Simply Healthcare Plans Expands Reach of $0 Premium Medicare Advantage and Dual-Eligible Plans

Simply plans offer benefits that give members high-quality, affordable health care

MIAMI--()--Simply Healthcare Plans (Simply) is expanding its $0 premium Medicare Advantage plans with six plans in three additional counties – Hernando, Palm Beach, and Pasco – for 2018, bringing the total to 11 counties where Simply will make plans available to Medicare-eligible Floridians. This expansion complements an already robust portfolio of health plans Simply offers in the state. All of these plans are available for enrollment in this year’s Medicare annual election period (AEP).

The opportunity to enroll in a Medicare plan begins October 15 and continues through December 7. This is the one time each year when most people can pick or switch Medicare Advantage plans.

“Once again, we are privileged to offer consumers a variety of Medicare Advantage products, because we believe it’s important for consumers to have options as they look for the plan that fits their health care needs in 2018,” said Tomas Orozco, Medicare president of the company’s east region. “We put our experience to work to give members high-quality, affordable health care, allowing them to live the life they’ve earned.”

For 2018 insurance plans, individuals eligible for Medicare – people 65 years and older and those with certain disabilities – are able to enroll in Simply More (HMO). Individuals with diabetes have access to Simply Level (HMO SNP). Simply Comfort (HMO SNP) is also available to individuals residing at home or an assisted living facility.

Floridians who are eligible for both Medicare and Medicaid – also known as dual-eligible – have the option of enrolling in Simply’s dual-eligible plans – Simply Complete (HMO SNP) or Simply Advantage (SNP).

“Simply is one of the nation’s only insurers that can offer a full continuum of Medicare products, including something for every budget and lifestyle,” added Orozco.

Information about Simply Healthcare Plans Medicare Advantage plans.

Simply Medicare Advantage plan for individuals eligible for Medicare:

  • Simply More (HMO) is a $0 monthly premium plan that offers enrollees competitive annual benefits such as low copays for primary and specialist office visits; an allowance of transportation to plan-approved location; $0 copay for enhanced dental benefits, including partial and full dentures; an allowance per year for eyewear; and an allowance per year for hearing aids. Members of this plan also get a quarterly allowance for certain over-the-counter health products and membership to SilverSneakers, a fitness program tailored to older adults.

    This plan is available in the following counties: Broward, Hillsborough, Hernando, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, and Seminole.

Simply Medicare Advantage plans for dual-eligible individuals:

  • Simply Complete (HMO SNP) is for individuals who are eligible for Medicare Advantage and various levels of Medicaid. The plan has a $0 monthly premium, and enrollees receive benefits such as low copays for primary and specialist office visits; an allowance of transportation to plan-approved location; $0 copay for prescription drugs on Tiers 1 and 2; $0 copay for enhanced dental benefits, including partial and full dentures; an allowance per year for eyewear; and an allowance per year for hearing aids. Members of this plan also get a quarterly allowance for certain over-the-counter health products, membership to SilverSneakers, and access to personal emergency response system (PERS), which gives them the ability to maintain their independence and delay, or possibly eliminate, the need to utilize assisted living services. Check plan details for availability.

    Residents of Miami-Dade and Polk counties who eligible for both Medicare Advantage and Medicaid can enroll in this plan. Residents of the following counties need to be eligible for Medicare and full Medicaid benefits: Broward, Hillsborough, Hernando, Orange, Osceola, Palm Beach, Pasco, Pinellas, and Seminole.
  • Simply Advantage (HMO SNP) is available to individuals who are eligible for the Qualified Medicare Beneficiary program and has a $0 monthly premium. Plan enrollees have access to benefits such as low copays for primary and specialist office visits; an allowance of transportation to plan-approved location; $0 copay for prescription drugs on Tiers 1 and 2; $0 copay for enhanced dental benefits, including partial and full dentures; an allowance per year for eyewear; and an allowance per year for hearing aids. The plan also gives members a quarterly allowance for certain over-the-counter health products, membership to SilverSneakers, and access to personal emergency response system (PERS).

    This plan is available to residents of the following counties who are eligible for the Qualified Medicare Beneficiary program: Broward, Hillsborough, Hernando, Orange, Osceola, Palm Beach, Pasco, Pinellas, and Seminole.

Simply Medicare Advantage plan for individuals eligible for Medicare and have specific chronic diseases:

  • Simply Level (HMO SNP) is specifically designed for individuals with diabetes and has a $0 monthly premium. Plan benefits include $0 copay for diabetic supplies; low copays for primary and specialist office visits; an allowance of transportation to plan-approved location; $0 copay for prescription drugs on Tiers 1 and 2; $0 copay for enhanced dental benefits, including partial and full dentures; an allowance per year for eyewear; and an allowance per year for hearing aids. The plan also gives members a quarterly allowance for certain over-the-counter health products and membership to SilverSneakers.

    This plan is available in the following counties: Broward, Hillsborough, Hernando, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, and Seminole.

Simply Medicare Advantage plan for individuals eligible for Medicare and reside at home or an assisted living facility that would be an institutional equivalent:

  • Simply Comfort (HMO SNP) offers enrollees annual benefits such as $0 copays for primary and specialist office visits; $0 copay for hospitalizations; low copay for prescription drugs on Tiers 1, 2, and 3; $0 copay for enhanced dental benefits, including partial and full dentures; an allowance per year for eyewear; and an allowance per year for hearing aids. The plan also gives members a quarterly allowance for certain over-the-counter health products and membership to SilverSneakers.

    Residents in Broward and Miami-Dade counties can enroll in this plan for a $29.10 monthly premium.

Simply Medicare Advantage plan for individuals eligible for Medicare and living in nursing homes:

  • Simply Care (HMO SNP) offers enrollees competitive annual benefits such as $0 copays for primary and specialist office visits; $0 copay for hospitalizations; low copay for prescription drugs on Tiers 1, 2, and 3; $0 copay for preventive dental an allowance per year for eyewear; and an allowance per year for hearing aids. The plan also gives members a quarterly allowance for certain over-the-counter health products and membership to SilverSneakers.

    Residents in Broward and Miami-Dade counties can enroll in this plan for a $29.10 monthly premium.

For details about Simply’s Medicare Advantage plans in your area, call 1-844-347-4675 or visit Simply’s Medicare online store at http://www.simplyhealthcareplans.com/medicare.

Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a Medicaid contract with the State of Florida Agency for Health Care Administration to provide benefits or arrange for benefits to be provided to enrollees. Enrollment in Simply Healthcare Plans, Inc. depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. We do not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability in our health programs and activities. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-230-7338 (TTY: 711). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-230-7338 (TTY: 711). This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Other providers are available in our network. The provider network may change at any time. You will receive notice when necessary.

About Simply Healthcare Plans

Simply Healthcare Plans, Inc. (“Simply”), is a Florida managed health care plan that serves Medicare Advantage and Medicaid members in the state of Florida. In addition, Simply, through a line of business called Clear Health Alliance, also serves Florida Medicaid members who are living with HIV/AIDS. Along with our sister plans, Amerigroup Florida, Inc. and Better Health, Inc., we serve more than 600,000 Floridians. Across the nation, the Anthem, Inc. family of health plans serve nearly 40 million members, which is 1 in every 8 Americans. Our goal is to provide healthcare and related services that are comprehensive, integrated and patient-centered. Each and every day, members of our team can be found in Florida communities, listening to our members, interacting with our health care providers and partnering with community-based organizations. Our goal is to ensure members and entire communities are empowered to become active participants in their health care and sustain healthy lifestyles. To learn more about Simply, visit www.simplyhealthcareplans.com.

Contacts

Simply Healthcare Plans
Hieu Nguyen, (202) 510-8848
hieu.nguyen2@anthem.com

Contacts

Simply Healthcare Plans
Hieu Nguyen, (202) 510-8848
hieu.nguyen2@anthem.com