Retired Employee Medicare Plans
Medicare Advantage Plans
Pharmacy Plans
Medicare Supplemental Plans
Contact Information
Medicare Advantage Plans
AVMed Plans
Humana Plans
UHC Plans
Medicare Supplemental Plans
UHC Plans
AvMed Medicare Access HMO-POS (Miami-Dade and Broward)
- No referral to see specialists
- Initial Coverage Limit – $5,030
- Primary Care Physician required
- Primary Care Physician co-pay $0
- Specialist Office visit no referral needed – $10
- Rx Tier 1 and 2 – $0 co-pay; Tier 3 and 4 set co-pay; Tier 5 co-insurance
- Rx mail away available
- Transportation allowance – up to 8 one-way trips
- $10,000 Point-of-Service Benefit for out-of-network care
- Eyewear allowance – $350
AvMed Medicare Choice HMO (Miami-Dade and Broward)
- The Initial Coverage Limit – $5,030
- Hearing Aid allowance – $1,200
- Healthyperks Rewards – up to $125 for healthy behaviors
- Eyewear allowance – $350
- Over-the-Counter allowance – $25 monthly
AvMed Medicare One HMO (Miami-Dade and Broward)
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- Maximum Out-of-Pocket: $1,000 MiamiDade; $1,500 Broward
- No Referral to see specialist $0 copay
- In-home support with Papa Pals
- Initial Coverage Limit: $6,000 Broward: $8,000 Miami-Dade
- Hearing Aid allowance – $1,500
- Eyewear allowance: $450
- Transportation allowance – unlimited trips
- Healthyperks Rewards: up to $125
- Rx Tier 1 and 2: $0 copay
- Tier 3 and 4: set copay
- Tier 5: 33%
- Over-the-Counter allowance: $50 monthly
- Concierge Service
- Primary Care Physician: $0
- Dental – Preventive and Comprehensive
- Meals post hospitalization
AvMed Medicare Circle HMO (Miami-Dade and Broward)
- Maximum Out-of-Pocket – $2,500
- Initial Coverage Limit:
◦ Broward – $6,000
◦ Miami-Dade – $8,000 - Hearing Aid allowance – $1,500
- Eyewear allowance: $450
- Transportation allowance – unlimited trips
- Healthyperks Rewards – up to $125 for healthy behaviors
- Over-the-Counter allowance – $50 monthly
Humana Zero Premium HMO
(contact Humana directly for a list of participating Counties)
- NEW $500 annual allowance on prepaid card to use for out-of-pocket expenses, including copays related to the current plan year covered dental, vision and hearing services.Plans vary by County of residence
- Primary Care Physician required
- Includes Extra Benefits such as SilverSneakers and Go365 rewards program
Humana Passive PPO
- Same level of coverage for benefits at in-network and out-of-network providers. See plan materials for additional details.
- Coverage for Routine Podiatry, Routine Chiropractic, Routine Vision, and Routine Hearing with Hearing Aid allowance
- Includes Extra Benefits such as SilverSneakers and Go365 rewards program”
Humana National Traditional PPO
- Coverage for Routine Podiatry, Routine Chiropractic, Routine Vision, and Routine Hearing with Hearing Aid allowance
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Includes Extra Benefits such as SilverSneakers and Go365 rewards program
UnitedHealthcare (UHC) Differential PPO
- Increase in Initial Coverage Limit
- Increase in Catastrophic Coverage limit
- Decrease in Catastrophic Coverage Copays
UnitedHealthcare (UHC) Passive PPO
- Increase in Initial Coverage Limit
- Increase in Catastrophic Coverage limit
- Decrease in Catastrophic Coverage Copays
(UHC) Medicare Supplement Plans (Does Not Include Medicare Part D):
Both plan design and premiums are pending approval by the Centers for Medicare and Medicaid Services (CMS)
- Freedom of choosing physicians of your choice
- Plan F will only continue to be offered to anyone who became a Medicare recipient prior to 1/1/2020
- Rates are based on the applicant’s date of birth, place of residence and tobacco usage
- Supplements Medicare coverage
NOTE: Pre-65 Medicare recipients are not eligible for the Supplement plans.
Unitedhealthcare (UHC) Pharmacy Plans (Medicare Part D Only):
UHC continues to offer Prescription Drug Plans (PDP). Participants currently enrolled in a PDP only may enroll in any of the School Board sponsored Medicare Group Healthcare plans. The following PDP plans are being offered for the 2024 plan year:
- UHC 4-Tier low option tier 1 gap only coverage
- UHC 4-Tier high option full gap coverage
- UHC 5-Tier Formulary Standard Coverage in Gap
Contact Information
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AvMed Medicare Access HMO-POS (Miami-Dade County Only; Broward County Only) AvMed Medicare Choice HMO: AvMed Medicare Circle HMO: AvMed Medicare One HMO (Miami-Dade, Broward, Palm Beach, Osceola, Seminole and Orange Counties only) |
Enrollment Telephone Number: 1-800-835-6137 (TTY 711) Post enrollment for Member Engagement Center: 1-800-782-8633 (TTY 711) |
| Humana Zero Premium HMO (Miami-Dade, Broward and Palm Beach Counties), Humana Passive PPO and Humana Traditional PPO |
Enrollment Telephone number: 1-800-824-8242 Mon – Fri, 8 am – 8 pm EST (TTY 711) Post enrollment: 1-866-396-8810 Mon – Fri, 8 am – 9 pm EST (TTY 711) |
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UnitedHealthcare (UHC): Medicare Advantage Plans Medicare Supplement Plans Prescription Drug Plans (PDP) |
Enrollment Call Center: 1-877-870-7923 Customer Service: Medicare Advantage and PDP: 1-888-867-5548 Medicare Supplement: 1-800-523-5800 8 am – 8 pm (EST), 7 days a week |