4

4 out of 5 stars* for plan year 2024

Plan ID: H1290-010

What You Need to Know:

  • Devoted Health Prime Greater Orlando (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $31, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is $445 (Tier 1 and 2 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $3,400 per year (in-network).
  • Devoted Health Prime Greater Orlando (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $445 (Tier 1 and 2 excluded from the Deductible.).
  • This plan's Part D Initial Coverage Limit is $31.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$31

Monthly Premium

Medicare Plan Features
Monthly Premium: $30.80
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$30.80 $0 $30.80 $0 $30.80 $445.0 1.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H1290-013
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: No additional gap coverage, only the Donut Hole Discount
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $3,400
Annual Deductible: $445 (Tier 1 and 2 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Osceola, Florida: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
113 members New plan - No summary rating as of yet. 4 out of 5 Stars. 5 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,219 drugs
Number of Members Enrolled in this Plan in Osceola, Florida: NULL
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
$0.00 $30.80 $0.00 $30.80
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
$0.00 $23.10 $23.10 $15.40 $15.40 $7.70 $7.70
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
241 $0.00 495 $0.00 1058 25% 774 25% 651 25%

Other Medicare Advantage Plans in Osceola, Florida

Plan Name Type Premium MOOP Rx Deduct. Rating
Cigna True Choice Medicare (PPO) (2023)Local PPO$5,650$0
New plan - not yet rated.
BlueMedicare Saver (HMO) (2023)Local HMO$6,700$50
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Aetna Medicare Choice (HMO-POS) (2023)Local HMO$6,700$195
5
CareOne PLUS (HMO-POS) (2023)Local HMO$2,750$0
5
Aetna Medicare Select (HMO) (2023)Local HMO$3,100$0
5
WellCare Prime (PPO) (2023)Local PPO$1,700$0
New plan - not yet rated.
CareFree (HMO) (2023)Local HMO$3,400$0
5
Humana Gold Plus H1036-146 (HMO) (2023)Local HMO$2,750$0
4
HumanaChoice Florida H5216-072 (PPO) (2023)Local PPO$4,900$150
4
Cigna Primary Medicare (HMO) (2023)Local HMO$3,500$445
5
AARP Medicare Advantage Choice Plan 2 (Regional PPO) (2023)Regional PPO$6,700$395
5
CareOne PLATINUM (HMO) (2023)Local HMO$3,400$0
5
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$5,900$150
5
Cigna Preferred Medicare (HMO) (2023)Local HMO$3,750$0
5
Freedom Savings Plan (HMO) (2023)Local HMO *$3,400$-
4
Humana Gold Plus H1036-269 (HMO) (2023)Local HMO$4,500$0
4
Cigna Preferred Savings Medicare (HMO) (2023)Local HMO$3,900$0
5
HumanaChoice R5826-074 (Regional PPO) (2023)Regional PPO$7,550$395
4
Humana Gold Choice H8145-061 (PFFS) (2023)PFFS$-$200
4
BlueMedicare Value (PPO) (2023)Local PPO$4,500$150
4
AARP Medicare Advantage Patriot (Regional PPO) (2023)Regional PPO *$6,700$-
5
Bright Advantage Choice (PPO) (2023)Local PPO$5,400$0
New plan - not yet rated.
Humana Honor (HMO) (2023)Local HMO *$6,700$-
4
AARP Medicare Advantage (HMO-POS) (2023)Local HMO$3,900$0
5
Bright Advantage Part B Savings (PPO) (2023)Local PPO$6,700$400
New plan - not yet rated.
Simply More (HMO) (2023)Local HMO$3,450$0
5
HumanaChoice R5826-005 (Regional PPO) (2023)Regional PPO$6,700$100
4
Bright Advantage Health Dollars (HMO) (2023)Local HMO$3,400$0
New plan - not yet rated.
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Aetna Medicare Premier (PPO) (2023)Local PPO$6,700$300
5
Aetna Medicare Premier Plus (PPO) (2023)Local PPO$5,900$150
5
WellCare Dividend Prime (HMO) (2023)Local HMO$3,400$0
4
WellCare Elite (HMO) (2023)Local HMO$1,700$0
4
Simply Select (HMO) (2023)Local HMO$3,450$445
5
Devoted Health Core Greater Orlando (HMO) (2023)Local HMO$3,400$0
4
WellCare Premier (PPO) (2023)Local PPO$3,400$100
New plan - not yet rated.
BlueMedicare Select (PPO) (2023)Local PPO$5,900$305
4
BlueMedicare Choice (Regional PPO) (2023)Regional PPO$6,500$250
4
Devoted Health Essentials Greater Orlando (HMO) (2023)Local HMO$3,400$0
4
BlueMedicare Classic (HMO) (2023)Local HMO$5,000$0
4
HumanaChoice R5826-018 (Regional PPO) (2023)Regional PPO *$7,550$-
4
BlueMedicare Premier (HMO) (2023)Local HMO$3,400$0
4
Medicare Advantage Plans by Devoted Health
Devoted Health Core Greater Orlando (HMO) (2023)Local HMO$3,400$0
4
Devoted Health Essentials Greater Orlando (HMO) (2023)Local HMO$3,400$0
4

Find Medicare Advantage Plans in Florida