Medicare Advantage 2018 and new 2019 Plans for Southwest Florida

How PPO Plans Work

A Medicare PPO Plan is a type of Medicare Advantage Plan (Part C)offered by a private insurance company. In a PPO Plan, you pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network . You pay more if you use doctors, hospitals, and providers outside of the network.

Click on any plan to view the Summary of Benefits for each plan.

New plan for 2019 HUMANA CHOICE PPO H5216-072 Monthly premium $0.00

This plan features a low Maximum out-of-pocket limit of $4,900 in-network, up to $1,000 hearing aid allowance every 3 years, an annual eye exam up to $75 with a $200 annual eyewear allowance, and one dental exam with X-rays and a cleaning.

New plan for 2019 Humana Choice PPO R5826-018 Rx not included Monthly Premium $0.00

For 2018 UnitedHealthcare Medicare Complete Choice Plan 2 (Regional PPO) Monthly Premium $0.00

Local 2018 plan for Collier County residents UnitedHealthcare Medicare Complete Choice PPO H2406-009

New Local 2019 plan for Collier and Lee County residents UnitedHealthcare Medicare Complete Choice PPO H2406-009 Monthly premium $0.00

This plan features a hearing exam in-network for $10 with a hearing aid benefit up to $2,025, two dental exams and cleaning per year, and an eye exam with a $0 copay.

For 2018 UnitedHealthcare Medicare Complete Choice Essential (No Rx coverage) Regional PPO R7444-004 Monthly premium $0.00

New Plan for 2019 R7444-004 Monthly premium $0.00

If you wish to enroll directly into an Aetna plan simply link on the Aetna logo above. Using this link Tom Weibling will be your Aetna agent.

For 2018 Aetna Medicare Premier Plan (PPO) H5521-033 for Lee County residents Monthly premium $0.00

New plan for 2019 Aetna Medicare Premier Plan (PPO) H5521-033 for Collier and Lee County residents Monthly Premium $0.00

This plan features a $0 copay for your in-network primary care physician, a $900 annual dental allowance in or out-of-network, an annual eye exam with a $0 copay and a $300 eyewear allowance also in or out-of-network.

Health Maintenance Organization (HMO) Plan


In most HMO Plans, you can only go to doctors, other health care providers, or hospitals on the plan's list except in an emergency. You may also need to get a referral from your primary care doctor. Find and compare HMO Plans in your area.


For 2018 Humana Gold Plus HMO H1036-217 for Collier and Lee County Monthly Premium $0.00


New plan for 2019 Humana Gold Plus HMO H1036-217
For 2018 UnitedHealthcare Medicare Complete Plan 2 (HMO) H1045-034 for Collier and Lee County.


New plan for 2019 UnitedHealthcare Medicare Complete HMO H1045-034 for Collier and Lee County Monthly premium $0.00


For 2018 Aetna Medicare Select Plan (HMO) for Lee County Monthly premium $0.00


New plan for 2019 Aetna Medicare Select Plan (HMO) for Collier and Lee County Monthly premium $0.00


How Medicare SNPs work


Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO). Medicare SNPs limit membership to people with specific diseases or characteristics, and tailor their benefits, provider choices, and drug formularies to best meet the specific needs of the groups they serve.

"This list is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov (TTY users should call 1-877-486-2048). Hours of operation are 24 hours a day, 7 days a week."

How PFFS Plans Work

A Medicare PFFS Plan is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. PFFS plans aren’t the same as Original Medicare or Medigap.  The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care.


These definitions are directly from www.medicare.gov



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