Konte Miami-Dade an chif
Chak chif nan tablo sa a soti nan dosye peyizaj CMS yo pou de ane plan yo, konte menm jan an de bò yo. Chif Medicare Advantage ak MA-PD yo pa gen ladan Plan Bezwen Espesyal yo, ki konte sou pwòp liy pa yo epi ki gen pwòp tablo pa yo pi ba.
| Mezi | 2026 | 2027 | 2027 kont 2026 |
|---|---|---|---|
| Plan Medicare Advantage (san SNP) | 46 | 41 | −5 |
| Plan ak prim $0 pa mwa | 39 | 35 | −4 |
| Prim mwayèn Pati C | $2.31 | $2.73 | +$0.42 |
| Prim konsolide mwayèn Pati C + D (plan MA-PD sèlman) | $13.09 | $16.12 | +$3.03 |
| Prim mwayèn chak mwa yo chaje reyèlman (tout plan) | $11.45 | $13.59 | +$2.14 |
| Plan san kouvèti Pati D (medikal sèlman) | 9 | 7 | −2 |
| Maksimòm mwayèn ou peye nan pòch ou nan rezo a | $4,392 | $4,555 | +$163 |
| Maksimòm ki pi wo ou peye nan pòch ou nan rezo a | $9,250 | $9,850 | +$600 |
| Franchiz anyèl mwayèn Pati D | $269.86 | $381.03 | +$111.17 |
| Plan Bezwen Espesyal (konte apa) | 69 | 60 | −9 |
Sa k ap chanje nan konte Miami-Dade pou 2027
Lè nou konpare dosye peyizaj 2026 ak 2027 konte Miami-Dade plan pa plan, men sa ki chanje toutbon :
- 5 plan Medicare Advantage mwens — 46 nan 2026, 41 pou 2027. 30 dosye plan 2026 pa parèt nan dosye 2027 la ; 16 se nouvo.
- Plan ak prim $0 — 39 nan 2026, 35 pou 2027, lè nou konte prim Pati C la sou plan medikal sèlman yo ki pa gen pati Pati D. Yon prim $0 pa menm bagay ak yon plan bon mache : gade maksimòm ou peye nan pòch ou a ak franchiz medikaman an sou menm liy nan, paske se la yon plan prim $0 reprann diferans lan.
- Franchiz ak maksimòm ou peye nan pòch ou tou de monte — franchiz Pati D mwayèn sou yon plan Medicare Advantage Miami-Dade pase soti nan $269.86 rive nan $381.03, epi maksimòm mwayèn ou peye nan pòch ou a rive nan $4,555, ak pi wo a sou etajè a nan $9,850. Plafon legal franchiz Pati D la monte soti nan $615 rive nan $700.
- Plan medikaman apa yo vin pi chè — rejyon Pati D Florid la pase soti nan 10 plan apa rive nan 11, epi soti nan 2 plan ak prim $0 rive nan okenn. Plafon anyèl sa ou peye nan pòch ou pou medikaman kouvri yo monte soti nan $2,100 rive nan $2,400.
Avi Anyèl Chanjman ou an se dokiman ki konte a
Si ou deja nan yon plan Medicare Advantage oswa Pati D, konpayi ou an te oblije voye yon Avi Anyèl Chanjman (ANOC) ba ou anvan 30 septanm pou kouvèti k ap kòmanse 1ye janvye. Se pa piblisite — se deklarasyon legal sa pwòp plan ou an ap chanje. Kat liy vo lapèn pou jwenn : prim chak mwa a, franchiz anyèl medikaman an, maksimòm ou peye nan pòch ou nan rezo a, epi si plan ou an ap konbine ak yon lòt. Si ANOC la di plan ou an ap fini oswa ap fizyone epi ou pa fè anyen, y ap deplase ou nan yon kote ou pa t chwazi.
Pou règ ki dèyè tout sa yo, CMS pibliye manyèl ofisyèl la chak ane : Medicare & You 2027 (PDF, medicare.gov, an anglè).
Plan k ap kite etajè Miami-Dade la
30 dosye plan ki te la nan konte Miami-Dade pou 2026 pa parèt pou 2027. Kèk se vrè retrè ; anpil se konsolidasyon, kote yon konpayi met de oswa twa plan ansanm nan yon sèl epi li deplase manm yo. Jiskaske CMS pibliye crosswalk plan 2027 la, dosye peyizaj la pou kont li pa ka di ou kilès ki kilès pou yon plan an patikilye — kidonk nou pa make okenn plan endividyèl kòm « fini » isit la. Sa nou ka di, se ki konpayi ki gen mwens dosye plan sou etajè 2027 la pase sou etajè 2026 la.
Konpayi ki gen omwen yon dosye plan 2026 ki absan sou etajè 2027 la : Aetna Medicare · Align Senior Care · CarePlus Health Plans, Inc. · Doctors HealthCare Plans, Inc. · Gold Kidney Health Plan · HealthSpring · Humana · Simply Healthcare Plans, Inc. · UnitedHealthcare · Wellcare
Konpayi ki gen dosye plan nouvo pou 2027 : Aetna Medicare · Align Senior Care · Devoted Health · Doctors HealthCare Plans, Inc. · Gold Kidney Health Plan · Humana · Simply Healthcare Plans, Inc. · Wellcare
Kote popilasyon Medicare konte Miami-Dade a ye toutbon
Kantite plan di ou sa ki an vant. Enskripsyon di ou sa moun isit la chwazi toutbon. Men chif CMS yo pou konte Miami-Dade nan jen 2026.
| Gwoup | Moun | Pousantaj |
|---|---|---|
| Tout benefisyè Medicare nan konte a | 524,508 | 100% |
| Nan yon plan Medicare Advantage oswa yon lòt plan sante | 394,671 | 75.2% |
| Sou Medicare Orijinal | 129,837 | 24.8% |
| Ak kouvèti medikaman atravè yon plan Medicare Advantage | 391,670 | 74.7% |
| Ak yon plan medikaman Pati D apa | 78,335 | 14.9% |
| Doub kalifikasyon (Medicare ak Medicaid) | 224,591 | 42.8% |
| K ap resevwa Èd Siplemantè Pati D (sibvansyon pou revni ba) | 234,316 | 44.7% |
Miami-Dade se konte ki pi chaje ak Medicare Advantage nan twa yo : 75.2% nan benefisyè yo nan yon plan Medicare Advantage oswa yon lòt plan sante, epi 42.8% gen doub kalifikasyon — Medicare ak Medicaid ansanm. Se poutèt sa 60 nan plan ki disponib isit la pou 2027 se Plan Bezwen Espesyal, plis pase de fwa kantite plan Medicare Advantage òdinè yo.
Tout plan Medicare Advantage 2027 nan konte Miami-Dade
Gwoupe pa tip plan, paske tip plan an detèmine kijan referans ak swen deyò rezo a mache, epi se premye filtè pifò moun ta dwe aplike. Zetwal yo montre se nòt jeneral 2026 kontra a, pi resan CMS pibliye a. Plan ki make nouvo pou 2027 pa t gen dosye ki koresponn nan dosye 2026 la.
Plan HMO (24 pou 2027)
24 plan HMO pou 2027, kont 31 nan 2026. 24 gen yon prim $0 pa mwa epi 2 pa gen okenn kouvèti Pati D. Prim mwayèn chak mwa $0 ; maksimòm mwayèn ou peye nan pòch ou $3,286 ; franchiz medikaman mwayèn $207.73 sou plan MA-PD yo.
| Plan | Konpayi | Zetwal 2026 | Estabilite | Prim (C+D) | Maks. nan pòch ou | Franchiz medikaman | ID kontra-plan |
|---|---|---|---|---|---|---|---|
| Aetna Medicare Select Care (HMO) | Aetna Medicare | 4.5★ | Solid | $0 | $2,900 | $0 | H1609-093 |
| CareAccess (HMO) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $2,250 | $0 | H1019-148 |
| CareFree Platinum Giveback (HMO) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $3,000 | $700 | H1019-136 |
| CareOne Plus (HMO) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $500 | $0 | H1019-006 |
| CareSalute (HMO) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 san Pati D | $4,150 | san Pati D | H1019-132 |
| DEVOTED CORE 001 FL (HMO) | Devoted Health | 5★ | Solid | $0 | $3,900 | $600 | H1290-001 |
| DEVOTED CORE 037 FL (HMO) | Devoted Health | 5★ | Solid | $0 | $3,900 | $650 | H1290-037 |
| DEVOTED CORE 062 FL (HMO) | Devoted Health | 5★ | Solid | $0 | $3,400 | $465 | H1290-062 |
| DEVOTED GIVEBACK 013 FL (HMO) | Devoted Health | 5★ | Solid | $0 | $7,150 | $650 | H1290-013 |
| DEVOTED GIVEBACK EXTRAS 110 FL (HMO) Nouvo pou 2027 | Devoted Health | 5★ | Solid | $0 | $5,150 | $700 | H1290-110 |
| DrMax-Dade (HMO) Nouvo pou 2027 | Doctors HealthCare Plans, Inc. | 4★ | Solid | $0 | $3,000 | $0 | H4140-022 |
| DrSelect-SFL (HMO) Nouvo pou 2027 | Doctors HealthCare Plans, Inc. | 4★ | Solid | $0 | $3,000 | $0 | H4140-023 |
| BlueMedicare Classic (HMO) | Florida Blue HMO | 4★ | Solid | $0 | $6,675 | $700 | H1035-017 |
| HealthSun HealthAdvantage Plan (HMO) | HealthSun Health Plans, Inc. | 4.5★ | Solid | $0 | $1,500 | $0 | H5431-001 |
| HealthSun HealthAdvantage Plus (HMO) | HealthSun Health Plans, Inc. | 4.5★ | Solid | $0 | $3,450 | $0 | H5431-017 |
| HealthSun MediMax (HMO) | HealthSun Health Plans, Inc. | 4.5★ | Solid | $0 | $3,450 | $105 | H5431-006 |
| Humana Gold Plus Giveback H1036-305 (HMO) | Humana | 4.5★ | Solid | $0 | $3,850 | $0 | H1036-305 |
| Humana Gold Plus H1036-054C (HMO) | Humana | 4.5★ | Solid | $0 | $500 | $0 | H1036-054 |
| Humana USAA Honor Giveback (HMO) | Humana | 4.5★ | Solid | $0 san Pati D | $3,400 | san Pati D | H1036-279 |
| Leon MediExtra (HMO) | Leon Health, Inc. | 5★ | Solid | $0 | $1,000 | $0 | H4286-001 |
| Leon MediMore (HMO) | Leon Health, Inc. | 5★ | Solid | $0 | $3,450 | $0 | H4286-003 |
| Solis Healthy Living Plan (HMO) | Solis Health Plans | 3.5★ | Mwayen | $0 | $2,500 | $0 | H0982-022 |
| UHC MedicareMax Medicare Advantage FL-0028 (HMO) | UnitedHealthcare | 4.5★ | Solid | $0 | $3,900 | $0 | H5420-001 |
| UHC Preferred Medicare Advantage FL-0001 (HMO) | UnitedHealthcare | 4.5★ | Solid | $0 | $2,900 | $0 | H1045-001 |
Prim yo se chif chak mwa plan an chaje, dapre dosye peyizaj 2027 CMS la : prim konsolide Pati C + D lè plan an gen kouvèti medikaman, epi prim Pati C lè li pa genyen. Maksimòm ou peye nan pòch ou se limit anyèl la nan rezo a. Zetwal yo se nòt jeneral 2026 kontra a. ID kontra-plan yo kite ou chèche nenpòt liy sou medicare.gov.
Èske yon HMO se bon fòm nan pou mwen ?
Yon HMO se sa ki pi sere epi anjeneral sa ki pi bon mache. Ou chwazi yon doktè prensipal nan rezo a, referans yo pase nan men l, epi swen deyò rezo a jeneralman pa kouvri eksepte ijans ak dyaliz. Li bon si tout doktè ou yo nan yon sèl sistèm epi ou pa pase plizyè mwa deyò eta a. Li pa bon si ou vwayaje, ou separe ane a ant de kay, oswa ou wè espesyalis nan plizyè sistèm.
Plan HMO-POS (2 pou 2027)
2 plan HMO-POS pou 2027, kont 0 nan 2026. 2 gen yon prim $0 pa mwa epi 0 pa gen okenn kouvèti Pati D. Prim mwayèn chak mwa $0 ; maksimòm mwayèn ou peye nan pòch ou $3,850 ; franchiz medikaman mwayèn $700 sou plan MA-PD yo.
| Plan | Konpayi | Zetwal 2026 | Estabilite | Prim (C+D) | Maks. nan pòch ou | Franchiz medikaman | ID kontra-plan |
|---|---|---|---|---|---|---|---|
| Wellcare Giveback (HMO-POS) | Wellcare | 4★ | Solid | $0 | $5,000 | $700 | H1032-195 |
| Wellcare Simple (HMO-POS) Nouvo pou 2027 | Wellcare | 4★ | Solid | $0 | $2,700 | $700 | H1032-196 |
Prim yo se chif chak mwa plan an chaje, dapre dosye peyizaj 2027 CMS la : prim konsolide Pati C + D lè plan an gen kouvèti medikaman, epi prim Pati C lè li pa genyen. Maksimòm ou peye nan pòch ou se limit anyèl la nan rezo a. Zetwal yo se nòt jeneral 2026 kontra a. ID kontra-plan yo kite ou chèche nenpòt liy sou medicare.gov.
Èske yon HMO-POS se bon fòm nan pou mwen ?
Yon HMO-POS se yon HMO ak yon opsyon pwen sèvis : yon lis sèvis byen defini ou ka jwenn deyò rezo a, ak yon pataj depans pi wo. Se yon mwayen tè, men lis la presi epi souvan kout, kidonk li sa ki reyèlman ladan l olye ou sipoze li vle di kouvèti deyò rezo an jeneral.
Plan PPO (10 pou 2027)
10 plan PPO pou 2027, kont 10 nan 2026. 8 gen yon prim $0 pa mwa epi 3 pa gen okenn kouvèti Pati D. Prim mwayèn chak mwa $22.50 ; maksimòm mwayèn ou peye nan pòch ou $5,930 ; franchiz medikaman mwayèn $700 sou plan MA-PD yo.
| Plan | Konpayi | Zetwal 2026 | Estabilite | Prim (C+D) | Maks. nan pòch ou | Franchiz medikaman | ID kontra-plan |
|---|---|---|---|---|---|---|---|
| BlueMedicare Patriot (PPO) | Florida Blue | 3.5★ | Mwayen | $0 san Pati D | $6,750 | san Pati D | H5434-044 |
| BlueMedicare Select (PPO) | Florida Blue | 3.5★ | Mwayen | $173 | $7,500 | $700 | H5434-002 |
| Humana USAA Honor Giveback (PPO) | Humana | 3.5★ | Mwayen | $0 san Pati D | $4,900 | san Pati D | H5216-256 |
| Humana USAA Honor Giveback (PPO) | Humana | 4.5★ | Solid | $0 san Pati D | $6,750 | san Pati D | H7617-108 |
| HumanaChoice Florida H5216-068 (PPO) | Humana | 3.5★ | Mwayen | $0 | $3,900 | $700 | H5216-068 |
| HumanaChoice Florida H7284-008 (PPO) | Humana | 3.5★ | Mwayen | $52 | $4,150 | $700 | H7284-008 |
| HumanaChoice Florida H7617-107 (PPO) | Humana | 4.5★ | Solid | $0 | $3,900 | $700 | H7617-107 |
| HumanaChoice Giveback H5216-311 (PPO) | Humana | 3.5★ | Mwayen | $0 | $7,150 | $700 | H5216-311 |
| HumanaChoice Giveback H7617-110 (PPO) | Humana | 4.5★ | Solid | $0 | $7,150 | $700 | H7617-110 |
| HumanaChoice Giveback H7617-145 (PPO) Nouvo pou 2027 | Humana | 4.5★ | Solid | $0 | $7,150 | $700 | H7617-145 |
Prim yo se chif chak mwa plan an chaje, dapre dosye peyizaj 2027 CMS la : prim konsolide Pati C + D lè plan an gen kouvèti medikaman, epi prim Pati C lè li pa genyen. Maksimòm ou peye nan pòch ou se limit anyèl la nan rezo a. Zetwal yo se nòt jeneral 2026 kontra a. ID kontra-plan yo kite ou chèche nenpòt liy sou medicare.gov.
Èske yon PPO se bon fòm nan pou mwen ?
Yon PPO kite ou wè founisè deyò rezo a san referans, ak yon pataj depans pi wo, epi li pa egzije yon doktè prensipal kòm pòtye. Souplès sa a nòmalman parèt kòm yon prim pi wo oswa yon maksimòm ou peye nan pòch ou ki pi wo. Se repons abityèl la pou moun ki vwayaje, ki pase ivè a isit la, oswa ki vle kenbe yon espesyalis deyò sistèm prensipal plan an.
Plan Regional PPO (5 pou 2027)
5 plan Regional PPO pou 2027, kont 5 nan 2026. 1 gen yon prim $0 pa mwa epi 2 pa gen okenn kouvèti Pati D. Prim mwayèn chak mwa $66.40 ; maksimòm mwayèn ou peye nan pòch ou $8,180 ; franchiz medikaman mwayèn $695 sou plan MA-PD yo.
| Plan | Konpayi | Zetwal 2026 | Estabilite | Prim (C+D) | Maks. nan pòch ou | Franchiz medikaman | ID kontra-plan |
|---|---|---|---|---|---|---|---|
| HumanaChoice R5826-005 (Regional PPO) | Humana | 3.5★ | Mwayen | $161 | $6,700 | $700 | R5826-005 |
| HumanaChoice R5826-018 (Regional PPO) | Humana | 3.5★ | Mwayen | $9 san Pati D | $7,550 | san Pati D | R5826-018 |
| HumanaChoice R5826-074 (Regional PPO) | Humana | 3.5★ | Mwayen | $35 | $7,550 | $700 | R5826-074 |
| AARP Medicare Advantage from UHC FL-0031 (Regional PPO) | UnitedHealthcare | 3.5★ | Mwayen | $127 | $9,850 | $685 | R0759-001 |
| AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO) | UnitedHealthcare | 3.5★ | Mwayen | $0 san Pati D | $9,250 | san Pati D | R0759-002 |
Prim yo se chif chak mwa plan an chaje, dapre dosye peyizaj 2027 CMS la : prim konsolide Pati C + D lè plan an gen kouvèti medikaman, epi prim Pati C lè li pa genyen. Maksimòm ou peye nan pòch ou se limit anyèl la nan rezo a. Zetwal yo se nòt jeneral 2026 kontra a. ID kontra-plan yo kite ou chèche nenpòt liy sou medicare.gov.
Èske yon PPO Rejyonal se bon fòm nan pou mwen ?
Yon PPO Rejyonal kouvri yon rejyon CMS antye olye yon sèl konte, ak yon sèl pake benefis ak yon sèl prim nan tout rejyon an. Si ou deplase ant konte Florid yo pandan ane a, se inifòmite sa a ki enterese. Rezo yo jeneralman laj men maksimòm ou peye nan pòch ou yo isit la nan wo etajè a.
Plan Bezwen Espesyal (60 pou 2027)
Plan Bezwen Espesyal yo limite ak moun ki ranpli yon kondisyon presi : gen Medicare ak Medicaid ansanm (D-SNP), gen yon maladi kwonik ki kalifye (C-SNP), oswa viv nan yon enstitisyon (I-SNP). Yo nan yon lis apa paske prim yo, franchiz yo ak maksimòm ou peye nan pòch ou yo pa konparab ak plan Medicare Advantage òdinè yo, epi mete yo ansanm nan yon mwayèn defòme tou de.
| Plan | Konpayi | Zetwal 2026 | Estabilite | Prim (C+D) | Maks. nan pòch ou | Franchiz medikaman | Tip SNP | ID kontra-plan |
|---|---|---|---|---|---|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Medicare | 4.5★ | Solid | $0 | $3,900 | $0 | Chronic or Disabling Condition | H1609-094 |
| Aetna Medicare Full Dual Select (HMO D-SNP) | Aetna Medicare | 4.5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1609-073 |
| Aetna Medicare Partial Dual Select (HMO D-SNP) Nouvo pou 2027 | Aetna Medicare | 4.5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1609-103 |
| Aetna Medicare QMB Only Select (HMO D-SNP) | Aetna Medicare | 4.5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1609-043 |
| Premier Care (HMO I-SNP) Nouvo pou 2027 | Align Senior Care | Pa gen nòt | Twò nouvo pou gen nòt | $0 | $2,200 | $450 | Institutional | H9917-007 |
| Senior Care (HMO I-SNP) Nouvo pou 2027 | Align Senior Care | Pa gen nòt | Twò nouvo pou gen nòt | $2.10 | $9,850 | $700 | Institutional | H9917-006 |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AmeriHealth Caritas VIP Care (HMO-D-SNP) | Pa gen nòt | Twò nouvo pou gen nòt | $0 | $9,850 | $120 | Dual-Eligible | H6378-001 |
| CareBreeze (HMO C-SNP) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $2,000 | $700 | Chronic or Disabling Condition | H1019-154 |
| CareBreeze Platinum (HMO C-SNP) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $2,000 | $700 | Chronic or Disabling Condition | H1019-123 |
| CareComplete (HMO C-SNP) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $2,000 | $700 | Chronic or Disabling Condition | H1019-150 |
| CareComplete Platinum (HMO C-SNP) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $2,000 | $700 | Chronic or Disabling Condition | H1019-121 |
| CareNeeds Platinum (HMO D-SNP) | CarePlus Health Plans, Inc. | 4.5★ | Solid | $0 | $3,400 | $700 | Dual-Eligible | H1019-023 |
| DEVOTED C-SNP ENHANCED 067 FL (HMO C-SNP) | Devoted Health | 5★ | Solid | $0 | $4,400 | $465 | Chronic or Disabling Condition | H1290-067 |
| DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) | Devoted Health | 5★ | Solid | $0 | $9,850 | $465 | Chronic or Disabling Condition | H1290-085 |
| DEVOTED DUAL 019 FL (HMO D-SNP) | Devoted Health | 5★ | Solid | $0 | $4,400 | $700 | Dual-Eligible | H1290-019 |
| DEVOTED DUAL FULL 078 FL (HMO D-SNP) | Devoted Health | 5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1290-078 |
| DEVOTED DUAL QMB 053 FL (HMO D-SNP) | Devoted Health | 5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1290-053 |
| DrExtraCare-SFL (HMO C-SNP) Nouvo pou 2027 | Doctors HealthCare Plans, Inc. | 4★ | Solid | $0 | $3,400 | $0 | Chronic or Disabling Condition | H4140-024 |
| DrFullDual-SFL (HMO D-SNP) | Doctors HealthCare Plans, Inc. | 4★ | Solid | $0 | $3,400 | $700 | Dual-Eligible | H4140-013 |
| DrPartialDual-SFL (HMO D-SNP) Nouvo pou 2027 | Doctors HealthCare Plans, Inc. | 4★ | Solid | $0 | $3,400 | $700 | Dual-Eligible | H4140-020 |
| Florida Complete Care (HMO I-SNP) | Florida Complete Care | 3★ | Siveye | $0 | $3,400 | $260 | Institutional | H9986-001 |
| Florida Complete Care- In The Community (HMO-POS I-SNP) | Florida Complete Care | 3★ | Siveye | $0 | $3,400 | $260 | Institutional | H9986-002 |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Florida Complete Care | 3★ | Siveye | $0 | $3,400 | $260 | Dual-Eligible | H9986-004 |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney Health Plan | Pa gen nòt | Twò nouvo pou gen nòt | $0 | $2,000 | $0 | Chronic or Disabling Condition | H1526-009 |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney Health Plan | Pa gen nòt | Twò nouvo pou gen nòt | $7.30 | $9,250 | $700 | Chronic or Disabling Condition | H1526-004 |
| Gold Heart & Diabetes (HMO-POS C-SNP) Nouvo pou 2027 | Gold Kidney Health Plan | Pa gen nòt | Twò nouvo pou gen nòt | $0 | $3,300 | $0 | Chronic or Disabling Condition | H1526-013 |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | Gold Kidney Health Plan | Pa gen nòt | Twò nouvo pou gen nòt | $7.30 | $9,750 | $700 | Chronic or Disabling Condition | H1526-002 |
| HealthSun MediSun Extra (HMO D-SNP) | HealthSun Health Plans, Inc. | 4.5★ | Solid | $0 | $3,450 | $700 | Dual-Eligible | H5431-019 |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | HealthSun Health Plans, Inc. | 4.5★ | Solid | $0 | $3,450 | $700 | Dual-Eligible | H5431-026 |
| HealthSun VitalCare (HMO C-SNP) | HealthSun Health Plans, Inc. | 4.5★ | Solid | $0 | $1,900 | $0 | Chronic or Disabling Condition | H5431-021 |
| Humana Dual Integrated (HMO D-SNP) | Humana | 4.5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1036-339 |
| Humana Dual Integrated (PPO D-SNP) Nouvo pou 2027 | Humana | 3.5★ | Mwayen | $0 | $9,850 | $620 | Dual-Eligible | H7284-013 |
| Humana Dual Select H1036-077 (HMO D-SNP) | Humana | 4.5★ | Solid | $0 | $3,400 | $700 | Dual-Eligible | H1036-077 |
| Humana Dual Select H1036-304 (HMO D-SNP) | Humana | 4.5★ | Solid | $0 | $3,400 | $700 | Dual-Eligible | H1036-304 |
| Humana Dual Select H7284-010 (PPO D-SNP) | Humana | 3.5★ | Mwayen | $0 | $4,900 | $300 | Dual-Eligible | H7284-010 |
| Humana Fully Integrated H1036-280 (HMO D-SNP) | Humana | 4.5★ | Solid | $0 | $3,400 | $700 | Dual-Eligible | H1036-280 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | Humana | 4.5★ | Solid | $0 | $2,450 | $700 | Chronic or Disabling Condition | H1036-121 |
| Humana Gold Plus Lung (HMO C-SNP) | Humana | 4.5★ | Solid | $0 | $2,450 | $700 | Chronic or Disabling Condition | H1036-297 |
| Leon MediDual (HMO D-SNP) | Leon Health, Inc. | 5★ | Solid | $0 | $3,450 | $700 | Dual-Eligible | H4286-002 |
| Leon MediMax (HMO D-SNP) | Leon Health, Inc. | 5★ | Solid | $0 | $3,450 | $700 | Dual-Eligible | H4286-005 |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan | Pa gen nòt | Twò nouvo pou gen nòt | $7.30 | $9,850 | $700 | Institutional | H1644-001 |
| Simply Complete Platinum (HMO D-SNP) Nouvo pou 2027 | Simply Healthcare Plans, Inc. | 4.5★ | Solid | $0 | $500 | $350 | Dual-Eligible | H5471-125 |
| Solis Balanced Plan (HMO C-SNP) | Solis Health Plans | 3.5★ | Mwayen | $0 | $2,500 | $0 | Chronic or Disabling Condition | H0982-027 |
| Solis Guardian Plan (HMO D-SNP) | Solis Health Plans | 3.5★ | Mwayen | $7.30 | $3,400 | $700 | Dual-Eligible | H0982-002 |
| Solis Wellness Giveback Plan (HMO C-SNP) | Solis Health Plans | 3.5★ | Mwayen | $0 | $2,500 | $0 | Chronic or Disabling Condition | H0982-028 |
| Solis Wellness Plan (HMO C-SNP) | Solis Health Plans | 3.5★ | Mwayen | $0 | $2,500 | $0 | Chronic or Disabling Condition | H0982-016 |
| UHC Dual Complete FL-Q1 (PPO D-SNP) | UnitedHealthcare | 4★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1889-002 |
| UHC Dual Complete FL-Q3 (Regional PPO D-SNP) | UnitedHealthcare | 3.5★ | Mwayen | $0 | $9,850 | $700 | Dual-Eligible | R0759-003 |
| UHC Dual Complete FL-Y7 (PPO D-SNP) | UnitedHealthcare | 4★ | Solid | $7.30 | $9,850 | $700 | Dual-Eligible | H1889-026 |
| UHC Dual Complete FL-YL (HMO-POS D-SNP) | UnitedHealthcare | 3.5★ | Mwayen | $0 | $9,850 | $700 | Dual-Eligible | H2509-001 |
| UHC MedicareMax Complete Care FL-30 (HMO C-SNP) | UnitedHealthcare | 4.5★ | Solid | $0 | $3,400 | $0 | Chronic or Disabling Condition | H5420-014 |
| UHC Nursing Home Plan FL-F001 (PPO I-SNP) | UnitedHealthcare | 4.5★ | Solid | $6.10 | $9,850 | $700 | Institutional | H0710-010 |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) | UnitedHealthcare | 4.5★ | Solid | $0 | $2,900 | $0 | Chronic or Disabling Condition | H1045-018 |
| UHC Preferred Dual Complete FL-QV4 (HMO D-SNP) | UnitedHealthcare | 4.5★ | Solid | $0 | $9,850 | $400 | Dual-Eligible | H1045-012 |
| UHC Preferred Dual Complete FL-QV5 (HMO D-SNP) | UnitedHealthcare | 4.5★ | Solid | $7.30 | $2,900 | $700 | Dual-Eligible | H1045-061 |
| UHC Preferred Dual Complete FL-Y6 (HMO-POS D-SNP) | UnitedHealthcare | 4.5★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1045-063 |
| Wellcare Sunshine Health Dual Access (HMO-POS D-SNP) Nouvo pou 2027 | Wellcare | 4★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1032-248 |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) Nouvo pou 2027 | Wellcare | 4★ | Solid | $0 | $9,850 | $700 | Dual-Eligible | H1032-246 |
| Wellcare Sunshine Health Dual Align Unity (HMO D-SNP) Nouvo pou 2027 | Wellcare | 4★ | Solid | $7.30 | $9,850 | $700 | Dual-Eligible | H1032-250 |
| Wellcare Sunshine Health Dual Reserve (HMO-POS D-SNP) | Wellcare | 4★ | Solid | $0 | $3,000 | $700 | Dual-Eligible | H1032-202 |
Prim yo se chif chak mwa plan an chaje, dapre dosye peyizaj 2027 CMS la : prim konsolide Pati C + D lè plan an gen kouvèti medikaman, epi prim Pati C lè li pa genyen. Maksimòm ou peye nan pòch ou se limit anyèl la nan rezo a. Zetwal yo se nòt jeneral 2026 kontra a. ID kontra-plan yo kite ou chèche nenpòt liy sou medicare.gov.
Kijan pou m konnen si m kalifye pou youn nan sa yo ?
Kalifikasyon D-SNP suiv estati Medicaid ou, ki gen ladan Medicaid pasyèl atravè yon Pwogram Ekonomi Medicare — epi 224,591 moun nan konte Miami-Dade, 42.8% nan tout benefisyè yo, gen doub kalifikasyon. Kalifikasyon C-SNP mande pou doktè ou konfime maladi ki kalifye a. I-SNP yo mande rezidans nan yon enstitisyon. Si ou panse ou ka kalifye men ou pa janm te nan youn, sa vo lapèn pou tcheke : kalifikasyon kapab chanje san pèsonn pa di ou anyen, epi yon D-SNP anjeneral pi bon mache pase yon plan òdinè si ou kalifye.
Nòt plan yo nan konte Miami-Dade
CMS bay chak kontra Medicare yon nòt soti nan 1 rive nan 5 zetwal sou kalite klinik, eksperyans manm yo ak sèvis kliyantèl. Nòt yo aplike sou kontra a, pa sou plan endividyèl la, kidonk tout plan anba yon sèl kontra pote menm nòt jeneral la. Distribisyon anba a kouvri plan Medicare Advantage ki disponib nan konte Miami-Dade epi li pa gen ladan Plan Bezwen Espesyal yo.
| Nòt jeneral | Plan | Pousantaj |
|---|---|---|
| 5★ | 6 | 13.0% |
| 4.5★ | 19 | 41.3% |
| 4★ | 7 | 15.2% |
| 3.5★ | 14 | 30.4% |
Mwayèn nan se 4.18 zetwal sou 46 plan ki gen nòt, epi 69.6% gen 4 zetwal oswa plis. 0 plan pa gen nòt paske kontra yo twò nouvo pou genyen youn — sa se pa yon move nòt, se absans yon nòt, epi li merite trete yon lòt jan pase yon nòt ki ba.
Lopital ak swen nan konte Miami-Dade
Ak kisa granmoun nan konte Miami-Dade ap viv toutbon
Men estimasyon CDC yo pou granmoun nan konte Miami-Dade, ki soti nan piblikasyon PLACES 2023 a. Se to brit — pousantaj granmoun isit la ki gen maladi a — epi non pa to ki ajiste pou laj, paske sa ki konte lè w ap chwazi yon plan se pou kisa moun nan konte sa a ap trete toutbon. Kolestewòl wo alatèt ak 35.8% nan 2,154,272 granmoun.
| Maladi | Pousantaj granmoun | Granmoun, apeprè |
|---|---|---|
| Kolestewòl wo | 35.8% | 771,229 |
| Tansyon wo | 33.8% | 728,144 |
| Atrit | 20.7% | 445,934 |
| Dyabèt | 15.4% | 331,758 |
| Maladi kè kowonè | 6.8% | 146,490 |
| MPOC | 5.3% | 114,176 |
| Konjesyon serebral | 3.6% | 77,554 |
CDC PLACES 2023, estimasyon modelize pou ti zòn ki soti nan BRFSS, prevalans brit pami granmoun 18 an ak plis. Kantite yo se to sa a aplike sou popilasyon granmoun konte a, epi yo awondi.
Lopital nan konte Miami-Dade ak nòt CMS ba yo
Konte Miami-Dade gen 17 lopital swen egi ki sètifye pa Medicare. CMS bay 16 nan yo yon nòt, epi mwayèn konte a se 3.13 zetwal, ak 7 ki gen 4 zetwal oswa plis. Nòt la kouvri mòtalite, sekirite, readmisyon, eksperyans pasyan ak reskonsablite nan tan; li pa di si yon plan patikilye gen lopital sa a nan rezo l.
| Lopital | Vil | Zetwal CMS | Sal dijans |
|---|---|---|---|
| Baptist Hospital of Miami | Miami | 5★ | Wi |
| Doctors Hospital | Coral Gables | 5★ | Wi |
| West Kendall Baptist Hospital | Miami | 5★ | Wi |
| HCA Florida Kendall Hospital | Miami | 4★ | Wi |
| Homestead Hospital | Homestead | 4★ | Wi |
| Larkin Community Hospital Palm Springs Campus | Hialeah | 4★ | Wi |
| South Miami Hospital | Miami | 4★ | Wi |
| Coral Gables Hospital | Coral Gables | 3★ | Wi |
| HCA Florida Aventura Hospital | Aventura | 3★ | Wi |
| Hialeah Hospital | Hialeah | 3★ | Wi |
| Mount Sinai Medical Center of Florida, Inc | Miami Beach | 3★ | Wi |
| Keralty Hospital | Miami | 2★ | Wi |
| Palmetto General Hospital | Hialeah | 2★ | Wi |
| Jackson Health System | Miami | 1★ | Wi |
| Larkin Community Hospital | South Miami | 1★ | Wi |
| North Shore Medical Center | Miami | 1★ | Wi |
| Douglas Gardens Hospital | Miami | Pa gen nòt | Non |
CMS Hospital General Information, sèlman lopital swen egi. Yon lopital ki pa gen nòt se yon lopital yo poko bay nòt, sa diferan ak yon move nòt.
Alantou ki sistèm plan yo bati
Miami-Dade gen plis sistèm lopital k ap konkirans pase ni yon ni lòt nan konte vwazen yo, epi rezo plan yo diferan anpil ant yo. Nan ki sistèm doktè ou yo ye, se premye kesyon an ki vo lapèn pou reponn.
- Jackson Health System — Jackson Memorial, Jackson North, Jackson South, Jackson West. Sistèm piblik la ak filè sekirite a ; li santral nan prèske tout rezo Plan Bezwen Espesyal.
- Baptist Health South Florida — Baptist Hospital, South Miami, Doctors Hospital, West Kendall Baptist, Homestead, Mariners. Pi gwo sistèm prive nan konte a epi yon liy separasyon souvan ant plan yo.
- University of Miami Health System — UHealth Tower ak Sylvester Comprehensive Cancer Center. Si ou nan tretman kansè nan Sylvester, tcheke li pa non : patisipasyon an pi etwat pase kouvèti lopital an jeneral.
- Mount Sinai Medical Center (Miami Beach) ak HCA Florida Kendall ak Mercy — laj nan rezo a, men pa nan tout plan.
- Plizyè konpayi isit la gen pwòp rezo klinik pa yo — Leon Health, HealthSun, CarePlus, Solis, Freedom ak Optimum nan mitan yo. Plan sa yo kapab bay bon jan valè si ou dakò itilize klinik yo, epi yo pa bon ditou si ou pa dakò.
Filtre etajè 2027 konte Miami-Dade a
Tout 41 plan Medicare Advantage ak 60 Plan Bezwen Espesyal nan yon sèl tablo. Diminye li selon sa ki enterese ou toutbon. Sa a mache nan navigatè ou a — anyen pa voye okenn kote, epi yo pa mande okenn enfòmasyon kontak.
101 plan montre sou 101.
| Plan | Konpayi | Tip | Zetwal 2026 | Prim (C+D) | Maks. nan pòch ou | Franchiz medikaman |
|---|---|---|---|---|---|---|
| Aetna Medicare Select Care (HMO) | Aetna Medicare | HMO | 4.5★ | $0 | $2,900 | $0 |
| CareAccess (HMO) | CarePlus Health Plans, Inc. | HMO | 4.5★ | $0 | $2,250 | $0 |
| CareFree Platinum Giveback (HMO) | CarePlus Health Plans, Inc. | HMO | 4.5★ | $0 | $3,000 | $700 |
| CareOne Plus (HMO) | CarePlus Health Plans, Inc. | HMO | 4.5★ | $0 | $500 | $0 |
| CareSalute (HMO) | CarePlus Health Plans, Inc. | HMO | 4.5★ | $0 | $4,150 | san Pati D |
| DEVOTED CORE 001 FL (HMO) | Devoted Health | HMO | 5★ | $0 | $3,900 | $600 |
| DEVOTED CORE 037 FL (HMO) | Devoted Health | HMO | 5★ | $0 | $3,900 | $650 |
| DEVOTED CORE 062 FL (HMO) | Devoted Health | HMO | 5★ | $0 | $3,400 | $465 |
| DEVOTED GIVEBACK 013 FL (HMO) | Devoted Health | HMO | 5★ | $0 | $7,150 | $650 |
| DEVOTED GIVEBACK EXTRAS 110 FL (HMO) | Devoted Health | HMO | 5★ | $0 | $5,150 | $700 |
| DrMax-Dade (HMO) | Doctors HealthCare Plans, Inc. | HMO | 4★ | $0 | $3,000 | $0 |
| DrSelect-SFL (HMO) | Doctors HealthCare Plans, Inc. | HMO | 4★ | $0 | $3,000 | $0 |
| BlueMedicare Patriot (PPO) | Florida Blue | PPO | 3.5★ | $0 | $6,750 | san Pati D |
| BlueMedicare Select (PPO) | Florida Blue | PPO | 3.5★ | $173 | $7,500 | $700 |
| BlueMedicare Classic (HMO) | Florida Blue HMO | HMO | 4★ | $0 | $6,675 | $700 |
| HealthSun HealthAdvantage Plan (HMO) | HealthSun Health Plans, Inc. | HMO | 4.5★ | $0 | $1,500 | $0 |
| HealthSun HealthAdvantage Plus (HMO) | HealthSun Health Plans, Inc. | HMO | 4.5★ | $0 | $3,450 | $0 |
| HealthSun MediMax (HMO) | HealthSun Health Plans, Inc. | HMO | 4.5★ | $0 | $3,450 | $105 |
| Humana Gold Plus Giveback H1036-305 (HMO) | Humana | HMO | 4.5★ | $0 | $3,850 | $0 |
| Humana Gold Plus H1036-054C (HMO) | Humana | HMO | 4.5★ | $0 | $500 | $0 |
| Humana USAA Honor Giveback (HMO) | Humana | HMO | 4.5★ | $0 | $3,400 | san Pati D |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | 3.5★ | $0 | $4,900 | san Pati D |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | 4.5★ | $0 | $6,750 | san Pati D |
| HumanaChoice Florida H5216-068 (PPO) | Humana | PPO | 3.5★ | $0 | $3,900 | $700 |
| HumanaChoice Florida H7284-008 (PPO) | Humana | PPO | 3.5★ | $52 | $4,150 | $700 |
| HumanaChoice Florida H7617-107 (PPO) | Humana | PPO | 4.5★ | $0 | $3,900 | $700 |
| HumanaChoice Giveback H5216-311 (PPO) | Humana | PPO | 3.5★ | $0 | $7,150 | $700 |
| HumanaChoice Giveback H7617-110 (PPO) | Humana | PPO | 4.5★ | $0 | $7,150 | $700 |
| HumanaChoice Giveback H7617-145 (PPO) | Humana | PPO | 4.5★ | $0 | $7,150 | $700 |
| HumanaChoice R5826-005 (Regional PPO) | Humana | Regional PPO | 3.5★ | $161 | $6,700 | $700 |
| HumanaChoice R5826-018 (Regional PPO) | Humana | Regional PPO | 3.5★ | $9 | $7,550 | san Pati D |
| HumanaChoice R5826-074 (Regional PPO) | Humana | Regional PPO | 3.5★ | $35 | $7,550 | $700 |
| Leon MediExtra (HMO) | Leon Health, Inc. | HMO | 5★ | $0 | $1,000 | $0 |
| Leon MediMore (HMO) | Leon Health, Inc. | HMO | 5★ | $0 | $3,450 | $0 |
| Solis Healthy Living Plan (HMO) | Solis Health Plans | HMO | 3.5★ | $0 | $2,500 | $0 |
| AARP Medicare Advantage from UHC FL-0031 (Regional PPO) | UnitedHealthcare | Regional PPO | 3.5★ | $127 | $9,850 | $685 |
| AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO) | UnitedHealthcare | Regional PPO | 3.5★ | $0 | $9,250 | san Pati D |
| UHC MedicareMax Medicare Advantage FL-0028 (HMO) | UnitedHealthcare | HMO | 4.5★ | $0 | $3,900 | $0 |
| UHC Preferred Medicare Advantage FL-0001 (HMO) | UnitedHealthcare | HMO | 4.5★ | $0 | $2,900 | $0 |
| Wellcare Giveback (HMO-POS) | Wellcare | HMO-POS | 4★ | $0 | $5,000 | $700 |
| Wellcare Simple (HMO-POS) | Wellcare | HMO-POS | 4★ | $0 | $2,700 | $700 |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Medicare | HMO C-SNP | 4.5★ | $0 | $3,900 | $0 |
| Aetna Medicare Full Dual Select (HMO D-SNP) | Aetna Medicare | HMO D-SNP | 4.5★ | $0 | $9,850 | $700 |
| Aetna Medicare Partial Dual Select (HMO D-SNP) | Aetna Medicare | HMO D-SNP | 4.5★ | $0 | $9,850 | $700 |
| Aetna Medicare QMB Only Select (HMO D-SNP) | Aetna Medicare | HMO D-SNP | 4.5★ | $0 | $9,850 | $700 |
| Premier Care (HMO I-SNP) | Align Senior Care | HMO I-SNP | Pa gen nòt | $0 | $2,200 | $450 |
| Senior Care (HMO I-SNP) | Align Senior Care | HMO I-SNP | Pa gen nòt | $2.10 | $9,850 | $700 |
| AmeriHealth Caritas VIP Care (HMO D-SNP) | AmeriHealth Caritas VIP Care (HMO-D-SNP) | HMO D-SNP | Pa gen nòt | $0 | $9,850 | $120 |
| CareBreeze (HMO C-SNP) | CarePlus Health Plans, Inc. | HMO C-SNP | 4.5★ | $0 | $2,000 | $700 |
| CareBreeze Platinum (HMO C-SNP) | CarePlus Health Plans, Inc. | HMO C-SNP | 4.5★ | $0 | $2,000 | $700 |
| CareComplete (HMO C-SNP) | CarePlus Health Plans, Inc. | HMO C-SNP | 4.5★ | $0 | $2,000 | $700 |
| CareComplete Platinum (HMO C-SNP) | CarePlus Health Plans, Inc. | HMO C-SNP | 4.5★ | $0 | $2,000 | $700 |
| CareNeeds Platinum (HMO D-SNP) | CarePlus Health Plans, Inc. | HMO D-SNP | 4.5★ | $0 | $3,400 | $700 |
| DEVOTED C-SNP ENHANCED 067 FL (HMO C-SNP) | Devoted Health | HMO C-SNP | 5★ | $0 | $4,400 | $465 |
| DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) | Devoted Health | HMO C-SNP | 5★ | $0 | $9,850 | $465 |
| DEVOTED DUAL 019 FL (HMO D-SNP) | Devoted Health | HMO D-SNP | 5★ | $0 | $4,400 | $700 |
| DEVOTED DUAL FULL 078 FL (HMO D-SNP) | Devoted Health | HMO D-SNP | 5★ | $0 | $9,850 | $700 |
| DEVOTED DUAL QMB 053 FL (HMO D-SNP) | Devoted Health | HMO D-SNP | 5★ | $0 | $9,850 | $700 |
| DrExtraCare-SFL (HMO C-SNP) | Doctors HealthCare Plans, Inc. | HMO C-SNP | 4★ | $0 | $3,400 | $0 |
| DrFullDual-SFL (HMO D-SNP) | Doctors HealthCare Plans, Inc. | HMO D-SNP | 4★ | $0 | $3,400 | $700 |
| DrPartialDual-SFL (HMO D-SNP) | Doctors HealthCare Plans, Inc. | HMO D-SNP | 4★ | $0 | $3,400 | $700 |
| Florida Complete Care (HMO I-SNP) | Florida Complete Care | HMO I-SNP | 3★ | $0 | $3,400 | $260 |
| Florida Complete Care- In The Community (HMO-POS I-SNP) | Florida Complete Care | HMO-POS I-SNP | 3★ | $0 | $3,400 | $260 |
| Florida Complete Care-Duals VIP (HMO-POS D-SNP) | Florida Complete Care | HMO-POS D-SNP | 3★ | $0 | $3,400 | $260 |
| Gold Dialysis & Kidney (HMO-POS C-SNP) | Gold Kidney Health Plan | HMO-POS C-SNP | Pa gen nòt | $0 | $2,000 | $0 |
| Gold Dialysis & Kidney Complete (HMO-POS C-SNP) | Gold Kidney Health Plan | HMO-POS C-SNP | Pa gen nòt | $7.30 | $9,250 | $700 |
| Gold Heart & Diabetes (HMO-POS C-SNP) | Gold Kidney Health Plan | HMO-POS C-SNP | Pa gen nòt | $0 | $3,300 | $0 |
| Gold Heart & Diabetes Complete (HMO-POS C-SNP) | Gold Kidney Health Plan | HMO-POS C-SNP | Pa gen nòt | $7.30 | $9,750 | $700 |
| HealthSun MediSun Extra (HMO D-SNP) | HealthSun Health Plans, Inc. | HMO D-SNP | 4.5★ | $0 | $3,450 | $700 |
| HealthSun MediSun Full Dual Extra (HMO D-SNP) | HealthSun Health Plans, Inc. | HMO D-SNP | 4.5★ | $0 | $3,450 | $700 |
| HealthSun VitalCare (HMO C-SNP) | HealthSun Health Plans, Inc. | HMO C-SNP | 4.5★ | $0 | $1,900 | $0 |
| Humana Dual Integrated (HMO D-SNP) | Humana | HMO D-SNP | 4.5★ | $0 | $9,850 | $700 |
| Humana Dual Integrated (PPO D-SNP) | Humana | PPO D-SNP | 3.5★ | $0 | $9,850 | $620 |
| Humana Dual Select H1036-077 (HMO D-SNP) | Humana | HMO D-SNP | 4.5★ | $0 | $3,400 | $700 |
| Humana Dual Select H1036-304 (HMO D-SNP) | Humana | HMO D-SNP | 4.5★ | $0 | $3,400 | $700 |
| Humana Dual Select H7284-010 (PPO D-SNP) | Humana | PPO D-SNP | 3.5★ | $0 | $4,900 | $300 |
| Humana Fully Integrated H1036-280 (HMO D-SNP) | Humana | HMO D-SNP | 4.5★ | $0 | $3,400 | $700 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | Humana | HMO C-SNP | 4.5★ | $0 | $2,450 | $700 |
| Humana Gold Plus Lung (HMO C-SNP) | Humana | HMO C-SNP | 4.5★ | $0 | $2,450 | $700 |
| Leon MediDual (HMO D-SNP) | Leon Health, Inc. | HMO D-SNP | 5★ | $0 | $3,450 | $700 |
| Leon MediMax (HMO D-SNP) | Leon Health, Inc. | HMO D-SNP | 5★ | $0 | $3,450 | $700 |
| Longevity Health Plan (HMO I-SNP) | Longevity Health Plan | HMO I-SNP | Pa gen nòt | $7.30 | $9,850 | $700 |
| Simply Complete Platinum (HMO D-SNP) | Simply Healthcare Plans, Inc. | HMO D-SNP | 4.5★ | $0 | $500 | $350 |
| Solis Balanced Plan (HMO C-SNP) | Solis Health Plans | HMO C-SNP | 3.5★ | $0 | $2,500 | $0 |
| Solis Guardian Plan (HMO D-SNP) | Solis Health Plans | HMO D-SNP | 3.5★ | $7.30 | $3,400 | $700 |
| Solis Wellness Giveback Plan (HMO C-SNP) | Solis Health Plans | HMO C-SNP | 3.5★ | $0 | $2,500 | $0 |
| Solis Wellness Plan (HMO C-SNP) | Solis Health Plans | HMO C-SNP | 3.5★ | $0 | $2,500 | $0 |
| UHC Dual Complete FL-Q1 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP | 4★ | $0 | $9,850 | $700 |
| UHC Dual Complete FL-Q3 (Regional PPO D-SNP) | UnitedHealthcare | Regional PPO D-SNP | 3.5★ | $0 | $9,850 | $700 |
| UHC Dual Complete FL-Y7 (PPO D-SNP) | UnitedHealthcare | PPO D-SNP | 4★ | $7.30 | $9,850 | $700 |
| UHC Dual Complete FL-YL (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP | 3.5★ | $0 | $9,850 | $700 |
| UHC MedicareMax Complete Care FL-30 (HMO C-SNP) | UnitedHealthcare | HMO C-SNP | 4.5★ | $0 | $3,400 | $0 |
| UHC Nursing Home Plan FL-F001 (PPO I-SNP) | UnitedHealthcare | PPO I-SNP | 4.5★ | $6.10 | $9,850 | $700 |
| UHC Preferred Complete Care FL-0003 (HMO C-SNP) | UnitedHealthcare | HMO C-SNP | 4.5★ | $0 | $2,900 | $0 |
| UHC Preferred Dual Complete FL-QV4 (HMO D-SNP) | UnitedHealthcare | HMO D-SNP | 4.5★ | $0 | $9,850 | $400 |
| UHC Preferred Dual Complete FL-QV5 (HMO D-SNP) | UnitedHealthcare | HMO D-SNP | 4.5★ | $7.30 | $2,900 | $700 |
| UHC Preferred Dual Complete FL-Y6 (HMO-POS D-SNP) | UnitedHealthcare | HMO-POS D-SNP | 4.5★ | $0 | $9,850 | $700 |
| Wellcare Sunshine Health Dual Access (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP | 4★ | $0 | $9,850 | $700 |
| Wellcare Sunshine Health Dual Align (HMO D-SNP) | Wellcare | HMO D-SNP | 4★ | $0 | $9,850 | $700 |
| Wellcare Sunshine Health Dual Align Unity (HMO D-SNP) | Wellcare | HMO D-SNP | 4★ | $7.30 | $9,850 | $700 |
| Wellcare Sunshine Health Dual Reserve (HMO-POS D-SNP) | Wellcare | HMO-POS D-SNP | 4★ | $0 | $3,000 | $700 |
Yon filtè diminye etajè a ; li pa rekòmande yon plan. Si yon plan bon pou ou depann de preskripsyon ou yo, doktè ou yo ak bidjè ou, epi sèl fason pou regle sa se konpare pwòp lis medikaman ou ak lis founisè ou kont plan presi a.
Kijan ak kilè pou enskri
Kat fenèt kouvri prèske tout sitiyasyon. Enskri nan move moman se erè ki pi komen moun te ka evite nan Medicare, epi gen yon pati ou pa ka defèt jiska ane k ap vini an.
| Fenèt | Dat | Pou ki moun |
|---|---|---|
| Peryòd Enskripsyon Anyèl | 15 oktòb – 7 desanm 2026 | Nenpòt moun sou Medicare. Chanje plan Medicare Advantage oswa Pati D pou kouvèti k ap kòmanse 1ye janvye 2027. Dènye chwa ou fè anvan 7 desanm se sa ki pran efè. |
| Enskripsyon Ouvè Medicare Advantage | 1ye janvye – 31 mas 2027 | Moun ki deja nan yon plan Medicare Advantage. Yon sèl chanjman nan yon lòt plan Medicare Advantage, oswa retounen nan Medicare Orijinal ak yon plan Pati D apa. Li pa disponib si ou sou Medicare Orijinal. |
| Peryòd Enskripsyon Espesyal pou non-renouvèlman | 8 desanm 2026 – fen fevriye 2027 | Manm ki gen plan ki pa renouvle pou 2027. Tan anplis apre Peryòd Enskripsyon Anyèl la. Avi Anyèl Chanjman ou an se sa ki di ou si sa konsène ou. |
| Peryòd Enskripsyon Inisyal | 7 mwa yo alantou 65yèm anivèsè ou | Moun ki nouvo nan Medicare — twa mwa anvan mwa ou gen 65 an, mwa sa a, ak twa mwa apre. Enskri an reta nan Pati B ak Pati D pote yon amann ki dire tout tan ou gen kouvèti a. |
Revizyon gratis, san obligasyon
Ou vle yon moun isit la pase etajè konte Miami-Dade a avèk ou ?
Kesyon sou Medicare nan konte Miami-Dade
Konbyen plan Medicare Advantage ki disponib nan konte Miami-Dade pou 2027 ?
41 plan Medicare Advantage, kont 46 pou 2026, plis 60 Plan Bezwen Espesyal pou moun ki gen doub kalifikasyon, ki gen yon maladi kwonik ki kalifye, oswa ki viv nan yon enstitisyon. 35 nan plan Medicare Advantage yo gen yon prim $0 pa mwa.
Èske yon plan Medicare Advantage ak prim $0 nan konte Miami-Dade vrèman gratis ?
Non. Ou toujou peye prim Medicare Pati B ou bay Medicare, epi yon plan ak prim $0 toujou gen kopeman, koasirans ak yon maksimòm ou peye nan pòch ou. Nan konte Miami-Dade pou 2027, maksimòm mwayèn ou peye nan pòch ou nan rezo a se $4,555 epi pi wo a sou etajè a se $9,850. Yon prim $0 di ou sa ou peye nan yon mwa kote anyen pa rive ; maksimòm ou peye nan pòch ou a di ou konbyen yon move ane koute.
Plan konte Miami-Dade mwen an ap sispann. Kisa k ap pase si m pa fè anyen ?
Si plan ou an fini nèt, ou retounen sou Medicare Orijinal 1ye janvye san kouvèti medikaman, sa ki ka deklanche yon amann pou enskripsyon an reta nan Pati D. Si plan ou an ap konbine ak yon lòt plan, yo deplase ou otomatikman nan plan siksesè a — ki ka gen yon lòt rezo, yon lòt lis medikaman ak yon lòt prim. Nan tou de ka yo, ou jwenn tou yon Peryòd Enskripsyon Espesyal soti 8 desanm rive nan fen fevriye pou chwazi tèt ou.
Èske nòt zetwal sou paj sa a aplike pou 2027 ?
Non, epi nou make yo konsa. CMS pibliye nouvo nòt yo nan mwa oktòb epi dosye peyizaj 2027 la rive ak kolòn nòt la vid, kidonk chak chif zetwal isit la se nòt jeneral 2026 kontra a. Pami plan Medicare Advantage konte Miami-Dade yo, 69.6% gen 4 zetwal oswa plis sou baz sa a. Nou mete paj la ajou lè nòt 2027 yo parèt.
Poukisa gen tout kantite Plan Bezwen Espesyal sa yo nan Miami-Dade ?
Paske 42.8% nan 524,508 benefisyè Medicare konte a genyen tou Medicaid — 224,591 moun. Plan Bezwen Espesyal pou Doub Kalifikasyon (D-SNP) fèt egzakteman pou gwoup sa a, epi konpayi yo goumen di pou li isit la. Si ou gen Medicare ak Medicaid, oswa ou kalifye pou yon Pwogram Ekonomi Medicare, se nan kote D-SNP yo pi bon valè a konn ye, epi li vo lapèn pou revize menm si ou nan menm plan an depi plizyè ane.
Sous ak metodoloji
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CY2027 Medicare Advantage / Part D Landscape Source Files, Centers for Medicare & Medicaid Services —
cy2027-landscape-202609.zip (CY2027_Landscape_202609.csv). Pibliye 2026-09-28. Konsilte 2026-10-12. -
CY2026 Medicare Advantage / Part D Landscape Source Files, Centers for Medicare & Medicaid Services —
cy2026-landscape-202603.zip (CY2026_Landscape_202603.csv). Pibliye 2026-03. Konsilte 2026-10-12. The March 2026 refresh of the CY2026 landscape, which is the CY2026 vintage loaded in the data. CMS republishes the landscape during the plan year; the September 2025 release that first set CY2026 is superseded by this one. -
2026 Part C & D Medicare Star Ratings Data, Centers for Medicare & Medicaid Services —
star_ratings_2026.zip. Pibliye 2025-10-09. Konsilte 2026-10-12. The newest star ratings CMS has published. CY2027 ratings are blank in the landscape file until the October 2026 release, so every star figure on this page is the 2026 rating of the contract that carries the plan into 2027. -
Medicare Monthly Enrollment (June 2026), Centers for Medicare & Medicaid Services —
Medicare Monthly Enrollment Data_June 2026.csv. Pibliye 2026-09-23. Konsilte 2026-10-12. -
Medicare & You 2027, Centers for Medicare & Medicaid Services —
CMS Product No. 10050. Konsilte 2026-10-12.
Kijan chif sa yo fèt
- Kantite plan, prim, franchiz ak maksimòm ou peye nan pòch ou konte dirèkteman nan dosye peyizaj CMS yo pou konte Miami-Dade, yon liy pa kontra-plan-segman, pou tou de ane plan yo. Anyen pa modelize ni estime.
- Chak total Medicare Advantage ak MA-PD pa gen ladan Plan Bezwen Espesyal yo. SNP yo konte sou pwòp liy pa yo epi nan pwòp tablo pa yo. Melanje yo deplase mwayèn prim ak mwayèn sa ou peye nan pòch ou anpil, paske pataj depans yon SNP bati alantou konpleman Medicaid la epi non pa alantou yon prim nòmal.
- Prim mwayèn Pati C la ak prim konsolide mwayèn Pati C + D la parèt kòm de liy apa epi yo pa janm konbine.
- Zetwal yo se nòt jeneral 2026 kontra a, pi resan CMS pibliye a. Dosye peyizaj 2027 la kite kolòn nòt la vid jiska piblikasyon mwa oktòb la. Plan ki gen kontra san nòt parèt kòm san nòt olye yo retire nan kont la.
- Chif enskripsyon yo se total konte a ki soti nan dosye Enskripsyon Medicare Chak Mwa CMS pou jen 2026. CMS pa pibliye enskripsyon pa plan ak pa konte nan dosye ki dèyè paj sa a, kidonk paj sa a pa bay okenn klasman « plan ki pi popilè » olye li estime youn.
- Nou di yon plan kite oswa rantre sou etajè a sèlman selon si yon dosye kontra-plan-segman ki koresponn egziste nan dosye chak ane. Paske crosswalk plan CMS pou 2027 la poko parèt, okenn plan endividyèl pa make kòm fini epi okenn plan siksesè pa site.
- Paj sa a se yon lekti done piblik CMS, se pa konsèy sou plan. Benefis, rezo ak lis medikaman yo se konpayi yo ki fikse yo epi yo chanje ; se Prèv Kouvèti plan an ki gen dènye mo a.