Super Plus (HMO-POS C-SNP)
Florida Chronic Condition Special Needs C-SNP Plan (2024 Plan)
Monthly Premium

Additional Coverage
Overall Government Star Rating
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Plan Overview
Super Plus (HMO-POS C-SNP) is a Chronic Condition Special Needs Plan (C-SNP), which is available in Florida and offered by the health insurance company Gold Kidney Health Plan. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Super Plus (HMO-POS C-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,000 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Super Plus (HMO-POS C-SNP) are defined below.
Additional Benefits and Coverage
Super Plus (HMO-POS C-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Super Plus (HMO-POS C-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Super Plus (HMO-POS C-SNP) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $0-10 copay per visit
Tests, labs, & imaging
Out-of-network: $50 copay
Out-of-network: $0 copay
Out-of-network: $50 copay
Out-of-network: $0 copay
Hospital Services
$0 per day for days 6 through 90
Out-of-network: $175 per day for days 1 through 5
$0 per day for days 6 through 90
Out-of-network: $0-175 copay per visit
Skilled nursing facility
$200 per day for days 21 through 36
$0 per day for days 37 through 100
Out-of-network: $0 per day for days 1 through 20
$200 per day for days 21 through 36
$0 per day for days 37 through 100
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $200 copay
Therapy services
Out-of-network: $10 copay
Out-of-network: $10 copay
Mental health services
Out-of-network: $10-25 copay
Out-of-network: $10-25 copay
Out-of-network: $10-25 copay
Out-of-network: $10-25 copay
Opioid treatment services
Other services
Out-of-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Out-of-network: $0 copay
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Tiers | Initial coverage phase | Gap coverage phase1 | Catastrophic coverage phase |
---|---|---|---|
Preferred Generic | $0.00 copay | $0.00 copay |
Brand-name drugs :
|
Generic | $5.00 copay | $5.00 copay | |
Preferred Brand | $40.00 copay | $40.00 copay | |
Non-Preferred Drug | |||
Specialty Tier | 33% | ||
1 * The above cost-sharing only applies to some drugs on this tier. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. |
Part B Drugs
Out-of-network: $35 copay or 0-20% coinsurance
Out-of-network: $35 copay or 0-20% coinsurance
Extra Benefits
Hearing
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
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