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Available Plans Information

Miami-Dade, Broward & Palm Beach Residents

Below you will find information on the HealthSun plans offered to residents of Miami-Dade, Broward and Palm Beach 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 Changes.

 

Plans 2021

Miami-Dade County

MediSun Plus (HMO D-SNP) Plan 015

$29.50 Monthly Plan Premium

$435 Deductible

MediMax (HMO) Plan 006

$30.80 Monthly Plan Premium

$445 Deductible

HealthAdvantage (HMO) Plan 001

$0 Monthly Plan Premium

$0 Deductible

 

Broward County 

MediSun Plus (HMO D-SNP) Plan 015

$29.50 Monthly Plan Premium

$435 Deductible

MediMax (HMO) Plan 006

$30.80 Monthly Plan Premium

$445 Deductible

HealthAdvantage (HMO) Plan 012

$0 Monthly Plan Premium

$0 Deductible

 

Palm Beach County 

MediSun Plus (HMO D-SNP) Plan 016 

$26.20 Monthly Plan Premium

$445 Deductible

MediMax (HMO) Plan 014

$27.90 Monthly Plan Premium

$435 Deductible

HealthAdvantage (HMO) Plan 013

$0 Monthly Plan Premium

$0 Deductible

 

Plans 2020

Miami-Dade and Broward Counties

MediMax (HMO) Plan 006

$28.50 Monthly Plan Premium

$435 Deductible

 

Miami-Dade County

SunPlus Advantage (HMO) Plan 001

$0 Monthly Plan Premium

$0 Deductible

 

Broward County

Health Advantage (HMO) Plan 012

$0 Monthly Plan Premium

$0 Deductible

 

Palm Beach County

HealthAdvantage (HMO) Plan 013

$0 Monthly Plan Premium

$0 Deductible

MediMax (HMO) Plan 014

$28.50 Monthly Plan Premium

$435 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 status question?  Visit our page 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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