2020 Ponce de Leon Blvd, Suite 901. Coral Gables, FL 33134   
  

2019 Medicare Advantage Plans

Doctors HealthCare Plans, Inc., offers four distinct plan options to accommodate your unique coverage needs. All plans provide the same benefits as traditional Medicare as well as additional benefits, such as prescription drug coverage, hearing, dental, vision, transportation and wellness resources. All plans have a Point-of-Service benefit. This benefit allows you to access out-of-network specialists in Miami-Dade County. This benefit allows you access up to your plan’s specific benefit amount, without a referral. These services require prior authorization.

To enroll, you must be entitled to Medicare Part A, enrolled in Medicare Part B, and reside in Miami-Dade County. For Special Needs Plans (SNP), certain additional requirements apply.

For information please call us at 786-460-3427 or Toll Free: 1-833-342-7463, TTY 711, 7 days a week, 8:00 a.m. to 8:00 p.m.  To contact a Licensed Sales Agent, please call 786-420-3427 or Toll Free: 833-639-3427, TTY 711, 7 days a week 8:00 a.m. to 6:00 p.m.

 DrMax (HMO- POS)

  1. Evidence of Coverage
  2. Summary of Benefits
  3. Formulary
  4. Over the Counter (OTC) Catalog.

You may conveniently order:

  • By calling: 1-888-628-2770; TTY: 1-877-672-2688, Monday to Friday, 9 a.m. to 8 p.m. E.S.T.
  • Online
  • In-store – See list of participating CVS Pharmacy locations

DrPlus (HMO- POS SNP)

Available to individuals receiving both Medicare and certain levels of financial assistance from Florida Medicaid*

  1. Evidence of Coverage
  2. Summary of Benefits
  3. Formulary
  4. Over the Counter (OTC) Catalog

You may conveniently order:

  • By calling: 1-888-628-2770; TTY: 1-877-672-2688, Monday to Friday, 9 a.m. to 8 p.m. E.S.T.
  • Online
  • In-store – See list of participating CVS Pharmacy locations

*Must be a Qualified Medicare Beneficiary (QMB, QMB+), Specified Low-Income Medicare Beneficiary (SLMB, SLMB+), Full Benefit Dual Eligible (FBDE), Qualified Individual (QI) or Qualified Disabled and Working Individual (QDWI). DrPlus (HMO POS SNP) is sponsored by Doctors Healthcare Plans, Inc. and the State of Florida Agency for Health Care Administration.  DrPlus (HMO-POS SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until December 31, 2021 based on a review of DrPlus (HMO POS SNP) Model of Care.

DrCare (HMO- POS SNP)

Available to anyone with Medicare who has been diagnosed with Chronic Heart Failure (CHF).

  1. Evidence of Coverage
  2. Summary of Benefits
  3. Formulary
  4. Over the Counter (OTC) Catalog

You may conveniently order:

  • By calling: 1-888-628-2770; TTY: 1-877-672-2688, Monday to Friday, 9 a.m. to 8 p.m. E.S.T.
  • Online
  • In-store – See list of participating CVS Pharmacy locations

DrCare (HMO-POS SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until December 31, 2021 based on a review of DrCare (HMO-POS SNP) Model of Care.

DrExtra (HMO- POS SNP)

Available to anyone with Medicare who has been diagnosed with Diabetes Mellitus.

Insert Place Holders for

  1. Evidence of Coverage
  2. Summary of Benefits
  3. Formulary
  4. Over the Counter (OTC) Catalog

You may conveniently order:

  • By calling: 1-888-628-2770; TTY: 1-877-672-2688, Monday to Friday, 9 a.m. to 8 p.m. E.S.T.
  • Online
  • In-store – See list of participating CVS Pharmacy locations

DrExtra (HMO-POS SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until December 31, 2021 based on a review of DrExtra (HMO POS SNP) Model of Care.

Out-of-network/non- contracted providers are under no obligation to treat Doctors HealthCare Plans members, except in emergency situations. Please call Member Services number or see your Evidence of Coverage for more information, including the cost sharing and maximum amount of coverage that applies to out-of-network services.

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Last Updated: 10/15/2018

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