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Medicare Advantage Plans Overview

Arizona Plans

2026
2025

Florida Plans

2026
2025

2026 Medicare Advantage Plans

Arizona

Dialysis & Kidney Plans

For those who are Medicare-eligible with advanced chronic kidney disease or on dialysis
Gold Dialysis & Kidney (H4869-003)

Counties: Gila, Maricopa, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Dialysis & Kidney (H4869-013)

Counties: Cochise, Coconino, Graham, Navajo

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

For those who are dually eligible for Medicare and Medicaid with advanced chronic kidney disease or on dialysis

Gold Dialysis & Kidney Complete (H4869-014)

Counties: Gila, Maricopa, Navajo, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish

Heart & Diabetes Plans

For those who are Medicare-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes (H4869-001)

Counties: Gila, Maricopa, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Heart & Diabetes (H4869-011)

Counties: Cochise, Coconino, Graham, Navajo

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

2026 Medicare Advantage Plans

Florida

Dialysis & Kidney Plans

For those who are Medicare-eligible with advanced chronic kidney disease or on dialysis
Gold Dialysis & Kidney (H1526-003)
Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Dialysis & Kidney (H1526-009)
Counties: Miami-Dade
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
For those who are dually eligible for Medicare and Medicaid with advanced chronic kidney disease or on dialysis
Gold Dialysis & Kidney Complete (H1526-004)

Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Miami-Dade, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

Heart & Diabetes Plans

For those who are Medicare-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes (H1526-001)
Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Heart & Diabetes (H1526-008)
Counties: Miami-Dade
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
For those who are dually eligible for Medicare and Medicaid with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes Complete (H1526-002)

Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Miami-Dade, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

2025 Medicare Advantage Plans

Arizona

Dialysis Plans

For those who are Medicare-eligible with end-stage renal disease (ESRD), generally requiring dialysis
Gold Dialysis (H4869-003)

Counties: Gila, Maricopa, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Dialysis (H4869-013)

Counties: Cochise, Coconino, Graham, Navajo

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
For those who are dually eligible for Medicare and Medicaid and have end-stage renal disease, generally requiring dialysis
Gold Dialysis Complete (H4869-004)

Counties: Gila, Maricopa, Navajo, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

For those who are Medicare-eligible, on dialysis, and have access to other forms of coverage

Gold Circle Dialysis (H4869-012)
Counties: Cochise, Coconino, Gila, Graham, Maricopa, Navajo, Pima, Pinal
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish

Advantage Plans

For those Medicare eligible who do not qualify for our chronic special needs plans
Gold Advantage (H4869-005)
Counties: Cochise, Coconino, Gila, Graham, Maricopa, Navajo, Pima, Pinal
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

Heart & Diabetes Plans

For those who are Medicare-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes (H4869-001)

Counties: Gila, Maricopa, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Heart & Diabetes (H4869-011)

Counties: Cochise, Coconino, Graham, Navajo

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
For those who are dually eligible for Medicare and Medicaid with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes Complete (H4869-002)

Counties: Gila, Maricopa, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
For those who are Medicare-eligible with heart and diabetes conditions and have access to other forms of coverage
Gold Circle Heart & Diabetes (H4869-010)

Counties: Cochise, Coconino, Gila, Graham, Maricopa, Navajo, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

Loyalty Plans

For those who are Medicare-eligible and do not need prescription drug coverage

Gold Loyalty (H4869-009)

Counties: Cochise, Coconino, Gila, Graham, Maricopa, Navajo, Pima, Pinal

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

2025 Medicare Advantage Plans

Florida

Dialysis Plans

For those who are Medicare-eligible with end-stage renal disease (ESRD), generally requiring dialysis
Gold Dialysis (H1526-003)
Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Dialysis (H1526-009)
Counties: Miami-Dade
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
For those who are dually eligible for Medicare and Medicaid and have end-stage renal disease, generally requiring dialysis
Gold Dialysis Complete (H1526-004)
Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Miami-Dade, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

Advantage Plans

For those Medicare eligible who do not qualify for our chronic special needs plans
Gold Advantage (H1526-005)

Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

Heart & Diabetes Plans

For those who are Medicare-eligible with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes (H1526-001)
Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
Gold Heart & Diabetes (H1526-008)

Counties: Miami-Dade

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
For those who are dually eligible for Medicare and Medicaid with cardiovascular disorders, chronic heart failure, and/or diabetes
Gold Heart & Diabetes Complete (H1526-002)
Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Miami-Dade, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter
Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish

Loyalty Plans

For those who are Medicare-eligible and do not need prescription drug coverage
Gold Loyalty (H1526-006)

Counties: Baker, Broward, Clay, DeSoto, Duval, Hardee, Hendry, Hernando, Hillsborough, Indian River, Manatee, Martin, Okeechobee, Osceola, Palm Beach, Pasco, Pinellas, Sarasota, Seminole, St. Lucie, Sumter

Evidence of Coverage: English | Spanish
Summary of Benefits: English | Spanish
Annual Notice of Change: English | Spanish
As new technology and medical procedures are discovered or become available, Gold Kidney meets quarterly through the Technology Committee to evaluate them. The Technology Committee reviews any technologies or services brought to the committee to evaluate whether Gold Kidney will include these services as part of our covered services. 
Contact Us

HQ Location
4600 E Washington St, #300
Phoenix, AZ 85034

Mailing Address
P.O. Box 285
Portsmouth, NH 03802

(844) 294-6535 (TTY 711)
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Hours of Operation

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8am – 8pm local time (except holidays)

Gold Kidney Health Plan, Inc., is an HMO-POS and HMO-POS C-SNP with a Medicare contract.
Enrollment in Gold Kidney Health Plan depends on contract renewal.
Last Updated: Oct. 1, 2025 | Y0171_GKHPWebsite_M | Copyright © 2025 Gold Kidney Health Plan
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Enrollment applications for our 2026 Medicare Advantage plans will be available beginning on October 15th.
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