Introduction

Several Medical Societies are teaming up to create a guide to give Seniors facts they need to make informed decisions around Medicare Advantage and Plan Performance in Florida. Your physician input is vital as they consider factors such as network adequacy, prior authorization, medication formularies, and getting locked into Medicare Advantage.

The average time to complete the survey is 6 minutes. Thank you for taking a few minutes to share your perspectives on plan performance in Florida.

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* 1. Please select your profession from the list provided below.

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* 2. County where you primarily practice

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* 3. Your Medical Specialty

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* 4. How many of your patients have been trapped in Medicare Advantage plans when their pre-existing conditions are discovered during underwriting for supplemental coverage thereby preventing their ability to return to traditional Medicare?

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* 5. Please rate the adequacy of the physician network including access to primary care and specialists, for each of the following insurance companies that operate Medicare Advantage Plans in Florida: (5 Stars being the least negative impact on patient care, and 1 Star being the most negative impact on patient care)

  1 Star - Worst (High Negative Impact on Patient Care) 2 Star 3 Star - Average 4 Star 5 Star - Best (Low Negative Impact on Patient Care) N/A - I don't have experience with this plan
Aetna Medicare
Align Senior Care
AmeriHealth Caritas VIP Care (HMO-D-SNP)
American Health Advantage of Florida
AvMed Medicare
BayCare Health Plans
Capital Health Plan
CarePlus Health Plans, Inc.
Cigna Healthcare
Clear Spring Health
Devoted Health
Doctors HealthCare Plans, Inc.
Florida Blue
Florida Blue HMO
Florida Complete Care
Freedom Health, Inc.
Gold Kidney Health Plan
Health First Health Plans, Inc.
HealthSun Health Plans, Inc.
Humana
Leon Health, Inc.
Optimum HealthCare, Inc.
Prominence Health Plan
SECUR Health Plan
Simply Healthcare
Simply Healthcare Plans, Inc.
Solis Health Plans
Ultimate Health Plans
UnitedHealthcare
Wellcare

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* 6. Please rate the impact of drug formularies and the frequency of patients having difficulty with the affordability or availability of prescriptions due to restrictive formularies for each of the following insurance companies that operate Medicare Advantage Plans in Florida: (5 Stars being the least negative impact on patient care, and 1 Star being the most negative impact on patient care)

  1 Star - Worst (High Negative Impact on Patient Care) 2 Star 3 Star - Average 4 Star 5 Star - Best (Low Negative Impact on Patient Care) N/A - I don't have experience with this plan
Aetna Medicare
Align Senior Care
AmeriHealth Caritas VIP Care (HMO-D-SNP)
American Health Advantage of Florida
AvMed Medicare
BayCare Health Plans
Capital Health Plan
CarePlus Health Plans, Inc.
Cigna Healthcare
Clear Spring Health
Devoted Health
Doctors HealthCare Plans, Inc.
Florida Blue
Florida Blue HMO
Florida Complete Care
Freedom Health, Inc.
Gold Kidney Health Plan
Health First Health Plans, Inc.
HealthSun Health Plans, Inc.
Humana
Leon Health, Inc.
Optimum HealthCare, Inc.
Prominence Health Plan
SECUR Health Plan
Simply Healthcare
Simply Healthcare Plans, Inc.
Solis Health Plans
Ultimate Health Plans
UnitedHealthcare
Wellcare

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* 7. Please rate the impact of prior authorization policies and procedures in terms of the frequency of treatment delays and denials for each of the following insurance companies that operate Medicare Advantage Plans in Florida: (5 Stars being the least negative impact on patient care, and 1 Star being the most negative impact on patient care)

  1 Star - Worst (High Negative Impact on Patient Care) 2 Star 3 Star - Average 4 Star 5 Star - Best (Low Negative Impact on Patient Care) N/A - I don't have experience with this plan
Aetna Medicare
Align Senior Care
AmeriHealth Caritas VIP Care (HMO-D-SNP)
American Health Advantage of Florida
AvMed Medicare
BayCare Health Plans
Capital Health Plan
CarePlus Health Plans, Inc.
Cigna Healthcare
Clear Spring Health
Devoted Health
Doctors HealthCare Plans, Inc.
Florida Blue
Florida Blue HMO
Florida Complete Care
Freedom Health, Inc.
Gold Kidney Health Plan
Health First Health Plans, Inc.
HealthSun Health Plans, Inc.
Humana
Leon Health, Inc.
Optimum HealthCare, Inc.
Prominence Health Plan
SECUR Health Plan
Simply Healthcare
Simply Healthcare Plans, Inc.
Solis Health Plans
Ultimate Health Plans
UnitedHealthcare
Wellcare

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* 8. Please rate the impact of step therapy protocols on access to prescription medications and the frequency of denials or adjusted therapy regimens for each of the following insurance companies that operate Medicare Advantage Plans in Florida: (5 Stars being the least negative impact on patient care, and 1 Star being the most negative impact on patient care)

  1 Star - Worst (High Negative Impact on Patient Care) 2 Star 3 Star - Average 4 Star 5 Star - Best (Low Negative Impact on Patient Care) N/A - I don't have experience with this plan
Aetna Medicare
Align Senior Care
AmeriHealth Caritas VIP Care (HMO-D-SNP)
American Health Advantage of Florida
AvMed Medicare
BayCare Health Plans
Capital Health Plan
CarePlus Health Plans, Inc.
Cigna Healthcare
Clear Spring Health
Devoted Health
Doctors HealthCare Plans, Inc.
Florida Blue
Florida Blue HMO
Florida Complete Care
Freedom Health, Inc.
Gold Kidney Health Plan
Health First Health Plans, Inc.
HealthSun Health Plans, Inc.
Humana
Leon Health, Inc.
Optimum HealthCare, Inc.
Prominence Health Plan
SECUR Health Plan
Simply Healthcare
Simply Healthcare Plans, Inc.
Solis Health Plans
Ultimate Health Plans
UnitedHealthcare
Wellcare

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