Plan ID: H5199-012

What You Need to Know:

  • WellCare Premier (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO 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 $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is $100 (Tier 1 and 2 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $3,400 per year (in-network).
  • WellCare Premier (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $100 (Tier 1 and 2 excluded from the Deductible.).
  • This plan's Part D Initial Coverage Limit is $0.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
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:
$0 $0 $0 $0 $0 $100.0 1.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H5199-013
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: Yes, some additional gap coverage.
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $3,400
Annual Deductible: $100 (Tier 1 and 2 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Pinellas, Florida: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
151 members New plan - No summary rating as of yet. New plan - not yet rated. 3 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,390 drugs
Number of Members Enrolled in this Plan in Pinellas, 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 $0.00 $0.00 $0.00
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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
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)
546 $0.00 1539 $0.00 314 $47.00 319 $100.00 672 31%

Other Medicare Advantage Plans in Pinellas, Florida

Plan Name Type Premium MOOP Rx Deduct. Rating
BlueMedicare Choice (Regional PPO) (2023)Regional PPO$6,500$250
4
BlueMedicare Premier (HMO) (2023)Local HMO$3,400$0
4
BlueMedicare Saver (HMO) (2023)Local HMO$6,700$50
4
Humana Gold Plus H1036-025 (HMO) (2023)Local HMO$1,900$0
4
Aetna Medicare Choice (HMO-POS) (2023)Local HMO$6,700$195
5
Aetna Medicare Select (HMO) (2023)Local HMO$3,200$0
5
AARP Medicare Advantage Choice Plan 2 (Regional PPO) (2023)Regional PPO$6,700$395
5
BayCarePlus Complete (HMO) (2023)Local HMO$3,500$0
4
HumanaChoice Florida H5216-072 (PPO) (2023)Local PPO$4,900$150
4
WellCare Prime (PPO) (2023)Local PPO$1,700$0
New plan - not yet rated.
BayCarePlus Rewards (HMO) (2023)Local HMO$4,500$0
4
CareOne PLUS (HMO) (2023)Local HMO$2,500$0
5
BayCarePlus Premier (HMO) (2023)Local HMO$2,800$0
4
CareFree (HMO) (2023)Local HMO$3,400$0
5
CareOne PLATINUM (HMO) (2023)Local HMO$3,400$0
5
Cigna Primary Medicare (HMO) (2023)Local HMO$3,500$445
5
Humana Gold Plus H1036-265 (HMO) (2023)Local HMO$2,750$0
4
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$5,500$150
5
Freedom Savings Plan (HMO) (2023)Local HMO *$3,400$-
4
Cigna Preferred Medicare (HMO) (2023)Local HMO$3,650$0
5
Cigna Preferred Savings Medicare (HMO) (2023)Local HMO$3,950$0
5
HumanaChoice R5826-074 (Regional PPO) (2023)Regional PPO$7,550$395
4
Aetna Medicare Eagle (PPO) (2023)Local PPO *$5,500$-
5
BlueMedicare Value (PPO) (2023)Local PPO$4,500$150
4
Humana Gold Choice H8145-061 (PFFS) (2023)PFFS$-$200
4
AARP Medicare Advantage Patriot (Regional PPO) (2023)Regional PPO *$6,700$-
5
Humana Honor (HMO) (2023)Local HMO *$4,500$-
4
AARP Medicare Advantage (HMO-POS) (2023)Local HMO$4,900$0
5
HumanaChoice R5826-005 (Regional PPO) (2023)Regional PPO$6,700$100
4
Simply More (HMO) (2023)Local HMO$3,450$0
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
WellCare Dividend Prime (HMO) (2023)Local HMO$2,500$0
4
Aetna Medicare Premier (PPO) (2023)Local PPO$6,700$300
5
WellCare Elite (HMO) (2023)Local HMO$1,200$0
4
Devoted Health Prime Greater Tampa Bay (HMO) (2023)Local HMO$3,400$445
4
AARP Medicare Advantage Focus (HMO-POS) (2023)Local HMO$3,400$0
5
Simply Select (HMO) (2023)Local HMO$3,450$445
5
Aetna Medicare Premier Plus (PPO) (2023)Local PPO$5,500$150
5
Devoted Health Core Greater Tampa Bay (HMO) (2023)Local HMO$2,900$0
4
BlueMedicare Select (PPO) (2023)Local PPO$5,900$305
4
Devoted Health Essentials Greater Tampa Bay (HMO) (2023)Local HMO$3,400$0
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
HumanaChoice R5826-018 (Regional PPO) (2023)Regional PPO *$7,550$-
4
Medicare Advantage Plans by WellCare
WellCare Prime (PPO) (2023)Local PPO$1,700$0
New plan - not yet rated.
WellCare Dividend Prime (HMO) (2023)Local HMO$2,500$0
4
WellCare Elite (HMO) (2023)Local HMO$1,200$0
4

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