Medicare Plans in
Polk County, FL

68 Medicare Advantage Plans Found in Polk County. See Plans

Polk County, FL
Medicare Information

For Polk County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 68 private Medicare plans are available in Polk County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

For Polk County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 68 private Medicare plans are available in Polk County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about some of the Medicare plans in Polk County, Florida, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

Average Cost of Medicare
Plans in Polk County

Average Cost of Medicare Advantage Plans in Polk County, Florida
Average Monthly Premium $53.94
Average in-network out-of-pocket spending limit $4,565.44
Average drug deductible in 2025 (weighted) $408.75
Percentage of plans rated 4 stars or higher 66.2%
Average Cost of Medicare Advantage Plans in Polk County, Florida
Average Monthly Premium
$53.94
Average in-network out-of-pocket spending limit
$4,565.44
Average drug deductible in 2021 (weighted)
$408.75
Percentage of plans rated 4 stars or higher
66.2%

Learn More About Medicare
Prescription Drug Plans

Polk County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Eagle (PPO) H5521: 308 $0 N/A $5,500 No
4.5 out of 5
Aetna Medicare Premier (PPO) H5521: 270 $0 $590 $5,500 Yes
4.5 out of 5
Aetna Medicare FL Explorer Premier (PPO) H5521: 437 $0 $590 $4,900 Yes
4.5 out of 5
Aetna Medicare Choice (HMO-POS) H1609: 028 $0 $590 $5,900 Yes
4 out of 5
Aetna Medicare Premier (PPO) H5521: 033 $0 $590 $6,750 Yes
4.5 out of 5
Aetna Medicare FL Select (HMO) H1609: 022 $0 $0 $2,500 Yes
4 out of 5
Aetna Medicare FL Dual Select (HMO D-SNP) H1609: 049 $0 $0 $4,150 Yes
4 out of 5
Aetna Medicare Assure (HMO D-SNP) H1609: 019 $0 $0 $4,150 Yes
4 out of 5
Cigna

Cigna Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for Cigna private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Preferred Medicare (HMO) H5410: 024 $0 $0 $2,650 Yes
3 out of 5
Cigna Preferred Savings Medicare (HMO) H5410: 026 $0 $0 $3,200 Yes
3 out of 5
Cigna TotalCare Plus (HMO D-SNP) H5410: 025 $0 $0 $1,500 Yes
3 out of 5
Cigna TotalCare (HMO D-SNP) H5410: 046 $0 $0 $2,950 Yes
3 out of 5
Cigna Courage Medicare (HMO) H5410: 057 $0 N/A $3,400 No
3 out of 5

Devoted Health

Devoted Health Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted DUAL Florida (HMO D-SNP) H1290: 024 $0 $0 $3,900 Yes
4.5 out of 5
Devoted CORE Florida (HMO) H1290: 036 $0 $590 $6,750 Yes
4.5 out of 5
Devoted EXTRA Florida (HMO) H1290: 065 $0 $590 $6,750 Yes
4.5 out of 5
Devoted DUAL PLUS Florida (HMO D-SNP) H1290: 052 $0 $0 $3,400 Yes
4.5 out of 5
Devoted PREMIUM Florida (HMO) H1290: 037 $9 $590 $3,900 Yes
4.5 out of 5
Humana Inc.

Humana Inc. Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP) H1036: 314 $0 $0 $3,400 Yes
4 out of 5
Humana Gold Plus Lung (HMO C-SNP) H1036: 312 $0 $0 $2,000 Yes
4 out of 5
HumanaChoice Florida H5216-072 (PPO) H5216: 072 $0 $250 $6,100 Yes
3.5 out of 5
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H1036: 299 $0 $0 $2,400 Yes
4 out of 5
Humana USAA Honor Giveback (PPO) H5216: 257 $0 N/A $6,000 No
3.5 out of 5
CareAccess (HMO) H1019: 144 $0 $0 $4,900 Yes
4 out of 5
CareNeeds Plus (HMO D-SNP) H1019: 073 $0 $0 $3,400 Yes
4 out of 5
CareComplete (HMO C-SNP) H1019: 150 $0 $0 $2,500 Yes
4 out of 5
Humana Full Access Giveback H5216-393 (PPO) H5216: 393 $0 $0 $6,700 Yes
3.5 out of 5
HumanaChoice Florida H5216-304 (PPO) H5216: 304 $0 $300 $4,700 Yes
3.5 out of 5
Humana USAA Honor Giveback (HMO) H1036: 119 $0 N/A $3,900 No
4 out of 5
Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP) H1036: 102 $0 $0 $1,500 Yes
4 out of 5
HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP) H5216: 394 $0 $0 $4,900 Yes
3.5 out of 5
CareOne Plus (HMO) H1019: 103 $0 $0 $1,600 Yes
4 out of 5
CareFree Giveback (HMO) H1019: 104 $0 $0 $3,000 Yes
4 out of 5
Humana Gold Plus H1036-230 (HMO) H1036: 230 $0 $0 $2,400 Yes
4 out of 5
Humana Gold Plus Giveback H1036-266 (HMO) H1036: 266 $0 $0 $3,400 Yes
4 out of 5
CareComplete Platinum (HMO C-SNP) H1019: 147 $0 $0 $2,500 Yes
4 out of 5
CareSalute (HMO) H1019: 132 $0 N/A $3,900 No
4 out of 5
CareBreeze Platinum (HMO C-SNP) H1019: 151 $0 $0 $2,500 Yes
4 out of 5
CareNeeds Platinum (HMO D-SNP) H1019: 146 $0 $0 $3,400 Yes
4 out of 5
HumanaChoice R5826-074 (Regional PPO) R5826: 074 $23 $395 $7,550 Yes
3 out of 5
HumanaChoice R5826-018 (Regional PPO) R5826: 018 $43 N/A $7,550 No
3 out of 5
HumanaChoice R5826-005 (Regional PPO) R5826: 005 $172 $100 $6,700 Yes
3 out of 5

Simply Healthcare

Simply Healthcare Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for Simply Healthcare private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Simply Level Platinum (HMO C-SNP) H5471: 119 $0 $0 $2,450 Yes
4.5 out of 5
Simply Complete (HMO D-SNP) H5471: 066 $0 $0 $500 Yes
4.5 out of 5
Simply Level (HMO C-SNP) H5471: 070 $0 $0 $3,450 Yes
4.5 out of 5
Simply More (HMO) H5471: 071 $0 $0 $3,450 Yes
4.5 out of 5
Simply Extra (HMO) H5471: 106 $0 $0 $3,450 Yes
4.5 out of 5
Simply Extra Platinum (HMO) H5471: 117 $0 $0 $3,200 Yes
4.5 out of 5
Simply Complete Platinum (HMO D-SNP) H5471: 118 $0 $0 $500 Yes
4.5 out of 5
Simply Freedom (PPO) H9469: 008 $0 $150 $5,000 Yes
Not enough data available
UnitedHealthcare

UnitedHealthcare Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS) H1045: 059 $0 $495 $6,700 Yes
4 out of 5
UHC Dual Complete FL-Y5 (HMO-POS D-SNP) H2509: 003 $0 $0 $9,350 Yes
Not enough data available
AARP Medicare Advantage from UHC FL-003P (HMO-POS) H1045: 045 $0 $175 $2,900 Yes
4 out of 5
AARP Medicare Advantage Patriot No Rx FL-MA2 (PPO) H2406: 130 $0 N/A $7,900 No
4 out of 5
AARP Medicare Advantage from UHC FL-0019 (PPO) H2406: 011 $0 $420 $5,500 Yes
4 out of 5
UHC Complete Care FL-14 (HMO-POS C-SNP) H1045: 048 $0 $175 $2,900 Yes
4 out of 5
AARP Medicare Advantage from UHC FL-0006 (HMO-POS) H1045: 028 $0 $175 $3,800 Yes
4 out of 5
UHC Dual Complete FL-Y4 (PPO D-SNP) H1889: 026 $0 $0 $9,350 Yes
3.5 out of 5
UHC Dual Complete FL-D002 (HMO-POS D-SNP) H1045: 039 $0 $0 $9,350 Yes
4 out of 5
UHC Dual Complete FL-D003 (PPO D-SNP) H1889: 002 $0 $0 $9,350 Yes
3.5 out of 5
AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO) R0759: 002 $0 N/A $7,900 No
4 out of 5
AARP Medicare Advantage from UHC FL-0031 (Regional PPO) R0759: 001 $23 $570 $7,900 Yes
4 out of 5
Wellcare Health Plans, Inc.

Wellcare Health Plans, Inc. Medicare Plans in Polk County, FL

The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Florida in 2025.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Simple (HMO) H1032: 201 $0 $420 $1,200 Yes
3.5 out of 5
Wellcare Dual Access (HMO D-SNP) H1032: 124 $0 $0 $9,350 Yes
3.5 out of 5
Wellcare Giveback (HMO) H1032: 200 $0 $420 $5,000 Yes
3.5 out of 5
Wellcare Patriot Giveback (HMO) H1032: 239 $0 N/A $4,500 No
3.5 out of 5
Wellcare Dual Liberty (HMO D-SNP) H1032: 175 $0 $0 $9,350 Yes
3.5 out of 5
Wellcare Dual Reserve (HMO D-SNP) H1032: 202 $0 $0 $1,500 Yes
3.5 out of 5