Medicare Advantage new 2025 PPO Plans for Southwest Florida
How PPO Plans Work
A Medicare PPO Plan is a type of Medicare Advantage Plan (Part C)offered by a private insurance company. In a PPO Plan, you pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network . You pay more if you use doctors, hospitals, and providers outside of the network.
Click on any plan to view the Summary of Benefits for each plan.
Aetna Medicare Explorer Premier (PPO) H5521-438
Monthly premium $0.00
This plan features a low out-of-pocket limit in-network of $4,700, $0 copay for your in-network primary care physician, a $2,500 annual dental allowance for prevventive and comprehensive dental serivces combined in or out-of-network. Out-of-network dental charges covered at 50% coinsurance, you may have to pay your cost share at the time of service and submit a request for reimbursement. An annual eye exam with a $0 copay and a $155 eyewear reimbursement also in or out-of-network. Hearing aids must be purchased through NationsHearing. The copay amount is based on the level of hearing aid selected and will need to be paid at tihe time of purchase. Our plan will reimburse you up to $90 every quarter for qualified non-participating fitness location enrollment and/or membership fees, health activity fees, health related supplies and health equipment. This is in addition to a basic membership at any Silver Sneakers facility.
2025 Aetna MAPD Sales Presentation Video
Aetna Medicare Explorer Premier PPO Presentation Video
HumanaChoice Florida (PPO)
Monthly premium $0.00
This plan features a low Maximum out-of-pocket limit of $4,700 in-network, up to a $1,000 dental allowance every year for non-Medicare covered preventive and comprehensive dental services. PPO discounts available using the Humana Florida GoldPlus dental network. An annual eye exam up to $75 with a $100 annual eyewear allowance with in-network providers otherwise a $50 maximum benefit.
Humana Full Access Giveback
Monthly premium $0.00
This plan features a $174.70 reduction of your Medicare Part B premium, and a zero deductible for your Rx coverage, up to a $1,000 dental allowance every year for non-Medicare covered preventive and comprehensive dental services. PPO discounts available using the Humana Florida GoldPlus dental network. An annual eye exam up to $75 with a $100 annual eyewear allowance with in-network providers otherwise a $50 maximum benefit.
Local 2025 plan for Collier and Lee County resident
AARP Medicare Advantage from UHC FL-0017 (PPO)
Monthly premium $0.00
This plan features a low maximum out-of-pocket limit in-network of $5,900, hearing exam in-network for $0 with a hearing aid copay of $99 to $1,249 for a broad selection of OTC and brand-name hearing aids. Dental benefit of $2,000 for comprehensive and preventive care on all covered dental services. 50% coinsurance for bridges and dentures. If you choose to see an out-of-network dentist you might be billed more, even for services listed as a $0 copay. An eye exam with a $0 copay using network providers. The plan pays up to $200 every 2 years toward your purchase of 1 pair of frames or contact lenses.
Health Maintenance Organization (HMO) Plan
In most HMO Plans, you can only go to doctors, other health care providers, or hospitals on the plan's list except in an emergency. You may also need to get a referral from your primary care doctor. Find and compare HMO Plans in your area.
How Medicare SNPs work
Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO). Medicare SNPs limit membership to people with specific diseases or characteristics, and tailor their benefits, provider choices, and drug formularies to best meet the specific needs of the groups they serve.
UHC Dual Complete FL-Y4 (PPO D-SNP)
Special eligibility requirement Special eligibility requirement4
Must be eligible for Medicare and have Full or Partial Medicaid coverage in one of the following categories in FL: FBDE, QDWI, QI, QMB, QMB PLUS, SLMB, SLMB PLUS.
This plan features $0 copays for in-network health care providers. A $3,500 dental allowance for preventive and comprehensive services, Routine eyewear $0 copay, $450 credit every year for lenses and frames or contacts.
Food, over-the-counter (OTC) and utility bill credit. $300 credit every month to pay for covered healthy food, OTC products and utility bills from network utility companies.
"This list is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov (TTY users should call 1-877-486-2048). Hours of operation are 24 hours a day, 7 days a week."
How PFFS Plans Work
A Medicare PFFS Plan is a type of Medicare Advantage Plan (Part C) offered by a private insurance company. PFFS plans aren’t the same as Original Medicare or Medigap. The plan determines how much it will pay doctors, other health care providers, and hospitals, and how much you must pay when you get care.
These definitions are directly from www.medicare.gov
By contacting the phone number on this website you will be directed to a licensed agent. "This is a solicitation of insurance. By providing this information, you agree that an authorized representative or licensed insurance agent/producer many contact you by telephone, email, or mail to answer your questions or provide additional information about Medicare Advantage, Part D or Medicare Supplement Insurance plans."