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Medicare Advantage (Part C) plans PPO & HMO

Florida Blue Medicare has Medicare Advantage plans to meet your health care coverage needs.

Plans with $0 monthly premiums

All the benefits of Original Medicare (Parts A and B)

Most plans include Part D prescription drug coverage

Extra dental, hearing and vision benefits at no additional cost

Earn up to $220 in gift cards to your favorite restaurants, retailers or local gas stations when you complete healthy activities

Low or no copay to see a primary care doctor

 SilverSneakers® Fitness program

Comprehensive network of providers

60 hours of help around the house for things like light housekeeping, grocery shopping and meal preparation

Personalized service and expert guidance

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

You have options when it comes to Medicare Advantage (Part C) plans. Many of our Medicare Advantage plans can give you vision, dental and hearing coverage, help around the house and low or no copays to see doctors and specialists. Most plans even have a $0 monthly plan premium.

  • You choose a trusted primary care physician to coordinate your medical needs.

  • With most plans, you need to use in-network doctors, specialists or hospitals, with a few exceptions, like medical emergencies.
  • You can benefit from our rewards programs.

HMO D-SNP: Medicare & Medicaid benefits 

Our HMO D-SNP plan provides Dual Eligible Special Needs coverage to people who have both Medicare and Medicaid.

These plans have extra benefits for members that qualify.

  • Support services to help you schedule appointments and transportation or explain your benefits
  • Monthly over-the-counter allowance for everyday health care items
  • Blue Dollars Food Card putting money in your pocket each month for healthy food2
  • Post-discharge meals delivered to your home based on your nutritional needs
  • 60 hours of help around the house
  • including light housekeeping, grocery shopping and meal prep
  • New for 2023! $0 prescription copays on all Part D prescription costs2 for both generics and brand name for members with LIS / Extra Help

2To receive the monthly food card allowance benefit and $0 prescription copays, LIS or Extra Help qualification is required.

Florida Blue Medicare PPO plans

Do you want the freedom to choose any doctor who accepts Medicare and a network of lower cost providers when you travel? 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 needs. 

  • Our PPO plans give you the freedom to choose any doctor who accepts Medicare
  • They also give you the opportunity to save with lower out-of-pocket costs when you use in-network providers.
  • With these plans, you have the option to use healthcare providers out-of-network.
  • You don’t need a referral for specialist visits.
  • Earn up to $220 in gift cards to your favorite restaurants, retailers or local gas stations when you complete healthy activities

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 $0 premiums, low out-of-pocket costs, and low prescription drug costs. While our $0 premium 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 Medicare covered services and you don’t pay anything.

 

Your Original Medicare (Parts A and B) costs may include:

  • 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.
  • Copay - A flat dollar amount (for example, $10) you pay each time you receive care or fill a drug.
  • Coinsurance - A percentage (for example, 10%) you pay for your care or drugs after you meet your deductible.
  • Premium - A fixed, monthly amount you pay for your MA plan coverage. Many Florida Blue Part C plans have a $0 premium.
  • 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

  HMO HMO DSNP PPO

Monthly plan premiums

$0

$0 to $35.90

in select plans

Medical deductible

(not available)

(not available)

in select plans

Limited out-of-pocket costs for care each year

Hospital, ER & urgent care coverage

Preventive care

Non-emergency/non-urgent coverage outside of Florida

(not available)

(not available)

Dental coverage

in select plans

Vision, hearing & prescription drug (Rx) coverage

in select plans

Mental health & substance abuse services

Skilled nursing facility & home health agency coverage

Able to see specialists without a referral & not have a Primary Care Physician

(not available)

(not available)

Able to see providers out-of-network

(not available)

(not available)

Rx mail-order benefit

Over the counter (OTC) medication allowance

in select plans

in select plans

Transportation benefit

in select plans

(not available)

Post discharge meals1

(not available)

(not available)

Meals-at-home program

in select plans

(not available)

Blue Dollars healthy food program2

(not available)

(not available)

Fitness benefit – SilverSneakers®

Member Rewards program

Online member portal

Call a licensed Medicare agent.

Shop for Medicare Advantage (Part C) plans in your area.

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By providing the information above and clicking the Submit button, you consent to receive marketing and sales calls, and emails, at the contact information you provide, from Florida Blue or a licensed insurance agent about Florida Blue plans, products, and services including calls made using an automated telephone dialing system, a prerecorded or artificial voice message, or both and even if the number provided is listed on a national or state Do Not Call registry. Your consent is not required as a condition of making a purchase.

FBM PROD 002 NF 122021
Last Updated: 10.01.2022
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