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Medicare Insurance Products Available to
Residents of Florida


Florida Plan Comparison

Florida is CMS Region 11. Although we are able to provide plans from 7 of the national providers, we have chosen the following as preferred plans for Florida. As an authorized Part D representative we can enroll you and/or your qualified family members (spouse, parents, grandparents) into any Part D program we offer. We can also assist you with any plan choices and completion of your enrollment application.

Click here to have us contact you regarding enrollment.
                                                                                                  

A few notes to help with the understanding of the chart below.

  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $250 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher.
  • Co-Pay Tiered Coverage: This is the portion of the plan where the provider and the beneficiary share the costs. Generally speaking, the beneficiary pays $500 out-of-pocket before moving to the Coverage Gap (Donut Hole) portion of the plan. Most of the plans provide a Tiered Drug List for this portion of the plan. In our chart, Yes: means that the plan uses a tiered drug list, therefore, drugs are organized into tiers and you pay a co-payment or co-insurance based on the tier. For Example: Tier 1 drugs: you pay a $5 co-payment, Tier 2: you pay $10, Tier 3: you pay $30. Each plan is different as to which drugs fall into which tiers and how much you pay per Tier. This information can only be found in the plans Formulary. (see link below to CMS) If None is shown in our chart, this means that a 25% co-insurance is applied (as in the CMS Standard Plan).
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $2850 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following None: you must pay the $2850; Generics Only: Generics are covered, but you must pay for Brand Drugs up to $2850; Generic & Brand Drugs: Both are covered by the plan.
  • Mail Order: Does the plan permit mail order drugs (remember: only drugs purchased in the U.S. can be covered in the plan).
  • Number of the Top 100 Drugs Covered: This column is to give you a feeling for the completeness of the plan. However, it is important to take a look at the formulary for your plan to be sure that your specific drugs are covered.

Plan Name

Monthly
Premium
Deductible
Co-Pay
Tiered
Coverage

Coverage Gap
---------
Donut Hole

Mail Order
Available
No. of
Top 100
Drugs Covered
Aetna Life Insurance Company
Enrollment Application
Summary of Benefits for all Aetna Plans
Drug Guide (Formulary)
Aetna Medicare Rx Essentials Plan $31.91 $250 Yes None Yes 82
Aetna Medicare Rx Plus Plan $42.37 None Yes Generics Only Yes 82
Aetna Medicare Rx Premier Plan $57.85 None Yes Generics Only Yes 95
Coventry AdvantraRx
AdvantraRx Value $19.66 None Yes None Yes 73
AdvantraRx Premier $30.04 None Yes None Yes 97
AdvantraRx Premier Plus $42.54 None Yes None Yes 97

Humana
We Recommend Humana For its Best Coverage and Most Competitiveness.

See for Yourself. 

Enrollment Application  Drug Guide (Formulary)
Humana PDP Standard S5884-069
Summary of Benefits
$10.35 $250 No None Yes 100
Humana PDP Enhanced S5884-010
Summary of Benefits
$20.12 None Yes None Yes 100
Humana PDP Complete S5884-039
Summary of Benefits
$61.70 None Yes Generic &
Brand Drugs
Yes 100
PacifiCare Life and Health Insurance Company
PacifiCare Saver Plan $19.02 None Yes None Yes 77
PacifiCare Select Plan $32.35 None Yes None Yes 86
PacifiCare Complete Plan $36.60 None Yes Generics only Yes 77
Prescription Pathway
Pennsylvania Life Standard Defined
Reg 11
$30.94 $250 No None Yes 88
Pennsylvania Life Act Equ Stand Reg 11 $40.29 $250 Yes None Yes 88
Marquette National Act Equ Std Reg 11 $40.37 $250 Yes None Yes 88
Pennsylvania Life Enhanced #1 Reg 11 $51.54 None Yes None Yes 88
Marquette National Enhanced #1 Reg 11 $51.60 None Yes None Yes 88
Marquette National Enhanced #2 Reg 11 $68.17 None Yes None Yes 96
United HealthCare Insurance Company
United Medicare Rx - B $29.33 None Yes None Yes 96


 

 

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.
Click here to have us contact you regarding medicare part D enrollment.

 




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