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Simply Healthcare Plans offers Medicare Advantage coverage designed specifically around Florida healthcare markets.
The plan available to you can change according to your county, your doctors, your hospital system, Medicaid eligibility, chronic-condition eligibility and the exact Simply Medicare plan offered in your ZIP code.
The better question is: “What does the Simply plan available where I live cover — and does it fit the healthcare I actually use?”
THE FLORIDA MEDICARE FIT MAP
YOUR COUNTY
NETWORK
PCP • Hospital • Specialists • Referral rules
ELIGIBILITY
Regular MA • D-SNP • C-SNP • Medicaid
BENEFITS
Dental • Vision • Hearing • OTC • Transport
→ YOUR ACTUAL SIMPLY PLAN
Market
Coverage Type
Common Structure
Special Needs Plans
Current plan year: 2026. Last reviewed August 24, 2026.
Included with applicable MAPD and SNP plans.
Examples include Simply More, Simply Integrated, Simply Complete and Simply Level.
Check the current CMS rating of the exact contract and plan you’re considering.
A plan can have a $0 premium, strong dental, OTC and transportation and still be a poor fit if your cardiologist or preferred hospital doesn’t participate.
Don't ask only “Does my doctor take Simply?”
Ask: “Does my doctor participate with this exact Simply Medicare Advantage plan?”
South Florida relationships matter too.
Simply currently identifies Evolent for applicable cardiology and The Oncology Institute for applicable oncology services in Miami-Dade, Broward and Palm Beach. Exact plan rules still control.
Mutual of Omaha’s current online quoting examples advertise an additional 12% household discount when applicable. Eligibility and percentages vary by state, policy and household circumstances.
The left side is why you choose Plan G. The right side may help you choose Mutual of Omaha.
Applicable plans can include preventive and comprehensive dental. Verify dentist network, annual benefit and major services.
Certain plans include routine exams and plan-specific lens or eyewear benefits.
Check hearing exam, hearing-aid benefit, approved devices, providers, copay and replacement schedule.
Applicable plans may provide monthly or quarterly OTC allowances. Funding and rollover rules vary.
Certain plans include nonemergency transportation. Trips, destinations and scheduling rules are plan-specific.
Certain plans can include home-delivered meals after qualifying facility discharge.
Designed for qualifying people with Medicare + Medicaid. Exact benefits depend on the plan and Medicaid eligibility.
Designed for qualifying chronic conditions such as diabetes, heart disease, chronic kidney disease/ESRD and certain lung conditions. Provider verification can be required.
Do I meet eligibility rules?
What amount applies?
What expenses are allowed?
Your plan premium is not your total healthcare cost.
Serious-illness exposure
Inpatient cost
Important for chronic care
Don't compare Simply plans by Giveback alone.
Compare Giveback + hospital + specialist + prescriptions + MOOP + network.
The Florida health-plan brand.
The larger parent organization.
Affiliated or contracted businesses can handle pharmacy, behavioral health and certain medical-benefit-management functions.
Compare Simply’s HMO structure with broader PPO flexibility.
Compare Simply MA against Original Medicare + Medigap.
Florida MA focus
Qualifying chronic-condition plans
Multiple current H5471 offerings
Before enrolling
Verify county • exact plan • PCP • specialists • hospital • prescriptions • pharmacy • prior authorization • referral rules • hospital copays • specialist copays • MOOP • dental • OTC • Giveback • D-SNP/C-SNP eligibility • food/utility eligibility.
*Star Ratings apply to specific CMS contracts and can change annually.
Use your actual ZIP code, plan letter, premium, household eligibility and enrollment situation to compare Mutual of Omaha against other Medigap carriers.
Simply Healthcare Plans is a Florida managed-care organization serving Medicare and Medicaid populations in the state.
Yes. Simply offers Medicare Advantage plans in Florida, including traditional MAPD coverage and Special Needs Plans.
Simply’s current individual Florida Medicare portfolio is primarily HMO-based rather than a broad PPO offering.
Yes. Simply offers HMO D-SNP coverage for qualifying people who have both Medicare and Medicaid.
Yes. Simply offers HMO C-SNP coverage in qualifying markets for people with applicable chronic conditions.
Simply’s Medicare Advantage prescription drug and SNP offerings include Part D coverage on applicable plans.
Certain Simply Medicare plans include dental benefits. Exact benefits vary by plan.
Many applicable Simply plans include monthly or quarterly OTC allowances. Amounts and rollover rules depend on the plan.
Certain Simply plans can include a Part B premium reduction. The amount and availability depend on the plan and county.
Yes. Simply Healthcare Plans is an affiliated health plan within the Elevance Health organization.
Simply can be a good fit when the specific Florida plan includes your doctors and hospitals, covers your prescriptions competitively, and offers medical costs and benefits that fit your needs.
Simply can be a strong Medicare Advantage option for certain Florida beneficiaries, but the correct comparison is local: same ZIP + same doctors + same prescriptions + same expected healthcare.
Helping make Medicare easier to understand.
Independent Medicare Guidance
Medicare Plan Assistance is an independent insurance agency and is not Medicare, Simply Healthcare Plans, Elevance Health, Carelon or a government agency.
Plan availability, premiums, benefits, provider networks, formularies, OTC allowances, Giveback amounts, Special Needs Plan eligibility and Star Ratings vary by county, plan and year.
Before enrolling, review the exact plan’s Summary of Benefits, Evidence of Coverage, Provider Directory, Drug List and current CMS Star Rating.V