Medicare Plans in
Marion County, FL

44 Medicare Advantage Plans Found in Marion County. See Plans

Marion County, FL
Medicare Information

For Marion County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 44 MA plans are available in Marion 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.

For Marion County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 44 MA plans are available in Marion 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 Marion 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 Marion County

Average Cost of Medicare Advantage Plans in Marion County, Florida
Average Monthly Premium $73.03
Average in-network out-of-pocket spending limit $4,405.81
Average drug deductible in 2022 (weighted) $247.69
Percentage of plans rated 4 stars or higher 56.8%
Average Cost of Medicare Advantage Plans in Marion County, Florida
Average Monthly Premium
$73.03
Average in-network out-of-pocket spending limit
$4,405.81
Average drug deductible in 2021 (weighted)
$247.69
Percentage of plans rated 4 stars or higher
56.8%

Learn More About Medicare Advantage
Prescription Drug Plans

Marion County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
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
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.
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.
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.
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.

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.

Aetna Inc. Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Florida in 2022.

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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: 271 $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
Cigna

Cigna Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Florida in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Preferred Medicare (HMO) H5410: 024 $0 $0 $3,750 Yes
5 out of 5
Cigna Preferred Savings Medicare (HMO) H5410: 026 $0 $0 $3,900 Yes
5 out of 5
Cigna True Choice Medicare (PPO) H7849: 017 $0 $0 $5,850 Yes
Plan too new to be measured
Cigna Primary Medicare (HMO) H5410: 033 $47 $480 $3,500 Yes
5 out of 5

Devoted Health

Devoted Health Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for Devoted Health Medicare Advantage plans available in Florida in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted Health Core (HMO) H1290: 027 $0 $0 $2,750 Yes
Plan too new to be measured
Devoted Health Essentials (HMO) H1290: 035 $0 $0 $3,400 Yes
Plan too new to be measured
Devoted Health Prime (HMO) H1290: 028 $34 $0 $2,750 Yes
Plan too new to be measured

Freedom Health Inc.

Freedom Health Inc. Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for Freedom Health Inc. Medicare Advantage plans available in Florida in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Freedom Savings Plan (HMO) H5427: 052 $0 N/A $3,400 No
4 out of 5
Freedom Medicare Plan Rx (HMO) H5427: 060 $0 $0 $3,400 Yes
4 out of 5
Freedom Platinum Plan Rx (HMO) H5427: 094 $0 $0 $2,250 Yes
4 out of 5
Freedom Platinum Rewards Plan Rx (HMO) H5427: 096 $0 $0 $3,400 Yes
4 out of 5
Freedom Platinum Plus Plan Rx (HMO) H5427: 104 $50 $0 $1,500 Yes
4 out of 5

Guidewell Mutual Holding Corporation

Guidewell Mutual Holding Corporation Medicare Advantage Plans in Marion 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.

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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: 043 $0 $0 $2,700 Yes
4.5 out of 5
BlueMedicare Value (PPO) H5434: 036 $0 $150 $5,000 Yes
3.5 out of 5
BlueMedicare Patriot (PPO) H5434: 038 $0 N/A $5,000 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.

Humana Inc. Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Florida in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
CareOne PLUS (HMO-POS) H1019: 057 $0 $0 $2,750 Yes
5 out of 5
CareOne PLATINUM (HMO) H1019: 112 $0 $0 $3,400 Yes
5 out of 5
CareFree (HMO) H1019: 120 $0 $0 $3,400 Yes
5 out of 5
Humana Gold Plus H1036-146 (HMO) H1036: 146 $0 $0 $2,750 Yes
4.5 out of 5
Humana Gold Plus H1036-269 (HMO) H1036: 269 $0 $0 $4,500 Yes
4.5 out of 5
Humana Honor (HMO) H1036: 290 $0 N/A $6,700 No
4.5 out of 5
HumanaChoice Florida H5216-074 (PPO) H5216: 074 $0 $0 $5,950 Yes
4 out of 5
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 H7284-001 (PPO) H7284: 001 $85 $0 $2,500 Yes
Plan too new to be measured
Humana Gold Choice H8145-061 (PFFS) H8145: 061 $102 $200 N/A Yes
3.5 out of 5
HumanaChoice R5826-005 (Regional PPO) R5826: 005 $114 $100 $6,700 Yes
3.5 out of 5

Optimum HealthCare Inc.

Optimum HealthCare Inc. Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for Optimum HealthCare Inc. Medicare Advantage plans available in Florida in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Optimum Gold Rewards Plan (HMO) H5594: 026 $0 $0 $3,400 Yes
4.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Marion County, FL

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Florida in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UnitedHealthcare The Villages Medicare Advantage (HMO) H1045: 025 $0 $0 $2,900 Yes
3.5 out of 5
AARP Medicare Advantage Choice (PPO) H2406: 016 $0 $150 $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.

WellCare Health Plans, Inc. Medicare Advantage Plans in Marion 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.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Giveback (HMO) H1032: 193 $0 $0 $3,400 Yes
4 out of 5
Wellcare No Premium (HMO) H1032: 194 $0 $0 $2,900 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