Medicare Plans in
Duval County, FL
40 Medicare Advantage Plans Found in Duval County. See Plans
Duval County, FL
Medicare Information
For Duval County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 40 MA plans are available in Duval County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about Medicare Advantage plans in Duval County, Florida, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare Advantage
Plans in Duval County
Average Cost of Medicare Advantage Plans in Duval County, Florida | |
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Average Monthly Premium | $74.59 |
Average in-network out-of-pocket spending limit | $4,823.75 |
Average drug deductible in 2022 (weighted) | $253.06 |
Percentage of plans rated 4 stars or higher | 40.0% |
Average Cost of Medicare Advantage Plans in Duval County, Florida |
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Average Monthly Premium $74.59 |
Average in-network out-of-pocket spending limit $4,823.75 |
Average drug deductible in 2021 (weighted) $253.06 |
Percentage of plans rated 4 stars or higher 40.0% |
Learn More About Medicare Advantage
Prescription Drug Plans
Plan Type | Description |
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HMO | HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. |
PPO | Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. |
PFFS | Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. |
SNP | Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. |
Plan Type and Description |
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HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
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Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
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Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
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Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
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In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans

Aetna Inc. Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Aetna Medicare Select (HMO) | H1609: 021 | $0 | $0 | $3,450 | Yes | 4 out of 5 |
Aetna Medicare Choice (HMO-POS) | H1609: 028 | $0 | $195 | $6,700 | Yes | 4 out of 5 |
Aetna Medicare Premier (PPO) | H5521: 033 | $0 | $300 | $6,700 | Yes | 4 out of 5 |
Aetna Medicare Premier Plus (PPO) | H5521: 269 | $0 | $150 | $5,900 | Yes | 4 out of 5 |
Aetna Medicare Eagle (PPO) | H5521: 347 | $0 | N/A | $5,000 | No | 4 out of 5 |
Centene Corporation
Centene Corporation Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for Centene Corporation Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Ascension Complete St. Vincent's Reward (HMO) | H8225: 001 | $0 | $480 | $2,900 | Yes | Plan too new to be measured |
Ascension Complete St. Vincent's Secure (HMO) | H8225: 003 | $0 | $0 | $2,900 | Yes | Plan too new to be measured |
Ascension Complete St. Vincent's Access POS (HMO-POS) | H8225: 007 | $0 | $0 | $2,900 | Yes | Plan too new to be measured |
Devoted Health
Devoted Health Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for Devoted Health Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Devoted Health Core Greater Jacksonville (HMO) | H1290: 029 | $0 | $0 | $3,400 | Yes | Plan too new to be measured |
Devoted Health Essentials Greater Jacksonville (HMO) | H1290: 031 | $0 | $480 | $3,400 | Yes | Plan too new to be measured |
Devoted Health Latitude Greater Jacksonville (PPO) | H9884: 004 | $0 | $150 | $4,900 | Yes | na |
Devoted Health Prime Greater Jacksonville (HMO) | H1290: 030 | $34 | $0 | $3,100 | Yes | Plan too new to be measured |
Guidewell Mutual Holding Corporation
Guidewell Mutual Holding Corporation Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for Guidewell Mutual Holding Corporation Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
BlueMedicare Classic (HMO) | H1035: 019 | $0 | $0 | $4,900 | Yes | 4.5 out of 5 |
BlueMedicare Premier (HMO) | H1035: 033 | $0 | $0 | $2,900 | Yes | 4.5 out of 5 |
BlueMedicare Value (PPO) | H5434: 031 | $0 | $150 | $4,500 | Yes | 3.5 out of 5 |
BlueMedicare Patriot (PPO) | H5434: 041 | $0 | N/A | $5,500 | No | 3.5 out of 5 |
BlueMedicare Choice (Regional PPO) | R3332: 001 | $52 | $250 | $6,500 | Yes | 3.5 out of 5 |
BlueMedicare Select (PPO) | H5434: 002 | $148 | $305 | $5,900 | Yes | 3.5 out of 5 |

Humana Inc. Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
CareOne (HMO) | H1019: 069 | $0 | $0 | $3,400 | Yes | 5 out of 5 |
CareFree (HMO) | H1019: 094 | $0 | $100 | $3,900 | Yes | 5 out of 5 |
CareOne PLATINUM (HMO) | H1019: 113 | $0 | $0 | $4,000 | Yes | 5 out of 5 |
Humana Gold Plus H1036-068 (HMO) | H1036: 068 | $0 | $0 | $3,400 | Yes | 4.5 out of 5 |
Humana Gold Plus H1036-270 (HMO) | H1036: 270 | $0 | $0 | $4,500 | Yes | 4.5 out of 5 |
Humana Honor (HMO) | H1036: 293 | $0 | N/A | $5,500 | No | 4.5 out of 5 |
HumanaChoice Florida H5216-070 (PPO) | H5216: 070 | $0 | $175 | $5,550 | Yes | 4 out of 5 |
HumanaChoice Florida H7284-009 (PPO) | H7284: 009 | $0 | $0 | $5,550 | Yes | Plan too new to be measured |
HumanaChoice R5826-018 (Regional PPO) | R5826: 018 | $0 | N/A | $7,550 | No | 3.5 out of 5 |
HumanaChoice R5826-074 (Regional PPO) | R5826: 074 | $8 | $395 | $7,550 | Yes | 3.5 out of 5 |
HumanaChoice Florida H7284-006 (PPO) | H7284: 006 | $76 | $0 | $3,900 | Yes | Plan too new to be measured |
HumanaChoice R5826-005 (Regional PPO) | R5826: 005 | $114 | $100 | $6,700 | Yes | 3.5 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Molina Medicare Choice Care (HMO) | H8130: 010 | $0 | $125 | $7,550 | Yes | 3.5 out of 5 |
Molina Medicare Choice Care Select (HMO) | H8130: 011 | $0 | $480 | $7,550 | Yes | 3.5 out of 5 |
UnitedHealthcare Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
AARP Medicare Advantage (HMO-POS) | H1045: 026 | $0 | $0 | $3,700 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Choice (PPO) | H2406: 013 | $0 | $175 | $5,900 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Choice Plan 2 (Regional PPO) | R0759: 001 | $0 | $395 | $6,700 | Yes | 3.5 out of 5 |
AARP Medicare Advantage Patriot (Regional PPO) | R0759: 002 | $0 | N/A | $6,700 | No | 3.5 out of 5 |

WellCare Health Plans, Inc. Medicare Advantage Plans in Duval County, FL
The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Florida in 2022.
Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
---|---|---|---|---|---|---|
Wellcare Giveback (HMO) | H1032: 204 | $0 | $0 | $3,200 | Yes | 4 out of 5 |
Wellcare No Premium (HMO) | H1032: 205 | $0 | $0 | $2,500 | Yes | 4 out of 5 |
Wellcare No Premium Open (PPO) | H5199: 008 | $0 | $150 | $4,500 | Yes | Plan too new to be measured |
Wellcare Premium Enhanced Open (PPO) | H5199: 013 | $90 | $0 | $1,700 | Yes | Plan too new to be measured |