Available Plans Information

Miami-Dade & Broward Residents

Below you will find information on the HealthSun plans offered to residents of Miami-Dade and Broward counties, where noted.   For your convenience we have included a high resolution printable version in Adobe PDF format for each plan's Summary of Benefits, Evidence of Coverage, and the Annual Notice of Change.

 

2018 Plans

Miami-Dade County 

SunPlus Advantage (HMO) Plan 001 

$0 Monthly Plan Premium

$0 Deductible

Broward County 

HealthAdvantage (HMO) Plan 012

$0 Monthly Plan Premium

$0 Deductible

Miami-Dade and Broward Counties

MediMax (HMO) Plan 006

$29.10 Monthly Plan Premium

$405 Deductible

2017 Plans

Miami-Dade County 

SunPlus Advantage (HMO) Plan 001 

$0 Monthly Plan Premium

$0 Deductible

Broward County 

HealthAdvantage (HMO) Plan 012

$0 Monthly Plan Premium

$0 Deductible

Miami-Dade and Broward Counties

MediMax (HMO) Plan 006

$29.10 Monthly Plan Premium

$400 Deductible

 

Out of Network Coverage

If you need care when you are outside the service area your coverage is limited. The only services we cover when you are outside our service area are care for a medical emergency, urgently needed care, renal dialysis and care that HealthSun Health Plans has approved in advance. Click here for more information on Out of Network Coverage.

 

Contact the plan for more information. Limitations, copayments, and restrictions may apply.  Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year.   

 

 

Plan Star Rating

Learn More

Are you a Member or Physician with a process or status question?  Click here for information on grievances, coverage determinations, appeals and other related requests.  

Appeals
(305) 447-4451

Coverage Decisions
(305) 447-4458
(877) 336-2069

Extra Help

If aren't getting extra help, you can see if you qualify by calling:

  • 1-800-Medicare, 24 hours a day, 7 days a week.  TTY 1-877-486-2048 
  • Your State Medical Office or the Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday.  TTY 1-800-325-0778. 

 

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