencies.
  • Our HMO DSNP Special Needs Plan is available to people who have both Medicare and Medicaid.

What does an HMO plan look like?

Medicare Advantage PPO Plans from Florida Blue Medicare

What if you want the savings of a provider network and the flexibility to see doctors outside the network?

  • A Medicare Advantage PPO plan lets you save with low out-of-pocket costs when you use in-network providers
  • You have the option to use health care providers out-of-network.
  • You don't need a referral for specialist visits

What does a PPO plan look like?

  HMO HMO DSNP PPO
Monthly Plan Premiums Varies by Plan - $ - $ Varies by Plan - $ - $ Varies by Plan - $ - $
Medical deductible Varies by Plan - $ - $ Varies by Plan - $ - $ Varies by Plan - $ - $
Limits what you pay out-of-pocket for care each year Yes Yes Yes
Hospital Coverage Yes Yes Yes
Preventive Care Yes Yes Yes
Coverage outside of Florida Yes No Yes
Requires use of in-network providers Yes Yes No. Out-of-network providers generally cost more.
Requires you have a Primary Care Physician (PCP) Yes Yes Yes
Referral required for specialist visits Yes Yes Yes
ER and urgent care coverage

Coverage is available at home and when you travel

 Yes Yes Yes
Transportation benefit

Covers things like trips to doctor appointments.

 In Select Plans Yes No
Diagnostic testing and lab work coverage Yes Yes Yes
Rehabilitation and Mental Health coverage Yes Yes Yes
Durable Medical Equipment

Includes Orthotics & Prosthetics coverage.

 Yes Yes Yes
Skilled Nursing Facility & Home Health coverage Yes Yes Yes
Dental Coverage In Select Plans Yes In Select Plans
Vision Coverage Yes Yes Yes
Hearing Coverage Yes Yes Yes
Prescription Drug (Rx) Coverage Yes Yes Yes
Over The Counter (OTC) medication allowance

Covers select OTC items at no charge.

 Yes Yes Yes
Includes Rx mail-order benefit Yes Yes Yes
Fitness benefit Yes Yes Yes
Meals-at-home program

Covers meals delivered to your home after a hospital stay.

 No Yes No
Florida Blue My Life Plan Health Management Portal Yes Yes Yes
Member Rewards program

Offers gift card incentives for completing health activities.

 Yes Yes Yes
Blue365 Discount Program Yes Yes Yes

Monthly Plan Premiums

HMO: Varies by Plan - $ - $

HMO DSNP: Varies by Plan - $ - $

PPO: Varies by Plan - $ - $

Medical deductible

HMO: Varies by Plan - $ - $

HMO DSNP: Varies by Plan - $ - $

PPO: Varies by Plan - $ - $

Limits what you pay out-of-pocket for care each year

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Hospital Coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Preventive Care

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Coverage outside of Florida

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Requires use of in-network providers

HMO: Yes

HMO DSNP: Yes

PPO: No. Out-of-network providers generally cost more.

Requires you have a Primary Care Physician (PCP)

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Referral required for specialist visits

HMO: Yes

HMO DSNP: Yes

PPO: Yes

ER and urgent care coverage

Coverage is available at home and when you travel

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Transportation benefit

Covers things like trips to doctor appointments.

HMO: In Select Plans

HMO DSNP: Yes

PPO: No

Diagnostic testing and lab work coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Rehabilitation and Mental Health coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Durable Medical Equipment

Includes Orthotics & Prosthetics coverage.

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Skilled Nursing Facility & Home Health coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Dental Coverage

HMO: In Select Plans

HMO DSNP: Yes

PPO: In Select Plans

Vision Coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Hearing Coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Prescription Drug (Rx) Coverage

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Over The Counter (OTC) medication allowance

Covers select OTC items at no charge.

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Includes Rx mail-order benefit

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Fitness benefit

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Meals-at-home program

Covers meals delivered to your home after a hospital stay.

HMO: No

HMO DSNP: Yes

PPO: No

Florida Blue My Life Plan Health Management Portal

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Member Rewards program

Offers gift card incentives for completing health activities.

HMO: Yes

HMO DSNP: Yes

PPO: Yes

Blue365 Discount Program

HMO: Yes

HMO DSNP: Yes

PPO: Yes

FBM PROD 002 NF 092019
Disclaimers
Last Updated: 10.01.2019
Y0011_35016 1019 CMS Accepted