Plan Comparisons (2010)
To review plan details, click on the plan name.
| Plan Name | Monthly Plan Premium | Part D Rx Cover- age |
Office Visit/PCP Specialist | Hospital Inpatient | Medical Annual Deductible | Medical Out-of-Pocket Maximum | Doctor Choice | |
|---|---|---|---|---|---|---|---|---|
| Medvantage Plan (HMO) | $0.00 | No | $10 copay/ $35 copay | For Medicare-covered hospital stays: -Days 1-10: $175 copay per day. Days 11-90: $0 copay per day. $0 copay for additional hospital days. |
$0 | $0 | Network Providers Only |
Enroll |
| Medvantage with Optional POS Plan (HMO/ POS) | $37.00 | No | In-Network: $10 copay/ $35 copay Out-of-Network: 20% coinsurance |
In-Network: For Medicare-covered hospital stays: - Days 1-10: $175 copay per day - Days 11-90: $0 copay per day - $0 copay for additional hospital days. Out-of-Network: $200/day for days 1-10 $0/day beginning on day 11 |
In- or Out-of- Network: $0 |
In- or Out-of- Network: $0 |
You may go to any provider that accepts Medicare assign-ment | Enroll |
| Medvantage RX Plan (HMO) | $0.00* | Yes | $10 copay/ $35 copay |
For Medicare-covered hospital stays: -Days 1-10: $175 copay per day. Days 11-90: $0 copay per day. $0 copay for additional hospital days. |
$0 | $0 | Network Providers Only | Enroll |
| Medvantage RX with Optional POS Plan (HMO/ POS) | $37.00* | Yes | In-Network: $10 copay/ $35 copay Out-of-Network: 20% coinsurance |
In-Network: For Medicare-covered hospital stays: - Days 1-10: $175 copay per day - Days 11-90: $0 copay per day - $0 copay for additional hospital days. Out-of-Network: $200/day for days 1-10 $0/day beginning on day 11 |
In- or Out-of-Network: $0 |
In- or Out-of-Network: $0 |
You may go to any provider that accepts Medicare assign-ment | Enroll |
| Medvantage RX Plus Plan (available plan for State of Florida retirees) | $40.00* | Yes | $10 copay/ $35 copay | For Medicare-covered hospital stays: -Days 1-10: $175 copay per day. Days 11-90: $0 copay per day. $0 copay for additional hospital days. |
$0 | $0 | Network Providers Only | Enroll |
| Medvantage RX Plus with Optional POS Plan (HMO/ POS) | $77.00* | Yes | In-Network: $10 copay/ $35 copay Out-of-Network: 20% coinsurance |
In-Network: For Medicare-covered hospital stays: - Days 1-10: $175 copay per day - Days 11-90: $0 copay per day - $0 copay for additional hospital days. Out-of-Network: $200/day for days 1-10 $0/day beginning on day 11 |
In- or Out-of-Network: $0 |
In- or Out-of-Network: $0 |
You may go to any provider that accepts Medicare assign-ment | Enroll |
* If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Extra Help from Medicare. To learn how to apply for Extra Help, please click here. Click here to find out how much your monthly premium will be if you receive Extra Help.To access the document(s) Adobe Reader® must be installed on your computer. If you do not have Adobe Reader ®, you can download it for free by clicking here.
| DISCLAIMER: The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact Florida Health Care Plans. |
