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Humana Florida Dual Eligible Special Needs Plans (D-SNP)

I

Florida

Humana offers 14 Medicare-Medicaid Dual Eligible plans in Florida. The average government quality score of these plans is 3.8 out of 5 stars (2025 plan ratings).

All of these plans include Part D Prescription Drug coverage because Medicare-Medicaid Dual Eligible Plans are required to include prescription drug coverage. All of these plans include coverage for additional benefits such as dental, vision, or hearing. There may not be a plan in your area that has all of these benefits in one plan.

Summary of Available Medicare-Medicaid Dual Eligible Plans from Humana in Florida

To view plans available by county
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
3.5
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$4900
Rx Deductible
$590
Specialist Office Visit
$0 copay

Plan ID: H5216-394-0
Available in Counties: Alachua, Baker, Bay, Bradford, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, Desoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Jackson, Jefferson, Lafayette, Lake, Lee, Levy, Liberty, Madison, Manatee, Marion, Nassau, Okaloosa, Orange, Osceola, Pasco, Pinellas, Polk, Putnam, Saint Johns, Santa Rosa, Sarasota, Seminole, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
3
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$4900
Rx Deductible
$590
Specialist Office Visit
$0 copay

Plan ID: H7284-010-0
Available in Counties: Brevard, Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, Saint Lucie
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
3
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$6425
Rx Deductible
$590
Specialist Office Visit
$0 copay

Plan ID: H7284-003-0
Available in Counties: Bradford, Calhoun, Dixie, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, Holmes, Jackson, Jefferson, Lafayette, Levy, Liberty, Madison, Suwannee, Union, Wakulla, Washington
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$450
Specialist Office Visit
$0 copay

Plan ID: H1036-280-0
Available in Counties: Broward, Citrus, Flagler, Hardee, Hernando, Highlands, Hillsborough, Lake, Manatee, Marion, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Sarasota, Seminole, Sumter, Volusia
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$500
Specialist Office Visit
$0 copay

Plan ID: H1036-077-0
Available in Counties: Broward, Miami-Dade, Palm Beach
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$1500
Rx Deductible
$500
Specialist Office Visit
$0 copay

Plan ID: H1036-102-0
Available in Counties: Citrus, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, Sarasota
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$530
Specialist Office Visit
$0 copay

Plan ID: H1036-209-0
Available in Counties: Flagler, Volusia
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$540
Specialist Office Visit
$0 copay

Plan ID: H1036-210-0
Available in Counties: Alachua, Baker, Bradford, Clay, Columbia, Duval, Nassau, Putnam, Saint Johns
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$560
Specialist Office Visit
$0 copay

Plan ID: H1036-213-0
Available in Counties: Lake, Marion, Orange, Osceola, Seminole, Sumter
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$590
Specialist Office Visit
$0 copay

Plan ID: H1036-214-0
Available in Counties: Escambia, Santa Rosa, Walton
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$6650
Rx Deductible
$590
Specialist Office Visit
$0 copay

Plan ID: H1036-226-0
Available in Counties: Glades, Indian River, Martin, Okeechobee, Saint Lucie
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$320
Specialist Office Visit
$0 copay

Plan ID: H1036-285-0
Available in Counties: Charlotte, Collier, Desoto, Lee
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$480
Specialist Office Visit
$0 copay

Plan ID: H1036-304-0
Available in Counties: Broward, Miami-Dade, Palm Beach
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$520
Specialist Office Visit
$0 copay

Plan ID: H1036-314-0
Available in Counties: Alachua, Baker, Bay, Bradford, Charlotte, Citrus, Clay, Collier, Columbia, Desoto, Duval, Escambia, Flagler, Hardee, Hernando, Highlands, Hillsborough, Lake, Lee, Manatee, Marion, Nassau, Okaloosa, Orange, Osceola, Pasco, Pinellas, Polk, Putnam, Saint Johns, Santa Rosa, Sarasota, Seminole, Sumter, Volusia, Walton
More

Frequently Asked Questions

About Medicare-Medicaid Dual Eligible SNP

Medicare-Medicaid Dual Eligible Special Needs Plans (D-SNP) are Medicare Advantage plans specifically designed for beneficiaries who are eligible for both Medicaid and Medicare. These plans can include benefits and coverage from both State-level Medicaid and Federal-level Medicare programs.
In order to be eligible for Medicare-Medicaid Dual plans you will likely have to be eligible for your State’s Medicaid program and also eligible for Medicare. Each State has different requirements and income limits to qualify for Medicaid. You may need to meet the income limit requirements for your State’s Medicaid program in order to qualify for a Medicare-Medicaid Dual Eligible plan.

Medicare and Medicaid coordinate benefits and coverage for Dual Eligible Plans. Medicare is primary and pays first for medical services, while Medicaid is secondary and may cover medical costs not covered, or partially covered, by Medicare.

There are several different types of dual eligible beneficiaries, which can determine how Medicare and Medicaid coordinate coverage:
  • QMB (Qualified Medicare Beneficiary)
    • Medicaid pays premiums and cost sharing for Medicare Part A and Part B benefits
  • QMB Plus (Qualified Medicare Beneficiary Plus)
    • Same as QMB, but Medicaid also pays for full Medicaid benefits
  • SLMB (Specified Low-Income Medicare Beneficiary)
    • Medicaid pays for Medicare Part B premium
  • SLMB Plus (Specified Low-Income Medicare Beneficiary Plus)
    • Same as SLMB, but Medicaid also pays for full Medicaid benefits
  • Other FBDE (Full Benefit Dual Eligible)
    • Medicaid pays Medicare Part B premium and full Medicaid benefits
  • QDWI (Qualified Disabled & Working Individual)
    • Medicaid pays Medicare Part A premium

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint