Qualifying Florida markets, including Palm Beach-area Medicare options.
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PROMINENCE MEDICARE GUIDE
Prominence Health Plan offers Medicare Advantage coverage in selected communities across Florida, Nevada and Texas.
Its regional structure means the value of a Prominence plan depends heavily on:
Where you live
Which doctors you use
Which hospital system you prefer
Which prescriptions you take
Whether you qualify for Extra Help, Medicaid or a Special Needs Plan
Which Prominence plan is available in your county
The better question isn’t:
“Is Prominence a good Medicare company?”
It’s:
“Does the Prominence plan offered where I live fit my doctors, prescriptions and healthcare needs better than my alternatives?”
HMO • HMO-POS • D-SNP / C-SNP • Giveback / Extra Help
Prominence is a regional Medicare Advantage carrier. The value of a plan depends heavily on where you live and which local providers participate.
Defined local service areas rather than a broad nationwide Medicare footprint.
Qualifying Florida markets, including Palm Beach-area Medicare options.
Selected Northern Nevada markets can include regular MA, SNP and veteran-oriented options.
Defined North and South Texas markets can include HMO and select HMO-POS structures
Prominence is part of Universal Health Services. UHS affiliation does not guarantee every facility is in every plan network.
Medicare Advantage • HMO / select HMO-POS • D-SNP / C-SNP • 4.5-star CMS rating for 2026.
Prominence is regional. Your doctors and hospitals matter more than the carrier name alone.
Test a regional Medicare plan against your real providers and prescriptions before comparing extra benefits.
Are My Doctors & Hospitals Covered?
Test a regional Medicare plan against your real providers and prescriptions before comparing extra benefits.
Are My Prescriptions Covered?
Review every medication for formulary status, drug tier, pharmacy, prior authorization, step therapy, quantity limits and expected cost.
UHS Affiliated Doesn't Automatically Mean In-Network
A UHS-affiliated facility is not automatically participating in the exact Prominence Medicare plan you are considering.
Availability depends on your local market and eligibility.
Prominence HMO
The main regional structure. Routine care generally centers on participating providers and plan-specific access rules.
Prominence HMO-POS
Available in certain Texas markets, with specified point-of-service flexibility for certain care.
Prominence D-SNP
For qualifying beneficiaries who have Medicare and an applicable level of Medicaid.
Prominence C-SNP
For qualifying beneficiaries with specified chronic conditions such as diabetes or certain heart conditions.
Prominence can also offer Extra Help, Part B Giveback and veteran-focused options in qualifying markets.
Similar carrier branding can hide different eligibility rules, costs and benefits.
Standard Medicare Advantage coverage built around the local network.
Can reduce part of the Part B premium. Compare the reduction with total medical costs.
Designed around qualifying beneficiaries receiving Medicare Extra Help/LIS.
For qualifying Medicare + Medicaid beneficiaries.
Condition-focused coverage for eligible members.
Veteran-oriented MA-only coverage can be available in qualifying Northern Nevada markets.
The exact allowance, network, eligibility and cost sharing determine the real value.
Applicable plans can include preventive and comprehensive dental through plan-specific arrangements such as Liberty Dental.
Routine exams and eyewear benefits can be available through plan-specific networks such as NVA.
Hearing exams and hearing-aid benefits can be available through arrangements such as TruHearing.
Certain plans include approved OTC allowances and, for eligible members, additional benefit categories.
Certain plans include Silver&Fit and nonemergency transportation. Limits and rules vary.
Applicable plans can include Teladoc access and Medicare Part D prescription coverage.
Certain designs reduce part of the Part B premium. Never compare the Giveback amount by itself.
Use the same sequence every time so extra benefits do not distract from access and financial risk.
Start with Florida, Nevada or Texas, then ZIP code and county
Verify PCP, specialists, hospital and important facilities.
Review formulary, tier, pharmacy and coverage restrictions.
Regular MA, Extra Help, D-SNP, C-SNP or veteran-oriented coverage.
Hospital, specialists, imaging, surgery and maximum out-of-pocket.
Dental, vision, hearing, OTC, food, utilities, transportation and fitness.
| Your Priority | What to Verify |
|---|---|
| Keep my doctor | Exact Prominence network |
| Keep my hospital | Exact plan participation |
| Lower medical costs | Copays + MOOP |
| Prescription coverage | Formulary + pharmacy |
| Dental | Dental network + benefit rules |
| OTC / food / utilities | Exact allowance + eligibility |
| Part B Giveback | Reduction + total plan costs |
| Medicare + Medicaid | D-SNP eligibility |
| Diabetes / heart condition | C-SNP eligibility |
| Travel | HMO / HMO-POS rules |
A UHS-affiliated facility is not automatically in network. A $0 premium does not mean $0 healthcare. A Giveback does not automatically mean lower total costs. A large dental benefit still needs to work with your dentist and treatment, and an Extra Benefit Card does not mean every member receives grocery or utility benefits.
Your ZIP → Your Plan → Your Doctors → Your Hospital → Your Prescriptions → Your Costs
The best comparison starts with the healthcare you actually use, then adds benefits after the fundamentals fit.
This should become the unique conversion module.
Prominence Health Plan is a regional health insurer and value-based-care organization operating in Florida, Nevada and Texas. It is part of Universal Health Services.
Yes. Prominence Health is a subsidiary of Universal Health Services.
Prominence currently operates in Palm Beach County, selected Northern Nevada counties and defined Texas markets.
Yes. It currently offers Medicare Advantage in Palm Beach County.
Its current portfolio is primarily HMO-based, with HMO-POS in certain Texas markets.
Prominence Plus is one of the carrier’s standard HMO Medicare Advantage plan designs.
An HMO designed for eligible Medicare beneficiaries receiving Extra Help with prescription costs.
A D-SNP for qualifying people with Medicare and Medicaid.
Yes. Prominence offers Diabetes and Heart C-SNP products in qualifying markets.
Yes. Certain HMO and C-SNP products include Part B premium reductions.
Most current plans include Part D, but certain specialized plans such as the Veteran HMO are MA-only.
Applicable Medicare Advantage plans include preventive and comprehensive dental benefits.
Liberty Dental.
Coverage depends on the specific dental schedule and covered procedure codes.
NVA — National Vision Administrators.
Prominence’s regional Medicare model can work well when its local network, prescriptions, benefits and medical costs fit your needs.
Don’t compare the carrier name alone. Compare the exact plan available where you live.
Helping make Medicare easier to understand.
Independent Medicare Guidance
Medicare Plan Assistance is an independent insurance agency and is not Medicare, Prominence Health Plan, Universal Health Services, Liberty Dental, NVA, TruHearing, Silver&Fit, Teladoc or a government agency.
Prominence plan availability, networks, premiums, copays, MOOP amounts, prescription formularies, prior authorization rules, Giveback amounts, dental benefits, Extra Benefit Card allowances, transportation, Star Ratings and Special Needs Plan eligibility can vary by region, county, plan, eligibility and plan year.
Before enrolling, review the exact plan’s Summary of Benefits, Evidence of Coverage, Provider Directory, Prescription Drug Formulary and applicable CMS Star Rating.