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- 2024 Medicare Advantage Plan Facts for Port Saint Lucie
- Why Choose a Medicare Advantage Plan?
- Medicare Advantage Companies in Port Saint Lucie
- Top 5 Medicare Advantage Insurance Companies in Port Saint Lucie
- 2024 Port Saint Lucie Medicare Advantage Plans
- Top 16 Medicare Advantage Plans with the Highest Star Ratings in Port Saint Lucie
- Types of Medicare Advantage Plans Available in Port Saint Lucie
- When to Enroll in a Medicare Advantage Plan in Port Saint Lucie
- Medicare Doctors Near Me in Port Saint Lucie, Florida
- Frequently Asked Questions
While there are 193 Medicare Advantage plans in Florida, there are 42 plans available to you in Port Saint Lucie, Florida. Port Saint Lucie is located in St. Lucie County. Connie Health gathered the plan cost and coverage information that matters most to you. Continue reading to discover the Medicare Advantage plan right for your health & budget and when to enroll.
2024 Medicare Advantage Plan Facts for Port Saint Lucie
- 55.57% of Medicare beneficiaries are enrolled in a Medicare Advantage plan in Port Saint Lucie.
- All Medicare beneficiaries in Port Saint Lucie have access to a $0 premium plan.
- There are 33 $0 premium Medicare Advantage plans available in Port Saint Lucie.
- For those that pay a premium, the average is $61.80 per month.
- The average out-of-pocket maximum is $4,319 per year.
- The average prescription drug plan deductible (for plans that include Part D) is $90.00 per month.
- There are 16 plans available in Port Saint Lucie that Medicare rated four stars or higher.
- There are 3 Medicare Advantage plan types you can choose from, including: Local HMO, Local PPO, Regional PPO.
Why Choose a Medicare Advantage Plan?
There are three primary reasons you may choose to enroll in a Medicare Advantage plan:
- Low or no-cost monthly premiums,
- Lower out-of-pocket costs, and
- Additional benefits such as comprehensive dental, vision, hearing, and more.
1. Low or no-cost monthly premiums
You have access to a Medicare Advantage plan as low as $0 monthly. If you don't qualify for a $0 premium plan, the average is $61.80 per month. This premium is low, especially compared to a Medicare Supplement plan or your Part B premiums.
2. Lower out-of-pocket costs
Original Medicare doesn't cap their out-of-pocket costs, so you could end up with unexpectedly high medical bills. With Original Medicare Part B, you must pay the premium, deductible, and 20% coinsurance for Medicare-approved services and procedures. The 20% can add up.
3. Additional benefits not available with Original Medicare
Want routine dental coverage? Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) don't offer comprehensive dental, vision, or hearing coverage. These services would be entirely out-of-pocket for you.
The good news? Medicare Advantage plans have low or no-cost premiums, an out-of-pocket maximum, offer additional benefits, and are regulated by the Centers for Medicare & Medicaid Services (CMS). With a Medicare Advantage plan, you could receive prescription drug coverage, routine dental, vision, hearing, transportation, reduced cost-sharing, a gym membership, and more.
Medicare Advantage Companies in Port Saint Lucie
12 insurance companies offer Medicare Advantage plans in Port Saint Lucie.
| Organization Name |
|---|
| Aetna Medicare |
| Cigna |
| Devoted Health |
| Florida Blue |
| Florida Blue HMO |
| Freedom Health, Inc. |
| Humana |
| Lasso Healthcare |
| Simply Healthcare |
| Ultimate Health Plans |
| UnitedHealthcare |
| Wellcare |
Top 5 Medicare Advantage Insurance Companies in Port Saint Lucie
These 5 Medicare Advantage insurance companies enroll the largest amount of Medicare beneficiaries in Port Saint Lucie. They offer the most popular plans.
| # | Organization Name |
|---|---|
| 1 | Humana Insurance Company |
| 2 | Humana Medical Plan, Inc. |
| 3 | Preferred Care Partners, Inc. |
| 4 | Care Improvement Plus South Central Insurance Co. |
| 5 | Blue Cross And Blue Shield Of Florida, Inc. |
2024 Port Saint Lucie Medicare Advantage Plans
There are 42 Medicare Advantage plans to choose from in Port Saint Lucie. Below are the many available options. Click on any of the links to review additional plan details.
| Medicare Advantage Plan Name | Plan Type | Monthly Plan Premium | Maximum Out-of-Pocket | Rx Deductible | Medicare Star Rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice Plan 2 | Regional PPO | $0.00 | $6,700 | $195 | 3.5 |
| AARP Medicare Advantage Choice | Local PPO | $0.00 | $4,400 | $0 | 3.5 |
| AARP Medicare Advantage Focus | Local HMO | $0.00 | $2,900 | $0 | 3.5 |
| AARP Medicare Advantage | Local HMO | $0.00 | $4,000 | $0 | 3.5 |
| AARP Medicare Advantage Patriot | Regional PPO | $0.00 | $6,700 | - | 3.5 |
| Aetna Medicare Choice | Local HMO | $0.00 | $6,700 | $195 | 4 |
| Aetna Medicare Premier Plus | Local PPO | $0.00 | $4,500 | $150 | 3.5 |
| Aetna Medicare Premier | Local PPO | $0.00 | $6,700 | $300 | 3.5 |
| Aetna Medicare Select | Local HMO | $0.00 | $3,400 | $0 | 4 |
| BlueMedicare Choice | Regional PPO | $49.90 | $6,500 | $250 | 3 |
| BlueMedicare Classic | Local HMO | $0.00 | $4,900 | $0 | 3.5 |
| BlueMedicare Premier | Local HMO | $0.00 | $3,400 | $0 | 3.5 |
| BlueMedicare Select | Local PPO | $108.70 | $5,900 | $305 | 3.5 |
| BlueMedicare Value | Local PPO | $0.00 | $3,651 | $150 | 3.5 |
| Cigna Preferred Medicare | Local HMO | $0.00 | $3,600 | $0 | 4.5 |
| Cigna Preferred Savings Medicare | Local HMO | $0.00 | $3,700 | $0 | 4.5 |
| Cigna True Choice Medicare | Local PPO | $0.00 | $4,600 | $150 | 3 |
| Devoted CHOICE East Coast Florida | Local PPO | $0.00 | $5,900 | $150 | - |
| Devoted CORE East Coast Florida | Local HMO | $0.00 | $3,400 | $0 | 4.5 |
| Devoted ESSENTIALS East Coast Florida | Local HMO | $0.00 | $3,900 | $0 | 4.5 |
| Freedom Platinum Plan Rx | Local HMO | $0.00 | $1,750 | $0 | 4.5 |
| Freedom Platinum Plus Plan Rx | Local HMO | $50.00 | $1,500 | $0 | 4.5 |
| Freedom Platinum Rewards Plan Rx | Local HMO | $0.00 | $3,400 | $0 | 4.5 |
| Freedom Savings Plan | Local HMO | $0.00 | $3,400 | - | 4.5 |
| HumanaChoice Florida H5216-062 | Local PPO | $0.00 | $3,350 | $150 | 4.5 |
| HumanaChoice Florida H5216-311 | Local PPO | $0.00 | $4,850 | $350 | 4.5 |
| HumanaChoice Florida H7284-007 | Local PPO | $10.00 | $3,400 | $150 | 4 |
| HumanaChoice R5826-005 | Regional PPO | $111.00 | $6,700 | $100 | 3 |
| HumanaChoice R5826-018 | Regional PPO | $0.00 | $7,550 | - | 3 |
| HumanaChoice R5826-074 | Regional PPO | $4.00 | $7,550 | $395 | 3 |
| Humana Gold Plus H1036-229 | Local HMO | $0.00 | $1,950 | $0 | 4.5 |
| Humana Gold Plus H1036-286 | Local HMO | $0.00 | $6,500 | $0 | 4.5 |
| Humana Honor | Local PPO | $0.00 | $4,900 | - | 4.5 |
| Lasso Healthcare Growth | MSA | - | - | - | - |
| Lasso Healthcare Growth Plus | MSA | - | - | - | - |
| Premier by Ultimate | Local HMO | $0.00 | $2,000 | $0 | 3.5 |
| Premier Plus by Ultimate | Local HMO | $0.00 | $1,200 | $0 | 3.5 |
| Simply Freedom | Local PPO | $0.00 | $4,500 | $150 | - |
| Wellcare Giveback | Local HMO | $0.00 | $3,400 | $0 | 3 |
| Wellcare No Premium | Local HMO | $0.00 | $2,500 | $0 | 3 |
| Wellcare No Premium Open | Local PPO | $0.00 | $3,400 | $100 | 2 |
| Wellcare Premium Enhanced Open | Local PPO | $99.00 | $3,500 | $0 | 2 |
Top 16 Medicare Advantage Plans with the Highest Star Ratings in Port Saint Lucie
The Centers for Medicare and Medicaid Services (CMS) rates all Medicare Advantage plans on a scale of 1 to 5 stars. Plans with one star are considered “poor,” while those with five stars are considered “excellent.” Any plan that is four stars and higher is a “top-rated” plan. These are the plans with the highest star ratings in Port Saint Lucie.
Find the right Medicare plan for you
Types of Medicare Advantage Plans Available in Port Saint Lucie
There are 3 Medicare Advantage plan types you can choose from in Port Saint Lucie. These include: Local HMO, Local PPO, Regional PPO. Not sure which is the best plan for your health needs and budget? We'll walk you through the most popular plan types: HMO, PPO, and SNPs. At the end of this section, you'll understand the difference between these three most popular plan types.
Medicare Advantage HMO Plans
You have 20 Medicare Advantage HMO plans to choose from in Port Saint Lucie. An HMO, or Health Maintenance Organization, is a type of health plan that limits coverage to in-network care from doctors who work for or contract with the HMO. Typically, HMO plans won't cover out-of-network care except in an emergency.
Medicare Advantage PPO Plans
There are 20 Medicare Advantage PPO plans in Port Saint Lucie. A PPO, or Preferred Provider Organization, is a type of health plan where you pay less to use doctors in the plan's network. Unlike an HMO, you can see doctors and specialists and use a hospital outside the network without a referral for an additional cost.
Medicare Advantage Special Needs Plans (SNPs)
Special Needs Plans, or SNPs, are a type of Medicare Advantage plan. There are two types of Special Needs Plans that may be available to you: Chronic Special Needs Plans (C-SNP) and Dual Special Needs Plans (D-SNP).
Chronic Special Needs Plans (C-SNP) are limited to people with specific illnesses or characteristics. For example, you may qualify for a C-SNP if you have diabetes, End-Stage Renal Disease (ESRD), HIV/AIDS, dementia, chronic heart failure, or other qualifying illness. Medicare C-SNPs tailor benefits, provider choices, and drug formularies to meet the needs of the special needs groups they serve.
You may qualify for a Dual Special Needs Plan (D-SNP) if you are eligible for Medicare and Medicaid. With a D-SNP, the State of Florida may cover your Medicare costs, depending on your eligibility.
Veteran Benefits & Medicare
If you or your spouse are veterans, you likely have VA benefits. However, the U.S. Department of Veteran Affairs encourages you to sign up for Medicare as soon as you are eligible. Here are three reasons you should speak to a local licensed agent about how VA benefits and Medicare work together:
- Having Medicare means you're covered when you need care from a non-VA hospital or doctor, which also offers you greater health options.
- VA benefits and health care could change in the future, so you should enroll in every health care benefit that you are eligible for.
- If you lose VA benefits and aren't enrolled in Medicare, you could face Medicare Part B and Part D lifetime late enrollment penalties.
When to Enroll in a Medicare Advantage Plan in Port Saint Lucie
Knowing when to enroll or make plan changes can help you save money.
Enrolling in a Medicare Advantage plan for the first time, or are you interested in making a plan change? Skip to the section that applies to you - and mark the dates in your calendar.
Enroll for the First Time
If you're new to Medicare, the best time to enroll in a Medicare Advantage plan is during your Initial Enrollment Period. If you miss that, you can still enroll during the General Enrollment Period (January 1 - March 31) or Special Enrollment Period, but likely with penalties.
Make a Plan Change
The best time to make a plan change is during the Medicare Annual Enrollment Period (October 15 - December 7). During this time, anyone enrolled in Medicare can review their plan options for the coming year and ensure that their plan choice meets their health and budget needs.
If you need to make a plan change because you moved to a new service area or lost coverage, among other reasons, you could qualify for a Special Enrollment Period.
Whether you're enrolling for the first time or making a plan change, a Medicare Advantage plan could fit your health and budget needs. Medicare in Florida can be confusing, and you don't have to sift through your options alone.
Medicare Doctors Near Me in Port Saint Lucie, Florida
Struggling to find a trustworthy doctor who accepts your Medicare plan? It can be a daunting task but don't worry. With Connie Health, you can easily locate Medicare doctors near you.
No more endless phone calls or web searches. Our platform lets you enter your address and plan information (if you have it), and we'll do the rest. Let us help you eliminate the stress of finding a physician who accepts Medicare.
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Sources
“Explore your Medicare coverage options.” Medicare.gov.
“MA State/County Penetration.” CMS.gov.
“Monthly MA Enrollment by State/County/Contract.” CMS.gov.
“Prescription Drug Coverage - General Information.” CMS.gov.
“VA healthcare and other insurance.” U.S. Department of Veterans Affairs (VA.gov).
Last updated: April 04, 2024