Super Plus (HMO-POS C-SNP)
Florida Chronic Condition Special Needs C-SNP Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
No Rating (new plan)Ready to Enroll Online?
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
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET
- Medicare Advantage Plans
- Medicare Prescription Drug Plans
- Medicare Supplement Insurance Plans
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Best Florida Medicare Advantage Health Insurance Companies for 2024
Health Plan RadarIn this article we rank Florida Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
New Florida Medicare Advantage Health Insurance Companies for 2024
Health Plan RadarThe Medicare landscape in Florida is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Florida.