| New Medicare Advantage benefits in Tampa Bay area
Medicare HMOs
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• Humana Gold Classic
Counties where available: Hernando, Hillsborough, Pasco, Pinellas
Primary doctor visit copay: $5
Specialist visit copay: $35 in Hillsborough, $25 elsewhere
Generic drugs: $5 copay, unlimited benefit
Brand drugs: $15-45; $75 a month limit in Hillsborough and Pasco, $150 a month limit in Hernando and Pinellas
Hospital stay: $200 a day for first five days
Other: One free dental cleaning per year and $5 copay on arthritis supplements in Hernando and Pinellas
Contact: 1-800-421-2491 (Hillsborough); 1-800-443-1702 (Pinellas); Hernando and Pasco residents may call either
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• Medicare Masterpiece
Counties where available: Hernando
Primary doctor visit copay: $5
Specialist visit copay: $20
Generic drugs: $5
Brand drugs: $40
Hospital stay: $150 a day for first five days
Other: Plan will pay Medicare Part B of $66.60 per month for each member
Contact: 1-866-690-4842 |
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• Quality Health Plans Inc.
Counties where available: Hernando, Pasco
Primary doctor visit copay: $5
Specialist visit copay: $15
Generic drugs: $5, no limits
Brand drugs: $25-$40 with $250 quarterly limit in Hernando, $40 copay with $225 quarterly limit in Pasco; no coverage for non-formulary brands in either county
Hospital stay: $100 per stay in Hernando; $100 per day for first five days in Pasco
Other: Not yet disclosed
Contact: 1-866-747-2700 |
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• UnitedHealthcare Medicare Complete
Counties where available: Hernando, Hillsborough, Pasco, Pinellas
Primary doctor visit copay: $10
Specialist visit copay: $15 in Hernando and Pasco; $20 in Hillsborough and Pinellas
Generic drugs: $10 in Hernando and Pasco; $12 in Hillsborough and Pinellas
Brand drugs: No coverage for brands in Hernando and Pasco; $15-$45 in Hillsborough and Pinellas with $360 a year limit
Hospital stay: $175 a day in Hillsborough and Pinellas; $265 a day in Hernando and Pasco
Other: Maximum annual out-of-pocket $1,800 in Hillsborough and Pinellas; $2,400 in Hernando and Pasco
Contact: 1-800-973-6467 |
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• WellCare Choice
Counties where available: Hernando, Hillsborough, Pasco, Pinellas
Primary doctor visit copay: $3 in Hernando, $5 elsewhere
Specialist visit copay: $10 in Hernando; $25 in Pasco, $35 elsewhere
Generic drugs: No copay in Hernando; $5 in Pasco, Pinellas; $7 in Hillsborough
Brand drugs: $5-$20 in Hernando; $15-$40 in Pinellas; no coverage n Hillsborough, Pasco
Hospital stay: $50 a day for first five days in Hernando; $200 a day for first five days elsewhere
Other: Transportation benefit in Hernando, Pinellas; alternative medicine benefit with $10 copay in Pinellas
Contact: 1-888-888-9355 |
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| PPOs (preferred provider organizations) |
• Humana Gold PPO
Counties where available: Pinellas, Pasco, Hillsborough
Premium: $59 per month
Primary doctor visit copay: $5
Specialist visit copay: $25
Drug copay: $12 - $55, no limits on generics or brands
Hospital stay: $75 a day for first six days in network hospital; 20 percent of cost for out-of-network hospital
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• UnitedHealthcare Medicare Complete Choice PPO
Counties where available: Hernando, Hillsborough, Pasco, Pinellas
Updated benefits not yet available |
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Source: Insurance companies
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