Simply Level (HMO C-SNP)
Special Needs Plan (chronic or disabling condition) · Simply Healthcare Plans, Inc.
Plan IDH5471-080-0
$0monthly premium, 2026
$3,450in-network out-of-pocket max
$0drug deductible
4.5overall star rating
Costs
- Part C premium
- $0
- Part D premium
- $0 (basic $0, supplemental $0)
- Total monthly premium
- $0
- Out-of-pocket maximum
- $3,450.00
- Drug deductible
- $0
- Extra Help premium subsidy
- $4.82
Plan details
- Plan type
- HMO C-SNP
- Special Needs Plan
- Chronic or Disabling Condition – CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus
- Drug coverage
- Yes (enhanced alternative)
- Organization
- Elevance Health, Inc. · SIMPLY HEALTHCARE PLANS, INC.
- Health plan rating
- ★★★★½ 4.5
- Drug plan rating
- ★★★★½ 4.5
- Region
- Florida
Where this plan is available
Florida: Broward
Other plans under contract H5471
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-064-0 · HMO D-SNP | $0 | $500 | $615 | ★★★★½ 4.5 |
| Simply More (HMO)Simply Healthcare Plans, Inc. · H5471-065-0 · HMO | $0 | $3,850 | $0 | ★★★★½ 4.5 |
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-066-0 · HMO D-SNP | $0 | $500 | $615 | ★★★★½ 4.5 |
| Simply Level (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-069-0 · HMO C-SNP | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Level (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-070-0 · HMO C-SNP | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply More (HMO)Simply Healthcare Plans, Inc. · H5471-071-0 · HMO | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-072-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply Level (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-073-0 · HMO C-SNP | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply More (HMO)Simply Healthcare Plans, Inc. · H5471-074-0 · HMO | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Level (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-075-0 · HMO C-SNP | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-076-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply More (HMO)Simply Healthcare Plans, Inc. · H5471-077-0 · HMO | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply More (HMO)Simply Healthcare Plans, Inc. · H5471-078-0 · HMO | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-082-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-084-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply More (HMO)Simply Healthcare Plans, Inc. · H5471-110-0 · HMO | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Complete (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-111-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply Extra (HMO)Simply Healthcare Plans, Inc. · H5471-112-0 · HMO | $0 | $3,450 | $0 | ★★★★½ 4.5 |
| Simply Extra Platinum (HMO)Simply Healthcare Plans, Inc. · H5471-113-0 · HMO | $0 | $2,450 | $0 | ★★★★½ 4.5 |
| Simply More Platinum (HMO)Simply Healthcare Plans, Inc. · H5471-114-0 · HMO | $0 | $3,400 | $0 | ★★★★½ 4.5 |
| Simply Complete Platinum (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-115-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply Level Platinum (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-116-0 · HMO C-SNP | $0 | $2,450 | $0 | ★★★★½ 4.5 |
| Simply Extra Platinum (HMO)Simply Healthcare Plans, Inc. · H5471-117-0 · HMO | $0 | $3,200 | $0 | ★★★★½ 4.5 |
| Simply Complete Platinum (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-118-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply Level Platinum (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-119-0 · HMO C-SNP | $0 | $2,450 | $0 | ★★★★½ 4.5 |
| Simply Extra Platinum (HMO)Simply Healthcare Plans, Inc. · H5471-120-0 · HMO | $0 | $3,200 | $0 | ★★★★½ 4.5 |
| Simply Complete Platinum (HMO D-SNP)Simply Healthcare Plans, Inc. · H5471-121-0 · HMO D-SNP | $4.80 | $500 | $615 | ★★★★½ 4.5 |
| Simply Level Platinum (HMO C-SNP)Simply Healthcare Plans, Inc. · H5471-122-0 · HMO C-SNP | $0 | $3,200 | $0 | ★★★★½ 4.5 |
| Simply Extra Platinum (HMO)Simply Healthcare Plans, Inc. · H5471-123-0 · HMO | $0 | $3,200 | $0 | ★★★★½ 4.5 |
| Simply More Platinum (HMO)Simply Healthcare Plans, Inc. · H5471-124-0 · HMO | $0 | $3,850 | $0 | ★★★★½ 4.5 |
Questions and answers
What is the monthly premium for Simply Level (HMO C-SNP)?
For 2026 the plan premium is $0 a month in addition to the Medicare Part B premium.
What is the maximum out-of-pocket for Simply Level (HMO C-SNP)?
The in-network maximum out-of-pocket limit is $3,450.00.
What is the drug deductible?
The annual Part D deductible is $0.
What is the star rating of Simply Level (HMO C-SNP)?
CMS gave the plan an overall rating of 4.5 out of 5 stars.
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