Medicare Advantage new 2021 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 2021 Aetna Medicare Premier Plus Plan (PPO) H5521-272 for Collier and Lee County residents Monthly Premium $0.00

This plan features a low out-of-pocket limit in-network of $4,900, $0 copay for your in-network primary care physician, a $1,000 annual dental allowance in or out-of-network, an annual eye exam with a $0 copay and a $200 eyewear allowance also in or out-of-network. Up to $1,250 hearing aids per ear per year.

New plan for 2021 Wellcare Premier (PPO) H5199-012-000 for Collier and Lee County residents Monthly Premium $0.00

This plan features a low out-of-pocket limit in-network of $3,400, $0 copay for your primary care physician, a $1,000 annual dental benefit in or out-of-network, an annual eye exam with a $0 copay and a $200 eyewear benefit. Annual hearing aid allowance a $2,000 value for 2 hearing aids per year. An additional supplemental benefit of a Flex Card with a $750 yearly benefit to be used to reduce out of pocket costs at a dental, vision or hearing providers that accepts the card carrier.

New plan for 2021 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 $100 annual eyewear allowance, and one dental exam with X-rays and a cleaning.

Local 2021 plan for Collier and Lee County residents UnitedHealthcare Medicare Complete Choice PPO H2406-009 Monthly premium $0.00

This plan features a low maximum out-of-pocket limit in-network of $4,900, hearing exam in-network for $0 with a hearing aid benefit up to $2,075 for EACH HEARING AID, 2 hearing aids every two years, two dental exams and cleanings per year, and an eye exam with a $0 copay using network providers.

New Plan for 2021 R0759-002 PPO Essential Rx not included Monthly premium $0.00

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.


New plan for 2021 Humana Gold Plus HMO H1036-217


New plan for 2021 UnitedHealthcare Medicare Complete HMO H1045-034 for Collier and Lee County Monthly premium $0.00


New plan for 2021 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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