Florida

Gold Advantage

(H1526-005)

For those Medicare eligible who do not qualify for our chronic special needs plans
Counties: Cochise, Coconino, Gila, Graham, Maricopa, Navajo, Pima, Pinal
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

$0

Copay for PCPs

$0

Rx deductible

$135

Part B giveback
$2,000 Flex allowance per year
This allowance is distributed quarterly, with rollover, for dental, vision, and hearing expenses
$300 Gold Perks allowance per year
This benefit package is distributed monthly, without rollover, for the purchase of plan-defined product and service categories
Silver&Fit gym membership
This benefit includes a comprehensive fitness and well-being program
$300 in Rewards & Incentives per year
This program offers rewards for the completion of plan-defined preventive activities
In-home support & companionship
This benefit provides up to 60 hours per year of in-home support for activities such as light household chores
Personal emergency response device
This benefit provides one wearable PERS device per year to connect members to urgent support resources

Rx Benefits

Rx deductible

$0
This is what you will pay before Gold Kidney starts paying for covered prescription medications

30-day Rx copay
(Tiers 1-5)

$0 / $5 / $47 / $100 / 33%
This is what you will pay for prescription medications

100-day mail order Rx
(Tiers 1–4)

$0 / $5 / $40 / $250
This is what you will pay for a long-term supply of prescription medications through a convenient mail-order service

Gold Perks

$300 Annual Allowance
  • Over-the-counter items (OTC)
  • Fitness activity fees
  • Therapeutic massage
  • Home and bathroom safety devices

Gold Perks Plus

  • Utility bills*
  • Pest control services*
  • Over-the-counter items (OTC)
  • Indoor air quality equipment and Services*
  • Therapeutic massage
  • Personal care services*
  • Fitness activity fees
  • Home and bathroom safety devices
  • Pet supplies and services*

Additional Benefits**

**Refer to the Summary of Benefits for specific benefits and coverage amounts

$2,000 annual Flex allowance for dental, vision, and hearing, with quarterly rollover

Up to $300 annually in Rewards & Incentives for preventive health activities

Silver&Fit gym membership with a comprehensive fitness and well-being program

60 hours of in-home companionship and support annually

Wearable personal emergency response device equipped with GPS and fall-detection

Ready to get started?

The process is easy!

Want more plan details?

Summary of Benefits
Summary of Benefits (Span)

Ready to enroll?

Enroll Now

Have more questions?

Contact Us

¹If you receive Medicaid/AHCCS benefits, your premium and coinsurance will be paid by these programs.

*Requires one of the CMS-listed chronic illnesses, SSBCI program requirements, and participation in the Gold Kidney’s care management program for C-SNP plan members. Learn more about SSBCI here

Go Back to Results
View All Plans
Close

For all inquiries, please call Member Services at (844) 294-6535

Close

Shop for Plan

Enter your zip code to find Medicare Advantage plans that suit your needs.

Zip Code
You are about to leave

You are about to leave the Gold Kidney Website

This action will open a new tab in your browser